Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: osteoarthritis/ddh left hip major surgical or invasive procedure: primary left total hip arthroplasty (press fit) history of present illness: dr. returns today. she is just about two months out from her primary right total hip replacement here at . she is doing extremely well. she has been given a referral to outpatient physical therapy. she says she has virtually no pain in the right hip at all. her focus is shifted to the contralateral left hip discomfort, which radiographically shows a similar presentation of advanced osteoarthritis. this pain propagates down the leg to the level of the mid tibia. while the component of it may be radicular in nature from the back, i think most of it is certainly coming from the hip. towards that end, we sterilely prepped out the left knee today and injected with celestone 1 ml plus marcaine 2 ml in the hope that the predominance of left knee pain over left lower extremity pain in general may be alleviated. we do not have any x-rays on this knee, but if the cortisone shot helps, then we will perform radiography at the next visit. as for now, we will get her in to outpatient physical therapy. she takes antibiotics all the time for dental prophylaxis because of her cardiac valvular disease. she is very pleased. she is starting to work on increasing her stamina and potentially as she gets more fit, she will be able to, i am sure walk further faster and increase her activity levels. at some point in the future, she may opt to have a similar procedure done on the left hip, but that is not at all in the cards for this point. she comes in for l thr. i would like to see her back in two months' time. she is doing extremely well. we will check on her ambulatory status at that point. she should be full weightbear and using just a cane at this point. past medical history: past medical history: rheumatic heart disease as a child with above-mentioned severe aortic stenosis and 4+ mitral regurgitation, no evidence of any coronary disease to my knowledge. she also has hypertension. she apparently has had syncope twice in the past, and of course, has severe heart murmurs. she has gerd, but no ulcer history and chronic anemia. history of colon cancer resection and osteoarthritis. surgical history: partial colectomy for cancer, no subsequent problems, left distal radius orif. social history: russian physician, to usa in . lives locally with son and husband. g1, p1 nonsmoker, denies alcohol use, rarely able to exercise. family history: non-contributory physical exam: afebrile vss, a/ox3 lcta bilaterally rrr abd soft, ntnd, +bs ble fully nvi distally with 2+ dp pulses and full strength throughout painful and limited rom of l hip pertinent results: 03:57pm type-art temp-37.2 rates-/14 tidal vol-400 peep-0 o2-40 po2-161* pco2-42 ph-7.38 total co2-26 base xs-0 intubated-intubated vent-spontaneou comments-psv 5cm 10:54am type-art temp-34.4 po2-210* pco2-49* ph-7.33* total co2-27 base xs-0 10:54am lactate-1.5 k+-3.6 10:54am freeca-1.16 10:47am glucose-163* urea n-25* creat-0.7 sodium-141 potassium-3.8 chloride-109* total co2-26 anion gap-10 10:47am estgfr-using this 10:47am calcium-7.9* phosphate-3.0 magnesium-2.4 10:47am wbc-9.9 rbc-3.00* hgb-9.6* hct-28.9* mcv-96 mch-32.0 mchc-33.2 rdw-13.5 10:47am plt count-227 09:46am type-art po2-118* pco2-40 ph-7.38 total co2-25 base xs-0 intubated-intubated 09:46am glucose-171* lactate-1.4 na+-138 k+-3.8 cl--109 09:46am hgb-10.2* calchct-31 09:46am freeca-1.09* 08:47am type-art po2-244* pco2-42 ph-7.39 total co2-26 base xs-0 08:47am glucose-131* lactate-1.4 na+-139 k+-3.2* cl--107 08:47am hgb-10.7* calchct-32 08:47am freeca-1.14 06:30am blood wbc-7.8 rbc-2.65* hgb-8.7* hct-24.4* mcv-92 mch-32.7* mchc-35.5* rdw-14.4 plt ct-146* 02:28am blood wbc-7.3 rbc-3.01* hgb-9.7* hct-28.5* mcv-95 mch-32.1* mchc-33.9 rdw-14.6 plt ct-182 10:47am blood wbc-9.9 rbc-3.00* hgb-9.6* hct-28.9* mcv-96 mch-32.0 mchc-33.2 rdw-13.5 plt ct-227 06:30am blood glucose-109* urean-14 creat-0.8 na-137 k-4.0 cl-104 hco3-27 angap-10 02:28am blood glucose-194* urean-14 creat-0.7 na-137 k-4.0 cl-108 hco3-22 angap-11 10:47am blood glucose-163* urean-25* creat-0.7 na-141 k-3.8 cl-109* hco3-26 angap-10 06:30am blood calcium-8.2* phos-2.2* mg-2.2 02:28am blood calcium-8.1* phos-2.3* mg-2.0 10:47am blood calcium-7.9* phos-3.0 mg-2.4 10:54am blood lactate-1.5 k-3.6 09:46am blood glucose-171* lactate-1.4 na-138 k-3.8 cl-109 08:47am blood glucose-131* lactate-1.4 na-139 k-3.2* cl-107 09:46am blood hgb-10.2* calchct-31 08:47am blood hgb-10.7* calchct-32 02:40am blood freeca-1.12 10:54am blood freeca-1.16 brief hospital course: the patient was admitted on and taken to the operating room by dr. where the patient underwent left hip total joint arthroplasty. the procedure was well tolerated there were no complications. please see the separately dictated operative report for details regarding the surgery. the patient was subsequently transferred to the surigical intensive care unit in stable condition for overnight observation given her heart history and transferred to the floor the next day. overnight, the patient was placed on a iv morphine for pain control. iv antibiotics were continued for 24 hours postoperatively for prophylaxis. lovenox was started the morning of pod#1 for dvt prophylaxis. hct was 28.9 and was transfused 1u prbc. on postoperative day 1, the drain was removed without incident. the patient was weaned off of the iv narcotics and onto oral pain medications. xrays of l hip and femur obtained in sicu from pt's c/o l thigh pain. xrays negative. hct 28.5 and will recheck the next day. on postoperative day 2, the foley catheter was kept for hct 24.4. 2 units rbcs ordered and foley kept in. pt had pulmonary edema from 1st unit of r rbc and lasix 10mg iv x1 was not adequate. pt c/o shortness of breath. cxr confirmed pulm edema and lasix 20mg iv x1 given. pt's breathing better. ekg neg. troponin's neg x2. pod3: the surgical dressing was also removed, and the surgical incision was found to be clean, dry, and intact without erythema nor purulent drainage. during the hospital course the patient was seen daily by physical therapy. labs were checked both post-operatively and throughout the hospital course and repleted accordingly. the patient was tolerating regular diet and otherwise feeling well. prior to discharge the patient was afebrile with stable vital signs. hematocrit was stable and pain was adequately controlled on a po regimen. the operative extremity was neurovascularly intact and the wound was benign. on pod# 3 the patient was discharged to rehab in a stable condition. medications on admission: diovan 80', metoprolol 12.5', hctz 12.5', naprosyn 375'', tylenol, calcium, hydrocodone discharge medications: 1. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever or pain. 2. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po q6h (every 6 hours) as needed. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day) as needed. 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. trazodone 50 mg tablet sig: 0.5 tablet po qhs (once a day (at bedtime)) as needed for insomnia. 8. hexavitamin tablet sig: one (1) cap po daily (daily). 9. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 11. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 12. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 13. enoxaparin 40 mg/0.4 ml syringe sig: one (1) mg subcutaneous once a day for 3 weeks: please take for 3 weeks then start asa 325 po bid x 3 weeks more for a total of 6 weeks anticoaguation. 14. aspirin 325 mg tablet sig: one (1) tablet po twice a day for 3 weeks: please start after 3 weeks of lovenox for a total of 6 weeks of anticoagulation. 15. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 16. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 17. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 18. potassium & sodium phosphates mg packet sig: one (1) packet po bid (2 times a day) for 3 days. 19. promethazine hcl 25 mg iv q6h:prn nausea 20. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 21. ondansetron 4 mg iv q8h:prn nausea/vomiting 22. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po bid (2 times a day) for 2 days. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: osteoarthritis/ddh left hip discharge condition: stable discharge instructions: please seek medical attention if you have any nausea, vomiting, fever greater than 101.5, chest pain, shortness of breath, increased pain/redness/drainage from your incision site, numbness/tingling, or any other concerning symptoms. take all medications as prescribed and resume home medications, please take a stool softener if taking narcotic pain medications, please taper down pain medication use as tolerated. no driving nor operating heavy machinery while using narcotic pain medications. anticoagulation: take lovenox injections (40mg) once a day x 3 weeks and then take aspirin 325 mg x 3 weeks. discontinue all blood thinners 6 weeks post-operatively. wound care: keep your incision clean and dry. okay to shower after pod#5 but do not tub-bath or submerge your incision. please place a dry sterile dressing to the wound each day if there is drainage, leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed at the first post-op visit. activity: weight bearing as tolerated to operative leg. posterior hip precautions at all times. no strenuous exercise or heavy lifting until follow up appointment, at least. vna (after home): home pt/ot, dressing changes as instructed, and wound checks please call dr. ?????? office to confirm your follow-up appointment for within 10-14 days of surgery. physical therapy: activity: activity as tolerated pneumatic boots right lower extremity: full weight bearing left lower extremity: full weight bearing encourage turn, cough and deep breathe q2hr when awake. treatments frequency: site: l hip type: surgical dressing: gauze - dry change dressing: other comment: to be changed pod by ho then prn changes followup instructions: please call dr. ?????? office to confirm your follow-up appointment for within 10-14 days of surgery. provider: , phone: date/time: 4:30 provider: , md phone: date/time: 10:40 procedure: transfusion of packed cells total hip replacement diagnoses: esophageal reflux congestive heart failure, unspecified unspecified essential hypertension mitral valve insufficiency and aortic valve stenosis personal history of malignant neoplasm of large intestine osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh hip joint replacement 

Answer: The patient is high likely exposed to