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: iodine / shellfish attending: chief complaint: respiratory failure major surgical or invasive procedure: central line placement x 2 arterial line placement arctic sun cooling history of present illness: a 54 year-old female with history of alcohol abuse, status post splenectomy, status post multiple abdominal surgeries initially presenting with altered mental status, dyspnea, and abdominal pain. the patient has been complaining of poorly localized abdominal pain over the past few weeks. the patient's mother states that the patient had been on an alcohol binge for a few days without significant po intake. the mother was checking on her the day prior to admission because the patient ??????was having a bad day?????? (not able to further characterize) and early this morning found the patient complaining of difficulty breathing. the patient subsequently became confused and was not responding appropriately to questions. the mother called ems to bring the patient to the ed, and she was noted to be obtunded in the ambulance. on arrival to the ed at 04:23, vitals were t 96.9 hr 121 bp 82/48 rr 20 sao2 99%ra, fsg 18. the patient was given at least 2 amps d50, as well as thiamine 100 mg iv 40 minutes later with improvement in mental status. at 07:20, the patient complained of fatigue/malaise with her nurse in the room and subsequently became unresponsive. the patient was asystolic. during the code the patient received epinephrine x 7, atropine x 3, calcium x 2, magnesium x 2, narcan x 2. a femoral line was placed and the patient was given 2-4l of saline. she was coded for 26 minutes, with final return of a perfusing rhythm with pulses 07:56. past medical history: alcohol abuse *upper gastrointestinal bleed due to nonhealing type i gastric ulcer *gastroesophageal reflux disease *depression *posttraumatic stress disorder *history of extensive burns as a child *headaches social history: lives with her mother. smokes a pack a day. history of alcohol abuse. history of cocaine. family history: cad father passed from prostate cancer mother with asthma physical exam: general intubated heent pupils fixed and dilated pulm coarse breath sounds anteriorly cv tachycardic, regular rhythm, s1, s2, no mrg abd hypoactive bowel sounds, distended, unable to assess tenderness extrem cool, diminished pulses neuro minimally responsive dilated pupils, negative gag reflex, decerebrate posturing, no response to pain lines/tubes/drains ett, r femoral central line, r arterial line pertinent results: admission: 05:45am blood wbc-12.9* rbc-3.38* hgb-6.8*# hct-25.4* mcv-75*# mch-20.2*# mchc-26.9*# rdw-21.1* plt ct-488* 05:45am blood neuts-62 bands-32* lymphs-4* monos-0 eos-0 baso-0 atyps-0 metas-2* myelos-0 05:45am blood plt smr-high plt ct-488* 08:32am blood pt-14.0* ptt-36.7* inr(pt)-1.2* 12:31pm blood ret aut-3.8* 12:31pm blood fibrino-246 05:45am blood glucose-282* urean-30* creat-1.3* na-125* k-3.7 cl-88* hco3-less than 05:45am blood alt-14 ast-37 ld(ldh)-184 ck(cpk)-143* alkphos-190* totbili-0.2 05:45am blood calcium-7.2* phos-5.7* mg-2.2 05:45am blood osmolal-307 12:31pm blood hapto-95 05:45am blood asa-neg ethanol-90* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 05:48am blood lactate-4.7* 10:10am blood hgb-6.1* calchct-18 ct head: near global loss of -white matter differentiation most prominent at the vertex. sulcal effacement most prominent at the vertex. these findings are progressed since the prior study and are concerning for global hypoxic injury or edema in the setting of prolonged cardiopulmonary arrest. no hemorrhage, shift of midline structures or herniation ct torso: small bilateral pleural effusions with septal thickening compatible with volume overload. there is no consolidation or lung mass. endotracheal tube is in adequate position. ng tube terminates in the mid thoracic portion of the dilated esophagus, and should be substantially advanced for optimal positioning. limited evaluation of the abdominal organs in the lack of intravenous or oral contrast. there are extensive post-surgical changes, no evidence for acute intra-abdominal process, including no free air or abscess formation. trace free fluid, cecal and ascending colonic wall thickening, and pericholecystic fluid most likely secondary to fluid resuscitation and third spacing. additionally, the wall thickening in the ascending colon may reflect an element of portal hypertension. right adrenal adenoma. venous and arterial right femoral lines in adequate position. cta a/p: patent mesenteric vessels. dilated gas filled loops of large bowel, which may relate to ileus. no definite evidence of mesenteric ischemia or bowel obstruction. mild bowel wall thickening involving the sigmoid colon for which colitis would be difficult to exclude. small non-occlusive filling defect in the right external iliac vein with a linear orientation, which likely represents a recannulized chronic thrombus. diffuse body wall anasarca, small bilateral pleural effusion, and septal thickening compatible with fluid overload. right adrenal adenoma. ill-defined 9mm hypodensity in the right lobe of the liver, for which further evaluation with ultrasound is recommended. brief hospital course: 1. asystolic arrest: 26 minutes in the ed related to her severe acidosis and possible toxin injestion (tox screen positive for cocaine). her hypoglycemia was resolved at the time of the arrest. she underwent the cooling protocol and was followed closely by neurology and toxicology. she had several eegs performed. ct head following the arrest showed near loss of the -white junction consistent with global hypoxic brain injury. off sedation, she demonstrated no evidence of cortical function. on the patient had an extremely abnormal eeg with low voltage. her neurologic examination was deteriorating and she demonstrated hemodynamic instability with hypertension and bradycardia. her family decided to make her cmo and she was extubated on at 3:30 pm. the patient will be discharged with hospice services. 2. septic shock/sepsis: the cause/etiology is unclear, but presumed abdominal source. she is s/p splenectomy. multiple cultures were without growth. surgery evaluated the patient, but no surgical issues were ultimately identified. she was treated with iv vancomycin, ciprofloxcain and flagyl, as well as po vancomycin. she was put on standing acetaminophen for persistent fevers. antibiotics were stopped when goals of care were changed. . 3. anion gap metabolic acidosis: her bicarbonate was undetectable on initial laboratory assessment. she had evidence of renal failure, a significant lactic acidosis, as well as ketones likely due to dehydration. her osmolar gap initially was only 11, however increased to 17 on repeat testing, of unclear etiology. thsi improved on a bicarbonate infusion. 4. tachycardia: in setting of sepsis and hypovolemia, also attributed to possible alcohol withdrawal 5. hypoxemic respiratory failure: intubated in setting of code and extubated at family request on 6. acute renal failure: studies consistent with prerenal azotemia. renal ultrasound negative for hydronephrosis. 7. anemia: hematocrit persistently low during this hospitalization and she was transfused 2 u prbc over the hospital course. no bleeding source identified. medications on admission: celexa 40 mg daily omeprazole 20 mg trazodone 150 mg qhs discharge medications: 1. morphine concentrate 20 mg/ml solution sig: 30-50 ml po q1h as needed for pain or shortness of breath. disp:*100 ml* refills:*0* 2. morphine 15 mg/ml solution sig: ten (10) mg per hour intravenous continuous infusion intravenous: hospice patient. no iv bolus. . disp:*100 ml* refills:*0* 3. ativan 1 mg tablet sig: 1-2 tablets po every 2 hours as needed for agitation. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice of the good discharge diagnosis: cardiopulmonary arrest altered mental status metabolic acidosis hypoxemic respiratory failure anemia hypotension septic shock acute renal failure anoxic brain injury hyponatremia discharge condition: on hospice discharge instructions: you are being discharged home with hospice services. please contact your hospice provider for any comfort needs. followup instructions: as needed procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube arterial catheterization cardiopulmonary resuscitation, not otherwise specified combined alcohol and drug detoxification diagnoses: acidosis anemia, unspecified esophageal reflux tobacco use disorder acute kidney failure, unspecified unspecified septicemia hyposmolality and/or hyponatremia severe sepsis depressive disorder, not elsewhere classified acute respiratory failure cardiac arrest anoxic brain damage septic shock gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction encounter for palliative care abdominal pain, generalized cocaine dependence, continuous acute alcoholic intoxication in alcoholism, continuous posttraumatic stress disorder hypoglycemia, unspecified 

Answer: The patient is high likely exposed to