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: keflex / penicillins attending: chief complaint: uterine bleed acute anemia major surgical or invasive procedure: /p d&c and foley balloon placement for hemorrhage after incomplete sab history of present illness: 34yo g8p6 admitted with vaginal bleeding. the patient was diagnosed with non-viable pregnancy in with bleeding off and on since then. last week she went into her ob for a check up and was still having uterine bleeding with a positive hcg. her ob said she needed a d+c but she wanted to wait until after passover to have this done and since she was having only minimal bleeding it was agreed that she could wait. however, overnight she had heavier bleeding including clots from her vagina. she tried to stay at home to manage it but this morning her husband convinced her to come to the ob/gyn. review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: pnc: 1. dating: edc by 1st trimester us 2. labs: ab+ 3. us: nl ffs, no previa 4. issues: - rh status: weakly antigen d positive -> receives rhogam in pregnancy - cervical insufficiency: prior advanced cervical dilation with term deliveries. prophylactic cerclage placed at 12 weeks. - pprom at 17 weeks: evaluated due to multiple gushes of clear fluid. seen in triage and thought to ruptured. counselled about risks and elected to be managed expectantly. cerclage could not be removed at the time. she has been on bedrest since then. - t1dm: diagnosed in (class b), well managed on pump. has not seen dr since . obhx: g1 - missed ab 1st trimester g2 - missed ab 1st trimester g3 - vd iol advanced cervical dilation 36 weeks g4 - vd iol advanced cervical dilation 38 weeks g5 - vd iol for t1dm 38 weeks, cerclage placed g6 - stat ltcs for compound malpresentation, iol at 38wks t1dm g7 - vbac spont labour 38 weeks gynhx: denies stis medhx: nil surghx: - d&c x 2 - lsc cholecystectomy - ltcs social history: she is happily married. they are monogamous. she has 6 children, the youngest is 19 months. she works at a school in . family history: maternal grandfather with insulin-dependent diabetes. maternal grandmother with breast cancer in the mid 70s and a brother with diabetes. physical exam: vitals: t: afebrile bp: 105/50 p: 90 r: 14 18 o2: 97% ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 09:02pm hct-25.3* 05:18pm type-art po2-283* pco2-40 ph-7.37 total co2-24 base xs--1 05:18pm glucose-251* lactate-3.0* na+-134* k+-4.5 cl--105 05:18pm hgb-10.4* calchct-31 05:18pm freeca-0.95* 05:02pm wbc-10.7# rbc-3.21* hgb-9.8* hct-27.8* mcv-87 mch-30.4 mchc-35.1* rdw-13.1 05:02pm plt count-186 05:02pm pt-14.8* ptt-26.0 inr(pt)-1.3* 05:02pm fibrinoge-190 04:38pm hgb-6.6* calchct-20 03:10pm hcg-131 03:10pm wbc-6.4 rbc-3.21* hgb-9.7* hct-28.7* mcv-89 mch-30.1 mchc-33.7 rdw-12.5 03:10pm plt count-239 . brief hospital course: in the ob/gyn triage, ms. started passing large clots in toilet and then, while the ob/gyn resident was standing with her, she syncopized but didn't hit anything. of note, her fingerstick was checked at this time and found to be 300, as she had turned off her pump on arrival to the hospital. she received 10 units of regular insulin. given her acute blood loss and syncopal episode, she was taken back to the or for urgent d+c. the d+c did not show retained products but she continued to have significant bleeding intra-operatively, such that an emergent hysterectomy was considered (approximately 2 liters). at that point, a 30 cc foley balloon was placed in uterus to tamponade. this was attached to a urimeter to monitor bleeding. she was transferred to the icu with the intra-uterine foley in place and on an insulin drip for close monitoring. of note, her hematocrit on admission was noted to be 29. intra-op, her hematocrit was 20 and she received 3 units of prbc's. her hematocrit at the end of the case was 28. also, her inr was noted to be 1.3 and she received 1 unit of ffp. on hd#3/pod#2, her vital signs remained stable and her hematocrit stabilized at 22. she demonstrated minimal bleeding from the intra-uterine foley catheter. initially, the foley catheter was partially deflated and her bleeding was observed during the morning. her bleeding remained light and the catheter was removed completely that afternoon. of note, ms. blood sugar remained stable on the insulin drip and she was transitioned back onto her insulin pump. ms. was called out of the unit on the evening of hd#3/pod#2. her diet was advanced to regular and her vital signs remained stable overnight. on the morning of hd#4/pod#3, she continued to have minimal vaginal bleeding and was asymptomatic. she was tolerating a regular diet and her blood sugar was well-controlled on the insulin pump. she was discharged to home on hd#4/pod#3 in stable condition on oral iron. she will follow-up with dr. in 2 weeks. medications on admission: insulin lispro - 100 unit/ml solution - as directed in pump pt is pregnant (increasing requirements) prenatal vit-iron fumarate-fa - (prescribed by other provider) - dosage uncertain discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. subcutaneous insulin pump misc sig: one (1) miscellaneous as instructed by endocrinologist. discharge disposition: home discharge diagnosis: hemorrhage after incomplete miscarriage discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: call your doctor for: - fever> 100.4 - chest pain, palpitations - shortness of breath - lightheaded or dizziness with ambulation - fainting - increased abdominal pain - heavy vaginal bleeding (saturating 1 pad/hr) - any other concerns you may have followup instructions: please call dr. office at ( to schedule a follow-up appointment for 2 weeks procedure: dilation and curettage following delivery or abortion diagnoses: acute posthemorrhagic anemia diabetes mellitus without mention of complication, type i [juvenile type], uncontrolled spontaneous abortion, complicated by delayed or excessive hemorrhage, complete 

Answer: The patient is high likely exposed to