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; iodine containing / urokinase / heparin calcium (porcine) / aspirin / penicillins / streptokinase attending: chief complaint: transferred from hospital for pneumomediastinum major surgical or invasive procedure: ex lap swan ganz placement arterial line placement cvl placement hd line placement history of present illness: pt presented to hospital for weakness on . she had been having 2 weeks of ongoing weakness and was finally brought to the ed for hypoxia. on arrival, she was tachy in the 120's, clear cxr. her admisison labs wer entoable for a cr of 8.3, k 6.7, bicarb 6; abg 6.95/20/4/34. troponin 7. a foley was placed which showed blood thick material. she was admitted to the icu for further care. impression at that time was that she had arf from kidney rehection with hematuria vs. cystitis and prerenal azotemia, hypoxemia, and mi. . she was intubated on to help manage her hypoxia metabolic acidosis. a femoral line was placed. placed on cefepim for uti and uri sxs, ivf for support. pt extubated on . ppn started on . creatinine improved over the next two days. urine cx with strep viridans. . on , cards consult obtained who believed pt to have an acute inferior inferolateral mi exaccerbated by her mat acidosis and arf. rec cont asa/bb/heparin, did not rec. angiography given allergy to dye. . overnight to , 40 mg iv lasix given. noted to have drop in bicarb, likely ppn. also noted to be tacycardic but unclear why, ?pain or benzo withdrawl. overnight from to : pt was tachycardic, in resp distressed. lasix and lopressor tried with no effect. abg with po2 of 47. pt intubated at 5 30 am, durign which coffee grounds wer enoted and suctioned; after intubation swellig and crepitus noted. ct done which did not find any obvious tear. bronchopspy was performed which showed no tear. . transferred to for further care, admitted to the micu service. . on arrival, pt sedated. does not follow commands. appears comfortable. past medical history: 1. cad s/p post op mi in after surgery 2. htn 3. hyperlipidemia 4. esrd reflux nephropathy at age 13, s/p 4 renal transplants, baseline cr 2.0 5. pancreatitis in 6. recurrent sbo 7. recurrent uti 8. hiatal hernia 9. oa . psh: . 1. bowel surgery in for sbo 2. tah bso 3. nephrectomy 4. cataract surgery 5. renal transplant x 4 10. herpres zoster social history: married, lives with husband; retired; denies tobacco and alcohol family history: 1. f-died at 59 liver cirrhosis physical exam: temp 98.7 bp 99/64 pulse 112 resp 18 o2 sat 100% on ac 350x16 (25 actual), peep 5 gen - sedated, comfortable heent - post surgical pupils, anicteric, mucous membranes dry neck - palpable subq air bilaterally chest - crackles at bases, no wheezes, rhonchi throughout cv - normal s1/s2, rrr, no murmurs, rubs, or gallops abd - soft, nontender, min. distended, with hypoactive bowel sounds back - no costovertebral angle tendernes extr - no clubbing, cyanosis, or edema. diff. to ascertain pulses skin- no rash pertinent results: see carevue brief hospital course: impression: 46 f with esrd s/p 4 kidney transplant, recent uti, acs, transfered here after acute resp distress, likely pulomnary edema, with intubation c/b pneumomediastinum. overnight, pt was given 1500 cc ivf for tachycardia and low cvp, maintained good uop. abx held. cont on heparin gtt for acs. exam this am with new abd distention and tenderness. icu d #2. . plan: . 1. resp failure: pathcy infiltrate on cxr. chf vs. pna (alhtough asymetric so would consider ards) -change to ps of , try to wean fio2 to 40% today -check abgs -hold on dieuresis as clinically appears vol depleted . 2. abd tenderness/distention: kub neg for obstruction. pt does have fever and wbc ct. also lower plts. ddx abscess, ischemic in gut hit, ccy. -transplant surgery consulted -ruq us, ct abd/pelvis without contrast, renal us to r/o abscess/hydro -check lfts -stop heparin . 3. low plts: likely hit given 50% drop in plts. could also explain blueish hand and abd pain (thrombosis). was on heparin since , d/c . -stop heparin, start argatroban, heme/onc consult, hit pending, hold all heparin products . 4. cad: ischemic, likely inferolateral. elevated ces. heparin stopped . -bb/asa/statin -cont to follow ces -no intervention at this time -echo . 5. id a. uti: ua here with +ua, hold on abx for now until cx returns, follow other cultures . 6. esrd s/p renal transplant: cr improving slowly with adequate uo. cont ivfs. - cellcept mg tid, taper solumedrol by 10 mg qd, cyclosporine 50 mg qam/25 mg pm all restarted -renal us to r/o abscess and hydronephrosis -ivfs -transplant surgery consult . 7. left arm cyanosis: app vasc surgery input. dopplerable pulses. could be micro thrombi from hit. . 8. tachycardia: not in obvious pain. could be vol depletion. -ivfs to maintain uo > 40 cc/hr, cvp 10-14. also with fever, will give tylenol and await cx results. . 9. anemia: unclear cause. no obvious bleed. guiac stools. could be renal disease. check haptoglobin to r/o hemolysis (? atypical pna). -transfuse one unit of blood . fen: check lytes, fen consul for ppn recs with renal diet ppx: ppi, head of bed at 30 degrees, bowel regimen code: full dispo: icu level of care until extubated access: right femoral line, place rij comm: with husband and mother surgical addendum transferred to transplant surgery service on the night of hd2 because of her concerning abdominal exam & recurrent blood loss anemia. our plan was to hold anticoagulation & follow serial exams/labs was thwarted by an irreversible increase in her coag factors & severe oozing, despite multiple transfusions with platelets, ffp & other blood products, as well as hematology consult & ddavp. she was resuscitated for the next 36 hours, with a relatively stable critically ill clinical picture. however, on the morning of , she decompensated, with tachycardia, hypotension, rising lactate and pancytopenia (dic). she was taken to the or despite being unable to reverse her anticoagulation. in the or, an ileocolectomy for perforated distal ileum & end ileostomy was performed. her septic picture did not improve after the or & her family made her cmo. she passed a few minutes thereafter. an autopsy was declined by the family & the medical examiner. medications on admission: meds on trasnfer: ativan 0.5 mg iv prn albuterol neb q 2 prn solumedrol 80 mg iv q8 (d #4) cefepime 1 gm iv q24 () zosyn 2.25 gm iv q 8 ()plavix 75 mg qd lipitor 20 mg qd imdur 30 mg qd reglan 5 mg iv q 8 prn protonix 40 mg iv q24 peridex cefipime 1 gm iv q12 () lasix 40 mg iv qd aranesp 100 mg sq (q friday) lopressor 25 mg po bid zofran 4 mg iv q8 prn discharge disposition: expired discharge diagnosis: s/p renal transplant myocradial infarction chf bowel perforation sepsis septic shock hepatitis c cmv discharge condition: deceased discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other partial resection of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances venous catheterization for renal dialysis temporary ileostomy arterial catheterization other laparotomy diagnoses: anemia, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified viral hepatitis c without hepatic coma perforation of intestine acute respiratory failure septic shock acute myocardial infarction of other inferior wall, initial episode of care hemorrhage of gastrointestinal tract, unspecified other and unspecified coagulation defects peritoneal abscess peritonitis (acute) generalized 

Answer: The patient is high likely exposed to