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: bactrim / norvasc / lipitor / cortisone attending: chief complaint: chief complaint: anemia . reason for micu transfer: retroperitoneal bleed major surgical or invasive procedure: coiling of superior gluteal artery history of present illness: ms. is a 65 yof with history of gerd, htn, and hypertriglyceridemia who was recently admitted from to after being transferred from an osh for intractable diarrhea. this hospital course was complicated by pea arrest in the setting of ph 6.98 and she was intubated and had a right femoral cvl placed and was started on a bicarb drip. she was diagnosed with postviral autoimmune enteropathy and was treated with tpn and eventually discharged on budesonide and methylprednisolone with improvement in her diarrhea. notably her hospital course was complicated by hypertensive urgency with sbp above 200, volume overload in the setting of steroids, and an enterococcus uti. she was discharged to rehab 4 days ago. . the following day, she developed some mild pain in her medial knee up her thigh to the groin. this was in the setting of increased mobility - as she had previously been limited by rectal tube during her admission. she had a f/u appointment with her gastroenterologist the following day and when she returned to rehab she complained of the pain and had lenis that were negative for dvt. the following morning (today) she was turing and had increased pain in her right hip and flank. she films and checked a hct that was 14 (down from 27 on ). she denied dizziness, chest pain, or dyspnea. she denied history of trauma and was only on heparin subq for dvt prophylaxis but otherwise no anticoagulation. she was sent to the ed for further eval. . in the ed, vs 97.9 88 85/39 18 99% 3l. she was given fentanyl for pain and hydrocortisone 100 mg (stress doese). she had guiac + brown stool, ng lavage was negative. ct scan showed large rp hematoma. ir rec cta - which showed a small focus at right psoas muscle, concerning for active bleed. she was given 2 units uncrossmatched blood for the hypotension, followed by a unit of cross matched blood and a l of ns. bp remained 100-110 over several hours. . the patient went straight to ir where no active extravasation was seen, but there was an irregular smaller branch that was embolized with 2 small coils. a second arteriogram revealed no more bleeding past medical history: anxiety gerd hypertension anemia of chornic disease malnutrition euthyroid sick s/p hysterectomy social history: patient used to work part-time as a secretary. she is married and has one son. denies tobacco, etoh, or other drug use. family history: mother died at 78, father at 71 from mi. physical exam: admission exam: vitals: t: 97.6 bp: 133/61 p: 65 r: 18 o2: 95% general: alert, oriented, no acute distress heent: slightly pale, sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally cv: regular rate and rhythm, no murmurs abdomen: multiple echymosis from heparin shots, firmness to palpatio over the right abdomen, mild tenderness to palpation in that region, no guarding, + bs ext: warm, well perfused, 2+ pulses, no edema pertinent results: admission labs: 02:04pm blood wbc-21.4*# rbc-1.35*# hgb-4.7*# hct-12.9*# mcv-95 mch-34.5* mchc-36.4* rdw-16.3* plt ct-188 02:04pm blood neuts-84.9* lymphs-9.1* monos-5.0 eos-0.7 baso-0.3 02:04pm blood pt-12.9 ptt-43.9* inr(pt)-1.1 02:04pm blood glucose-206* urean-56* creat-1.2* na-136 k-4.9 cl-105 hco3-22 angap-14 02:04pm blood alt-32 ast-20 alkphos-55 totbili-0.2 dirbili-0.1 indbili-0.1 02:04pm blood albumin-2.0* calcium-7.1* phos-6.0*# mg-1.8 02:04pm blood hapto-160 02:04pm blood d-dimer-664* . cxr 1. minimal right basilar atelectasis. otherwise, no acute intrathoracic process. 2. small bilateral pleural effusions as seen on subsequent ct. . ct ap 1. large right iliopsoas intramuscular hematoma with associated retroperitoneal hematoma. further evaluation with cta is recommended to assess for active bleeding. 2. diverticulosis without evidence of diverticulitis. . cta ap 1. tiny focus of active arterial extravasation within the right psoas muscle (2:124). overall stable size of large right retroperitoneal hematoma. 2. hypodense 3-mm lesion in the body of the pancreas, more fully characterized on the mrcp dated . brief hospital course: ms. is a 65 yof with recent diagnosis of postviral autoimmune enteropathy requiring prolonged hospitalization complicated by acidosis and pea arrest who represented from rehab with acute hct drop and was found to have a retroperitoneal bleed, now s/p coiling by ir with stable hct. # retroperitoneal bleed: unclear etiology. pt was instrumented 3 weeks ag during pea arrest with right femoral line, however, likely not related to bleed as pt was noted to have a stable hct 3 prior to admission (27) and femoral lines do not typically travel far enough to cause a psoas bleed. possible pt had heparin shot into a vessel which caused bleeding? symptoms began wednesday night and she was not symptomatic despite her profound anemia, making a slow bleed most likely. s/p ir coiling of small artery though unclear if it was actually bleeding. hct stable after the procedure around 27. lasix and valsartan were held in setting of iv contrast load during ir procedure. coreg was also held to monitor for tachycardia as sign of re-bleed. blood pressure medications were slowly restarted as blood pressure and blood counts stabilized. # autoimmune enteropathy: continued budesonide and methylprednisolone taper and monitored fingersticks. should continue methylprednisolone 15 mg x 1 day, 12.5 mg x 3 days, 10 mg x 3 days, 7.5 mg x 3 days, 5 mg x 3 days, then off. should follow up with gi as scheduled. # hypertension: has history of poorly controlled bp. pt was hypotensive in ed in setting of anemia and had one episode of bp 80s overnight the night of admission, but was otherwise was normotensive. her home isosorbide mononitrate was continued with holding parameters; and clonidine patch replaced to prevent withdrawal. held valsartan, lasix, and coreg initially as above which were slowly restarted. # gerd: omeprazole instead of esomeprazole while inpatient. # depression/anxiety: continued citalopram and ativan during hospitalization. restarted both on discharge. # 4-mm pancreatic cystic lesion: found within the neck / body of the pancreas during previous hospitalization. concern for ipmn (intrapapillary mucinous neoplasm) of pancreas. will need follow up with mri as outpatient. # hypoxia: likely atelectatis, but may have a component of pleural effusion from hypoalbuminemia. chf possible, but no history of echo in our system. echo done this admission showed normal systolic function and mild pulmonary artery hypertension. incentive spirometer use encouraged. transitional issues: - monitor o2 status - monitor hct daily for 2 days, then again on to ensure stable - monitor bps - outpatient mri - continue methylprednisolone taper as above full code during this admission. medications on admission: 5000 tid trazodone 25 mg hs valsartan 320 mg q day conjugated estrogen 0.625 q day esmompreazole 40 mg q day lorazepam 0.5 mg q 8 prn citalopram 40 mg q day vitamin d 400 units q day acetaminophen 650 mh q 6 prn folic acid 1 mg q day tiamine 100 mg q day budesonide 9 mg q day gemfibrozil 600 mg q day clonidine 0.2 mg patch q thursday furosemide 40 mg q day carvedilol 25 mg isosorbide mononitrate 30 mg q day lidocaine patch q day methylprednisolone 17.5 mg until --> 15 mg x 3 days --> 12.5 mg x 3 days --> 10 mg x 3 days --> 7.5 mg x 3 days --> 5 mg x 3 days discharge medications: 1. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 2. conjugated estrogens 0.625 mg tablet sig: one (1) tablet po daily (daily). 3. esomeprazole magnesium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 4. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 5. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 9. budesonide 3 mg capsule, delayed & ext.release sig: three (3) capsule, delayed & ext.release po daily (daily). 10. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch transdermal once a week: change on thursday. 11. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 12. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 13. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 14. methylprednisolone 8 mg tablet sig: one (1) taper po bid (2 times a day) for 13 days: taper as below: 15mg x 1 days 12.5mg x 3 days 10mg x 3 days 7.5 mg x 3 days 5 mg x 3 days . 15. atovaquone 750 mg/5 ml suspension sig: ten (10) ml po daily (daily). 16. isosorbide mononitrate 10 mg tablet sig: three (3) tablet po bid (2 times a day). 17. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: two (2) tablet, chewable po bid (2 times a day). 18. insulin lispro 100 unit/ml solution sig: one (1) sliding scale subcutaneous asdir (as directed): follow insulin sliding scale enclosed. 19. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 20. dextrose 50% in water (d50w) syringe sig: one (1) syringe intravenous prn (as needed) as needed for hypoglycemia protocol. 21. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 22. valsartan 320 mg tablet sig: one (1) tablet po once a day. 23. citalopram 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: skilled nursing center discharge diagnosis: retroperitoneal bleed autoimmune enteropathy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear ms. , you were admitted to for a bleed in your right lower abdomen/back, called a retroperitoneal bleed. it is not clear why this has happened, but it may have been spontaneous (for no apparent reason). you were transfused with blood products to improve your blood counts. interventional radiology doctors placed a in the blood vessel that appeared to be bleeding and you did not have any subsequent problems. you were restarted on your most of your home blood pressure medications after the bleeding was felt to be stable. for your diarrhea and autoimmune enteropathy we continued your steroid regimen which will be tapered down as planned by the gastroenterology doctors. we also discontinued your foley catheter. the following changes were made to your medications: started atovaquone to prevent fungal pneumonia while you are on steroids started calcium supplement increased vitamin d supplement continue methylprednisolone taper for additional 15 days as follows: - 15 mg x 1 days - 12.5 mg x 3 days - 10 mg x 3 days - 7.5 mg x 3 days - 5 mg x 3 days your blood pressure medications were initially stopped when you came in because you were bleeding significantly, but after your blood pressure and your blood counts were stable, we slowly restarted your blood pressure medications. please be sure to discuss with your primary care doctor the possibility of again trying to very slowly taper down your conjugated estrogens because of potential risks of being on these medications. please be sure to keep your followup appointment with your gi doctor as below. followup instructions: department: division of gi when: at 9:00 am with: , md building: ra (/ complex) campus: east best parking: main garage please follow up with your primary care doctor once you are discharged from rehab. they can assist you with this function once you are ready for discharge to home. procedure: arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified pure hyperglyceridemia dysthymic disorder nontraumatic hematoma of soft tissue other and unspecified complications of medical care, not elsewhere classified cyst and pseudocyst of pancreas hemoperitoneum (nontraumatic) unspecified intestinal malabsorption unspecified disorder of intestine 

Answer: The patient is high likely exposed to