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: codeine / prochlorperazine / remicade / demerol / morphine / dilaudid attending: chief complaint: abnormal labs major surgical or invasive procedure: picc line placement history of present illness: 67 y.o. female with h.o. crohns disease (on prednisone, previously on mtx which has been d/c'd), recently completed course of cipro/flagyl for ostomy infection, multiple abdominal surgeries (last ) for ostomy revision referred to ed for abnormal lab values. she was discharged after a surgical admission for fistula at ostomy site, infection at site (d/c'd on cipro/flagyl), high ostomy output and electrolyte disturbances (hyponatremia and hco3 11). she was treated with ivfs, electroloyte repletion, antibiotics as above, and loperamide. on discharge she stated that she had some nausea that she attributed to the antibiotics. she denies vomiting and ostomy output has remained constant. she received a methotrexate treatment on and states that her nausea and fatigue worsened. no cp. chronic dyspnea on exertion. she drinks 10oz glasses of water daily, taking in very little solids. lost lbs in last few weeks. pt went to see dr. yesterday for follow up. she was started on coumadin for a dvt seen on ct scan . at that time she had labs drawn which were abnormal, specifically na 127, hco3 8, creatinine of 1.4. pt was called and instructed to come into the ed. in the ed initial vs were: t97.6, p100, bp 125/68, r 20, o2 sat 99%. she was noted to have abdominal pain (/which is chronic for her) and was given zofran 4,g x 1, oxycodone 10mg x 1 and empirically started on iv ciprofloxacin/flagyl. a ct abdomen/pelvis was obtained which showed no bowel obstruction or abscess, but was notable for filling defects of b/l common femoral veins, new on the l and worse on right. new right internal iliac vein. in the ed she also became transiently hypotensive to low 80s, was asymptomatic. at that time she had an ej placed in addition to piv and was given stress dose steroids with dexamethasone 10mg iv x 1, started on 2l of ns. she was also started on heparin gtt for her dvts. of note she was recently discharged on from surgical service for infection of her ostomy site. at that time, per d/c summary, she was noted to have high ostomy output; stool studies were negative and she was given ivf and imodium. she was discharged with 1 month of cipro/flagyl. review of systems: (+) 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: -small, subsegmental pe found on hospital stay on cta -recent falls -diagnosis of ra made in -diagnosis of crohn's made in -pyoderma gangrenosum developed recently at ostomy site being treated with topical tacrolimus -asthma -depression/anxiety -: laparotomy and extensive lysis of adhesions, excision of abdominal wall and en bloc resection of abdominal wall and small intestine, complex abdominal wall closure, permanent ileostomy, ventral hernia repair with placement of surgimend mesh. - - vac change and debridement - - wound opening and debridement of devitalized skin and subcutaneous tissues; irrigation of the wound; debridement of devitalized fascia and removal of some mesh and suture; placement of vac. -s/p multiple abd surgeries (13-14) ??????s procedure and reversal. -s/p colectomy/ileostomy social history: social history: lives in with daughter; widowed. tobacco use for 30 pack-years until , no alcohol/drug use. family history: family history: brother has heart disease physical exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, thick yellowish plaque on tongue neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, +scar tissue throughout, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly, ostomy site with dressing, there is a 1-2cm wound that is packed with clean gauze, borders are nonerythematous, no exudate, non-tender ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema. tender thin veins over legs b/l pertinent results: labs on admission: 05:15am wbc-27.5* rbc-4.24 hgb-11.1* hct-36.1 mcv-85 mch-26.2* mchc-30.7* rdw-16.2* 05:15am neuts-88* bands-1 lymphs-3* monos-8 eos-0 basos-0 atyps-0 metas-0 myelos-0 05:15am hypochrom-1+ anisocyt-1+ poikilocy-1+ macrocyt-normal microcyt-1+ polychrom-normal ovalocyt-occasional schistocy-occasional 05:15am plt count-349 05:15am pt-14.8* ptt-26.9 inr(pt)-1.3* 05:15am albumin-3.2* calcium-8.5 phosphate-2.8 magnesium-1.4* 05:15am glucose-96 urea n-35* creat-1.1 sodium-128* potassium-5.1 chloride-108 total co2-11* anion gap-14 05:24am lactate-1.5 06:20am urine color-yellow appear-clear sp -1.013 06:20am urine -neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 06:20am urine rbc-0-2 wbc-0-2 bacteria-few yeast-none epi-<1 06:20am urine granular-<1 hyaline-21-50* 06:20am urine mucous-few discharge labs: 06:00am wbc-13.5* rbc-3.56* hgb-9.1* hct-30.3* mcv-85 mch-25.4* mchc-29.9* rdw-16.4* plt ct-366 06:00am pt-22.3* ptt-24.0 inr(pt)-2.1* 06:00am glucose-79 urean-11 creat-0.6 na-138 k-4.5 cl-103 hco3-29 angap-11 06:00am calcium-8.4 phos-3.6 mg-1.7 05:24am lactate-1.5 microbiology: , urine c. diff cultures negative imaging: echo : the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with basal inferior and inferoseptal hypokinesis. overall left ventricular systolic function is low normal (lvef 50-55%). the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. impression: low normal left ventricular systolic function. mildly dilated right ventricle with mild global hypokinesis. mild pulmonary artery systolic hypertension. ekg : atrial fibrillation with uncontrolled ventricular response. right bundle branch block. non-specific inferolateral st-t wave changes. compared to the previous tracing of right bundle-branch block can be seen on the current tracing. the rhythm is now atrial fibrillation. the overall rate is increased. ct ab/pelvis : impression: 1. bilateral common femoral vein dvt with right sided extension to the deep pelvic veins. 2. post-surgical changes in the abdomen with no acute complications. prior enterocutaneous fistula appears closed. brief hospital course: a 67 year old lady admitted to the medical icu then medical floor for lab abnormalities from crohn's with short gut found to have a right iliac dvt. 1. dvt: the patient has a recent history of dvts of which the newest is the r iliac. she was started on heparin and 5mg of warfarin and quickly became therapeutic. her heparin drip was discontinued after 48 hours of inr>2.0. she will go home on 5mg of warfarin daily to be followed by dr. . 2. non-anion gap acidosis: the patient's non-anion gap acidosis was due to direct bicarb losses in copious/?malabsorptive stool. along with the acidosis was hyponatremia, hypokalemia and hypomagnesemia. these electrolytes were repleted throughout her stay. on discharge, she was not given any oral supplementation but will have triweekly hydration under the direction of dr. as an outpatient. 3. hypotension: the patient was transiently hypotensive and symptomatic. orthostasis and possible relative adrenal insufficiency were addressed with fluids, and stress dose steroids. she had no hypotension while admitted. 4. atrial tachycardia: the patient was found to have atrial tachycardia (occasional atrial fibrillation) to the 160s that was asymptomatic. she was started on metoprolol (25mg tid final dose) and seen by our electrophysiology service. they will follow her as an outpatient. 5. crohn's disease: the patient was continued on prednisone 10mg and cipro 250mg po bid under the direction of dr. . medications on admission: prednisone 10 mg daily metronidazole 500 mg q8h (completed) omeprazole 20 mg daily folic acid 1 mg daily ciprofloxacin 500 mg q12hr x 1month (plan to decrease to 250mg po daily today) sertraline 25mg daily ropinirole 1 mg qpm miconazole nitrate 2 % 1 appl topical tid x 1 week vitamin d 50,000 unit po qweek vitamin b-12 1,000 mcg qmonth oxycodone-acetaminophen 5-325 mg 1-2 tabs q4hrs prn x 2 weeks lorazepam 0.5-1 mg qhs prn anxiety loperamide 2 mg prn to keep ostomy output <1000-1500 ml/day. fluconazole 100 mg daily x 2 weeks (completed) lysine 500mg vitamin a 8000 iu daily iron 27 mg once daily ibuprofen 800 mg po bid prn coumadin started yesterday 8mgpo promethazine 25 mg qid prn methotrexate 25mg/1ml qwk (last dose 9/10) discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po qhs (once a day (at bedtime)). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. sertraline 50 mg tablet sig: 0.5 tablet po hs (at bedtime). 5. ropinirole 1 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 6. cyanocobalamin 500 mcg tablet sig: one (1) tablet po daily (daily). 7. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 8. lorazepam 0.5 mg tablet sig: one (1) tablet po every six (6) hours as needed for anxiety. 9. lysine 500 mg tablet sig: one (1) tablet po twice a day. 10. vitamin a 10,000 unit capsule sig: one (1) capsule po daily (daily). 11. iron 27 mg (iron) tablet sig: one (1) tablet po once a day. 12. alphagan p 0.1 % drops sig: one (1) ophthalmic (2 times a day). 13. normal saline please infuse 1l of normal saline over 2 hours monday wednesday and friday ongoing. this will be monitored by , a. location: -division of gastroenterology-gi/west address: , ste 8e, , phone: fax: email: 14. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 15. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours). 16. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. disp:*30 tablet(s)* refills:*2* 17. alphagan p 0.1 % drops sig: one (1) drop ou ophthalmic (2 times a day). 18. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 19. outpatient lab work monday please draw na, k, cl, hco3, bun, cr, mg, k, phos, pt/inr and send results to , a. address: , ste 8e, , phone: fax: discharge disposition: home with service facility: vna and hospice discharge diagnosis: primary diagnosis: 1. iliac dvt 2. atrial tachycardia 3. hyponatremia 4. non-gap acidosis secondary diagnoses: 1. crohn's disease 2. s/p abdominal surgeries (colectomy, ilectomy) discharge condition: stable, afebrile, electrolytes stable discharge instructions: you have been admitted to the hospital because of lab abnormalities discovered by dr. at your recent clinic visit. while you were here, you spent a short time in the icu because of low pressure. however, you were quickly transferred to the medical floor after you did well in the icu. while on the floor, we worked to correct your fluids and electrolytes and have been successful. going home, you will received infusions at @ drum under monday/wednesday/friday under the direction of dr. and his associate dr. , phone: (. you were also found to have a clot in your leg "dvt" for which you will be on coumadin, a thinner for the next 6 months. in addition, you developed a fast heart rate called atrial tachycardia for which we have started metoprolol, a medicine to control your heart rate. if you feel lightheaded, please call dr. before continuing this medicine. please pay careful attention to your medications, the following have changed: - warfarin 5mg daily to be adjusted by dr. - continue ciprofloxacin 250mg by mouth twice daily - metoprolol 25mg by mouth three times a day - normal saline infusions per dr. : monday wednesday friday please call dr. or 911 if you experience any chest pain, difficulty breathing, lightheadedness or any other medical concern. followup instructions: provider: , md phone: date/time: 1:45 provider: , m.d. phone: date/time: 1:40 procedure: venous catheterization, not elsewhere classified diagnoses: acidosis anemia of other chronic disease long-term (current) use of steroids acute kidney failure, unspecified hyposmolality and/or hyponatremia asthma, unspecified type, unspecified hypopotassemia dysthymic disorder regional enteritis of unspecified site other specified cardiac dysrhythmias disorders of phosphorus metabolism long-term (current) use of anticoagulants rheumatoid arthritis personal history of venous thrombosis and embolism acute venous embolism and thrombosis of deep vessels of proximal lower extremity other and unspecified postsurgical nonabsorption ileostomy status disorders of magnesium metabolism fistula of intestine, excluding rectum and anus restless legs syndrome (rls) 

Answer: The patient is high likely exposed to