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: hydrochlorothiazide attending: chief complaint: transfer from osh for retroperitoneal bleed major surgical or invasive procedure: rt thoracentesis history of present illness: 68 yo female with h/o copd, afib, cad, dm, chf who presented to an oh with cough and shortness of breath, and was diagnosed with a copd exacerbation (). in house, pt started to complain of ruq pain. ruq ultrasound showed non-obstructive cholelithiasis and moderately thickened gall bladder wall. hida scan negative. it was thought that pt would benefit from an elective lap chole per surgery and medicine. transferred to the transitional unit for coumadin reversal where pt had drop in hematocrit (29-->25 in 1 hour). egd showed a hiatal hernia and gastritis in the antrum. colonoscopy negative for gi bleed. pt was guiac negative. ct abdomen showed large right retroperitoneal hematoma and extending from the level of the iliacus and psoas to the right obturator externus muscle and a moderate to large acute right rectus abdominus hematoma. bleeds were thought to be secondary to coumadin (afib) in addition to patient being put on lovenox while in the transitional unit. a total 11 , 8 , 30 of cryoprecipitate, and 8 bags of platelets given to patient during stay in addition to ddavp x 2 and protamine x 1, 14 l of fluid, in the setting of decreasing platelets and increasing inr. wbc elevated in the 20's. xcr () showed increasing pulmonary vascular congestion with right ll infiltrate and pleural effusion. hemotology consult thought thrombocytopenia was dilutional. pt's renal function deteriorated in setting of hypotension and compromised renal flow secondary to extrinsic compression by the hematoma. transferred to the for aggressive fluid hydration and further management hypotension. past medical history: cad, chf, copd, crf (baseline 1.1-2) (?), afib, non-obstructive gallstone disease, gastritis, hiatal hernia, dmt2, spondylosis, sss, s/p mi (year?), s/p cabg, osteoporosis social history: lives at home alone. is in contact with husband and daughter. denies etoh. family history: nc physical exam: 98.9 80-100's 145/87 17-20 93% on 4l gen: obese woman in moderate resp distress heent: mmm, neck: +jvp, r ij in place. cv: rrr, no m/r/g lungs: ctab from posterior, but expiratory wheezes on ant exam abd: obese, soft, tender to palpation periumbilically and ruq. +large ecchymosis periumbilically back: +large ecchymosis r back, tender to palpation. ext: 2+ pitting edema bilaterally le's. neuro: a&ox3. maew. pertinent results: chest ct r pleural effusion - decreased and minimal. abd ct large right retroperitoneal hematoma extending from the right posterior pararenal space down into the pelvis. hemorrhage into the right rectus muscle is also noted. echo mild symmetric lvh with normal lv systolic function. normal rv size and systolic function. mildly dilated aorta. moderately thickened aortic valve with mild aortic stenosis and mild mitral regurgitation. moderate pulmonary hypertension cxr pleural effusion with increasing opacity at the right base, which may reflect an acute infiltrate. renal u/s large retroperitoneal hematoma on the right. right kidney displaced anteriorly. arterial and venous flow within the kidney is demonstrated. no hydronephrosis is seen. iv catheter tip: staphylococcus, coagulase negative. >15 colonies. corynebacterium species (diphtheroids). >15 colonies. urine cx : enterococcus sensitive to vanc, but resistant to levo and ampicillin. brief hospital course: sob-pt clinical picture initially suspected to be copd with wheeze on exam, history of asthma and normal ef on tte with minimal sign of failure on cxr. solumedrol was slowly titrated up to 100mg q8h with poor response, as the pt was diuresed approximately 1l neg each day for the first 5 days of hospitalization. on steroid taper was begun and more agressive diuresis was begun. oxygen requirement was weaned over the next 4 days from 4lnc to 1l and had improved tachypnea with stable o2 requirement of 1l nc. pe cont to suggests both intravascular as well as total body volume overload with anasarca, although mm cont to be dry. tte had poor windows although she appeared to have a normal ef but lvh and probable diastolic hf. difficult to assess what is rt hrt failure vs left due to chronic pulm disease. pt cont to have mild rale on rt of unlclear source since they worsened with diuresus. poor air movement on pe suggest component of obstructive airway disease although after discussion with pcp it appeared that she only had moderate asthma with no pft's in past. there also appears to be a component of hypoventilation due to hematoma obtructing diaphragmatic excursion on rt., along with obesity. ct surgery was conusulted and were concerned that opacity at rt lung base on cxr represented hemothorax although repeat ct showed only effusion with fluid density. she was cont steroid taper now on 20mg prednisone to with plan for 20mg x1 days, 10mg x2days 5mg x2days with last dose on . creatinine remained stable so will cont to diurese with bumex 1mg po bid along with acetazolamide for 5 more days as below. afib-pt had occasional tachycardia which may be due to intravascular volume depletion with diuresis despite rate control with diltiazem and digoxin while being paced. diltiazem was titrated up to 90 tid with hr in 80's. rate control was critical in pt with diastolic hf although we did not want to blunt compensation for volume depletion. we held on anticoagulation and it will need to be addressed as an outpt. retroperitoneal hematoma-pt abdominal pain improved and hct remained stable with actual increase. pain was thought likely due to hematoma, although hct was stable for 9 days prior to dishcarge. no need for intervention if hct remains stable since she would be poor surgical candidate per vascular. risk of hemorrhage outweighs stroke risk with afib so cont to hold coumadin. pt with severe ecchymosis on abdomen from sc heparin so unclear if pt is hypersensitive. acute on chronic rf-due to hf and possible compresive component on ureter by hematoma although no hydroureter on ct abdomen. pt creat improved close to baseline of 1.2-1.5 now at 1.5. abg revealed metabolic alkalosis with combined respiratory acidosis. serum bicarb remains high so acetazolamide was added to help correct contraction alkalosis to improve breathing drive with plan for 5 days prior to discharge. cont bumex as above. id-pt wbc increased again despite steroid dose stable. steroids remains suspected cause since no bandemia or suspected source. possible sources incuded vse grown in ucx although u/a neg at the time so stopped vancomycin. initial cxr showed rll linear atelectasis and min change on repeat which may have been due to compression from effusion and no lg amount sputum production. cont to empirically treat for cap with levofloxacin although ct showed no clear infiltrate with plan for 10 day regimen. dmii-pt con to be better controlled fs likely due decreased steroids. will cont on riss for now down to 30u nph , but will titrate down as steroids are weaned. fen-diabetic renal diet px-ppi, bowel regimen, sc heparin stopped and on pneumoboots medications on admission: see admission note discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation every six (6) hours. disp:*120 neb* refills:*2* 3. zolpidem tartrate 5 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 4. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). disp:*120 neb* refills:*2* 5. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). disp:*60 disk with device(s)* refills:*2* 7. diltiazem hcl 90 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 8. brimonidine tartrate 0.2 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). disp:*qs * refills:*2* 9. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. disp:*3 tablet(s)* refills:*0* 10. prednisone 5 mg tablet sig: 1-2 tablets po once a day for 4 days: take 2 tabs for 2 days, 1 tab for the next 2 days with last day on . disp:*6 tablet(s)* refills:*0* 11. prochlorperazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 12. insulin regular human injection 13. insulin nph human recomb 100 unit/ml cartridge sig: thirty (30) units subcutaneous twice a day. disp:*qs * refills:*2* 14. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 15. acetazolamide 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 16. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po daily (daily). disp:*60 tablet, chewable(s)* refills:*2* 17. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 18. morphine sulfate 30 mg tablet sustained release sig: one (1) tablet sustained release po q8h (every 8 hours). disp:*60 tablet sustained release(s)* refills:*2* 19. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). disp:*240 tablet(s)* refills:*2* 20. bumetanide 2 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 21. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 22. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* discharge disposition: extended care facility: hospital - discharge diagnosis: copd exacerbation chf exacerbation retroperitoneal hematoma rt hemothorax discharge condition: respiratory status stable on 1lnc o2 discharge instructions: if you experience any fevers, chills, worsening shortness of breath or abdominal pain, or weakness you should call your primary care doctor ot your doctor at the rehabilitation center. if he/she is not available you should go to the nearest emergency room. you should take three more days of antibiotics(levofloxacin) and your lasix medication was changed to bumex. followup instructions: you should call your primary care doctor after being discharged from your rehabilitation center within 1-2 weeks for post hospitalization follow-up. procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart thoracentesis non-invasive mechanical ventilation transfusion of packed cells transfusion of platelets diagnoses: pneumonia, organism unspecified unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation coronary atherosclerosis of unspecified type of vessel, native or graft hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified cardiac pacemaker in situ infection and inflammatory reaction due to other vascular device, implant, and graft streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] anticoagulants causing adverse effects in therapeutic use diastolic heart failure, unspecified hemorrhage, unspecified mixed acid-base balance disorder 

Answer: The patient is high likely exposed to