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: demerol / dilaudid / ciprofloxacin / bacitracin / neosporin / adhesive tape / latex / optiray 300 attending: chief complaint: worsening of generalized dystonia after peg replacement major surgical or invasive procedure: peg replacement history of present illness: 36 f with 12-year hx of dystonia with some autonomic features, followed by . and , ir-guided replacement of her g-tube on . per a prior note from dr. , she was to be pre-treated with 20 mg valium, followed by 10 mg q3hrs for up to 3 doses after the procedure. this protocol was deviated from somewhat. she received 30 mg valium during the procedure, then recived 20 mg valium on admission to the pacu at about noon on . over the course of the next 12 hours, she remained in the pacu and received an additional 32.5 mg valium plus 3 mg morphine. although the plan was for her to go home the same day, she took a long time to rouse, and when she did, she continued to have worsened dystonia from her baseline. this has improved over time, but she states she is still not at her baseline. she will continue to be observed in the pacu overnight. past medical history: #. generalized dystonia - involving mainly her lower extremities and intermittently her arms, right more than left, occasionally her neck and voice; provoked exacerbations of the symptoms without a clear direct inducer at and dr. at ] #. dysautonomia with orthostasis, baseline sbp 80s-90s - followed by dr. #. neuro-cardiogenic syncope s/p pacer in #. parkinsonism- occasional adventitious choreiform movements in both upper extremities induced by action #. gastric dysmotility s/p g-tube placement #. bladder areflexia s/p bladder stimulator implant and urostomy #. depression with h/o suicide attempt #. peripheral neuropathy #. h/o chronic pupillary dilation #. s/p lap ccy # gastric dysmotility- with g-tube # bladder areflexia requiring ileostomy # chronic anemia- egd in ' with gastritis, colonoscopy in ' with firability social history: married and lives with husband. not working and on disability. currently at for rehab. family history: gf w/ h/o frequent sycnope; 3 deceased paternal uncles with disease physical exam: t- 98.4 f bp- 97/48 hr- 80 rr- 12 o2sat 98%ra gen: lying in bed, nad heent: nc/at, moist oral mucosa neck: contracted to the right cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs, soft, nontender; (+) g-tube and ostomy ext: no c/c/e; (+) small, red, nickel-sized circles on her le b/l, which she states is a staph infection. neurologic examination: mental status: sleeping but rousable, cooperative with exam, but unable to open eyes (eyelid apraxia?) and actively opposes forced opening. voice very hypophonic. oriented to person, place, and date. attentive, says dow backwards. speech is fluent with normal comprehension and repetition; naming intact. no dysarthria. no evidence of apraxia or neglect. cranial nerves: pupils equally round and reactive to light, 7 to 4 mm bilaterally. non-cooperative with extraocular movement testing. sensation intact v1-v3. facial movement symmetric. hearing intact to finger rub bilaterally. palate elevation symmetrical. tongue midline, movements intact motor: normal bulk bilaterally. significantly increased tone throughout. neck contracted to the right, rue flexor contracted and adducted (unable to break) lue with some spontaneous mvmt at the delt (at least a ) with flexor contracted wrist and fingers in contracted pincer-grasp le (b/l): able to flex at the hip with full strength. non-voluntary, slow, low amplitude movements at the knees. feet are dorsi-flexor contracted and toes are flexor contracted sensation: decreased to pp and temp in the le b/l to the mid-thigh. otherwise intact to light touch, pinprick throughout. proprioception unable to be tested properly. reflexes: +2 and symmetric at the biceps, otherwise, unable to elicit reflexes. toes unresponsive bilaterally coordination/gait: unable to properly assess brief hospital course: patient is a 36-year-old woman with a 12-year history of generalized dystonia without clear etiology, with a history of autonomic dysfunction, which seems to be less of a problem lately, was admitted for elective replacement of her g-tube by ir. neuro - although she was meant to go home following the procedure, she required a long time to rouse post procedure and had worsened dystonia from her baseline, particularly in her rue. due to concern after receiving total 97.5mg og valium within 24 hr period including during the procedure and need for frequent monitoring, patient was admitted to icu overnight after spending the night in pacu post-operatively. she remained stable but fluctuations in muscle tone. tone primarily increased in rue, adducted with elbow, wrist and fingers flexed. also plantarflexion and inversion of feet and at times flexion at knees. intermittent torticollis with head to l. intermittent spasm on r eyelid. voice remained a wisper though varied in volume. overall she gradually improved with some intermittent fluctuations. she is not yet able to do transfers to her wheelchair, will need to continue intensive inpatient physical therapy. patient's home med regimen including baclofen was continued in addition to valium that was slowly titrated down and morphine for pain as needed. she also received benadryl prn to help with discomfort related to increased tone. on discharge getting valium 5mg pg prn for dystonia. home regimen is 5mg up to 3x/week prn for increased tone. fen/gi - continued tpn, nutrition consulted and helped with tpn formulation. tpn x5 days, ivfs only. speech and swallow evaluated her for concerns regarding cough/gag with feeding. she was having some difficulty, they recommended ground solids and thin liquids. id - patient spiked to 100.7 x1 but not persistently febrile. ua showed mixed flora as expected with her ostomy. urology recommended if persistently febrile could do sterile urine sample from ostomy via catheter but she did not have further fevers.. cxr was also obtained and lfts were normal. she does have chronic, intermittent staph infections of skin and she did have papules seen on lower extremities bilaterally. discussed with dermatology re staph skin infection. they recommended swabs from wound site and nasal swab for mrsa, if positive would treat with oral antibiotics. mrsa nasal swab was negative, wound culture with mixed skin flora. heme - patient also has pancytopenia - she does have hx of anemia that has been thoroughly worked up without clear etiology. hematology consulted. anemia consistent with iron deficiency anemia. iron 29, tibc 316, ferritin 20, transferrin 243, haptolgobin 152. b12 and folate normal. retics 1.7. transfused 1 unit prbcs. low hct 23.4, post transfusion 27. attempted iv iron dextran infusion, but stopped during test dose as patient had a change in heart rythm. after review with ep, this is an expected paced rhythm that results when she becomes bradycardic and thus not likely a complication from the iron dextran infusion. nonetheless, iron infusion was discontinued and can be reconsidered as an outpatient. wbcs initially 2.8 improved to 4.6 on with 63n 30l. platelets initially 74 improved to 113. blood smear not consistent with primary bone marrow process. valium can cause neutropenia and thrombocytopenia. they recommended outpatient hematology f/u in 1 month, which was arranged. cv - patient has a pacemaker. on 2 occassions during admission, patient had a noted asymptomatic wide complex cardiac rythm. cardiology/ep consulted on . her pacemaker, dual chamber, is programed to increase hr above set rate of 80 temporarily in resonse to bradycardia in order to increase blood pressure and avoid syncopal episodes. they felt that the rhythm was consistent with her dual chamber paced rhythm. psychiatry - noted worsening of dystonia symptoms related to increase in anxiety. patient recognizes anxiety esp when difficulty speaking. arranged for outpatient psychiatry appointment in behavioral neurology as outpatient. medications on admission: 1. baclofen 20 mg three times a day. 2. nadolol 80 mg daily. 3. prilosec 20 mg twice a day. 4. zoloft 50 mg daily. 5. valium 5 mg at night three times a week. 6. midodrine which she takes only on p.r.n. basis and hardly any at all, although she had been prescribed to take it had 5-10 mg three times a day. discharge medications: 1. baclofen 10 mg tablet : two (2) tablet po tid (3 times a day). 2. nadolol 80 mg tablet : one (1) tablet po daily (daily). 3. sertraline 50 mg tablet : one (1) tablet po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 5. trihexyphenidyl 2 mg tablet : 1.5 tablets po bid (2 times a day). 6. trihexyphenidyl 2 mg tablet : two (2) tablet po dinner (dinner). 7. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day). 8. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 9. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day). 10. bisacodyl 10 mg suppository : one (1) suppository rectal hs (at bedtime) as needed for constipation. 11. ferrous sulfate 325 mg (65 mg iron) tablet : one (1) tablet po daily (daily). 12. diazepam 5 mg tablet : one (1) tablet po q12h (every 12 hours) as needed. 13. mupirocin calcium 2 % cream : one (1) appl topical (2 times a day) for 7 days. discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: generalized dystonia, acute exacerbation secondary: anemia leukopenia and thrombocytopenia, improved folliculitis autonomic dysfunction discharge condition: stable discharge instructions: you were admitted to this hospital for gtube placement and because of your medical condition you needed close observation. your valium was slowly weaned down then transitioned to enteral valium. you received a blood transfusion and were started on iron supplementation. initially your white blood cell and platelet counts were low but they improved prior to discharge. you will need to continue to follow with hematology. your skin infection improved with topical antibiotics. followup instructions: f/u with hematology at hospital - provider: , md phone: date/time: 4:00 f/u with neurology at hopsital. provider: . & vaderhorst phone: date/time: 4:00 call to set up communication device consult with . . follow up with your primary care phsyician within 1-2 weeks of discharge from rehab. psychiatry appointment in the behavioral neurology department. hospital building .provider: , md phone: date/time: 11:00 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: dysthymic disorder iron deficiency anemia, unspecified unspecified hereditary and idiopathic peripheral neuropathy ileostomy status gastroparesis attention to gastrostomy other specified diseases of hair and hair follicles other artificial opening of urinary tract status dyspepsia and other specified disorders of function of stomach unspecified disorder of autonomic nervous system other degenerative diseases of the basal ganglia mydriasis (persistent), not due to mydriatics abnormal reflex genetic torsion dystonia 

Answer: The patient is high likely exposed to