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: aspirin / iodine / nsaids / opioid analgesics attending: chief complaint: acute mastocytosis flare major surgical or invasive procedure: right femoral line and peripheral ivs placed, ngt placement attempted history of present illness: the patient is a 28 yo wf with known history of systemic mastocytosis with intermittent flares in the past who presented to ed with an acute episode of flushing, tachycardia, nausea, and vomiting. the patient has had several prior hospitalizations, most recently , for mastocytosis. the patient stated that 3 days ago she began to notice increasing flushing with palpitations and generalized pruritus. she took p.o. prednisone at home with some improvement in her symptoms the following day. a day later, however, these aforementioned symptoms returned along with nausea and she decided to go to ed. no recent clear precipitants. she denies fevers, sick contacts but has been traveling more recently. in the ed, the patient was afebrile, hr in 150s with ekg showing sinus tachycardia. she was given iv solumedrol 125 mg, phenergan 25 mg iv x 2, and ativan 1 mg iv x 3, zofran 4 mg iv x 2, benadryl 50 mg iv x 2, tylenol 650 mg po x 1, and 3l ivfs before admission. upon arrival to the medical inpatient floor, the patient's status declined and she developed hr 160-170s, sbp 80s, and worsening nausea and vomiting. pt had poor access. patient was then transferred to the micu. n micu, attempted multiple times to obtain u/s guided piv, then placed r femoral tlc as patient unable to reliably lie flat for ij or scv line due to wretching, nausea and vomiting. patient had multiple episodes of coffee ground emesis. ngt placement was attempted several times without success. aggressive ivf resusitation continued. two hours later, the patient desaturated down to upper 60s despite 100% face tent. clinically, however, the patient was not cyanotic or experiencing labored breaths. corresponding abg of 7.51/32/143/26 confirmed a healthy pao2 level. cxr was unremakable for any acute cardiopulmonary pathology. given pao2 and clinical picture of patent airway without wheezes or clear distress the team decided not to intubate patient. it was felt that the patient was protected her airway appropriately despite aspiration risks given multiple episodes of vomiting. gi consulted for coffee ground emesis. most likely etiology for emesis was persistent wretching on the day of admission. given that the pt's hct stabilized and no further episodes of emesis occurred it was felt that gi f/u could be obtained as an outpatient. pt was transferred to the floor from the micu after being seen by her allergist dr. . past medical history: systemic mastocytosis anemia thumb surgery tonsillectomy social history: patient employed as a librarian. honorably discharged from air force in due to her recurrent mastocytosis flares and hospitalizations. married, no children. does not smoke or use drugs, social drinker. family history: father alive and in good health, mother has ms. family h/o allergic, rheumatologic, or autoimmune diseases. grandfather with cad, colon ca and grandmother with skin ca. physical exam: gen: patient's skin diffusely flushed, visibly distressed with wretching, nausea and vomiting heent: conjunctiva well perfused, perrl, eomi, dry mm, op clear, no signs of angioedema neck: supple, no lad, no jvd. no thyromegaly. cv: tachycardic. s1/s2 regular, no murmurs, rubs or gallops noted lungs: cta b/l, no inspiratory or expiratory stridor or accessory muscle use abd: nt/nd, normoactive bs throughout ext: wwp, no cce. 2+ dp pulses bl skin: diffuse body flushing, more erythematous patches over r side of face neuro: aaox3, slightly somnolent but able to follow commands and respond to questions appropriately . pertinent results: admission labs on included : abg of 7.51/32/143/26 chem 10: glucose-161* bun 15, cr 1.1, na-149* potassium-3.2* chloride-108, calcium-9.3 phosphate-3.0 magnesium-1.7 total co2-24 anion gap: 20 lactate: 5.3* ua: -negative cbc: wbc-29.8*# rbc-3.87* hgb-11.0* hct-30.8* mcv-80* mch-28.4 mchc-35.7*, plt count-430, rdw-14.3 coag values: pt-13.7* ptt-25.4 inr(pt)-1.2* ast/alt/ap were 16/9/85 respectively labs wbc 13.4, rbc 3.32*, hgb 9.7*, hct 28.0*, mcv 84, mch 29.3,mchc 34.8, rdw 14.2, and plt 281 differential for wbcs 89.9*n/ 9.1*l/0.8*m glucose 127, bun 19, cr 1.0, na 141, k 4.3, cl 107, bicarb 26 anion gap =12 07:22am blood wbc-12.6* rbc-3.57* hgb-10.3* hct-30.1* mcv-84 mch-28.8 mchc-34.1 rdw-14.4 plt ct-308 07:22am blood plt ct-308 07:22am blood glucose-87 urean-20 creat-0.9 na-142 k-4.0 cl-107 hco3-27 angap-12 07:22am blood calcium-8.7 phos-4.3 mg-2.4 06:39am blood wbc-10.5 rbc-3.72* hgb-10.7* hct-31.3* mcv-84 mch-28.8 mchc-34.2 rdw-14.3 plt ct-294 06:39am blood plt ct-294 06:39am blood glucose-88 urean-19 creat-0.9 na-140 k-3.6 cl-105 hco3-26 angap-13 brief hospital course: the patient initially presented with acute hypotension, tachycardia and severe flushing, nausea/vomiting related to a systemic mastocytosis attack. hypotension: patient's initial ed sbp of 80s-90s resolved s/p aggressive ivfs and lactate levels decreased. by hospital day 2 the patient's blood pressures ranged between 110-130/60-80s and ivfs were discontinued and po diet was initiated. patient advised to maintain appropriate hydration. systemic mastocytosis: the patient's acute episode was stabilized with the help of the allergy team's recommendations which included iv solumedrol, cromolyn and iv benadryl. a tryptase level was also ordered to assess severity of flare. once patient stabilized iv solumedrol 125 mg iv q12h was discontinued and prior home regimen of oral prednisone 50mg was started. daily benadryl and cromolyn were continued and patient supplemented with additional hydralazine prn. she was monitored for any swelling of the airway and ekg changes. the patient will restart home meds of singulair, zyrtec, gastrocrom, and doxepin on discharge home. although patient denies any illness, blood and urine cultures were sent to rule out any underlying triggers for mastocytosis exacerbation. hypoxia: during acute phase of mastocytosis exacerbation desaturated to 60s on high flow face tent but pao2 on abg much more reassuring with levels >100. furthermore, patient was without any signs of acute respiratory distress;no lung crackles/wheezes, no sob, non-elevated jvd on pe. after acute attack controlled the patient was consistently >95% on low flow o2 via nc and then ra. hallucinations and agitation: after 2 days in hospital on high dose solumedrol the patient experienced hallucinations and overt agitation most likely high solumedrol levels and perhaps complicated further by high diphenhydramine amounts as well. she was given ativan prn orders and solumedrol switched to lower prednisone 50mg dose. patient's mood/emotionality seemed to stabilize after these changes. gi bleed: initially had multiple episodes of coffee ground emesis which abated by day 2. patient appears well-perfused and hemodynamically stable despite her anemia history and dilutional drop in hgb/hct values s/p aggressive ivf resuscitation. followed hcts/cbcs and agreed on transfusion cutoff for hct < 21 but patient's values improved. continued iv ppi q12h. gi was consulted due to episodes of bloody, "coffee ground" emesis on admission and agreed to follow patient with urgent egd if she showed signs of active bleeding but otherwise felt elective egd once she is out of the icu would be a reasonable approach to explore etiology once patient more stable. initially the patient was double covered with h2b and ppis due to aspiration risks as per gi advice but was later switched to ppis alongside phenergen and zofran antiemetics. femoral/groin pain- patient had a right femoral line placed for emergent access during acute episode as she was writhing and unable to be safely positioned for a central line. after femoral line was removed on day 2 patient c/o pain at removal site of right femoral line and was given po tylenol for pain. no active bleeding noted after pressure held for >20mins. on pe, femoral, popliteal and pedal pulses all in tact. hematoma noted at site and dressed and monitored daily for any changes. . leukocytosis: rise in wbc likely due to demargination after recent solumedrol loads as well as underlying mastocytosis insult. patient remained afebrile throughout her stay and blood and urine cultures were sent. . fen: advanced to po diet and tolerated well by day 2. no current signs of active nausea, vomiting or ugi/lgi bleeding. team repleted electrolytes as needed and zofran and phenergan given for n/v. ppx: pneumoboots given for dvt prophylaxis and heparin sc held given gi bleed setting, ppis given for gi ppx access: patient had right femoral line in place with piv during her stay code: full code status medications on admission: cetirizine 10mg po bid cromolyn 20mg/ml solution, 10ml po qid doxepin 50mg po qam and 100mg po qpm epipen prn nuvaring hydroxyzine 30mg po tid ativan 0.5mg po prn anxiety singulair 10mg po qdaily prednisone 50mg qdaily x7 days prn mastocytosis flare ranitidine 150mg po bid ferrous sulfate 325mg po bid discharge medications: 1. lorazepam 0.5 mg tablet sig: one (1) tablet po four times a day as needed for anxiety. 2. cetirizine 10 mg tablet sig: one (1) tablet po twice a day. 3. cromolyn 100 mg/5 ml solution sig: ten (10) ml po qid (4 times a day). 4. doxepin 25 mg capsule sig: two (2) capsule po qam (once a day (in the morning)). 5. doxepin 25 mg capsule sig: four (4) capsule po qpm (once a day (in the evening)). 6. epipen 0.3 mg/0.3 ml pen injector sig: one (1) injection intramuscular once as needed for acute mastocytosis flare. 7. hydroxyzine hcl 10 mg tablet sig: three (3) tablet po three times a day as needed. 8. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 10. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po twice a day. 11. prednisone 10 mg tablet sig: see instructions tablet po see instructions for 12 days: please see instructions on attached sheet. disp:*41 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: acute flare of systemic mastocytosis hypotension gastrointestinal bleed hypoxia delirium discharge condition: stable. discharge instructions: you were treated for an acute flare of your systemic mastocytosis. when you first arrived you needed to be treated in the intensive care unit because your blood pressure was too low. you were treated with steroids and other anti-inflammatory medications that your allergist recommended. you also had a minor gi bleed while in the intensive care unit. it was determined that you could follow-up as an outpatient with gi. your medications from home were not changed, however you will need to take the steroid taper which you were prescribed. appropriate instructions are written below: take 5 tablets (50mg) once a day until . on start taking 4 tablets (40mg) once a day until . on take 2 tablets (20mg) once a day until . on take one tablet (10mg) once a day for a total of three days. you should call your doctor or return to the ed if your symptoms worsen or you experience chest pain, shortness of breath, lightheadedness or any other concerning symptoms. you should follow-up with dr. in weeks. you should follow-up with your pcp weeks. you should follow-up with gi in weeks. followup instructions: please follow-up with your pcp in couple of weeks. you will need to call to schedule an appointment. ( please follow-up with your allergist dr. in weeks. you will need to call to schedule an appointment. ( please follow-up with the clinic in weeks. you will need to call to schedule an appointment ( procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified hypotension, unspecified hypoxemia hemorrhage of gastrointestinal tract, unspecified malignant mast cell tumors, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to