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: percocet / hydrochlorothiazide / codeine attending: chief complaint: transfered from for left periprosthetic femur fracture major surgical or invasive procedure: open reduction internal fixation of left periprosthetic femur fracture () history of present illness: pt is an 89 yo lady w/ h/o htn, ra, who was admitted on s/p multiple falls at her nursing home, which resulted in left peri-prosthetic femur fracture. she had an initial left hip fracture after mechanical fall on . at that time, she was seen at hospital where a l hip hemiarthroplasty was done. by report, post op course c/b anemia and oversedation. she was d/ nursing home on , and since then, she has continued to have multiple falls, now leading to fracture at prosthesis site. upon admit , patient had stable vs with mild tachy, but was noted to be confused. she was given morphine for pain control. she had a negative head ct, cta neg for pe (but ct chest showed 9x5 mm left lingular nodule and copd). her femur films showed fracture of proximal left femur immediately distal to distal tip of prosthesis w/ medial displacement and slight anterior angulation of distal fracture fragment. she was partially reduced by ortho in ed and placed in traction with plan for o.r when clinically stable. she was noted to have sinus tach to 100's, thought to be due to pain/hypovolemia. given admission hct of 24.9 (from baseline 34), she was thus admitted to for hct watch and close monitoring. she was guiac negative but team was concerned for thigh vs rp collection.they were unable to get ct w/ leg in traction but hct stabalized. she rec'd three units of prbc's pre op and went to o.r. on for orif of left hip prosthetic fracture. ebl 800 cc. she has received a total of 7 units of prbc's to date (4 in last 24 hrs). post op last night, pt noted to be hypotensive to 90's and tachycardic to 100's with decreased uop. she was thought to be in af, started on amio gtt, lopressor, then neosynehphrine was started as well. there was concern for post op bleeding and ct scan of surgical site completed w/o evidence of bleed. cta also done given a-a gradient and tachycardia post op. swan floated through rij. has femoral a line. she remains intubated currently and her bp, hr have normalized. she is sedated. sicu team requested transfer to micu service. past medical history: htn hard of hearing -wears hearing aid ra h/o diverticulitis h/o inguinal hernia h/o colonic polyps left hip fracture as above s/p hemiarthroplasty physical exam: on transfer to micu service: t 99.9 (max and current) bp 108/43--> 121/49 p 100--->85 cvp 5 vent simv/ps 16 x 600 rr 16 peep 5 fio2 0.7 sat 98-100% abg: 7.32/34/148 lactate 1.5 gen: sedated, not arousable to voice or command heent: reactive pupils, intubated, ng tube in place, mm dry neck: rij swan in place, supple chest: coarse bs anteriorly, equal chest expansion cv: rrr no irreg beats no m/r/g abd: soft, no grimace w/ some distention, quiet bs extrm: jp drain in place at surgical site right hip; surgical dressing in place, soft leg, full pulses distally ble, strong radial pulses, scant edema, no rashes; right sided a-line in place neuro: sedated and not arousable to loud voice or command. pertinent results: admission labs: 10:30pm wbc-11.3* rbc-3.67* hgb-10.8* hct-33.1* mcv-90 mch-29.5 mchc-32.6 rdw-14.4 10:30pm plt count-452* 10:30pm neuts-87.6* bands-0 lymphs-7.6* monos-4.6 eos-0.1 basos-0.1 10:30pm pt-12.9 ptt-25.8 inr(pt)-1.1 10:30pm glucose-135* urea n-19 creat-0.7 sodium-140 potassium-4.3 chloride-104 total co2-21* anion gap-19 10:30pm alt(sgpt)-21 ast(sgot)-24 ld(ldh)-293* alk phos-94 tot bili-0.3 10:30pm albumin-3.7 calcium-9.1 phosphate-3.8 magnesium-1.8 10:30pm vit b12-386 folate-18.2 10:30pm tsh-3.3 . diagnostic studies: right femur, three views again seen is a fracture of the proximal femur immediately distal to the distal tip of the prosthesis. there is medial displacement, bandaging, and slight anterior angulation of the distal fracture fragment, however, this appears to be improved in position in comparison to prior study. . cta: 1. no pulmonary embolism. 2. there is a 9 x 5-mm nodule within the left lingula. given the patient's underlying extensive emphysematous disease and the appearance of the nodule, we suggest obtaining prior studies from elsewhere for comparison. in the absence of this, short-term followup should be obtained in two months' time to evaluate for interval change. small bronchogenic neoplasm cannot be excluded. 3. there is a hiatal hernia. given the appearance of this, with a lack of intraluminal air and the soft tissue prominence, correlation to barium swallow study is suggested. . ct head no intracranial hemorrhage is identified. the ventricles are symmetric, there is no shift of normally midline structures. there are multiple areas of decreased attenuation within the periventricular subcortical white matter, consistent with chronic small-vessel ischemic infarct. the -white matter differentiation is preserved. minimal mucosal thickening is noted within the right maxillary sinus. no air-fluid levels are seen. the soft tissue structures are otherwise normal. no fractures are identified. . ct head the study is limited secondary to significant motion. within the left frontal lobe, there is an area of decreased attenuation, involving both the and white matter in the distribution of the left mca artery, and likely represents an area of recent infarction. the ventricles are symmetric, and there is no shift of normally midline structures. there is decreased attenuation in the periventricular white matter, consistent with chronic small vessel ischemic infarction. there is bilateral mastoid opacification, and mild mucosal thickening in the right maxillary and ethmoid sinuses. no definite areas of intracranial hemorrhage are seen. . eeg this is a normal portable eeg. no lateralizing or epileptiform abnormalities were seen. frequent ventricular ectopies with couples were seen. . carotid us atherosclerotic plaque is present in the carotid arteries bilaterally as described above. there is no significant carotid stenosis (evaluated as less than 40% stenosis bilaterally). brief hospital course: 89 y/o female who was admitted on for treatment of left periprosthetic femur fracture after a fall. initial workup ruled out pe and stroke. she was found to have first degree heart block on ekg. ct of head revealed evidence of chronic small vessel infarcts. she was treated by the team and eventually transfered to the sicu service after orif of left femur by orthopedics on . post op she was hypotensive and tacycardic requiring pressors, swan ganz catheter, and antiarrythmia agents for suspected afib. a cta ruled out pe. she was subsequently transfered to the micu service for management of hypotension and arrhythmia. she received fluids, was weaned from pressors, and was stabilized. swan ganz was removed. she was slow to recover from sedation and had a ct of the head which revealed subacute left frontal stroke. neurology was consulted and she had repeat head ct which was unchanged, her sbp was kept >120, blood sugars were tightly controled, and fevers were minimized with tylenol. echo showed normal lvef, carotid us showed less than 40% stenosis bilaterally, eeg was negative for seizures. she was started on coumadin 4mgqhs for anticoagulation. her unresponsiveness continued and workup for toxic metabolic cause was unreveiling. she was taken off any sedating medications and pain treated with tylenol. through discussions with the family concerning the patient's wishes, she was made dnr/dni and eventually the goals of care were changed to comfort measures only. she was extubated on and expired on . medications on admission: all: hctz . meds at nursing home: lovenox 40 sc once daily asa 81 mg once daily lopressor 25 mg colace iron gluocnate 300 mg once daily mvi caltrate . meds on transfer from sicu: amio gtt 1 mg/min fentanyl 75 midazolam 4 mg/hr neo 0.5 lovenox 40 mg once daily iron sulfate 325 mg once daily lr 125 cc/hr albumin 12.5 g x 2 doses overnight calcium carbonate 500 tid calcitonin 200 iu daily cefazolin 1 g iv q8 x 3 days perioperative colace insulin scale pantoprazole 40 mg iv once daily mvi vit d 800 units once daily discharge disposition: expired discharge diagnosis: periprosthetic femur fracture s/p orif cva discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation acute respiratory failure other specified cardiac dysrhythmias rheumatoid arthritis hypovolemia iatrogenic cerebrovascular infarction or hemorrhage peri-prosthetic fracture around prosthetic joint hip joint replacement 

Answer: The patient is high likely exposed to