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: history of present illness: the patient is a 60-year-old female who presented to the er with complaints of nausea, vomiting, and abdominal pain times 2 days, status post small- bowel obstruction on , with lysis of adhesions. a past medical history of chronic renal failure, substance abuse, chronic back pain and neutropenia. she was taking anti- hypertensive medications, as well as 4 tylenol arthritis tablets, and 4 percocet per day for the 3 days prior to admission. she presented to the er hypotensive, and a sepsis protocol was initiated. she was given 9 liters of iv fluids, steroids and broad spectrum antibiotics. she was treated with dopamine, vasopressin and levo-fed. workup in the ed showed a severe anion gap, metabolic gap. the patient had been discharged 2 days prior to admission and had developed lower abdominal pain and initially crampy in nature. the patient then tried to take small amount of soup and vomited an hour later she had to three more episodes of non bloody emesis and no bms or flatus since prior morning also complained of some 50 and occasional lightheadedness. past medical history: positive for type 2 diabetes, pancreatitis, hep c type 1, hypertension. surgical history: total abdominal hysterectomy in , and small bowel obstruction with resection on . allergies: no known drug allergies. medications: medications at home hydralazine 25 mg p.o. q.6h., atenolol 50 mg p.o. daily, nifedipine 90 mg daily, percocet p.r.n., lisinopril 40 mg p.o. b.i.d., nph insulin. physical examination: 95.7, heart rate 90, bp 77/42, respiratory rate 30, 96% on 4 liters. she was in no acute distress initially. dry mucous membranes. collapsed neck veins. lungs: clear. regular rate and rhythm for heart abdomen: mildly distended. decreased bowel sounds, firm but not tense, tender, especially right lower quadrant, with questionable guarding, and rebound. staples in place. clean, dry and intact. no hernias. extremities: 2+ dp. no clubbing, cyanosis or edema. laboratory data: hematocrit was 40 on admission, lactate was 16.5. an ng tube was placed as well as a foley. a kub was done initially that demonstrated small bowel obstruction, similar to . a chest x-ray on admission demonstrated bibasilar atelectasis. no pneumonia or free intra-abdominal air was identified. hospital course: she was transferred to the surgical intensive care unit. a ct scan was done of her abdomen, without contrast, that demonstrated bilateral pleural effusions, ascites, mesenteric stranding, and soft tissue stranding seen, consistent with third spacing of fluid. it was noted that she was post ileal anastomosis. the anastomotic site appeared patent. contrast passed through the small bowel and into the colon, without any definite evidence of small bowel obstruction. no free intraperitoneal air was identified. she underwent a liver and abdominal duplex doppler exam, that demonstrated thrombus in the left portal vein. the remaining vasculature was patent. hepatology consult was obtained. she noted that the patient had hep c, genu type 1. her liver enzymes were elevated in the 1000s. she also had a tylenol level of 45. her total bilirubin was elevated at 2.6, ast was 3214, alt 8538, alkaline phos 171, and total bilirubin 2.6. amylase was 34 and lipase 8. her lactate was 16.5. this decreased to 13.4 with treatment. her inr was 4.4. she was treated for tylenol overdose with acetylcysteine and iv bicarb. the transplant service was consulted as well, for consideration for liver transplant, as it was noted that the patient had a positive alcohol and cocaine toxicology 2 to 3 months prior to admission. given former hepatic failure, sedation was minimized. she was intubated. her lfts started to trend down. urine culture from admission was negative. blood cultures were negative. rpr was negative. varicella zoster igg serology was positive, and cmv igg was positive. cmv igm was negative. these labs were part of the transplant workup. her abdomen appeared distended. her lactate level decreased to 13.7. she continued to be n.p.o. while in the surgical intensive care unit, and pressors were weaned off. her blood pressure was stabilized in the 148/70 range. cvp is 8. she continued on iv vancomycin, azofloxacin and flagyl. she gradually improved. the ventilator was weaned off. blood pressure pressors were stopped. she continued on protonix for prophylaxis. her urine output was improving with autodiuresis. she continued on an insulin drip for hyperglycemia. consult was obtained, to help with management of hyperglycemia. her crit was stable, her iv fluids were adjusted. tpn was utilized well. she was n.p.o. she was extubated on . her abdomen was mildly tender diffusely. incision was clean, dry and intact. neurologically she was alert most of the time, following commands, and cooperative. her diet was gradually advanced. she tolerated this without nausea or vomiting. she was transferred out of the surgical intensive care unit on . for the remainder of her stay, her liver function tests continued to decrease. her antibiotics were stopped. her vital signs remained stable. physical therapy consult was obtained, and she was cleared for home by physical therapy. her chronic renal insufficiency was back to baseline, with a creatinine of 1.3. her ast dropped to 112, alt to 39, alk phos 200 and t bili of 1.4. on she was discharged home in stable condition. vital signs were stable. she was afebrile. abdomen was soft, nontender, nondistended. she was tolerating a regular diet. she is ambulatory. discharge medications: 1. hydralazine 25 mg p.o. t.i.d. 2. nifedipine 90 mg, sustained release, 1 tablet daily. 3. atenolol 50 mg p.o. daily. 4. colace 100 mg p.o. b.i.d. 5. protonix 40 mg p.o. daily. 6. oxycodone 5 mg, 1 to 2 tablets p.o. p.r.n. q.6h. 7. glargine 22 units subcutaneous at bedtime. 8. humalog insulin sliding scale p.r.n. q.i.d. discharge diagnoses: 1. chronic renal insufficiency. 2. hepatitis c virus with elevated liver transaminase, secondary to tylenol overuse. 3. dehydration. 4. diabetes type 2. 5. metabolic acidosis. 6. acute and chronic renal insufficiency. discharge condition: stable. , md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube endoscopic polypectomy of large intestine esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: urinary tract infection, site not specified intestinal bypass or anastomosis status acute posthemorrhagic anemia acute and subacute necrosis of liver acute kidney failure, unspecified unspecified viral hepatitis c without hepatic coma other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease chronic kidney disease, stage iii (moderate) acute respiratory failure long-term (current) use of insulin insulins and antidiabetic agents causing adverse effects in therapeutic use blood in stool iron deficiency anemia, unspecified iron deficiency anemia, unspecified dehydration lumbago benign neoplasm of colon poisoning by aromatic analgesics, not elsewhere classified other and unspecified alcohol dependence, unspecified diabetes with other specified manifestations, type ii or unspecified type, uncontrolled abdominal pain, epigastric asymptomatic human immunodeficiency virus [hiv] infection status accidental poisoning by aromatic analgesics, not elsewhere classified 

Answer: The patient is high likely exposed to