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 / latex / ciprofloxacin attending: chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: this 63 yo female with a history of prior trauma presented with acute, sudden onset, intense pain in her epigastrium associated with nausea and vomiting. the pain was very severe. she had no diarrhea. she had no fever or chills. the pain was ongoing and continues at the time of this evaluation. it can be controlled with narcotic pain medications. . the patient has history of severe trauma in after being hit by a truck. she had multiple fractures that required surgical repair. she also required a hip and knee replacement. at the time of her initial trauma an ivc filter was placed prophylactic. she had a significant pelvic fracture putting her at high risk for dvt. however, she did well with no clots at that time. she has no previous history of clots. recently she has been very physically active working out at a gym 3 times a week and swimming on weekends. she says she has been more fatigued recently. past medical history: obesity atrial fibrilation hypertension social history: social drinker, and denies tobacco family history: non contributory to this admission physical exam: at discharge: vitals- t 98.4, hr 74, bp 100/56, rr 18, o2sat 98% ra gen- nad, alert head and neck- at, nc, soft, supple, no masses heart- rrr, no murmurs lungs- ctab, no rhonchi, no crackles abd- soft, nd, nt, + bs ext- warm, well-perfused, no edema pertinent results: ct abdomen w/contrast; ct pelvis w/contrast 1. several loops of abnormally appearing bowel within the pelvis and right lower quadrant with surrounding interloop fluid and small amount of free pelvic fluid. possible clot detected within the smv including ileocolic branch suggesting venous ischemic etiology. 2. degenerative changes within the spine. . cxr no chf or pneumonia. boot-shaped cardiac configuration suggests lv enlargement though clinical correlation is advised. . flow cytometry report/flow cytometry immunophenotyping interpretation red blood cells, granulocytes, and monocytes were examined for phosphatidylinositol linked antigens. rbcs and granulocytes express expected levels of daf (cd55) and mirl (cd59). these findings do not support a diagnosis of paroxysmal nocturnal hemoglobinuria (pnh). . cta abd w&w/o c & recons; cta pelvis w&w/o c & recons 1. interval increase in amount of free fluid in the abdomen and pelvis. 2. diffuse, more extensive dilated bowel loops are noted compared to prior study. no wall thickening or pneumatosis. 3. new left small pleural effusion. 4. collapse of ivc inferior to the filter and decreased opacification of iliac veins compared to . 5. previously suggested thrombosis within the superior mesenteric vein is again identified, approximately unchanged compared to prior study on . 6. significant interval improvement of thrombosis in portal vein. . ct pelvis w/contrast findings suggestive of a mechanical small-bowel obstruction (likely adhesion) with transition point likely within the mid pelvis. little change to degree of pelvic fluid when compared to most recent comparison. no evidence of bowel perforation or necrosis at this time. . kub persistent small-bowel obstruction. 03:40am blood wbc-8.0 rbc-3.96* hgb-12.0 hct-35.5* mcv-90 mch-30.2 mchc-33.7 rdw-13.2 plt ct-379 08:30am blood neuts-86.6* lymphs-9.4* monos-3.4 eos-0.1 baso-0.4 06:00am blood pt-15.7* ptt-76.7* inr(pt)-1.4* 11:05am blood thrombn-55.4* 09:40am urine color-straw appear-clear sp -1.006 09:40am urine blood-neg nitrite-pos protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-sm 09:40am urine rbc-1 wbc-14* bacteri-few yeast-none epi-<1 09:40am urine mucous-rare brief hospital course: in the ed she was found to have a mild elevation in lactic acid. on ct scan she was found to have a clot in the smv with evidence of intestinal ischemia. the patient was admitted to the icu and was made npo, with ivf/pca/med, foley, antibiotics and was placed on bed rest. the patient was started on a heparin drip and titrated to a theraputic range. a picc line was placed and the patient was started on tpn. patient's abd exams improved and she c/o of less pain. . the patient was transfered to stonman 5 on hd 2. she was npo, with ivf/meds/tpn, pca, foley and telemetry. the patient appeared more distended on hd 3 a cta/ctv was done indicating (): increased ascites and more distended bowel loops (no thickening or pneumatosis); clot in smv unchanged in size or location; ivc below ivc filter collapsed (acute change); new l pleural effusion. . serial abd exams improved, however the patient c/o nausea and an ngt was placed with bilious output. the patient stated that nausea resolved. with decreased ngt output the ngt was removed. with the return of bowel function the patient's diet was advanced and her tpn was d/c'd. foley was removed without any issues. the patient later c/o of burning with urination a uc was done and was positive, the patient was started on abx. . the patient was started on coumading and all other po meds when diet was advanced. her heparin drip was d/c'd and she was started on lovenox (120) /coumadin (10) bridge. the patient refused vna stating she has done this in the past. the rn went over lovenox teaching with pt and the patient did well. . the patient will follow up with her pcp and the d/c summary was faxed to the office. dr. spoke directly with dr by phone and reviewed the hospital course and outpatient discharge plan with him. he will set up coumadin monitoring with the patient and will follow up on her hematologic workup. she will also follow up in the hem/coag on . medications on admission: tegretol 100', lisinopril 40' discharge medications: 1. carbamazepine 200 mg tablet sig: 0.5 tablet po bid (2 times a day). 2. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 3. warfarin 5 mg tablet sig: take as directed tablet po once (once): take as directed. disp:*60 tablet(s)* refills:*2* 4. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 days. disp:*4 tablet(s)* refills:*0* 5. enoxaparin 120 mg/0.8 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). disp:*60 * refills:*2* discharge disposition: home discharge diagnosis: primary: small bowel ischemia secondary to superior mesentaric branch thrombosis small bowel obstruction urinary tract infection. . secondary: seizure disorder, multiple ortho injuries s/p trauma, oa, h/o mrsa, htn, afib discharge condition: stable. tolerating regular diet. pain well controlled. discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . medications: 1. coumadin: -you were started on this medication secondary to a smv clot. -you should take as directed and follow up with your pcp to have lab work done. -your coumadin level will be adjusted according to your lab work. . 2. lovenox injections: -you were started on this medication to secondary to your dvt. -you should take this every 12 hrs. -you have done this in the past and education was provided. -please follow up with your pcp regarding this medication and to have lab work down. followup instructions: 1. please follow up with dr. as needed. . 2. an appointment has been made for you to follow up with dr. ,, , on at 2:15 to have lab work draw. . you will see both the hem/coag attending and fellow: provider: , md phone: date/time: 11:00 provider: , md phone: date/time: 11:00. building . md, procedure: parenteral infusion of concentrated nutritional substances diagnoses: acidosis unspecified pleural effusion urinary tract infection, site not specified atrial fibrillation long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified dermatitis due to drugs and medicines taken internally epilepsy, unspecified, without mention of intractable epilepsy other ascites obesity, unspecified acute vascular insufficiency of intestine knee joint replacement unspecified intestinal obstruction hip joint replacement portal vein thrombosis late effects of motor vehicle accident other and unspecified anti-infectives causing adverse effects in therapeutic use late effect of crushing 

Answer: The patient is high likely exposed to