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: this 65-year-old woman was transferred from hospital for further management of spontaneous bleeding into her left thigh. she has a history of rheumatoid arthritis, and a recent diagnosis of acquired factor viii inhibitor. she also has a past history of serum positive for anticardiolipin antibody. the patient underwent a left colectomy for diverticular disease in . she had some bleeding after this surgery and was also noted to have an isolated elevated aptt. the bleeding spontaneously resolved and she did not have further symptoms until her current problems began. in , the patient presented to primary care physician with left hip pain. she was diagnosed with trochanteric bursitis, and received a corticosteroid injection into the left hip. several days after this injection, the patient noted the development of a hematoma at the injection site. her coagulation studies again reveals an isolated elevated aptt. laboratories sent to the revealed the presence of markedly diminished factor viii activity (less than 1) as well as the presence of a factor viii inhibitor. patient's primary care physician at that time increased her prednisone from her longstanding dose of 10 mg q day to 20 mg . about one week later the patient was turning in her kitchen and noted a popping sound coming from her left thigh. thereafter, she developed excruciating pain and presented to hospital for further evaluation. she was noted to have a drop in her hematocrit, as well as a physical examination suspicious for a hemorrhage into the left thigh. she was transferred to for further management. past medical history: 1. rheumatoid arthritis, status post synovectomy of the right elbow and right fifth finger. 2. acquired factor vii inhibitor. 3. anticardiolipin antibody. 4. dyslipidemia. 5. hypertension. 6. recurrent diverticulitis, status post left colectomy. 7. lacunar infarct. 8. osteoporosis. 9. resting tremor. medications on transfer: 1. prednisone 20 mg po tid. 2. calcium 600 mg . 3. propanolol 40 mg tid. 4. iron 325 mg po bid. 5. atorvastatin 10 mg q hs. 6. multivitamin one tablet q day. 7. methotrexate 10 mg subcutaneous q weekly. physical examination on admission: was significant for marked swelling over the left lateral thigh with exquisite tenderness to palpation. her sensation and pulses were intact distally to the swelling. laboratories on admission: significant for a white blood cell count of 14.2 with 85% neutrophils, 3% bands, hematocrit 27.9, platelet count 201, inr 1.2, ptt 49.1. factor viii assay of 6 (normal range 50-150). sodium 133, potassium 3.6, chloride 105, total co2 23, bun 22, creatinine 0.7, glucose 94. ck of 26. total bilirubin of 2.5. haptoglobin of 107. anticardiolipin igg of 4.8 with normal range between 0 and 15. plain films of the left hip and femur were negative for evidence of fracture. hospital course by system: 1. orthopedic: the patient's physical examination and history were both suggestive of spontaneous bleeding into her left thigh. she was evaluated by the orthopedic service, who performed measurements of the patient's compartment pressures in her left thigh. she had three measurements that were over 40, consistent with a diagnosis of compartment syndrome. she subsequently went to the operating room, and received a fasciotomy that went without complication. this procedure successfully alleviated the patient's pain, and she had no compromise of any of the structures of her leg postoperatively. 2. heme/rheumatology: the patient was evaluated by the hematology service upon admission. they started her on factor vii a transfusions for treatment of the factor viii inhibitor. initially, she received these transfusions every two hours. they were tapered to q4h, q8h, q12h, and finally off as of when the patient did not have evidence of further bleeding. she was also continued on her admission dose of 60 mg of prednisone q day. after the initial factor vii a taper, developed bleeding at several sites including her nose, her left shoulder, and oozing around her peripheral iv sites. when her epistaxis proved refractory to silver nitrate cauterization, the ent service was consulted, and they packed her nose. at this time, her factor vii a transfusions were restarted at a frequency of every four hours. she was transferred to the on for discontinuation of her nasal packing and increasing the frequency of her factor vii a transfusions to every two hours for 24 hours. prior to transfer to the , the patient had also been started on cyclophosphamide for augmentation of her regimen against the factor viii inhibitor. when she returned to the floor, her factor vii a transfusions were again tapered and were eventually discontinued on . the patient was stable without any evidence of further bleeding from any site after her transfer back to the floor from the . the patient received multiple units of packed red cells throughout her admission for anemia related to blood loss. her hematocrit remained stable over 30 after her final blood transfusion on the . her factor viii inhibitor level assays in bethesda units were as follows: 3.4 on .4 on , 7.2 on .2 on , and 14.5 on . 3. cardiovascular: the patient had an episode chest pressure without electrocardiogram changes and with negative cardiac enzymes early on during her admission. she had sudden onset of dyspnea and tachypnea without hypoxemia on . a ct angiogram was performed and was negative for pulmonary embolism. she was continued on atorvastatin for her dyslipidemia. a lipid profile checked during admission revealed elevated triglycerides and low hdl. 4. infectious disease: the patient received oxacillin for prophylaxis after her fasciotomy for compartment syndrome. this was continued until the nasal packing was removed after her epistaxis. she had persistent fevers from through . all blood and urine cultures drawn over this time were negative. for a brief period of time, ceftriaxone was added to her medical regimen, but this was discontinued as well after her nasal packing was discontinued. at this time and for the remainder of her admission, the patient remained afebrile. bactrim ds one tablet 3x a week was reintroduced to the patient's regimen for pcp prophylaxis on . the patient tolerated this medication without fever and without neutropenia. discharge diagnoses: 1. acquired factor viii inhibitor. 2. rheumatoid arthritis. 3. status post compartment syndrome and fasciotomy. 4. osteoporosis. 5. dyslipidemia. 6. hypertension. discharge condition: fair. discharge status: home with followup with dr. of hematology on friday, at 9 am. the patient was instructed to return to the emergency department for further bleeding of any kind as well as onset of new pain. discharge medications: 1. bactrim ds one tablet q monday, wednesday, friday. 2. prednisone 60 mg q day. 3. calcium carbonate 500 mg 3x a day. 4. atorvastatin 10 mg q day. 5. colace 100 mg . 6. alendronate 5 mg q day. 7. propanolol 40 mg tid. 8. senna one tablet q hs. 9. folic acid 1 mg q day. 10. iron 325 mg . 11. pantoprazole 40 mg q day. 12. cyclophosphamide 50 mg q am. , m.d. dictated by: medquist36 procedure: fasciotomy control of epistaxis by cauterization (and packing) diagnoses: unspecified essential hypertension acute posthemorrhagic anemia osteoporosis, unspecified retention of urine, unspecified hemorrhage of gastrointestinal tract, unspecified epistaxis hemorrhage, unspecified other early complications of trauma congenital factor viii disorder 

Answer: The patient is high likely exposed to