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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain lower back pain fever menorrhagia major surgical or invasive procedure: : right video-assisted thoracic surgery (vats) decortication. : ct-guided drainage of left tubo-ovarian abscess history of present illness: 32 yo g3p1 presenting with acute left-sided abdominal/pelvic and back pain, cramping in nature, that began this morning and has worsened throughout the day. the pain is associated with nausea and chills. prior to the past day, she was feeling well and in her usual state of health, aside from her baseline menstrual cramps (just finished her menses, which are quite heavy). she denies shortness of breath, chest pain, palpitations. of note, she does have a history of stump tumor of the uterus, incidentally found on pathology after a myomectomy. she has been followed, as she desired preservation of fertility. past medical history: gynhx: - lmp last week, just finishing menses - sexually active with male partner only x 5 years - reports mutually monogamous relationship obhx: g3p1 - c/s x 1 - tab x 1 - sab x 1 medhx: anemia, h/o stump tumor of the uterus surghx: c/s x 1, myomectomy social history: - tobacco: none - alcohol: last drink 3 months ago, infrequent etoh - illicits: none family history: pt unaware of family history, not in contact w/ . physical exam: vs:t:98.6 hr 99 st bp bp: 115/79 sats: 99% ra general: 32 year-old female in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: sinus tachycardic, normal s1,s2, no murmur/gallop or rub resp; diminished breath sounds throughout. no wheezes gi: benign extr: warm no edema incision: r vats site clean dry, intact, no erythema, margins well approximated neuro: non-focal pertinent results: wbc-12.7* rbc-3.42* hgb-7.1* hct-23.6* mcv-69* mch-20.9* mchc-30.2* rdw-28.7* plt ct-734* wbc-12.9* rbc-3.46* hgb-6.9* hct-23.5* mcv-68* mch-19.9* mchc-29.3* rdw-28.2* plt ct-684* wbc-28.1* rbc-3.35* hgb-5.6* hct-19.4* mcv-58* mch-16.7* mchc-28.8* rdw-17.9* plt ct-296 wbc-28.2* rbc-3.87* hgb-6.6*# hct-22.9*# mcv-59*# mch-17.0*# mchc-28.6*# rdw-17.7* plt ct-375# blood neuts-83.9* bands-0 lymphs-9.6* monos-5.2 eos-0.9 baso-0.3 hypochr-3+ anisocy-2+ poiklo-2+ macrocy-normal microcy-2+ polychr-normal ovalocy-1+ target-1+ schisto-occasional tear dr glucose-98 urean-4* creat-0.8 na-137 k-3.8 cl-102 hco3-28 angap-11 alt-13 ast-20 ld(ldh)-284* alkphos-57 totbili-0.5 ld(ldh)-353* totbili-0.9 calcium-8.1* mg-1.8 hapto-331* vitb12-1442* folate-11.0 hapto-241* caltibc-289 ferritn-45 trf-222 tsh-1.4 hiv ab-negative micro: bc x 5 no growth pleural fluid and tissue : no growth to date urine cx pnd 2:00 am swab neisseria gonorrhoeae (gc), nucleic acid probe, with amplification (final ): negative for neisseria gonorrhoeae by pcr. chlamydia trachomatis, nucleic acid probe, with amplification (final ): negative for chlamydia trachomatis by pcr. ; pelvis u.s., transvaginal; pelvis, non-obstetric: impression: 1. further slight decrease in size of left adnexal collection, measuring up to 5.4 cm, with further decrease in echogenicity of internal contents, indicating increasing fluid component. : ruq us impression: no abnormalities in the right upper quadrant. no collection or abscess within or along the liver. overall, unremarkable right upper quadrant ultrasound. cxr: : there is a small-to-moderate right hydropneumothorax, the air component has increased from the prior examination. cardiomediastinal silhouette is unchanged. right lower lobe and right middle lobe opacities are stable, a combination of layering pleural effusion and adjacent atelectasis. cct: : increasing, now moderate-to-severe right pleural effusion extending into the pleural fissures and associated atelectasis of the right lower lobe. brief hospital course: brief icu course () - patient was transferred to the peri-transfusion for hct drop to 19. it was noted during transfusion that she spiked temperature to 104, desat to 80s on ra, tachypnea and tachycardia with associated pleuritic chest pain. cta was negative for pe but showed pleural effusion. while in the icu, patient was managed medically with antibiotics switching zosyn on for broader coverage of the , and she was also giving pain medication as part of the tachypnea and tachycardia was contributed to by her splinting the abdominal pain. flagyl was discontinued as double coverage was unnecessary. her symptoms of llq and epigastric pain persisted throughout stay, although exam was thought to be slightly improved. transvaginal u/s was performed to reassess the on which showed decreasing size of the . - heme/onc was consulted for her anemia who was concerned for long standing iron deficiency anemia and ? thalassemia. oral iron supplement was started. spep and hemoglobin electrophoresis are pending. - of note, patient spiked a fever on and cxr showed possible infiltrate in the rll, suspicious for pneumonia. she was started on vanco and levo for possible hap/atypical pneumonia on . - no picc was placed at the time of transfer back to gyn due to the fever. - picc line placed , removed . thoracic surgery: was consulted on for complicated right pleural effusion. we recommended interventional pulmonology perform ultrasound guided thoracentesis which was performed and drained 25 ml serous thick fluid with pigtail placement on with minimal drainage. on she was taken to the operating room for right video-assisted thoracic surgery (vats) decortication with removal of fair amount of gelatinous and fibrinous exudate within the right chest. there was no evidence of frank pus. she was extubated in the operating room, monitored in the pacu prior transfer to the floor hemodynamically stable with 2 right chest tubes in place. respiratory: aggressive pulmonary toilet, incentive spirometer and good pain control she titrated off oxygen with oxygen saturation of 97% on room air. chest tubes: right apical and basilar to suction initially then to water-seal with minimal drainage. the basilar was removed on , apical on . serial chest films showed stable right apical pneumothorax, atelectasis and small effusion. cardiac: sinus tachycardia 112-117 improved to 99-100 and 140-150's with activity in the setting of iron-deficient anemia. blood pressure stable 110'120. nutrition: she was followed by nutrition for poor appetite. supplements tid with meals and encourage po intake, calorie counts. slow improving in po intake. renal; foley removed with good urine output. electrolytes replete as needed. gyn: followed by gyn s/p ir-guided drainage of left . her vaginal bleeding was minimal and she received lupron to further control her menorrhagia. on internal vaginal us showed slight decrease in size of left adnexal collection, measuring up to 5.4 cm, with further decrease in echogenicity of internal contents, indicating increasing fluid component. ruq us was also done and showed no abnormalities in the right upper quadrant. no collection or abscess within or along the liver. heme: iron-deficiency anemia, s/p one dose iv ferrous gluconate and 2u prbc transfusion while stable in . serial hcts with baseline of 19-22. iron supplements . she will need to follow-up with hematology as an outpatient. endocrine: followed by insulin sliding scale with blood sugars <200 id: followed by id for suspected and continued leukocytosis. started on zosyn and vancomycin empirically. cultures left ovian abscess with gpc in pairs/clusters. on the vancomycin was discontinued since no staph grew. serial wbcs were followed and trended down after starting iv antibiotics. low-grade fevers persisted over the next few days and slowly resolved. she was converted to po antibiotics without fevers for 24 hrs. she was discharged levoflox 750 mg daily & flagyl 500 tid for 4 weeks. she will follow-up with infectious disease before stopping antibiotics. pain: dilaudid pca converted to po pain medication with good control. disposition: she was discharged to home and will follow-up with gyn, dr. and id as an outpatient. after discharge the patient's pharmacy called to say her insurance would not cover levofloxacin. id was called and recommended avalox 400 mg daily for 4 weeks medications on admission: medication on icu admission: metronidazole (flagyl) 500 mg iv q8h oxycodone-acetaminophen tab po/ng q4h:prn pain acetaminophen 650 mg po/pr q6h:prn fever pantoprazole 40 mg po q24h order date: @ 2130 phytonadione 10 mg po/ng daily duration: 3 days order date: @ docusate sodium 100 mg po bid:prn constipation levo hydromorphone (dilaudid) 0.25-0.5 mg iv q4h:prn pain discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation: while taking iron. disp:*60 capsule(s)* refills:*3* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. ascorbic acid 500 mg tablet sig: 0.5 tablet po three times a day: take with iron. disp:*45 tablet(s)* refills:*2* 4. polyethylene glycol 3350 17 gram/dose powder sig: one (1) scoop po daily (daily): take with iron. disp:*1 can* refills:*2* 5. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 weeks. disp:*28 tablet(s)* refills:*0* 6. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 4 weeks. disp:*84 tablet(s)* refills:*0* 7. ferrous sulfate 325 mg (65 mg iron) capsule, sustained release sig: one (1) capsule, sustained release po tid (3 times a day). disp:*90 capsule, sustained release(s)* refills:*5* 8. oxycodone 5 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain or fever. discharge disposition: home discharge diagnosis: fibroids uterine stump tumor iron-deficiency anemia menorrhagia endometriosis thalassemia psh: c-sxn, myomectomy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office you experience: -fevers > 101 or chills -increased shortness of breath, cough or chest pain -chest tube site cover with a bandaid until healed. -shower daily. wash incision with mild soap, rinse, pat dry. -no lifting greater than 10 pounds -walk daily increasing slowly to a goal of 30 minutes daily. antibiotics: continue avalox and flagly until seen by dr. in infectious disease. if you have increase in abdominal/pelvic pain or increased vaginal bleeding or fevers >101 then please call dr. office followup instructions: follow-up with dr. date/time: 9:00 on the clinical center . chest x-ray 30 minutes before your appointment on the radiology department gyn tuesday with dr. 10am. their phone number is . provider: , m.d. infectious disease date/time: 1:30 in the building ground floor provider: , md phone: date/time: 3:00 procedure: insertion of intercostal catheter for drainage thoracentesis aspiration of ovary thoracoscopic decortication of lung diagnoses: abnormal coagulation profile acute kidney failure, unspecified unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) severe sepsis pulmonary collapse other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iatrogenic pneumothorax leukocytosis, unspecified volume depletion, unspecified other abnormal glucose pelvic peritoneal adhesions, female (postoperative) (postinfection) mixed acid-base balance disorder leiomyoma of uterus, unspecified excessive or frequent menstruation other transfusion reaction febrile nonhemolytic transfusion reaction other specified forms of effusion, except tuberculous endometriosis of uterus acute salpingitis and oophoritis 

Answer: The patient is high likely exposed to