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: right femur fracture after fall at facility major surgical or invasive procedure: right femur fracture repair history of present illness: 89 year-old female who was admitted with a midshaft right femur fracture after a mechanical fall. she did not have vertigo, chest pain, shortness of breath, loss of consciousness or head trauma per the facility. the patient was unable to give a coherent history due to her dementia. past medical history: pmh: 1. atrial fibrillation, on coumadin 2. hypothyroid 3. hypertension 4. mitral regurgitation 5. dementia, likely alzheimer's, severe 6. h/o r hip fracture , intertrochanteric, with subtrochanteric extension 7. h/o tia x2 8. h/o pacemaker placement social history: lives in . widowed. has 2 children. denies tobacco, occasional alcohol. no ivdu. family history: noncontributory physical exam: pe: gen: awake, alert, conversant, pleasant elderly woman in nad heent: pupils mildly responsive, r surgical pupil cv: rrr, nl s1/s2, no murmurs pulm: ctab, no wheezes abd: soft, nondistended, hypoactive bowel sounds, no masses ext: r leg brace in place; r foot somewhat cool to touch, pulses sensed by doppler pertinent results: 12.6>38.1<221 n:84.8 l:12.0 m:2.4 e:0.6 bas:0.2 band:0 |93|14/119 3.0|30|0.7\ pt:19.0 ptt:28.6 inr:2.4 ua: dipstick negative; rbc: wbc:0-2 bact:occ yeast:none epi:0-2 hip and femur plain films: 1. severely comminuted fracture of the distal metadiaphysis of the right femur. 2. no other acute fractures identified. 3. interval fixation of proximal right femur fracture with intact metallic hardware. brief hospital course: 1. r femur fracture - she was found to have a distal right femur fracture. she received fresh frozen plasm for reversal of inr prior to surgery. she had an orif on the day of admission without complication. during the immediate post-operative period, her right lower extremity was slightly cool, but the pulses were sense by doppler; therefore, there was some concern for compartment syndrome. over the course of the next day, both of her extremities were warm, well perfused, and had pulses that were detectable by doppler. she had a drain in place that was removed on post-operative day #3. she received 48 hours of prophylactic antibiotics. her coumadin was restarted on post-operative day #1 for dvt prophylaxis. her pain was managed with morphine. she was tolerating touch down weight bearing on the right leg at the time of discharge. she was fitted for a brace prior to being discharged. . 2. atrial fibrillation with rapid ventricular rate - during the peri-operative period, she became tachycardic to the 150's. she was started on a diltiazem drip for rate control. she was not extubated immediately post-operatively given her tachycardia. her heart rate came down to the 80's and she was weaned off of the diltiazem in the pacu. she remained stable during an overnight observation in the micu and was extubated in the morning. once she was extubated, she was restarted on her outpatient metoprolol, which was titrated up for rate control. she was also maintained on her coumadin. she was subterapeutic, so her coumadin was increasedd to 2.5 on the day of discharge. she had three sets of cardiac enzymes post-operatively. . 3. hypotension - she had peri-operative hypotension that was attributed to hypovolemia given her intra-operative blood loss. she initially required pressors in the pacu, but the her blood pressor stabilized within the first 24 hours. she also received 2 units of red cells. her antihypertensive medications were restarted with adequate blood pressure control. . 4. dementia - after extubation, she quickly returned to her baseline. she was not oriented, but she was conversational and responsive. at night, she sometimes required haldol and zyprexa for agitation. her outpatient donepezil was continued throughout the admission. . 5. hypothyroidism - her outpatient levothyroxine was continued throughout the admission. . 6. fen - she was initially npo for her surgery. upon extubation, she didn't tolerate thin liquids with her medications. a speech and swallow evaluation cleared her for pureed foods and nectar thick liquids. her electrolytes were repleted. . 7. prophylaxis - she was maintained on a ppi and coumadin. . 8. communication - communication was with her son. . 9. code - her code is dnr/dni, which was reversed for the operation. medications on admission: hydrochlorothiazide 25 mg po qd lisinopril 2.5 mg po qd donepezil 10 mg po qd synthroid 100 mg po qd coumadin 2 mg po qhs discharge medications: 1. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 2. donepezil 10 mg tablet sig: one (1) tablet po hs (at bedtime). 3. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 5. calcium carbonate 500 mg/5 ml suspension sig: five (5) ml po tid (3 times a day). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 7. morphine 2 mg/ml syringe sig: one (1) injection q4h (every 4 hours) as needed. 8. coumadin 2.5 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: - discharge diagnosis: right femur fracture. discharge condition: stable. she is tolerating touch down weight bearing on the right leg. her blood pressure and heart rate are stable. discharge instructions: please take all medications as prescribed. call your doctor or return to the emergengy room if you have numbness, tingling, coldness in your right foot or if the surgical wound becomes red, swollen, or drains puss. followup instructions: please follow-up in the orthopedics clinic for your fracture: provider: , m.d. where: orthopedics phone: date/time: 10:05 procedure: open reduction of fracture with internal fixation, femur transfusion of packed cells transfusion of other serum diagnoses: mitral valve disorders unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism atrial fibrillation unspecified fall long-term (current) use of anticoagulants cardiac pacemaker in situ alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance closed fracture of shaft of femur 

Answer: The patient is high likely exposed to