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: iodine / latex / sulfa (sulfonamides) / erythromycin stearate / morphine / vistaril / benadryl / nifedipine / ventolin hfa / penicillins attending: chief complaint: abdominal pain, nausea, vomiting major surgical or invasive procedure: upper endoscopy ugi gastric emptying study history of present illness: ms. is a 49f with pmh of gerd s/p nissen fundoplication x 2 (), factor v leiden, htn, depression, and chronic abdominal pain (since ) presenting with recurrence of her abdominal pain, nausea and vomiting and inability to tolerate po's. these symptoms had been well controlled over the last two years but recurred in late . she says that she is nauseous all day and vomits about 2-3 times/week. she localizes her pain to her epigastrium and says that it radiates throughout her entire abdomen. she says that it worsens slightly with eating, but identifies no other precipitating or palliating factors. she states that she has been regurgitating all her food, and that it comes up undigested. for these symptoms, she went to her gi doctor dr. on , and ugi series and manometry were normal at that time, making mechanical obstruction unlikely. she was thought to have functional bowel disease. in the middle of , she had to be hospitalized at hospital for dehydration, and egd at that time was normal. she had her protonix increased to 40mg , and was started on buspirone and pepcid. her symptoms did not improve, and she continued to vomit with any po intake. on , she called dr. and was told to present to the emergency room. in the emergency room the patient's vitals were t 97.8 hr 88 bp 136/75 rr 18 o2 sat 100. labs in the ed were wbc 8.7/hct 39.8/plt 341. lytes were wnl. she received zofran 4mg and dilaudid 0.5 mg with no relief. she was admitted for workup of her abdominal pain, as well as pre-treatment for known contrast allergy before her scheduled inpatient ct scan. given her possible iodine allergy, she was pre-medicated with prednisone 40mg po 16, 8, and 2 hours prior to her exam. in addition, cimetidine 300mg and benadryl 50mg were given 1 hour prior to exam. following her ct scan, the patient developed diffuse urticaria (over arms, chest, back, face), cough, and subjective sob. she remained hemodynamically stable, afebrile, and non hypoxic. she was given iv solumedrol and famotidine and was transferred to the icu. in the icu, she was treated with iv solumedrol q6h and h2 blocker for her contrast allergy. she was also given iss while on steroids. for her abdominal pain, she was treated symptomatically with zofran, dilaudid, and miralax. in addition, her ppi, pepcid, and buspirone were continued. during her icu course, her vitals were 96.2 to 97.3, 76-109, 95-143/47-78, , and 93% on ra. labs in the icu were wbc 10.9/rbc 33.2/plt 311. lytes were wnl except for glucose (181). lfts and amylase/lipase were wnl.+ past medical history: pmh: - gerd s/p nissen fundoplication x 2 - chronic abdominal pain - factor v leiden: h/o ue clot, unclear if deep or superficial; (patient reports she received lovenox and coumadin as an inpatient but only continued coumadin for a few weeks) - depression - hypertension - colonic inertia - insomnia - asthma social history: - smoking: denies - etoh: denies - ivdu: denies - lives at home with her husband and three sons (26yo, 23yo, 21yo). - homemaker - practicing catholic family history: - mother with cancer in her 60's - maternal aunt with breast cancer - sister with diabetes - no fh of clots. physical exam: vs: 92/43 89 14-16 99 gen: awake, alert, nad heent: ncat, eomi, anicteric cv: rrr, no m/r/g pulm: cta b, no wheezes or crackles abd: soft, nd, tender in rlq, no rebound, no guarding ext: no le edema, dp/pt 2+ pertinent results: 06:30pm blood wbc-8.7 rbc-4.76 hgb-13.8 hct-39.8 mcv-84 mch-29.1 mchc-34.8 rdw-13.6 plt ct-341 07:10am blood wbc-5.9 rbc-4.21 hgb-12.5 hct-36.2 mcv-86 mch-29.7 mchc-34.5 rdw-13.1 plt ct-323 04:01am blood wbc-10.9# rbc-3.85* hgb-11.4* hct-33.2* mcv-86 mch-29.5 mchc-34.2 rdw-13.3 plt ct-311 06:30pm blood glucose-96 urean-10 creat-0.7 na-142 k-4.4 cl-106 hco3-27 angap-13 07:10am blood glucose-166* urean-10 creat-0.7 na-139 k-5.2* cl-105 hco3-24 angap-15 04:01am blood glucose-181* urean-7 creat-0.6 na-142 k-3.5 cl-108 hco3-23 angap-15 06:30pm blood alt-19 ast-19 alkphos-120* totbili-0.5 04:01am blood alt-16 ast-13 ck(cpk)-53 alkphos-91 totbili-0.4 ct abdomen/pelvis (): impression: 1. no evidence of acute intra-abdominal pathology. 2. post-surgical changes related to fundoplication. brief hospital course: this is a 49 year old woman who presented with chronic symptoms (since ) of epigastric abdominal pain, persistent nausea, food regurgitation immediately after eating, and weight loss. she has history of severe constipation following her nissen fundoplication that was attributed to colonic inertia. the differential diagnosis for her upper gi symptoms were esophageal obstruction, esophageal motility disorder, zenker's diverticulum, a disease process related to her fundoplication (nerve damage or compression), gastroparesis, rumination syndrome, and psychiatric causes. she has had extensive workup in the past by gi for her symptoms, and thus far, all studies have been negative including egd, ugi series, manometry,and ct abdomen. during this hospitalization, she had a repeat ugi series, which was normal, and egd which was also normal. she had a gastric emptying study that showed delayed gastric emptying. she, however, was receiving dilaudid before and during the study, which may have affected the results. her symptoms of immediate vomiting after eating and nausea despite being npo for a weak were inconsistent with gastroparesis. however, we treated her with iv and then po reglan as she may have significant gi motility disorder with severe constipation and the above mentioned upper gi symptoms. for her severe constipation, she was continued on a bowel regimen with colace, senna, miralax, and dulcolax with no problems. rumination syndrome seemed unlikely as she had 2 inconsistent features: persistent nausea and abdominal pain. however, she exhibited depressive syndrome and indifference to her gi illness. a psychiatric component may potentially aggravate her symptoms. she was discharged with gi follow up with dr.. total discharge time 35 minutes. of note she had allergic reaction with hives and subjective sob after iv contrast administration for the ct abdomen on . she was treated with iv solu-medrol in ed/icu and then oral steroids with complete recovery. medications on admission: home meds: protonix 40 mg po bid pepcid 20 mg po qhs buspar 15mg po qhs ambien 5mg po qhs prozac 20mg po qam trileptal 150mg po qhs miralax 6 capfuls qhs diovan 160mg po daily advair 500/50 qam singulair qam atrovent prn sob meds on transfer: heparin 5000u tid zolpidem tartrate 5 mg po qhs fluoxetine 20 mg po daily oxcarbazepine 150 mg po qhs peg 17 g po daily valsartan 160 mg po daily pantoprazole 40 mg po bid famotidine 20 mg advair diskus 1 inh montelukast sodium 10 mg po daily buspirone 15 mg po qhs iv solumedrol 125 mg iv q6h sarna lotion 1 ppl tp qid ipratropium nebs 1 nb q6h insulin sc per iss discharge disposition: home with service facility: , discharge diagnosis: primary diagnosis: primary gi motility syndrome: gastroparesis constipation from colonic inertia . secondary diagnoses: factor v leiden deficiency hypertension gastroesophageal reflux disease asthma depression discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted to with abdominal pain, nausea, and vomiting. you had a ct scan in the emergency department and developed an allergic reaction to iv contrast. you were hospitalized in the icu for monitoring and received iv steroids. you were given anti-emetics for your nausea and pain medications for your abdominal pain. you were also found to be constipated and were started on a bowel regimen. you had a normal endoscopy and barium study. a gastric emptying study showed slow stomach. however, you were taking dilaudid which may interfere with the study results. please take reglan 30 minutes before each meal to help your slow stomach. keep laxatives. we found you to have depression. please see your psychiatric doctor as depression may worsen or significantly contributes to your symptoms of nausea and vomiting. please follow up with dr. . followup instructions: provider: , md phone: date/time: 2:40 procedure: esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: abdominal pain, unspecified site esophageal reflux unspecified essential hypertension asthma, unspecified type, unspecified depressive disorder, not elsewhere classified hypopotassemia nausea with vomiting primary hypercoagulable state leukocytosis, unspecified gastroparesis other drugs and medicinal substances causing adverse effects in therapeutic use dyspepsia and other specified disorders of function of stomach allergic urticaria slow transit constipation 

Answer: The patient is high likely exposed to