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: ms. is a 52-year-old female who was transferred to the in hyperacute fulminant liver failure thought to be secondary to either bactrim reaction versus acetaminophen toxicity. she was admitted to the medical intensive care unit initially and became progressively obtunded, with significant encephalopathy requiring intubation and ventilatory support. her liver function was notable for transaminases with an alt and ast of 9500 and 17,500 respectively and worsening hyperbilirubinemia. she became progressively more coagulopathic, and it was thought that she was most likely going to need orthotopic liver transplantation for survival. given the critical nature of her illness, she was transferred to the transplant surgical service and to the surgical intensive care unit for further management. this management initially entailed aggressive control and monitoring of intracranial pressures in conjunction with the neurosurgical service. this required placement of an intracranial bolt and aggressive volume management with the use of hypertonic saline and mannitol. she continued to receive aggressive cardiopulmonary support with again, as noted, full ventilatory support and vasopressor support for hypotension. course by systems: neurologically, as noted above the patient required placement of an intracranial bolt for icp monitoring. her icps had climbed into the high 30s. this was managed with hyperventilation and usage of mannitol and hypertonic saline. over the course of the next 4-5 days as her liver function improved, her intracranial pressures decreased. her sedation and paralytics were weaned. she had removal of her intracranial bolt on , and it was noted on subsequent imaging that she had approximately a 4-cm, right frontal, intracranial hemorrhage. this was followed serially with ct scans and there was no progression of the bleeding. the bleeding was thought to be secondary to her severe coagulopathy and thrombocytopenia in the setting of her instrumentation. she was started on keppra for seizure prophylaxis to finish a 10-day course. on , the patient was extubated and her neurologic exam was notable for response to voice and opening of her eyes. she was moving her left upper extremity and her right lower extremity with 2/5 strength and had minimal movement in her right upper extremity and left lower extremity, not following the predicted neurologic pattern if this was a deficit associated with her intracranial bleeding. in terms of her respiratory status, it is noted that the patient required full ventilatory support and was extubated on . she initially did well, but, secondary to what was thought to be pulmonary edema, required reintubation on after failure of noninvasive positive pressure ventilation. she had some degree of what appeared to be an ards-type reaction or transfusion- associated lung injury requiring high amounts of peep and oxygenation during the initial days of her intensive care unit stay. this resolved over the course of the next several days with diuresis and supportive therapy. in terms of her cardiovascular status, the patient initially had blood pressure support with the use of vasopressors in order to minimize her intravascular volume which was thought to exacerbate her cerebral edema. the vasopressors were weaned by icu day 6, and there was no further requirement for this. there were no significant dysrhythmias. the patient, initially thought to most certainly require liver transplantation, spontaneously improved in terms of her liver function over the course of her 2 weeks in the intensive care unit. this was evidenced by progressive ability to metabolize her lactate, stabilization of her blood sugars, and autocorrection of her coagulopathy. by the time of her transfer, while she continued to have a hyperbilirubinemia, her transaminases had completely normalized. a dobbhoff feeding tube was in place for post- pyloric tube feedings. the patient's transaminases were elevated; this was thought to be secondary to a possible mild ischemic pancreatitis which might have developed during her requirement for vasopressors. she otherwise did not seem to be symptomatic for this and was tolerating tube feeds. therefore, this was not aggressively pursued. in terms of her overall fluid status, her baseline weight is 37 kg. on the day of transfer, she weighed about 44 kg. this volume overload was being managed with hemodialysis daily on an as-needed basis. the patient's renal function, which had been quite labile throughout her hospitalization, stabilized, with creatinine in the 2.9-3.4 range. she makes approximately 500-700 ml of urine per day, but is dialysis-dependent. she currently receives hemodialysis through a left femoral hemodialysis catheter. in terms of her id issues, the patient was initially started on vancomycin for prophylaxis against intracranial infection with the bolt in place. she developed a leukocytosis, and the thought was that she may have been developing pneumonia given the persistent difficulty oxygenating her. she was started empirically on zosyn. sputum cultures failed to evidence any pneumonic process, and these antibiotics were discontinued. in terms of hematologic issues, the patient developed what appeared to be a dic versus ttp picture, for which the hematology service was following. she evidenced a consumptive coagulopathy with significant destruction of platelets. her thrombocytopenia likely contributed to her intracranial bleeding. the patient required special hla-typed platelet transfusions in order to maintain a platelet count above 100,000. she also developed a significant anemia without any evidence of bleeding. this was thought to be secondary to hemolysis in the face of an elevated indirect bilirubin and a depressed haptoglobin. her thrombocytopenia and anemia resolved by , and she no longer required any transfusion of any blood products. at the present time, the patient is requiring intensive care for management of respiratory failure and renal failure. she is no longer in need of liver transplantation, and therefore, given her primary medical issues, she will be transferred to the medical intensive care unit. at the time of transfer, the patient is receiving the following medications: protonix 40 mg p.o. once daily; insulin sliding scale; fentanyl as needed; heparin 5000 units subcu t.i.d.; keppra 500 mg iv q.12 hours. , md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances insertion of endotracheal tube insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus transfusion of packed cells transfusion of other serum transfusion of platelets intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: pneumonia, organism unspecified anemia, unspecified esophageal reflux pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis acute and subacute necrosis of liver acquired coagulation factor deficiency hyposmolality and/or hyponatremia depressive disorder, not elsewhere classified intracerebral hemorrhage other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure osteoporosis, unspecified cerebral edema pressure ulcer, lower back dermatitis due to drugs and medicines taken internally hepatic encephalopathy aphasia ileostomy status acute pancreatitis iatrogenic cerebrovascular infarction or hemorrhage sulfonamides causing adverse effects in therapeutic use acute edema of lung, unspecified mixed acid-base balance disorder pressure ulcer, stage ii obsessive-compulsive disorders dyspepsia and other specified disorders of function of stomach hypoglycemia, unspecified penicillins causing adverse effects in therapeutic use dysphagia, unspecified anorexia nervosa aromatic analgesics, not elsewhere classified, causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to