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: penicillins / codeine / ketorolac attending: chief complaint: dyspnea major surgical or invasive procedure: oropharyngeal endoscopy history of present illness: the patient is an 85 year old female with pmhx gerd, recurrent angioedema s/p tracheostomy x1 month in who is presenting with recurrent facial swelling. she has noted increasing hives over the past couple weeks of unclear etiology. last evening at 6pm she noted the onset of facial and lip swelling that has been progressive. she tried to manage at home with benadryl at 8pm and midnight as well as claritin at 10 pm without benefit, so she presented to . she did not use her epipen due to the slower onset of her symptoms. at the - ed, it was felt that given her angioedema, history of tracheostomy, and difficult airway, she would be better managed with the ability to do fiber-optic intubation and surgical backup if needed so was transferred to for further management. at the ed, she received 50 mg of benadryl, 20 mg of pepcid, 125 mg of solu-medrol iv as well as 0.3 mg of epinephrine im. per report, never hypoxic or stridorous. in the ed, initial vs were: 97.9 82 147/67 12 97% ra. ent saw the patient and scoped her which showed swelling above the cords, but no airway compromise at this time. she is being admitted to the micu for further monitoring of his airway. on arrival to the micu, the patient feels well. her swelling has improved per the patient, she does not feel short of breath or that her throat is swelling. able to handle her secretions, although she does have some mucus as well as hoarseness noted during conversation. past medical history: - osteopenia. - colonic polyp with removal. - hypertension. - angioedema (?idiopathic) with history of difficult intubation and tracheostomy in which was removed 1 month later. - breast cancer in situ. - gerd. - barrett's esophagus. social history: worked at as a nurse years ago, currently retired, non smoker, no alcohol or drug use. lives with son in . family history: father died of stroke. mother died of old age . no fam history of angioedema. physical exam: admission physical exam: tmax: 36.4 ??????c (97.6 ??????f) tcurrent: 36.4 ??????c (97.6 ??????f) hr: 86 (84 - 86) bpm bp: 149/78(94) {128/63(78) - 149/78(94)} mmhg rr: 23 (16 - 23) insp/min spo2: 96% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, swelling of upper lip and tongue noted on exam, gurgling noted with phonation neck: submental fullness noted, supple, jvp not elevated, no lad, no stridor cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, finger-to-nose intact discharge physical exam: vs - temp 97.8f, bp: 128/69 , hr: 65 , rr: 21 , o2-sat 97% ra general - nad, comfortable, appropriate heent - perrla, eomi, sclerae anicteric, mmm, op clear, tongur protrudes midline neck - no stridor, supple, no thyromegaly, no carotid bruit, no jvd heart - rrr, nl s1-s2, no mrg lungs - ctab, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c, trace edema, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout pertinent results: admission labs: 07:38am urine hours-random 07:38am urine gr hold-hold 07:38am urine color-straw appear-clear sp -1.007 07:38am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:35am glucose-130* urea n-30* creat-0.9 sodium-140 potassium-3.5 chloride-102 total co2-30 anion gap-12 05:35am estgfr-using this 05:35am wbc-11.0 rbc-3.88* hgb-12.1 hct-36.3 mcv-94# mch-31.2 mchc-33.3 rdw-13.8 05:35am neuts-87.5* lymphs-10.1* monos-1.4* eos-0.9 basos-0.2 05:35am plt count-333 discharge labs: 06:05am blood wbc-7.0 rbc-3.39* hgb-10.4* hct-31.5* mcv-93 mch-30.6 mchc-32.9 rdw-14.0 plt ct-285 06:05am blood glucose-117* urean-31* creat-0.8 na-143 k-3.8 cl-106 hco3-29 angap-12 06:05am blood calcium-9.0 phos-2.4* mg-1.6 brief hospital course: 85 year old female with pmhx gerd, recurrent angioedema s/p tracheostomy x1 month in who is presenting with recurrent facial swelling concerning for recurrent angioedema. # recurrent angioedema - unclear what the trigger is for this episode if there was one. she does admit to increased hives recently. apparently has had an extensive allergy workup in the past including for complement deficiency at , where her primary allergist is located. upon arrival to the micu her airway appeared stable, and no respiratory distress was noted. she was evaluated by ent, who performed laryngoscopy and confirmed angioedema. she was treated with iv steroids, benadryl, and famotidine, and monitored overnight in the micu. by morning she was re-evaluated by ent, and it she was deemed safe for discharge. she was called out to the floor and did well overnight. she was discharged home on with a 5 day course of prednisone. the patient wanted to call her outpatient allergist about a taper as she did not want us to determine the taper. as a result we gave her the script for 5 days as that was ent recommendation and she will have follow up with dr. within 1 week. she will also see her allergist and pcp. # hypertension - no active issues while in the micu. she was maintained on her home regimen of amlodipine and hctz-triamterene. # gerd/barrett's esophagus - no active issues while in the micu. she was maintained on her home dose of omeprazole. # pain - her pain was treated with tylenol as needed. transitional issues: consider further work up of anemia if it has not been done already medications on admission: the preadmission medication list is accurate and complete. 1. omeprazole 20 mg po daily 2. ranitidine 150 mg po bid 3. amlodipine 5 mg po daily 4. triamterene-hydrochlorothiazide 1 cap po daily 5. calcium carbonate 1000 mg po qam 6. vitamin d 1000 unit po daily 7. epipen *nf* (epinephrine) 0.3 mg/0.3 ml injection prn anaphylaxis 8. timolol maleate 0.25% 1 drop both eyes 9. fexofenadine 180 mg po qam 10. loratadine *nf* 10 mg oral qpm 11. latanoprost 0.005% ophth. soln. 1 drop both eyes hs 12. multivitamins 1 tab po daily discharge medications: 1. amlodipine 5 mg po daily 2. fexofenadine 180 mg po qam 3. omeprazole 20 mg po daily 4. ranitidine 150 mg po bid 5. triamterene-hydrochlorothiazide 1 cap po daily 6. prednisone 40 mg po daily duration: 5 days rx *prednisone 20 mg 2 tablet(s) by mouth daily disp #*8 tablet refills:*0 7. calcium carbonate 1000 mg po qam 8. epipen *nf* (epinephrine) 0.3 mg/0.3 ml injection prn anaphylaxis 9. latanoprost 0.005% ophth. soln. 1 drop both eyes hs 10. loratadine *nf* 10 mg oral qpm 11. multivitamins 1 tab po daily 12. timolol maleate 0.25% 1 drop both eyes 13. vitamin d 1000 unit po daily discharge disposition: home discharge diagnosis: primary diagnosis: recurrent angioedema discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure taking care of you while you were admitted to . you were initially admitted to the intensive care unit for monitoring in the setting of your recurrent angioedema. you were given iv steroids for 24 hours and then switched to oral prednisone at 40mg by mouth daily. you should complete 5 days of prednisone at 40mg and then discuss a taper with your allergist. be sure to call your allergist on monday for further management. the ear nose and throat doctors also saw and would like to see you in clinic in one week. please see your medication list for any changes. followup instructions: please call dr. and schedule and appointment with him within the next week. his number is . please also call dr. clinic at and let them know that he would like to see you. please call your allergist to discuss a taper. procedure: laryngoscopy and other tracheoscopy diagnoses: anemia, unspecified esophageal reflux personal history of malignant neoplasm of breast osteoporosis, unspecified unspecified accident angioneurotic edema, not elsewhere classified barrett's esophagus personal history of colonic polyps benign essential hypertension 

Answer: The patient is high likely exposed to