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 65-year-old female with a recent history of pneumonia who presents to the emergency department for a diagnostic tap of a known pleural effusion. she has had pneumonia that was treated with a 14 day course of levaquin over the last couple of weeks, however a follow up chest x-ray revealed the presence of a large left sided pleural effusion and was directed by her primary care physician to come to the emergency department for thoracentesis. past medical history: 1. type 2 diabetes mellitus complicated by diabetic nephropathy 2. hypertension x30 years 3. pneumonia x1.5 months 4. hypercholesterolemia 5. orthostatic hypotension 6. depression with need for two hospitalizations 7. pyelonephritis with acute renal failure in past surgical history: 1. status post appendectomy 2. status post suprapubic cuboid excision with recurrence medications: 1. precose 25 mg tid 2. adalat cc 50 mg q day 3. atenolol 50 mg q day 4. lipitor 20 mg q day 5. avandia 2 mg tid 6. clonidine 0.3 mg 7. glyburide 5 mg 8. moexipril 15 mg . the patient recently completed a course of levaquin 500 mg q day. allergies: she has no known medical allergies. social history: she is a retired home health aide. she has a 15 pack year tobacco history. she drinks occasional alcohol. no drug use. she has been divorced twice and cares for two grandchildren who lives with her. admission laboratory studies: her white count was 8.1. hematocrit was 28.2. platelets were 331. sodium was 137, potassium 4.5, chloride 103, bicarbonate 20. bun is 19, creatinine is 0.9. glucose is 206. hemoglobin a1c is 14. physical exam: vital signs: she was 97.9??????, blood pressure 168/67. pulse is 70. respiratory rate is 20. oxygen saturation is 98%. general: she is an alert female that, following her tap, was holding her abdomen. head, ears, eyes, nose and throat: pupils are equal, round and reactive to light and accommodation. mucous membranes are moist. neck: there is no jugular venous distention. she is supple. carotids are 2+ without bruit. pulmonary: she is clear to auscultation on the right and on the left apex. she is diminished in her left base with reported dullness to percussion at the low to mid left hemithorax. cardiac: she has an s1, s2 regular rate and rhythm without murmurs, rubs or gallops. back: she is without murmurs, rubs or gallops. abdomen: following her tap, she is soft and tender, especially in the mid epigastric region. extremities: she is without cyanosis, clubbing or edema. neurologic: she is awake and oriented x3. hospital course: in the emergency department, the patient had a thoracentesis attempted on the left with no fluid yield. a second attempt was made slightly superiorly to the first site with good results yielding 250 cc of slightly cloudy pleural fluid that was sent for analysis. following that tap, the patient started complaining of a band like aching across her epigastrium with radiation to the left shoulder and had denied having any such similar pain in the past. she denied any chest pain, shortness of breath, nausea, vomiting or diarrhea. she was given morphine in the emergency room. the patient said it "took the edge off". the patient did complain of dizziness when she changed in position and was admitted to the medical service for work up of a possible thoracentesis complication. ct scan immediately following her procedure demonstrated no evidence of acute hemorrhage in her abdomen, but did note a moderate left pleural effusion with adjacent atelectasis of the lung and a small amount of perihepatic ascites. the following day, the patient complained of persisting abdominal pain that was worse with movement. her blood pressure was markedly lower than it had been the day before with measurements of 110/60. she was not tachycardic, but is managed on 50 mg a day of atenolol. repeat hematocrit shows a drop from 28% to 16%. the patient was immediately typed and crossed for 2 units, had two large bore intravenous lines initiated, was ordered for a stat ct and surgery consult. on repeat abdominal ct, she was found to have high density intraabdominal fluid consistent with acute hemorrhage. she was also found to have a stable left pleural effusion with associated atelectasis. the patient's care was transferred to the surgical service under the direction of dr. and the patient was taken urgently to the operating room where she received an exploratory laparotomy that revealed hemoperitoneum with splenic injury. the patient did receive a splenectomy at that time. in addition, she had a left chest tube placed to drain her remaining pleural effusion. she also had initiation of a left subclavian central venous catheter. during her operation, the patient was transfused with 2 units of packed red blood cells and received another unit postoperatively in the intensive care unit. the patient was transferred to the surgical intensive care unit for further management and care. the patient's postoperative course was complicated by severe hypertension. upon returning from the operating room, she was treated with nitroglycerin and nipride drips and lopressor with minimal effect. hydralazine was also added to her treatment with success. the following day, the patient was extubated without incident. during the patient's npo status she was also maintained on a diltiazem drip. on her second postoperative day, the patient was started on most of her po medications with a sip. in addition, her blood sugar was controlled with sliding scale insulin. by her fourth postoperative day, the patient was taking clear liquids and was gently diuresed with intravenous lasix. the patient did spend five days in the surgical intensive care unit. one to two of these days were extended due to limited bed availability on the floor. within seven or eight postoperative days, the patient was tolerating po intake and her diet was advanced as tolerated. her foley catheter was discontinued. the patient was started on intravenous kefzol for what appeared a cellulitic wound infection. over the remaining days of her hospitalization, this improved markedly. there was no need to remove any staples from her wound. on postoperative day 10, , the patient was discharged in stable condition in the care of her family. she was tolerating her regular diet. she was ambulating without difficulty and her pain was adequately controlled with po dilaudid. the patient did receive a pneumovax vaccine while in the surgical intensive care unit following her splenectomy. she did not receive an influenza vaccine. the patient's primary care physician, . , was contact by e-mail and notified of the patient's need for pending influenza vaccine. discharge medications: the patient was discharged home on the following medications: 1. precose 25 mg tid 2. adalat cc 60 mg q day 3. atenolol 50 mg q day 4. lipitor 20 mg q day 5. avandia 2 mg tid 6. clonidine 0.3 mg 7. glyburide 5 mg 8. moexipril 15 mg 9. dilaudid 2 mg q4h prn pain 10. colace 100 mg 11. keflex 500 mg tid x5 days the patient was referred home with visiting nurse assistance that she had been receiving prior to admission for her diabetes care. the visiting nurse team was asked to also assess her wound while at her home. in the event that there is a wound problem, they are instructed to please contact dr. . for all other diabetes and medically related issues, they are asked to please contact dr. . the patient was also asked to please follow up with dr. in 7 to 10 days for routine follow up and staple removal. discharge diagnoses: 1. iatrogenic traumatic splenic injury following thoracentesis attempt, now status post splenectomy. 2. drainage of large left pleural effusion with tube thoracostomy 3. multiple blood transfusions , m.d. dictated by: medquist36 d: 10:49 t: 12:24 job#: procedure: venous catheterization, not elsewhere classified other incision of pleura total splenectomy diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere pure hypercholesterolemia unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled hemoperitoneum (nontraumatic) 

Answer: The patient is high likely exposed to