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: cetacaine anesthetic attending: chief complaint: left lower extremity pain major surgical or invasive procedure: thrombolysis of left lower extremity deep vein thrombosis 1. ultrasound-guided puncture of left common femoral vein. 2. advancement of catheter to inferior vena cava bifurcation. 3. inferior venacavogram. 4. serial venacavogram of left proximal lower extremity. 5. stent placement at left common iliac vein, left external iliac vein. 6. angiojet mechanical and tissue plasminogen activator- based thrombolysis of left common iliac vein, left external iliac vein and bifurcation of inferior vena cava. history of present illness: 26f w/ uc s/p single incision laparoscopic total proctocolectomy with ileal pouch-anal anastamosis and diverting loop ileostomy and multiple complications which resulted in a prolonged (~3month) hospital stay presents with new l-sided dvt. we are consulted for management of the new dvt. of note during her last hospitalization she was diagnosed with a rle dvt, and due to upcoming surgery, an ivc filter was placed. since that time she presented to an outpatient hematologist to find that she was a heterozygote for factor v leiden, and over this past weekend she noted pain in her left anterior thigh. concerned over her hypercoagulable results and thigh pain, the hematologist referred her for a ble u/s, demonstrating a dvt from the l cfv to the calf. notably the patient is without phlegmasia, has minimal pain, and is tolerating her adl's without much pain. past medical history: pmh: ulcerative colitis s/p single incision laparoscopic total proctocolectomy with ileal pouch-anal anastamosis and diverting loop ileostomy ; dvt of right superficial femoral-popliteal vein ; factor v leiden heterozygous psh: as above; ivc filter placement social history: originally from , recently an mba grad student at bu. denies tobacco. social etoh. family history: mother with s/p colectomy at age 33, brother with relatively well-controlled. maternal aunt with rheumatoid arthritis. no colon ca. physical exam: gen - tall, thin female in nad pulm - ctab cv - tachy rr, no m/g/r abd - +bs, soft, ntnd, ostomy with flatus and stool extrem - rle warm, +at/pt, without swelling, lle warm, +at/pt, without swelling, venopuncture site c/d/i pertinent results: wbc-7.7 hct-32.6* wbc-5.8 hct-24.0* hct-28.0* wbc-4.0 hct-27.0* wbc-2.7* hct-25.1* wbc-2.9* hct-26.1* immunology (cmv) cmv viral load-pending duplex of lower extremities impression: 1. unremarkable venous doppler right lower extremity. 2. extensive deep vein thrombosis involving the entire left lower extremity to the level of the common femoral veins. brief hospital course: the patient was admitted to the colorectal surgery service on with an extensive left lower extremity dvt. she was transferred to the service on hd 2 and underwent stent placement and thrombolysis of the clot. the patient tolerated the procedure well. post operatively she continued thrombolysis with tpa for 6 hours and was placed on a heparin drip for further anticoagulation. because of a hct drop during the procedure the patient was transfused two units of prbc's and had an apropriate rise in hct. on pod 1 she was switched to lovenox and transferred back to the colorectal service because of mild bleeding from her ostomy site. neuro: post-operatively, the patient received dilaudid po, and a lidocaine patch with good effect and adequate pain control. cv: the patient was tachycardic throughout her hospitalization. she was in the 110's to 120's when lying down and could go up to the 150's with ambulation. a cardiology consult was placed and an echo was recommended to evaluate for a pe or any congenital abnormalities. the echo was unremarkable and the cardiologist mentioned that her tachycardia is likely in response to her prolonged illness, acute issues and deconditioning and that this requiress further treatment of her underlying illness. pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. her diet was advanced on pod 1, which was tolerated well. she was briefly made npo during pod 2 when she had mild bleeding from her ostomy, which resolved on its own. she was made npo for a possible scope by gi. because the bleeding resolved, gi decided not to scope her and instead follow her hct, and trend her lft's which trended down throughout this admission. intake and output were closely monitored. id: post-operatively, the patient did not require antibiotics. the patient's temperature was closely watched for signs of infection. she did have a decreased wbc count this admission and an id consult was obtained. dr thought that her decreasing wbc count may be due to prolonged administration of valsyte. on pod 3, the valsyte was stopped and her wbc was monitored for 48 hours. her wbc count . because she had been treated for over a month with the medicaiton it was though that she had an adequate duration of treatment. a cmv viral load was obtained during this hospitalization. it was not back at the time of discharge. prophylaxis: the patient received plavix and lovenox post operatively. given her history of factor v leiden, and multiple dvt's, she will likely need long term anticoagulation. she will continue these medications for the duration recommended by the surgery team and will follow up with them in one month's time. she was encouraged to get up and ambulate as early as possible. at the time of discharge on pod 5, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: cyclobenzaprine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day as needed for pain hydrocortisone acetate - (prescribed by other provider) - 30 mg suppository - 1 rectally at bedtime prn lidocaine - (prescribed by other provider) - 5 % (700 mg/patch) adhesive patch, medicated - 1 - 2 patches topical once a day applied to back patch can stay in place for 12 hours and should be removed for 12 hours oxycodone - 5 mg tablet - 1 tablet(s) by mouth at bedtime as needed for pain pantoprazole - (prescribed by other provider) - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day propranolol - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth 1 twice a day valganciclovir - (prescribed by other provider) - 450 mg tablet - 2 tablet(s) by mouth daily zolpidem - 10 mg tablet - one tablet(s) by mouth at bedtime as needed for sleep. (fill if unable to fill prescription for ambien cr) zolpidem - 12.5 mg tablet, multiphasic release - one tablet(s) by mouth at bedtime. medications - otc acetaminophen - (prescribed by other provider) - 500 mg tablet - 2 tablet(s) by mouth every 8 hours as needed for pain calcium carbonate - (prescribed by other provider) - dosage uncertain loperamide - (prescribed by other provider) - 1 mg/5 ml liquid - 5 - 10 ml by mouth 3 times a day discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain for 5 days: please do not drive or drink alcohol while taking this medication. disp:*40 tablet(s)* refills:*0* 2. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for pain for 2 weeks. disp:*14 adhesive patch, medicated(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): please take for 30 days. disp:*30 tablet(s)* refills:*0* 4. enoxaparin 60 mg/0.6 ml syringe sig: one (1) subcutaneous q12h (every 12 hours) for 1 months. disp:*21 * refills:*0* 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 6. trazodone 50 mg tablet sig: . tablet po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* 7. tylenol extra strength 500 mg tablet sig: 1-2 tablets po every eight (8) hours as needed for pain for 2 weeks. disp:*0 tablet(s)* refills:*0* 8. cyclobenzaprine 10 mg tablet sig: one (1) tablet po once a day as needed for pain. disp:*20 tablet(s)* refills:*0* 9. imodium a-d 2 mg tablet sig: one (1) tablet po four times a day. 10. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po 1x/week (tu) for 2 months. disp:*8 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: left common iliac vein deep venous thrombosis. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital with a large vein thrombosis. you required thrombolysis on this clot while admitted. you will need to continue anticoagulation to prevent a recurrent clot. you have follow-up appointments with dr. made as written below. you will need to continue your plavix and lovenox for 30 more days. please monitor the puncture site on his leg for bleeding or increased bruising, call dr. or dr. office if you have any concerns or questions or go to the emergency room if the following symptoms are severe: increased swelling, increased pain, numbness in the leg, bluish/purple coloring in the leg, or decreased sensation. you should keep your left leg ace wrapped from foot to thigh or wear a thigh high compression stalking until your follow-up appointment with dr. . please avoid lifting anything greater than 10 lbs for the next 5 days. you will need to be on anticoagulation for the next year, this will be either be lovenox on coumadin with a baby aspirin and will be decided with dr. and . if you develop any rectal spotting of blood please call dr. office for advice, if the bleeding is severe go to the emergency room. you have a supply of lovenox at home from previous prescriptions, as the medication is so expensive you may use these syringes but you are now taking 60mg and you will need to waste the lovenox to the 0.6 line. i am giving you an prescription to make up for the 10 days you are short, with this prescription you will not need to waste. if you have any problems with this please call the office for a new prescription. please check the expiration date on the lovenox syringes you are using at home prior to use. you no longer need to that the valgancyclovir for cmv treatment. you developed a low white blood cell count from this medication. your most recent count is 2.8. you will see dr. in clinic next thursday for a lab draw to check your white blood cell count. please see the appointment time listed below. he will also monitor the lab values for your blood while on the lovenox. you will also be seeing him for your hematology needs. while you were here you were also seen by cardiology to evaluate your tachycaardia you have developed since your surgery. you had an echocardiogram which was normal expcept for a small amount of fluis around your heart which the cardiology department thinks is not problem and that your tachycardia will improve as you become more conditioned. they believe the tachycardia is related to deconditioning. please call the office if you feel as though you have worsening shortness of breath, chest pain, worsening fast heart rate that does not return to normal with rest. continue to monitor please continue to monitor your ileostomy output and take immmodium as needed. call the office with any issues with your ileostomy. please continue to change the dressing on your abdomen daily, apply a dry sterile gauze to the . please call your doctor or nurse practitioner if you experience the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. . general discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. you should follow the directions from your gi doctor about the vitamin d, you only need to take the capsule 1 time a week for 8 weeks and then preceed as you were instructed by dr. . followup instructions: provider: , m.d. phone: date/time: 11:00, infectious disease/hematology, lab (white blood cell count and pt check) at this appointment. provider: lab phone: date/time: 8:00 provider: lab phone: date/time: 8:30 provider: , md phone: date/time: 9:00 please call dr office for a follow up appointment following your visits with the surgeons. procedure: angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) other endovascular procedures on other vessels phlebography of femoral and other lower extremity veins using contrast material angiocardiography of venae cavae insertion of three vascular stents destruction of cranial and peripheral nerves procedure on three vessels diagnoses: hemorrhage complicating a procedure other specified cardiac dysrhythmias antiviral drugs causing adverse effects in therapeutic use compression of vein long-term (current) use of anticoagulants primary hypercoagulable state acute venous embolism and thrombosis of deep vessels of proximal lower extremity ulcerative colitis, unspecified precipitous drop in hematocrit acute venous embolism and thrombosis of deep vessels of distal lower extremity attention to ileostomy chronic venous embolism and thrombosis of deep vessels of proximal lower extremity other decreased white blood cell count 

Answer: The patient is high likely exposed to