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: bactrim / epinephrine / percocet / codeine / latex attending: chief complaint: left hip avascular necrosis major surgical or invasive procedure: left total hip arthroplasty history of present illness: pt is a pleasant 48 yo f who has suffered from progressive bilateral hip pain over the past 3 years. the pain in the left hip is worse than that in the right hip. the etiology of the avn is unclear, however the pt is now having pain with activity. she would like to proceed with a left total hip replacement at this time. past medical history: cardiac valve anomaly (congenital) junctional rhythm with reentry right heart dilatation with h/o syncopal events and palpitations thalassemia minor hypothyroidism hypertension depression low back pain polycystic ovaries glaucoma hypertriglyceridemia social history: pt smokes ppd. rarely consumes alcohol family history: non-contributory physical exam: gen: alert and oriented, no acute distress neck: r anterior 0.5x 1.5 mass secondary to central line placement, slightly tender to palpation, no ecchymosis/swelling/drainage lungs: cta bilaterally abd: benign extremities: left lower incision: no swelling/erythema/drainage dressing: clean/dry/intact, steri strips intact +/fhl/at +silt 2+ pedal edema, moves toes nvi bilaterally left hip - full extension, flexion to 70 degrees, 10 degrees ir/er, 20 degrees abduction right hip - flexion to 100 degrees, 30 degrees abduction pertinent results: operative report , k. signed electronically by , k. on tue 11:15 am name: , unit no: service: ort date: date of birth: sex: f surgeon: , assistant: , pa-c preoperative diagnosis: avascular necrosis, left hip. postoperative diagnosis: avascular necrosis, left hip. procedure performed: primary left total hip arthroplasty. anesthesia: epidural plus local. complications: none. indications: this is a 47-year-old woman with multiple medical co-morbidities and the diagnosis of idiopathic avascular necrosis. preoperatively, we had discussed the possibilities of unipolar versus total hip. given her morbidities, it was determined that irregardless of the amount of remaining acetabular cartilage we would move ahead with a total hip replacement since the future is hard to predict in terms of her overall medical health and we wanted to get as pain free a situation established for her as possible. components implanted: osteonics trident psl acetabular shell size 50e secured by 2 vertical cancellous bone screws, trident x3 crosslink 10-degree hooded polyethylene insert 36-mm e series, accolade tmzf hip stem size 2.5 press-fit x 132-degree neck shaft angle with a v40 femoral head low-friction size 36 mm x +5. procedure in detail: the patient was brought to the operating room and given an epidural and 2 grams of ancef, and foley catheterized. prior to the procedure, we put her out supine on the bed and discussed our findings with her that the left side, that is the operative side, was short by approximately 1.5 cm. she apparently was unaware of this. she also has a positive galeazzi on the left. with these considerations in mind, we had greater opportunity to lengthen her to equalize her leg lengths. it also be noted that she had a markedly high neck shaft angle. therefore, we chose the 132 series. after the patient was adequately given an epidural, she was put over in the lateral decubitus position, padded, the hip immobilizers placed and sterilely prepped and draped. a posterior lateral approach. the patient has a fair amount of obesity. therefore, the incision had to be lengthened accordingly. we came down to the deep fascia which was split. we then used electrocautery to take down the short external rotators along with the capsule and piriformis which were anatomically replaced through bone at the end of the case. the femoral head was amputated with the oscillating saw 1 cm proximal to the lesser trochanter. bone quality was good. she did still have a fair amount of residual cartilage in the acetabulum, but we elected to go ahead with complete thr for the above-mentioned reasons. on the acetabulum, she measured out to 45 mm on her native head. we initialized medial reaming at 46 mm and went up sequentially to size 50 at which time we had a good bleeding base. the above-mentioned components were impacted in at 45 degrees of abduction and 20 degrees of matched native anteversion with a good rim fit secured by 2 cancellous screws. the liner was placed with the at the 03:00 p.m. position for maximal stability posteriorly. on the femoral side, standard reaming and broaching with an osteotome was performed. we put a cerclage wire in prophylactically at the level of the lesser trochanter. we never did see any crack. final seating of the broach performed. a 2.5 fit her very well with certainly no opportunity to go higher than that given her anatomy. we then press fit in the above-mentioned stem. we found that a +5 more equalized her leg lengths and provided excellent stability. she was quite stable even with the zero. she had no tendency to come out in anterior testing. posteriorly, she could be brought out at about 75 or 80 degrees of internal rotation at 110 degrees of flexion and 20 degrees of adduction. we closed over a hemovac drain, a 2 level, with 0 vicryl closure in multiple levels and skin staples. the patient tolerated the procedure well. there were no complications. , md 20aa brief hospital course: on patient was brought to the operating room and underwent left total hip replacement. the case was uneventful. please see dr. operative note for details. post-operatively, the patient was treated with 24 hours of antibiotic for prophylaxis of infection. lovenox was given for dvt prophylaxis and teds and pneumoboots were used. the patient was made 50% pwb on the operative extremity with posterior hip precautions and physical therapy assisted with mobilization. home medications were restarted. on pod 1 she was oliguric and developed hypotension, nausea and vomiting. she was evaluated by the medical service who felt she would benefit from transfer to the icu for closer monitoring. she was placed on pressors to help increase blood pressure and perfusion to her kidneys. a central line was placed. on pod 2 she had some bladder spasm and her foley remained. cipro was started for uti prophylaxis. on pod 3 her hematocrit dropped from 26.6 to 23.8. she was transfused 1 unit of prbc. her creatinine improved to 1.1 from 1.8 pre-admission. she was transferred back to the floor. pod she worked with physical and occupational therapy. she had an episode of chest pain on exertion, which resolved within a minute. and ekg showed no change compared to her previous studies. she stated that this is an problem. prior to discharge the patient was afebrile with stable vital signs. her hematocrit was stable and her pain was adequately controlled on a po regimen. the operative extremity is neurovascularly intact and the wound was benign. patient was discharged home pod 6 with physical and occupational therapy services in stable condition. medications on admission: levoxyl 100 mcg daily verapamil 240 mg daily hydrochlorothiazide 25 mg daily celexa 60 mg daily timoptic twice daily each eye prilosec 40 mg b.i.d. potassium chloride 40 meq daily. discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. disp:*90 tablet(s)* refills:*0* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever or pain. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. enoxaparin 30 mg/0.3 ml syringe sig: one (1) syringe subcutaneous q12h (every 12 hours) for 3 weeks. disp:*42 syringe* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): take while on lovenox injections. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. commode commode for home discharge disposition: home with service facility: discharge diagnosis: left hip avascular necrosis postoperative anemia discharge condition: stable discharge instructions: wound: keep wound clean and dry. cover with dry sterile dressing until dry x 72 hours and then open to air. you may shower, but keep all water off of wound until 1 week post-op. medications: take all medications as prescribed. call dr. for fevers >101, chills, sweats, redness or discharge around your wound or any other changes that are concerning to you. physical therapy: 50% partial weight bearing posterior hip precautions treatments frequency: wound: keep wound clean and dry. cover with dry sterile dressing until dry x 72 hours and then open to air. you may shower, but keep all water off of wound until 1 week post-op. medications: take all medications as prescribed. call dr. for fevers >101, chills, sweats, redness or discharge around your wound or any other changes that are concerning to you. followup instructions: brown, phone: date/time: 1:30 procedure: venous catheterization, not elsewhere classified transfusion of packed cells total hip replacement diagnoses: other iatrogenic hypotension anemia, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified acquired hypothyroidism unspecified glaucoma chest pain, unspecified aseptic necrosis of head and neck of femur other thalassemia oliguria and anuria ebstein's anomaly 

Answer: The patient is high likely exposed to