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: tetracycline attending: chief complaint: shortness of breath, bilateral eye swelling, and fever major surgical or invasive procedure: none history of present illness: 54yow with h/o atypical thrombotic microangiopathy/ttp on chronic plasmapheresis, ckd, obesity, hepb and hepc, presenting with shortness of breath, bilateral eye swelling, and fever. she was admitted /-, /06 and . during the admission she was treated for coagulase negative staph bacteremia with vancomycin. she was then admitted with acute on chronic renal failure. arf was attributed to vancomycin, and she antibiotics were changed to linezolid. she was again admitted for acute renal failure. the last admission was for sob and eye swelling. in her right av fistula, used for plasmapheresis, clotted. a tunnelled left ij was placed; however, she developed a left ij thrombosis, and this line was pulled. upper extremity u/s demonstrated right subclavian and left ij thrombus. she was treated with antibiotics for line infection and warfarin for anticoagulation. she also has a stent in the right subclavian to svc. she was without plamapheresis access and missed her last session of plasmapheresis. . she initially presented to w/ periorbital edema, disorientation, found to be hypotensive in the ed, responded to ivf. while in the micu, the pt was was thought to be hypercapneic obesity hypoventilation. in addition, she was found to be volume overloaded and aggressive diuresis was initiated. the initial periorbital edema was thought to be secondary to svc syndrome from r sc/ l ij thromboses. she was continued on anticoagulation, and a mvr was recommended to better categorize the clots. she was initially rx with cipro/ceftriaxone and linezolid for prior line infection, possible septic thrombophlebitis, but these were then tailored to linezolid as monotherapy. she was found to have arf in the setting of ckd, thought to be secondary to nephrotoxicity from vancomycin. . denies pain or difficulty breathing, cannot describe the inciting event that brought her to the hospital. does not have dyspnea, but has no 02 requirement at home. complaining of nausea, no vomiting. past medical history: acute on chronic renal failure, , thought vancomycin atypical thrombotic microangiopathy since ckd, baseline cr 2.0-recent arf with increaced cr to 5.0 steroid induced osteoporosis obesity htn hep b and c (past iv drug use) h/o heart murmur l radius fracture, () cataract surgery, l eye 2 mo ago, r eye 2 yrs ago migraines social history: divorced, lives alone. has two sisters and aunt for social support. unemployed since . has one daugher in . smoking-40yr smoking hx-currently <1ppd, but formerly more. prior ivda, last used heroin 10 years ago. currently on methadone maintenance. family history: father died from unkown malignancy at age 78 mother had uterine ca-died at age 81 siblings in good health no fh of kidney or blood dz, no hx of heart disease physical exam: vitals: 135/78 hr 86 rr 18 02 98%4l gen: obese woman sitting in bed. breathing comfortably. heent: mild scleral icterus, perrl (left pupil sluggish), oropharynx clear, no lymphadenopathy cv: rrr, 3/6 systolic murmur at llsb radiating to lusb and apex lungs: right base with occ crackles, left base with coarse bs, otherwise clear to ausc bilaterally. abd:obese, hypoactive bs, non-tender ext:+ edema pitting to knee, hemosiderin changes, warm with + dp pulses neuro: a&0x3, cn ii-xii intact. pertinent results: 11:20am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-pos 11:20am urine hours-random urea n-305 creat-104 sodium-23 03:44pm pt-18.9* ptt-150* inr(pt)-1.8* 06:48pm ptt-150* 08:40am type-art temp-37.7 po2-57* pco2-59* ph-7.30* total co2-30 base xs-0 comments-axillary 07:49am glucose-118* urea n-22* creat-3.4* sodium-139 potassium-4.2 chloride-102 total co2-26 anion gap-15 07:49am calcium-6.2* phosphate-3.9 magnesium-1.8 . imaging: cxr : mild pulmonary edema. interval removal of a left central venous catheter. . l hand xray (pt has distal radius fracture): interval callus formation with fracture lines still visible with approximate neutral angulation of the distal margin of the radius . cxr : pa and lateral views of the chest: venous stent is again demonstrated and unchanged in position. the pulmonary vasculature appears less engorged compared to the previous study. lungs are grossly clear. no pleural effusion is seen. no evidence of pneumothorax. impression: interval improvement in pulmonary vascular congestion. brief hospital course: 54 yo female with h/o of atypical thrombotic microangiopathy/ttp on chronic plasmapheresis, ckd, obesity, hepb and hepc, recently treated for bacteremia/ line infections, who initially presented with sob and periorbital swelling, found to be severely volume overloaded with l ij and r sc clots. . 1. heme- lij and rsc vein thrombosis - the patient was continued on anticoagulation with heparin bridge to coumadin with a target inr of , which was achieved on with an inr of 2.0. the patient is well known to dr. , who followed her throughout her admission, recommended that an mrv be done to establish sites of future access for plasmapheresis, however the patient exceeded the size requirement for the mr machine and was also not willing to undergo the procedure at the level of sedation necessary for following commands. dr. also feels that the patient can be discharged without plasmapheresis access for now and can follow up with weekly labs to monitor for ttp relapse. . 2. /ttp- the patient is on chronic plasmapheresis for chronic smoldering atypical ttp. she remained stable throughout admission and plasmapheresis was held per recommendation of dr. given poor access and recent line infections . 3. acute on chronic renal failure- the patient's baseline creatinine was 1.9 back in , and with aggressive diuresis with metolazone and bumetanide, the patient's creatinine trended down to baseline by discharge. . 4. id- the patient was febrile while in micu, but was afebrile once she was transferred to the floor with no leukocytosis. she was treated with empiric antibiotics for a possible pna secondary to physical exam findings and cxr, as well as a previous line infection, and possible septic thrombophlebitis, given lij and rsc clots in the setting of bacteremia. the last positive blood culture was on --> 2/4 bottles positive for cns and peptostreptococus. she was started on linezolid and has completed 4 weeks at time of discharge. she will be discharged on oral linezolid for 2 more weeks, for a total of 6 weeks of antibiotic treatment. . 5. left radial fracture- cast removed, x-ray shows interval callus formation, neutral angulation, and the patient continues to have soft tissue swelling and mild pain. the patient was started on alendronate, calcium and vitamin d supplementation. should follow up with ortho as an outpatient. . 6. hep b/hep c- viral loads checked in , hep b undetectable, hep c > 8 million. currently stable. the patient will need liver follow-up as outpatient. . 7. hypertension- bp meds initially held secondary to hypotension, resumed metoprolol and amlodipine on given bp stability which were well-tolerated. . 8. anemia- secondary to /ttp. hct was stable throughout admission. . 9. elevated bicarb - the patient is likely having a contraction alkalosis. labs should be rechecked in plasmapheresis . . 10. access- r femoral line was pulled on prior to discharge with the plan to have permanent access placed for future plasmapheresis as per dr. . . . medications on admission: metoprolol 50mg amlodipine 5mg daily methadone 20mg daily bumex 2mg daily klonopin 1mg coumadin 5mg daily discharge medications: 1. methadone 10 mg tablet sig: two (2) tablet po daily (daily). 2. metolazone 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. warfarin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. oxazepam 30 mg capsule sig: capsules po at bedtime as needed. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. alendronate 70 mg tablet sig: one (1) tablet po qmon (every monday). disp:*4 tablet(s)* refills:*2* 9. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). disp:*90 tablet, chewable(s)* refills:*2* 10. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 11. bumetanide 2 mg tablet sig: 1.5 tablets po once a day: please take in the morning. disp:*45 tablet(s)* refills:*2* 12. linezolid 600 mg tablet sig: one (1) tablet po twice a day for 14 days: please take all of this medication. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: venous thrombi with severe volume overload discharge condition: stable, ambulating, afebrile discharge instructions: 1. weigh yourself every morning, md if weight increases more than 3 lbs. adhere to 2 gm sodium diet . 2. please take all medications as prescribed. - please take your antibiotics, levofloxacin 500mg daily and flagyl 500mg three times daily for 2 weeks from time of discharge. please be sure you finish all of this medication. - please take your diuretics, bumex 3mg daily and metolazone 5mg daily. - we have added alendronate 70mg weekly (on monday) as well as calcium and vitamin d supplements, started for your fracture. - please take your coumadin 5mg daily. you will need to get your inr checked weekly, this is very important to monitor so that you don't have an increased risk of bleeding. additionally, please start your other outpatient medications as prior to admission, aspirin, oxazepam, methadone maintenance, metoprolol and norvasc. . 3. please return to the hospital if you have significant swelling, shortness of breath, chest pain or dizziness. followup instructions: 1. please follow up with the plasmapheresis and dr. on at 9:15am. 2. please follow up in with dr. on , at 1:30pm, building, . procedure: injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified hyperpotassemia acute kidney failure with lesion of tubular necrosis unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use chronic hepatitis c without mention of hepatic coma chronic airway obstruction, not elsewhere classified chronic kidney disease, unspecified acute respiratory failure other specified peripheral vascular diseases infection and inflammatory reaction due to other vascular device, implant, and graft obesity, unspecified other specified antibiotics causing adverse effects in therapeutic use chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta other osteoporosis phlebitis and thrombophlebitis of other sites 

Answer: The patient is high likely exposed to