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: no known allergies / adverse drug reactions attending: chief complaint: concern of compartment syndrome left leg major surgical or invasive procedure: - 4-compartment fasciotomy and fascial biopsies. - 1. irrigation and debridement of left lower extremity wounds, skin, soft tissue and muscle (168 cm^2). 2. application of negative-pressure dressing (greater than 50 sq cm). - 1. washout and debridement left leg on lateral side down to bone approximately 192 cm2. 2. medial side debridement of skin to muscle 160 cm2. 3. application of a large vac sponge. - 1. irrigation and debridement down to all muscle compartments with aggressive debridement of all musculature from all lower extremity compartments. 2. staged delayed closure medial fasciotomy. 3. placement of vacuum sponge over lateral fasciotomy. - staged debridement and irrigation, staged closure left lateral fasciotomy and placement of vacuum sponge. history of present illness: 28 yo female awoke thursday morning with severe leg pain which became worse throughout the day and overnight became excruciating. she denies any trauma to the leg. she works as a home health aide and on wed the day before her pain started she said she had a normal day at work. she does admit to purchasing a hair removal device which she has been using that has produced a number of ingrown hairs with regrowth as an explanation for the many scabs on her arms and legs. she denies iv drug use or recent infections. past medical history: low back pain migraines social history: lives in with 8 year old son. divorced from her son's father. not currently in relationship. was recently in relationship, sexually active, always used condoms. immigrated from at age 12. 2 cigarettes to ppd, denies current or past illicit drug use. last tattoo about 6-8 months ago. currently working as a nurse's aide. family history: mother and grandmother have type ii dm. no fh of liver disease physical exam: initial exam (per vascular surgery note) vital signs: temp: 99.8 rr: 20 pulse: 133 bp: 130/71 neuro/psych: oriented x3, affect normal, nad. neck: no masses, trachea midline. nodes: no clavicular/cervical adenopathy. skin: abnormal: multiple punctate lesions throughout entire body. heart: regular rate and rhythm. lungs: clear. gastrointestinal: non distended, no masses, guarding or rebound. rectal: not examined. extremities: no rle edema, abnormal: severe lle edema, tenderness throughout. decreased sensation throughout distal lle . pulse exam (p=palpation, d=dopplerable, n=none) rue radial: p. lue radial: p. rle femoral: p. popiteal: p. dp: p. pt: p. lle femoral: p. popiteal: d. dp: n. pt: n. discharge exam: vs: 98.1 118/66 92 18 98 ra i/o: 2l/3l gen: nad, alert and awake heent: mmm, op clear cv: regular rate and rhythm, no murmurs resp: ctab anteriorly, no wheezes or crackles abd: soft nd; no hsm, +bs ext: no c/c/e, lle wrapped in bandage. rle with palpable dp. psych: stable, complaining of pain pertinent results: admission labs: 08:30pm blood wbc-16.7*# rbc-4.99 hgb-13.4 hct-43.0 mcv-86 mch-26.8* mchc-31.1 rdw-16.6* plt ct-222 08:30pm blood neuts-86.8* lymphs-8.3* monos-4.5 eos-0.3 baso-0.1 08:30pm blood pt-12.5 ptt-28.5 inr(pt)-1.2* 08:30pm blood glucose-111* urean-9 creat-0.7 na-136 k-4.1 cl-96 hco3-28 angap-16 08:30pm blood ck(cpk)-* 11:10pm blood calcium-7.6* phos-4.1 mg-2.2 08:44pm blood lactate-2.8* discharge labs: 09:05am blood wbc-8.4 rbc-2.81* hgb-8.3* hct-25.9* mcv-92 mch-29.6 mchc-32.2 rdw-13.9 plt ct-433 09:05am blood glucose-115* urean-8 creat-1.7* na-140 k-5.1 cl-101 hco3-35* angap-9 05:51am blood ck(cpk)-157 micro: bcx: negative x2 wound swab: negative mrsa screen: negative wound swab: negative tissue cx: all negative except for acid fast bacilli culture cdiff: negative tissue cx: negative wound swab: negative x2 ucx: negative studies: tissue path: benign fibroadipose tissue. tissue path: necrosis of skeletal muscle and fibrinopurulent exudate. imaging: l leni: limited exam due to patient discomfort demonstrates patent common femoral and superficial femoral veins, without dvt. cxr: ap single view of the chest has been obtained with patient in semi-upright position. the findings are normal. there is no cardiac enlargement, no pulmonary vascular congestion, or no evidence of acute parenchymal infiltrates. lateral pleural sinuses remain free, and no pneumothorax is present in the apical area. brief hospital course: transitional issues: pain: patient discharged on significant amount of narcotics due to difficult to control pain during this hospitalization. she will need close follow up with pain clinic for weaning off narcotics as an outpatient. : will need repeat labs in the future to monitor creatinine/kidney function pt: patient discharged with home pt, may need further outpatient pt to gain full mobility. f/u ortho: patient has an appointment for suture removal and wound check on , and will need further follow up appointments with orthopedic surgery. ===================== ms. is a 28 year old woman with h/o recent liver injury, chronic migraines who p/w compartment syndrome of her lle. the patient was initially admitted to the orthopaedic trauma service for left leg compartment syndrome. the patient was taken to the or and underwent a 4 compartment fasciotomy with serial irrigation and debridements until her leg was finally closed on . psychiatry, social work, infectious disease, medicine and the pain service were all consulted and involved in her care while on the orthopedic surgery service. on she was transferred to the medicine service for management of acute renal failure, anemia, transaminitis and tachycardia. patient's pain control was an issue during this hospitalization, and pain service was consulted for management. she was weaned off ketamine gtt and dilaudid pca and transitioned to oral pain medications. she was evaluated by physical therapy and discharged home with services. # compartment syndrome: unclear etiology, patient reports waking up with pain in lle. denied trauma or iv drug use. patient was taken to or on admission and had 4 compartment fasciotomy. she was taken back to or multiple times for irrigation and debridement of necrotic tissues. initially there was a concern for necrotizing fasciitis and she was treated with antibiotics, but they were eventually stopped when all cultures returned negative. patient had staged closure of the wound, and her last surgery was on . # acute kidney injury: patient with acute increase in creatinine, peaked at 2.7 and downtrended afterwards. it is possibly due to rhabdomyolysis (ck on admission was >110k), however, does not fit with timing. most likely due to atn from hypotension in or. patient's medications were renally dosed during this episode of . she will need further monitoring of creatinine to make sure it returns to baseline. # electrolyte abnormalities: mild hyperkalemia/hyperphosphatemia, and elevated bicarb as well. hyperkalemia and hyperphosphatemia was thought to be due to po intake in setting of . she was started on phos binder for a short term while her creatinine continued to improve and it began decreasing. bicarb elevation was thought to be due to contraction alkalosis with patient's post atn autodiuresis. # pain: lle pain from her compartment syndrome/multiple procedures, being followed by pain service. she was initially managed with dilaudid pca and ketamine gtt. after her last surgery on , she was weaned off ketamine gtt and dilaudid pca and transitioned to po medications. her oxycontin was increased to 60 mg q8hrs and oxycodone was maintained at 10-20 mg q4hrs prn pain. her gabapentin was uptitrated as her kidney function improved. cymbalta and tizanidine were started as adjuvant medications for pain control. multiple discussions were had with the patient regarding risk of long term high dose narcotics use and importance of attempting to wean down narcotics as tolerated after discharge. she was instructed not to drive, drink alcohol or combine narcotics with other sedating medications. she was also instructed to take the medications only as prescribed given the risk of respiratory depression and risk of death. # anemia: patient had acute drop in hct, most likely related to frequent procedures, and responded well to prbcs. no other obvious sources of bleeding were found during this hospitalization. after her surgeries were completed, her hct remained stable. # tachycardia: patient had persistent sinus tachycardia, concerning for hypovolemia, pain/anxiety, pe vs. medication effect from ketamine. she was getting continuous ivf for rhabdomyolysis/ so hypovolemia less likely. tachycardia improved after stopping ketamine gtt. her acute pain was managed as above, and she was continued on dvt prophylaxis during this hospitalization. # chronic migraine: pt on gabapentin as outpatient. unfortunately, due to her , gabapentin dose had to be decreased. patient complained of worsening headache intermittently during this hospitalization, concerning for rebound headache given that pt has been on large amount of pain medications. however, given the extensive surgeries she has had, tapering off her pain medication did not seem to be a reasonable option at this time. # transaminitis: patient with initial transaminitis, ?subacute injury to acetaminophen toxicity. now resolved. medications on admission: gabapentin wellbutrin - prescribed, but not taking discharge medications: 1. bisacodyl 10 mg po/pr daily:prn constipation rx *bisacodyl 5 mg daily disp #*60 tablet refills:*0 2. docusate sodium 100 mg po bid rx *colace 100 mg twice a day disp #*60 tablet refills:*0 3. senna 1 tab po bid rx *natural senna laxative 8.6 mg twice a day disp #*60 tablet refills:*0 4. duloxetine 60 mg po daily rx *cymbalta 60 mg daily disp #*30 capsule refills:*0 5. gabapentin 600 mg po tid pain hold if sedated rx *gabapentin 600 mg every 8 hours disp #*90 tablet refills:*0 6. multivitamins 1 cap po daily rx *daily multi-vitamin daily disp #*30 tablet refills:*0 7. tizanidine 4 mg po q8h rx *tizanidine 4 mg every 8 hours disp #*90 capsule refills:*0 8. lorazepam 1 mg po hs:prn insomnia hold if sedated or rr<12 rx *ativan 1 mg at bedtime disp #*10 tablet refills:*0 9. oxycodone sr (oxycontin) 60 mg po q8h pain hold if sedated or rr<12 rx *oxycontin 20 mg every 8 hours disp #*40 tablet refills:*0 10. oxycodone (immediate release) 10-20 mg po q4h:prn pain hold if sedated or rr<12 rx *oxycodone 5 mg every 4 hours disp #*100 tablet refills:*0 discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis: compartment syndrome of left lower leg s/p fasciotomy and debridement, acute kidney injury secondary diagnosis: chronic migraine 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 because of your left leg pain, and were found to have compartment syndrome (high pressures in the leg). you had multiple surgeries to your left leg. you were seen by pain service for pain control, and is being discharged on very high doses of narcotics which will need to be weaned off as outpatient. please do not drive automobile, do anything that requires you to be alert, drink alcohol or take other sedating medications (that's not prescribed for you) while you are taking oxycodone/oxycontin or ativan as they make you drowsy, decrease your breathing rate and can cause death. please take these medications only as prescribed. please keep your appointments as listed below. it is very important that you keep these appointments for further management of your leg and pain. please try to decrease the amount of short acting pain medication (oxycodone) as tolerated at home. you can try take 3 tablets first, and then decrease to 2 and 1 as tolerated. if you are not requiring as much of the short acting pain medications, you can decrease your long acting (oxycontin) by 20 mg every days as well. followup instructions: department: orthopedics when: thursday at 1:20 pm with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: thursday at 1:40 pm with: , np building: campus: east best parking: garage department: when: thursday at 3:00 pm with: , md building: sc clinical ctr campus: east best parking: garage dr. is your new physician at . he works closely with dr , both will be involved in your care. please call your insurance and name dr. as your pcp. must be done before your appointment. the pain service is recommending that you decrease your oxycontin by 20 mg every 3-4 days as your acute pain decreases. you can start by taking less oxycontin in the morning, then in the afternoon, and then in the evening. you can start taking less oxycontin at home as your pain improves. the following pain clinic appointment has been made for you, but you have also been placed on cancellation list, so the clinic may call you with an earlier appointment. department: pain management center (sb) when: wed at 12:50 pm with: dr. building: one place (, ma), campus: off campus procedure: fasciotomy other suture of muscle or fascia other suture of muscle or fascia other myectomy other myectomy other myectomy other irrigation of wound diagnoses: tobacco use disorder acute kidney failure with lesion of tubular necrosis acute posthemorrhagic anemia depressive disorder, not elsewhere classified hypopotassemia other specified cardiac dysrhythmias hypotension, unspecified alkalosis disorders of phosphorus metabolism other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation scoliosis [and kyphoscoliosis], idiopathic lumbago urinary complications, not elsewhere classified other specified antibiotics causing adverse effects in therapeutic use rhabdomyolysis nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] nontraumatic compartment syndrome of lower extremity aromatic analgesics, not elsewhere classified, causing adverse effects in therapeutic use chronic migraine without aura, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to