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: rifampin attending: chief complaint: initiation of remodulin therapy major surgical or invasive procedure: - placement of a single-lumen tunneled catheter (hickman) history of present illness: ms. is a 50 year-old lady with a pmh of cryptogenic cirrhosis c/b porto-pulmonary hypertension with severe pulmonary hypertension, who presents for placement of a tunnelled picc and initiation of remodulin treatment. patient reports that her liver disease was diagnosed after her lfts were checked in for initiation of an antidepressant. subsequently, she had a biopsy confirming cirrhosis, secondary to psc, which has been complicated by portal hypertension, grade ii esophageal varices and portopulmonary symptoms. patient has been treated on sildenafil for pulmonary hypertension. despite treatment, a right heart cath in showed severe pulmonary hypertension with mean pap 52mmhg, max pasp 86mmhg, pvr 555, and pcwp 12. persistent pulmonary hypertension is precluding liver transplant; therefore, patient was directly admitted for ir placement of tunnelled picc for initiation of remodulin. . on the floor, initial vital signs were 96.9 122/70 78 16 100%ra. patient was feeling very good. she reports fatigue, which has been chronic for her; she has always attributed this to her liver disease. no other symptoms. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath. denies chest pain or tightness, palpitations. denies nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. past medical history: - pulmonary hypertension, severe on rhc - primary biliary cirrhosis (stage iii by biopsy ) complicated by portal htn, grade ii esophageal varices, and portopulmonary syndrome - pneumonia x2 - uti in (treated with z pack) - depression - tuberculosis in a lymph node, treated with rifampin, which made her sick social history: patient lives in with roommates. she has two grown children who lives in tx (30 and 25). she works as a house cleaner. formerly smoked tobacco 1 pack per three days, quit many years ago. very rare wine cooler, as she is sensitive to alcohol (stays in her system a long time). no current or past drug use. family history: father with heart disease, mother with heart disease (had cabg). physical exam: admission physical exam: vitals: 96.9 122/70 78 16 100%ra general: alert, oriented, no acute distress, very pleasant heent: sclera anicteric, mmm, oropharynx clear, no subungual icterus neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly, no caput medusae ext: warm, well perfused, 2+ pulses, +clubbing of fingers bilaterally, no cyanosis or edema skin: no spider angiomata or palmar erythema neuro: no asterixis. cns ii-xii grossly intact, moving all extremities without difficulty. mentation clear. pertinent results: admission labs: 10:10pm blood wbc-2.0* rbc-4.15* hgb-13.1 hct-39.1 mcv-94 mch-31.6 mchc-33.5 rdw-16.2* plt ct-60* 10:10pm blood pt-13.7* ptt-48.5* inr(pt)-1.3* 10:10pm blood glucose-126* urean-9 creat-0.6 na-141 k-3.8 cl-111* hco3-25 angap-9 10:10pm blood alt-62* ast-103* alkphos-271* totbili-2.8* 10:10pm blood calcium-8.8 phos-3.7 mg-1.9 . imaging: chest x-ray : findings: right dual lumen hd catheter through the right internal jugular approach terminates at lower svc. there is no pneumothorax. no evidence of pleural effusion. mild vascular congestion is present, however, no evidence of pulmonary edema. no opacities concerning for pneumonia. heart size, mediastinal and hilar contours are normal. . discharge labs: 01:54pm blood wbc-2.4* rbc-4.26 hgb-13.6 hct-40.3 mcv-95 mch-31.8 mchc-33.7 rdw-16.3* plt ct-59* 01:54pm blood glucose-91 urean-9 creat-0.6 na-140 k-3.7 cl-109* hco3-27 angap-8 01:54pm blood calcium-8.6 phos-3.8 mg-1.9 brief hospital course: ms. is a 60 year old lady with a pmh of cryptogenic cirrhosis c/b porto-pulmonary hypertension with severe pulmonary hypertension, who presents for placement of a tunnelled picc and initiation of remodulin treatment. . active issues: # pulmonary hypertension - patient's only related complaint has been fatigue. she suffers from severe pulmonary hypertension secondary to portopulmonary syndrome which was confirmed on right heart catheterization with no response to sildenafil therapy. the patient was admitted for initiation of remodulin therapy via a tunnelled hickman line, which was placed this admission. during this admission, she tolerated uptitration of the medication with only a mild headache and some non-specific left flank discomfort which resolved without issues. she was monitored closely after initiation of treatment. extensive education regarding remodulin therapy was performed. she will be discharged with the remodulin infusion pump. . chronic issues: # primary biliary cirrhosis - the patient has a known diagnosis of primary biliary cirrhosis (stage iii by biopsy in ) complicated by portal hypertension, grade ii esophageal varices, and portopulmonary syndrome which led to her pulmonary hypertension (as noted above). she is stable on nadolol 10 mg po daily and ursodiol 600 mg po bid. we continued these therapies without issue. . transition of care issues: code status: full issues to address at follow up: 1. continuation of remodulin medications on admission: 1. nadolol 10 mg po daily 2. sildenafil 20 mg po tid 3. ursodiol 600 mg po bid discharge medications: 1. nadolol 20 mg tablet sig: 0.5 tablet po daily (daily). 2. ursodiol 300 mg capsule sig: two (2) capsule po bid (2 times a day). 3. heparin flush (10 units/ml) 2 ml iv prn line flush tunneled access line (e.g. hickman), heparin dependent: flush with 10 ml normal saline followed by heparin as above daily and prn per lumen. 4. treprostinil sodium 1 mg/ml solution sig: 5.25 ng/kg/min injection continuous infusion. disp:*30 days* refills:*0* discharge disposition: home with service facility: all care vna discharge diagnosis: primary diagnoses: 1. severe pulmonary hypertension . secondary diagnoses: 1. primary biliary cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: patient discharge instructions: . you were admitted to the coronary care unit (ccu) at on 6 regarding management of your pulmonary artery hypertension and for the initiation of remodulin (treprostinil) therapy, which you tolerated well. you had a tunneled line placed and this therapy was initiated. you were discharged in stable condition. . please call your doctor or go to the emergency department if: * you experience new chest pain, pressure, squeezing or tightness. * you develop new or worsening cough, shortness of breath, or wheezing. * you are vomiting and cannot keep down fluids, or your medications. * if 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 an unusual discharge. * your pain is not improving within 12 hours or is not under control within 24 hours. * your pain worsens or changes location. * you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. * you develop any other concerning symptoms. . changes in your medication reconciliation: . * upon admission, we added: start: treprostinil sodium 5.25 ng/min via continuous subcutaneous infusion pump . * the following medications were discontinued on admission and you should not resume: discontinue: sildenafil . * you should continue all of your other home medications as prescribed, unless otherwise directed above. followup instructions: department: when: monday at 1:45 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.** department: pulmonary function lab when: wednesday at 9:40 am with: pulmonary function lab building: campus: east best parking: garage department: medical specialties when: wednesday at 10:00 am with: , m.d. building: campus: east best parking: garage department: pft when: wednesday at 10:00 am department: liver center when: thursday at 10:45 am with: , md building: lm campus: west best parking: garage procedure: central venous catheter placement with guidance diagnoses: cirrhosis of liver without mention of alcohol portal hypertension other chronic pulmonary heart diseases personal history of tobacco use depressive disorder, not elsewhere classified long-term (current) use of other medications awaiting organ transplant status esophageal varices in diseases classified elsewhere, without mention of bleeding biliary cirrhosis personal history, urinary (tract) infection 

Answer: The patient is high likely exposed to