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: ampicillin / trimethoprim / ciprofloxacin attending: chief complaint: ms. presents for definitive treatment of her left ankle. major surgical or invasive procedure: left ankle fusion and history of present illness: was admitted for definitive treatment of left ankle s/p left ankle fusion and open reduction of left ankle dislocation, achilles lengthening and removal of external fixator. past medical history: dmii- complicated by severe peripheral neuropathy (no sensation from knees down), retinopathy s/p laser glaucoma htn legally blind ocd s/p amputations of 1st and 2nd toe of l foot s/p pacemaker social history: lives alone, uses walker. has vna daily. smoked 1-1.5 ppd x 40 years, quit in . no etoh, or drugs. family history: non-contributory. physical exam: on discharge: afebrile, all vital signs stable general: alert and oriented, no acute distress resp: reg even rate no audible wheeze cardiac: rrr, no rubs, murmurs, gallops extremities: left lower incision: multiple suture areas intact, medial malleoulus small 0.5 by 0.5 area open 0.5 deep with betadine packing -valvecast: clean/dry/intact sensation intact to light touch, neurovascular intact distally, capillary refill brisk, 2+ pulses, weight bearing: non weight bearing left lower extremity pertinent results: 06:35am blood wbc-9.8 rbc-2.64* hgb-7.9* hct-24.9* mcv-94 mch-30.1 mchc-31.9 rdw-14.5 plt ct-251# 06:35am blood glucose-181* urean-15 creat-0.9 na-134 k-4.8 cl-99 hco3-31 angap-9 . after patient seized: 04:53pm blood wbc-13.7* rbc-2.68* hgb-8.1* hct-24.2* mcv-90 mch-30.3 mchc-33.7 rdw-14.9 plt ct-475* . 05:19am blood pt-13.3 ptt-32.6 inr(pt)-1.1 . 04:53pm blood glucose-159* urean-13 creat-0.9 na-130* k-3.3 cl-84* hco3-26 angap-23* . 04:54am blood ld(ldh)-194 ck(cpk)-257* . 04:53pm blood ck-mb-3 ctropnt-0.04* 04:54am blood ck-mb-5 ctropnt-0.05* 02:51pm blood ck-mb-5 ctropnt-0.06* 10:42am blood %hba1c-6.6* 06:25am blood wbc-11.8* rbc-2.87* hgb-8.6* hct-26.5* mcv-92 mch-30.0 mchc-32.5 rdw-15.9* plt ct-496* 06:15am blood wbc-8.9 rbc-2.77* hgb-8.5* hct-25.2* mcv-91 mch-30.8 mchc-33.7 rdw-16.4* plt ct-479* 04:20pm blood wbc-8.2 rbc-2.81* hgb-8.7* hct-25.7* mcv-92 mch-30.8 mchc-33.7 rdw-16.3* plt ct-466* 06:25am blood neuts-72.5* lymphs-16.7* monos-9.4 eos-0.8 baso-0.6 06:25am blood glucose-157* urean-10 creat-0.8 na-140 k-4.3 cl-104 hco3-21* angap-19 06:15am blood glucose-101 urean-7 creat-0.7 na-141 k-3.7 cl-105 hco3-27 angap-13 06:15am blood calcium-7.9* phos-1.6*# mg-1.5* . ct head: impressions: no evidence of hemorrhage. there is evidence of chronic small- vessel ischemic disease. if acute infarction remains a concern, mri would be recommended for more sensitive evaluation. . ct chest/abd/pelv: impression: 1. evaluation for pulmonary embolism somewhat limited due to timing of contrast bolus, respiratory motion, and ct artifact. while no large or central pulmonary embolism is seen, linear filling defects in a subsegmental branch in the left upper lobe, also involving segmental branch in the right upper lobe, could represent small pulmonary emboli or could be artifactual. 2. small right and trace left pleural effusion with dependent atelectasis bilaterally. small amount of fluid tracks along the inferior tip of the liver and along the right paracolic gutter. trace fluid in left paracolic gutter. small free pelvic fluid. anasarca. 3. cardiomegaly. atherosclerotic disease. 4. intra- and extra-hepatic biliary ductal dilatation. gallbladder is not seen. 5. atrophic pancreas with dilatation of the pancreatic duct along the pancreatic head, also with calcifications surrounding and within this pancreatic duct. 6. no definite bowel abnormality is seen despite lack of oral contrast administration. 7. multiple lymph nodes in the mediastinum, hila, retroperitoneum, measuring up to 11 mm in short axis. in addition, soft tissue measuring 2.2 x 1.7 cm surrounding the right external iliac artery, which likely represents a lymph node or lymph node conglomerate. 8. 4-mm hypoattenuating endometrial stripe; correlation with the patient's hormonal status is recommended. brief hospital course: mrs. was admitted to on for an elective left ankle arthordesis. pre-operatively, she was consented, prepped, and brought to the operating room. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure well without any complication. post-operatively, she was transferred to the pacu and floor for further recovery. on the floor, post operative day one hct 24.9, post operative day 2 continued to be evaluated by physical therapy whom recommended rehab placement. she remained hemodynamically stable. her pain was controlled. she progressed with physical therapy to improve her strength and mobility. she developed diarrhea. c-diff culture was negative. . : patient was coded on the floor for unresponsiveness. she had decorticate positioning with oral tremors concerning for seizure. ativan did not break the seizure and the patient was intubated, but otherwise hemodynamically stable. she was loaded with 1000mg iv phenytoin which broke her seizure and neurology was consulted. she was extubaed on the following morning, remained stable >24hrs after extubation and was transfered to the floor. cxr was concerning for aspiration and patient complained of bladder spasms. . issues: #. ms change/seizures: possible post-ictal. patient's electrolytes were corrected and neurology was called for possible etiologies of seizure. explained it was most likely toxic metabolic, involving either electrolyte abnormalities or medication changes, but cannot rule out watershed infarcts or new stroke. - extubated >24hrs, doing well - 100 mg phenytoin per day - redose based on level . # likely uti: patient with lots of bladder pain overnight. afebrile overnight but wbc slight increase and with symptoms, would emperically treat. - ua and culture sent - started oxybutinin for symptomatic bladder spasms - started cefipime based on antibiotic resistances. . # pulmonary edema: crackles throughout after large volume resuscitation, only requireing 2l nc - lasix diuresis . #. hyponatremia: resolved with fluid resuscitation - ns bolus prn . #. tachycardia, pvc: corrected last pm - electrolyte replacement prn . #. ankle fx: cont lovenox, ortho recs . #. anxiety: per family member pt with significant past panic and anxiety attacs. perhaps contributed to patients situation however doubt that this was a simple panic attact. - sedation and proper treatment with haldol/ativan prn upon extubation . on postop day #6, she was transferred back to the step-down floor and remained stable. she got a bivalve short leg cast. she completed a 3 day course of iv antibiotics for presumed uti. she was discharged to a rehabilitation facility on in stable condition. medications on admission: cyclogyl 1% eye drop, alphagen 15% eye drop, feso4 325, gabapentin 600 , metoprolol 12.5 , omeprazole 40 , sennakot 1 , metocloperamide 5 qhs, remeron 15 qhs, ambiem 5qhs, ativan 0.5 , celexa 40 qd, novolin 70/30 16u q5pm & 20u q8am, sliding scale w/regular, oxycodone 5mg q4 prn discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 2. enoxaparin 40 mg/0.4 ml syringe sig: one (1) 40mg/0.4ml subcutaneous daily (daily) for 4 weeks. disp:*qs 40mg/0.4ml* refills:*0* 3. oxycodone 5 mg tablet sig: 2-10 mg tablets po q4-6h () as needed. disp:*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day) as needed. 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 9. multivitamin tablet sig: one (1) cap po daily (daily). 10. insulin regular human 100 unit/ml solution sig: sliding scale injection four times a day. 11. ondansetron hcl (pf) 4 mg/2 ml solution sig: 2-4mg tablet injection q8h (every 8 hours) as needed for nausea/vomiting. 12. zolpidem 5 mg tablet sig: 5 mg tablets po hs (at bedtime) as needed for insomnia. 13. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 14. zofran odt 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every 6-8 hours as needed for nausea. 15. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 16. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q6h (every 6 hours) as needed. 17. gabapentin 300 mg capsule sig: two (2) capsule po q12h (every 12 hours). 18. oxybutynin chloride 5 mg tablet sig: 0.5 tablet po tid (3 times a day). 19. phenytoin 100 mg iv q8h 20. cefepime 2 g iv q12h 21. insulin regular human 100 unit/ml solution sig: sliding scale injection asdir (as directed). 22. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 23. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). discharge disposition: extended care facility: nursing home discharge diagnosis: left ankle fracture discharge condition: stable discharge instructions: if you experience any shortness of breath, new redness, increased swelling, pain, or drainage, or have a temperature >101, please call your doctor or go to the emergency room for evaluation. you may not bear weight on your left leg. please use your crutches for ambulation. you may resume all of the medications you took prior to your hospital admission. take all medication as prescribed by your doctor. you have been prescribed a narcotic pain medication. please do not drive or operate any machinery while taking this medication. feel free to call our office with any questions or concerns. continue your lovenox injections as prescribed to help prevent blood clots. please finish all of this medication. physical therapy: activity: activity as tolerated left lower extremity: non weight bearing treatments frequency: keep your cast clean and dry. apply a dry sterile dressing daily as needed for drainage or comfort. keep your ankle dry for 5 days after your surgery. after 5 days you may shower, but make sure that you keep your incision dry. your skin staples may be removed 2 weeks after your surgery or at the time of your follow up visit. followup instructions: provider: , md phone: date/time: 11:00 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube open reduction of fracture with internal fixation, tibia and fibula other myectomy removal of implanted devices from bone, tibia and fibula other change in muscle or tendon length subtalar fusion diagnoses: acidosis urinary tract infection, site not specified congestive heart failure, unspecified toxic encephalopathy hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other convulsions unspecified fall diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes unspecified glaucoma hypopotassemia chronic kidney disease, unspecified acute respiratory failure other specified cardiac dysrhythmias cardiac pacemaker in situ other toe(s) amputation status diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy unspecified fracture of ankle, closed panic disorder without agoraphobia 

Answer: The patient is high likely exposed to