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: history of present illness: this patient is a 38-year-old female three years status post right lumpectomy and axillary dissection and chemotherapy and radiation now diagnosed with ductal carcinoma in situ in the right breast on needle localization of a mammographically-located microcalcifications here at . this was done on . past medical history: hyperthyroidism treated with radioactive iodine and the above breast cancer described. cesarean section. appendectomy. physical examination: vital signs: stable. the patient was afebrile. general: she was generally a well-appearing woman in no apparent distress. lungs: clear to auscultation bilaterally. heart: regular, rate, and rhythm without murmurs, rubs, or gallops. breasts: there was a scar from a right lumpectomy with volume loss consistent with surgery, and there were no dominant masses noted on palpation. she had no adenopathy. extremities: no clubbing, cyanosis, or edema. hospital course: the patient was admitted to the for further treatment and evaluation. the plan at this point was to bring the patient to the operating room for total mastectomy. in addition she would also undergo an immediate reconstruction with possible flap that would be performed by dr. and dr. , a combination procedure between the breast surgery service and the plastic surgery service. on the day of admission, the patient was brought to the operating room, , and the operation was performed; a skin-sparing right total mastectomy and reconstruction using an siea flap. the patient tolerated the procedure well and received 5.7 l of crystalloid fluid, and her estimated blood loss was 250 ml. in the immediate postoperative period, there was noted loss of doppler signal over the siea flap requiring an immediate return to the operating room. after heparin was bolused at 5000 units, a signal was retrieved, and the arm had been abducted, and temperature was elevated. the patient was intensive care unit at this time being monitored carefully, and heparin drip was started at 500 units/hour with checks of ptt to make sure that she not in a supratherapeutic range, and plan was to keep the body in room temperature, warm. in the period after this, the patient was noted to be stable, and this plan continued to be followed. on postoperative day #1, the patient was able to be extubated, and the heparin drip was continued. also of note, the patient was able to start taking clears on postoperative day #1. flap checks were continued at this time and were unchanged while the patient was in the intensive care unit. the patient was receiving iv cephazolin at this point for prophylactic coverage. in the early morning of postoperative day #4, the house officer was called to the bed side in regard to the patient's lost doppler signal at the 1 a.m. check. the arm was abducted, and supportive maneuvers were made, but the flap was still noted to be pale and cool at this time. heparin subcutaneously was started stat, and iv heparin was resumed, and lovenox was started as well at this time while flap monitoring was continued. the plan was for possible return to the operating room for debridement versus excision of tissue that could possibly become nonviable, and on , postoperative day #6, the patient was without complaint and was being monitored closely for any signs of infection or imminent sloughing of the flap. on postoperative day #7, the patient that she was feeling better, and that her pain was very well controlled, and she was tolerating a diet. on exam, the flap was explored with the doppler, and it revealed good arterial signal and good venous signal at this time. there was some blistering and some signs of congestion, but the flap did not look to be in imminent concern at this time. thus there was a question of whether we were dealing with epidermolysis versus deeper tissue necrosis and whether there would be need for return to the operating room due to the equivocal nature of our exam. thus the plan at this time was to discharge the patient to home and bring back to the clinic within 48 hours for further assessment and reevaluation of the plan. the patient was continued on keflex, continued on lovenox, and continued on oral pain medicine. discharge instructions: the patient is to call the er or return to the surgery clinic if she experiences increased pain, swelling, bleeding, discharge from the wounds, fevers, chills, nausea or vomiting, or if there are any questions or concerns. purulent output is to be recorded daily. the patient is to avoid driving or operating heavy machinery while taking narcotic pain medicine. the patient is to resume her home medications as she had been previously taking. follow up: the patient is to follow-up with dr. within two days. she is to call his clinic to confirm this appointment. discharge medications: acetaminophen 325-650 mg p.o. q.4-6 hours as needed for pain, aspirin 162 mg delayed release p.o. daily, levothyroxine 25 mcg p.o. daily, percocet 5/325 tab p.o. q.4-6 hours as needed for pain, ferrous sulfate 325 mg p.o. daily, colace 100 mg p.o. b.i.d., protonix delayed release 40 mg p.o. daily, zolpidem tartrate 5 mg p.o. hs, cephalexin 500 mg p.o. q.6 hours for 7 days. disposition: the patient is to be discharged to home and is to follow-up with dr. within two days. , m.d. procedure: other mammoplasty other unilateral subcutaneous mammectomy diagnoses: personal history of malignant neoplasm of breast other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other complications due to other internal prosthetic device, implant, and graft iodine hypothyroidism carcinoma in situ of breast 

Answer: The patient is high likely exposed to