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: flagyl / heparin agents / levofloxacin attending: chief complaint: dyspnea major surgical or invasive procedure: placement of ivc filter. history of present illness: 67 yo with recent history of diverticular abscess (s/p ir drainage ) and hit developed during that admission who presented to an osh ed with dyspnea. on day of admission, in the osh ed was found to have bilateral segmental pes and was noted to have a bp of 80/50. she was transferred to the ed and had the following vitals 99% 4l nc, sbp 100-140. due to her hit allergy, she was started on lepiridun and transferred to the for initiation of lepirudin and close monitoring. on arrival in , patient comfortable with unremarkable vital signs. brief history of illness: patient presented to pcp after experiencing several days of increasing severe abdominal pain, diagnosed with diverticulitis and diverticular abscess by ct at . ct guided drainage of abscess at , transferred back to for remainder of iv abx therapy (levo/flagyl). on discharge from hospital , patient was transitioned to po antibiotic regimen including levo+flagyl. on , patient developed an impressive morbilliform rash on her trunk, visited primary surgeon the next day who removed flagyl antibiotic, suspecting this was cause of drug rash, given prednisone course + benadryl. since this time, maintained on levofloxacin monotherapy. patient's rash improved slightly in interim - present, but did not completely disappear off flagyl. on admission to the er today, patient had sudden increase of area and hue of rash, becoming increasingly bright erythema with mild pruritis. patient notes that this was after receiving iv levofloxacin in the er. past medical history: 1. gout 2. gerd 3. htn 4. s/p hip replacement allergies: flagyl (rash as above), ?levofloxacin. hx of hit social history: lives in alone with cat, named "pockets". she is a retired retail banker. nonsmoker, denies alcohol use. no recent travel nor exposures. family history: family history significant for mother who died in 80's of mi. father with adult-onset diabetes. physical exam: t 96.3 p 111 bp 133/76 rr 16 o2 sat 99% on 4l nc wt 168 lbs gen: alert, pleasant, well. heent: anicteric, mmm, op clear. neck: supple, no lad. heart: rrr, nl s1, s2, no extra sounds. lungs: cta bilaterally. abd: soft, nt, nd, drain in place in llq. ext: trace pedal edema, 2+ distal pulses. skin: blanching, morbilloform rash on central chest, back, spreading to bilateral upper arms, upper legs. pertinent results: echo: 1. the left atrium is mildly dilated. 2. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. 3. right ventricular chamber size and free wall motion are normal. 4. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 5. there is borderline pulmonary artery systolic hypertension. 6. there is a trivial/physiologic pericardial effusion. 7. compared with the findings of the prior study (images reviewed) of , rv function may have improved, although it is difficult to compare to the previous suboptimal study. . ivc filter placement: 1. successful placement of a gunther tulip retrievable inferior vena cava filter in the infrarenal position. this filter may be retrieved, if indicated, within 2 weeks of placement. 2. the venogram demonstrated a single patent inferior vena cava with no evidence of intracaval thrombosis. flow voids from the renal veins indicated patency of the renal veins bilaterally. 3. this filter should be removed within the next 2 weeks. if removing filter within this timeframe is not feasible, consider repositioning of the filter for a later removal. . bilateral lower extremity ultrasound: deep venous thrombosis involving the left common femoral and popliteal veins. . echo: suboptimal image quality. the left atrium is elongated. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function appears normal (lvef>55%). right ventricular systolic function appears depressed. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. . : ap upright chest plain film: the heart size is normal. the aortic contour appears ectatic. remaining mediastinal contours are unremarkable. the lungs are clear. there are no pleural effusions. impression: no acute cardiopulmonary processes. . 06:11pm blood wbc-8.6 rbc-4.35 hgb-13.9 hct-37.4 mcv-86 mch-31.9 mchc-37.1* rdw-15.1 plt ct-196 06:11pm blood pt-17.9* ptt-50.8* inr(pt)-1.7* 06:11pm blood glucose-127* urean-13 creat-0.6 na-139 k-3.4 cl-99 hco3-26 angap-17 02:21am blood calcium-8.5 phos-2.9 mg-1.6 brief hospital course: 67 yo with recent history of diverticular abscess (s/p drainage), hit who presents with pulmonary embolism. given history of heparin induced thrombocytopenia, started on lepirudin - now on argatroban. antimicrobial therapy is complicated by appearance of drug rash. . 1. pe: left leg dvt seen on u/s seems like the most likely source - likely from venous stasis due to recent immobility following her diverticular abscess and drainage placement. tte showed some depressed rv function but was of poor technical quality. has been hemodynamically stable after getting ivf . will encourage po intake, supplement with ivf if needed. lepirudin switched to argatroban (after placement of filter - did not want to reinitiate lepirudin due to risk of anaphylaxis), started coumadin evening of - overlapped with argatroban and coumadin per protocol in front of chart. currently therapeutic on coumadin. filter to stay in place for at least two weeks - will need to be repositioned if needed for longer. . 2. diverticular abscess: patient needs broad gi gram neg. coverage. came in on levofloxacin monotherapy, but given recent increase in drug rash today (off flagyl), started on zosyn (). continue zosyn likely until abdominal surgery. . 3. rash: unclear source although suspect drug induced - likely flagyl but also potentially levo. drug rash stable. treated with prednisone 60 x 3 days, atarax for pruritus. . 4. htn: continued diovan, lasix with holding parameters. . 5. gerd: continue ppi. . 6. h/o gout: continue allopurinol. . 7. f/e/n: low residue diet. . 8. ppx: ppi, argatroban/coumadin (no heparin), bowel regimen, riss with prednisone. . 9. code: full. medications on admission: diovan 80 mg po qd lasix 20 mg po qd allopurinol 200 mg po qd prevacid 20 mg po qd levofloxacin 500 mg po qd discharge medications: 1. allopurinol 100 mg tablet sig: two (2) tablet po daily (daily). 2. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 7. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pruritus. 8. warfarin 5 mg tablet sig: one (1) tablet po daily (daily). 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours). 11. sodium chloride flush for peripheral iv. discharge disposition: home with service facility: avory manor discharge diagnosis: 1. diverticular abscess, s/p drainage. 2. bilateral pulmonary emboli. discharge condition: good, stable. discharge instructions: please continue to take all medications exactly as prescribed. if you experience any chest pain, shortness of breath, or any other concerning symptoms, call your pcp or return to the hospital. followup instructions: please call to schedule an appointment with dr. from surgery - the phone number is (. you will need to have an appointment in 2 weeks. . pcp: , . procedure: interruption of the vena cava diagnoses: esophageal reflux unspecified essential hypertension dermatitis due to drugs and medicines taken internally anticoagulants causing adverse effects in therapeutic use acute venous embolism and thrombosis of deep vessels of proximal lower extremity other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to