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: the patient is status post right breast mastectomy eight to nine months ago for right-sided breast cancer. the patient denies any coronary artery disease, diabetes mellitus, hypertension or peripheral vascular disease. social history: the patient admits to alcohol and tobacco use. the patient smokes one pack per day of cigarettes. past surgical history: right breast mastectomy nine months ago. allergies: the patient has no known drug allergies. medications on admission: elavil 100 mg p.o.q.d. and aspirin 325 mg p.o.q.d. physical examination: lungs: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm. abdomen: no scar. breasts: right breast status post mastectomy, well healed scar, no sign of tumor, no nodules or masses. hospital course: the patient was admitted on for a delayed right breast reconstruction with free tram flap. immediately postoperatively, the patient complained of right shoulder pain. the orthopedic service was consulted regarding this shoulder pain. their diagnosis was an intraoperative positioning problem. they recommended serial examinations and symptomatic treatment. the patient was admitted to the intensive care unit postoperative for flap checks. the patient's flap signal remained good throughout the night. on postoperative day number one, the patient received a one unit autologous blood transfusion for a hematocrit of 24.9. the patient's flap continued to look good. on postoperative day number two, the patient was transferred to the floor. her diet was advanced. the flap checks were moved to every two hours. on postoperative day number three, the patient's foley was discontinued and her intravenous line was hep-locked. all medications were changed to oral dosing. the patient was allowed to ambulate. on postoperative day number five, the patient complained of right upper extremity edema that was worsening. the patient had a temperature of 101. although the patient was planned for discharge on postoperative day number five, she was kept in house due to the low grade fever and right upper extremity edema. on postoperative day number six, the patient went for a right upper extremity ultrasound to rule out deep vein thrombosis. this study was negative and, on postoperative day number seven, the patient was discharged to home. discharge medications: keflex 500 mg p.o.q.i.d. times seven days. percocet 5/325 one to two tablets p.o.q.4-6h.p.r.n. follow-up: the patient was instructed to follow up with dr. in one week. the patient was discharged with visiting nurse care. her - drain number one was removed on the day of discharge but - drain number two remained in place. this was to removed at the patient's follow-up visit. discharge diagnosis: status post right free tram flap, status post mastectomy. , m.d. dictated by: medquist36 procedure: other open umbilical herniorrhaphy diagnoses: personal history of malignant neoplasm of breast umbilical hernia without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to