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: 69 year old african-american femaleadmitted to the hospital with epistaxis on and to micu a on @ ~0000h. she complained of nose bleed on and off for past 3 weeks and it increased . to er for right nare packing. nose continued to bleed. a-p balloon placed by ent and no further bleeding noted from her nose. hct 28.3. noted that patient takes coumadin regularly. past medical history of anemia, chf, copd, htn, ppm, pulmonary fibrosos, mvr, s/p mastectomy ', hyperlipidemia, transtracheal tube placement. allergies: lasix and diuril. neuro - alert and oriented. no complaints of pain. slept. see flowsheet for further details. cardiac - rhythm sb with frequent v-pacing and pvc's. pvc's became frequent at ~2330h. blood sent to lab to check mg and potassium. mg noted to be 1.8. magnesium sulphate 2 grams iv given. pvc's now noted to be rare. see flowsheet for further details. resp - o2 @ 2l via transtracheal tube. o2 sats stable. lungs clear although diminished to bases. transtracheal tube flushed and pt was able to expectorate moderate amount thick sanguinous secretions x2. see flowsheet for further details. gi - abdomen soft, nontender and nondistended. bowel sounds present. see flowsheet for further details gu - foley insitu. noted to have decreased urine output during the evening. urine noted to be dark red. ho notified and order received to give 250cc ns iv bolus x1. urine output continued to be decreased after bolus. foley flushed with 60cc ns and 100cc amber - blood tinged urine promptly returned. see flowsheet for further details. access - saline lock 20gauge x2 in left arm. eent - no further bleeding noted from nose. hct remains stable. procedure: control of epistaxis by anterior nasal packing diagnoses: mitral valve disorders congestive heart failure, unspecified acute posthemorrhagic anemia unspecified acquired hypothyroidism personal history of malignant neoplasm of breast acute respiratory failure postinflammatory pulmonary fibrosis other emphysema long-term (current) use of anticoagulants epistaxis tracheostomy status 

Answer: The patient is high likely exposed to