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: aspirin / penicillins / telaprevir attending: chief complaint: nausea, vomiting, diarrhea major surgical or invasive procedure: right ij placement history of present illness: 56 yo female with chronic hepatitis c genotype 1a who was failed treatment with pegylated interferon, ribavirin, and telaprevir in late , because of severe rash, recently admitted for hyponatremia, who presents with hypotension. the patient has experienced nausea, vomiting, diarrhea (watery) and inability to keep down her salt tablets since discharge 24-48 hours ago. patient also becoming increasingly altered per the husband. having some pain in the right shoulder but no abdominal pain. the diarrhea , 10-20 episodes brown/yellow acute in onset last night persisting to the present time. she also has vomited approx. 5-10 times the last time this morning. the vomitus is bilious. she denies any hematochezia, melena, hematemesis, fevers/chills, cough, dysuria, dyspepsia, confusion. in the ed, initial vs were: 99.8 92/63. she was noted to have blood pressures 70/palp and given 8 liters of fluid, had right ij placed and started on levophed at 0.3mcg/kg/min. she was given vanc cefepime empirically.no ascites seen on imaging and the patient is experiencing some altered mental status. . on arrival to the micu, 101/74, 91, 21, 98% ra, 98.9. the patient is oriented x3, denies any pain, and no shoulder pain. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: hepatitis c genotype 1a (last liver biopsy in with stage iii fibrosis and grade 3 inflammation) social history: she is independent and lives with her family in . she is a nonsmoker and does not drink alcohol. lives with her husband family history: mother with hypertension, father with diabetes 3 children- healthy physical exam: admission exam: vitals: 101/74, 91, 21, 98% ra, 98.9 general: alert, oriented, no acute distress , oriented x3 heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema. no shoulder tenderness b/l, no bicep tenderness b/l, visually sym and no swelling or erythema, good radial pulses b/l, intact of active and passive motion b/l. neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact no asterixis . discharge exam: vs: 98 120-140/50-80 50-80 16 98-99% on ra general: comfortable appearing 56 yo f who appears stated age. heent: prominent alopecia. ncat, sclera anicteric. perrl, eomi. neck: supple cardiac: rrr, s1 s2 clear and of good quality without murmurs, rubs or gallops. no s3 or s4 appreciated. lungs: ctab, no crackles, wheezes or rhonchi. abdomen: distended but soft, non-tender to palpation. dullness to extremities: warm and well perfused, no clubbing or cyanosis. full rom in shoulders without pain. pertinent results: admission labs 09:51pm glucose-61* urea n-13 creat-0.9# sodium-134 potassium-3.6 chloride-111* total co2-14* anion gap-13 09:51pm alt(sgpt)-40 ast(sgot)-69* ld(ldh)-160 alk phos-37 tot bili-1.1 09:51pm albumin-2.6* calcium-7.0* phosphate-2.9 magnesium-1.2* 09:51pm haptoglob-12* 09:51pm wbc-6.2 rbc-3.88*# hgb-12.2# hct-35.1*# mcv-90 mch-31.5 mchc-34.9 rdw-12.9 09:51pm plt count-119* 09:51pm pt-18.1* ptt-72.5* inr(pt)-1.7* . discharge labs: 05:10am blood wbc-4.1 rbc-3.50* hgb-11.0* hct-31.2* mcv-89 mch-31.4 mchc-35.2* rdw-12.8 plt ct-112* 05:30am blood glucose-119* urean-8 creat-0.5 na-139 k-3.1* cl-107 hco3-26 angap-9 . pertinent labs: 12:16am blood cortsol-1.8* 30min post cosyntropin stimulation: 01:22am blood cortsol-5.2 . 60min post cosyntropin stimulation: 01:55am blood cortsol-7.0 05:30am blood cortsol-2.4 brief hospital course: 56 yo female with chronic hepatitis c genotype 1a who was failed treatment with pegylated interferon, ribavirin, and telaprevir in late , because of severe rash, recently admitted for hyponatremia, no presenting with hypotension and diarrhea. . #hypotension- the patient presented with hypotension and received 10l of ivf in the ed. she was also started on levofed, iv vancomycin and zosyn as well po vancomycin and then transferred to the micu. blood urine and stool cultures as well as two c. diff studies were normal. a random cortisol was checked and found to be very low although this was drawn at midnight during the normal nadir so this was not conclusive for adrenal insufficiency. when this returned an acth stim test was performed which showed lack of appropriate stimulation. however this was also done overnight and she had low albumin which binds cortisol so this was also difficult to interpret. she was started on stress dose hydrocortisone and her diarrhea improved, her blood pressures stabilized and she was weaned off pressors. her antibiotics were also stopped. her hydrocortisone was weaned down to maintenance levels. because the diagnosis of adrenal insufficiency was not confirmed, her pm dose of hydrocortisone was held and an am cortisol was rechecked was directed by endocrinology which was still low. the distinction between primary adrenal insufficiency possibly related to her prior interferon treatment as has been rarely described versus secondary ai from suppression of her adrenals from prior topical steroid use for her drug rash was not clear. an acth level was sent but again the timing of this test led to an inconclusive result. she was discharged with stable bp decreasing diarrhea and normal serum sodium levels on hydrocortisone 20mg qam and 10 mg qpm with endocrinology and pcp follow up. . #diarrhea: she presented with hypotension in the setting of copius diarrhea. this was felt to be most likely from adrenal insufficiency and/or viral gastoenteritis. her son did also have a recent diarrheal illness, however she has been having diarrhea for several weeks which is not consistent with a simple viral gastroenteritis alone. it is possible that she had adrenal insufficiency and that the a superimposed viral illness caused her severe presentation. . #hyponatremia: she had recently been admitted for hyponatremia and diagnosed with siadh. her sodium was 134 on this admission and she did not have significant hyponatremia during this admission. it is poosible that the prior episodes of hyponatremia resulted from adh mediated free water re-absorption in response to hypovolemia from her adrenal insufficiency. . chronic issue: #hepatitis c: status post two attempts at treatment first with interferon and ribivarin in and most recently with interferon, ribivarin, and telepavir which was stopped for severe rash. viral load on admission was ~2.4 million copies. . transitional issues: #steroid replacement: she was that if she becomes ill in the future she will need to double the dose of her hydrocortisone and seek medical attention to avoid future episodes of acute adrenal insuffuficiency. medications on admission: salt tabs discharge medications: 1. hydrocortisone 10 mg tablet sig: two (2) tablet po qam. disp:*60 tablet(s)* refills:*2* 2. hydrocortisone 10 mg tablet sig: one (1) tablet po qpm. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: adrenal insufficiency . secondary diagnosis: chronic hepatitis c discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mrs. , thank you for coming to the . you were in the hospital because you had diarrhea, vomitting and low blood pressure that we believe is from adrenal insufficiency. we are glad that you are feeling better now. you should contine to take hydrocortisone 20 mg in the morning and 10 mg at night. you will need to follow up with an endocrinologist and your primary care doctor . . medication changes: start hydrocortisone 20mg in the morning and 10mg in the afternoon (between lunch and dinnner) stop salt tablets . remember, if you feel ill, you should call the endocrinology clinic at the number listed below and double your dose of hydrocortisone to 40mg in the morning and 20mg in the afternoon. this is only if you feel ill. followup instructions: department: when: wednesday at 3:45 pm with: , md building: sc clinical ctr , central campus: east best parking: garage *since you were unable to keep your appointment last week, we scheduled you with a new doctor. dr is your new physician at . he works closely with attending, dr. so both will be involved in your care. please call your insurance and name dr. as your pcp. must be done before your appointment. department: medical specialties/endocrinology when: wednesday at 4:00 pm with: , m.d. & , md. phone: building: sc clinical ctr campus: east best parking: garage procedure: central venous catheter placement with guidance diagnoses: acidosis chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified hyposmolality and/or hyponatremia diarrhea metabolic encephalopathy glucocorticoid deficiency other and unspecified coagulation defects examination of participant in clinical trial pain in joint, shoulder region 

Answer: The patient is high likely exposed to