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: vicodin attending: chief complaint: abdominal pain major surgical or invasive procedure: intubation history of present illness: the patient is an 89-year-old woman with a recent history of myelodysplastic syndrome requiring transfusions, presenting after experiencing abdominal pain at home. and not feeling well over the previous two days. the patient is a transfer from . she was being worked up in their emergency room for a likely pancreatitis ("foggy" pancreas on ct with distended gallbladder). when she returned from the ct, she developed respiratory distress and tachypnea. she was treated with benadryl duonebs. the patient was then intubated and sedated, after which she was transferred to for additional care. she had received at least one dose of zosyn at . upon originally arriving in the emergency department, she was not opening her eyes but she was following simple commands. the initial blood gas was 7.38/32/200/20, based on which the emergency department was willing to lower the fio2 to 40%. the patient was also provided fentanyl for pain; propofol as her sedating . surgery was consulted, but the patient was not felt to be a candidiate for cholecystectomy. the patient received 4 liters of fluid during her stay in the emergency department. she had a fever to 101.3 in the ed, for which she received tylenol. the patient's vitals upon leaving the emergency department were hr 92 bp 111/53 rr 18 97% saturation on vent fi o2 40 peep 5 tv 500 with peak flow 20. . on arrival to icu, patient was intubated and sedated but appeared comfortable. her blood pressure dropped to 80s/50s, so she was bolused 1l of ns to which bp responded to 100s systolic. daughter and granddaughter at bedside. past medical history: psychiatric history (include prior hospitalizations, outpatient treatments, medication/ect history, response to treatment, history of homicidal/suicidal/assaultive behavior): -no current outpatient treaters, previously followed by dr. hx of mdd -previous trials of imipramine, lithium, and outpatient ect -previous trial of celexa in per omr -1 previous inpatient hospitalization she reports she did not find helpful -denies hx of sa past medical history (include history of head trauma, seizures, or other neurologic illness): hx of hyperthyroidnow now w/hypothyroidism treated w/ synthroid hx of breast ca s/p lumpectomy hx of paroxysmal a fib hx of mi hx of htn hx of emboilism to right eye after arteriogram for mi hx of diverticular perforation, status post bowel resection social history: she is widowed. she lives at on the in independent living. she has rare alcohol. no smoking. lives independently. gets help with housework. does not walk with a walker. family history: family psychiatric history: denies family hx of mental illness inlcuding depression, bipolar, schizophrenia -denies family hx of suicide attempts physical exam: on admission: vitals: bp: 103/43 p: 67 r: 17 18 o2: fio2 40% general: intubated, sedated, responds to voice, does not follow commands heent: sclera anicteric, intubated neck: supple, no lad lungs: diffuse rhonchi and expirtaory wheeze cv: s1, s2, systolic ejection murmur abdomen: soft, distended, bowel sounds very quiet, no apparent rigidity gu: foley in place ext: warm, well perfused, 2+ radial pulses, edema of lower extremities pertinent results: on admission: 03:45am blood wbc-5.4 rbc-2.17*# hgb-6.5*# hct-19.6*# mcv-90# mch-30.0 mchc-33.3 rdw-20.5* plt ct-15*# 03:45am blood pt-13.0 ptt-22.6 inr(pt)-1.1 03:45am blood glucose-122* urean-19 creat-1.0 na-138 k-3.6 cl-111* hco3-17* angap-14 03:45am blood alt-28 ast-31 ld(ldh)-407* alkphos-49 totbili-1.1 03:45am blood lipase-1579* studies: cxr -confluent lower lobe opacities with a left effusion, small, likely represent atelectasis. echo -mild regional left ventricular systolic dysfunction, c/w cad. calcific aortic valve disease with minimal stenosis/mild regurgitation. mild to moderate mitral regurgitation. moderate pulmonary hypertension. ruq us-impression: distended gallbladder with gallbladder wall edema, pericholecystic fluid with a small amount of sludge and tiny stones visualized in the gallbladder. there is however no evidence of intra- or extra-hepatic biliary ductal dilatation. although cholecystitis cannot be fully excluded, although these findings are likely related to inflammatory changes from adjacent pancreatitis. brief hospital course: ms. was an 89 year old female who suffered from transfusion dependent myelodysplastic syndrome that was transferred from to on . she had initially presented to with abdominal pain where she was found to have pancreatitis. in their emergency department, she developed respiratory distress and was intubated necessitating transfer to . ms. arrived at intubated and sedated. she was able to follow simple commands and appeared comfortable. she was followed by the ercp team who believed the pancreatitis was due to a passed gallstone and that no intervention was necessary. ms. outpatient hematologist confirmed that the patient had likely moved from mds to aml and that the family was declining chemotherapy. at she had 20% blasts on peripheral smear and required intermittent platelet and prbc transfusions. following one platelet transfusion, the patient became difficult to ventilate and had a drop in her bp. cxr showed new opacities bilaterally and effusions. the primary team consulted with the blood bank/pathology and a diagnosis of trali was suspected. on the patient was on pressure support ventilation and was no longer sdedated. a family meeting was held during which it was decided that when the patient was extubated, she would not be reintubated. she was extubated on the 27th. following extubation the patient immediatly began to show signs of increased work of breathing. attempts were made to improve the patient's respiratory status including diuresis and supplemental oxygenation. however, by the afternoon of the 27th it became clear that the patient was not going to be able to maintain her oxygenation. family was called to bedside. palliative care was called and were also at bedside. after discussion, family consensus was to move forward on comfort measures only on the patient was transferred to a private room on a medical floor. she was placed on a morphine drip and a scopalamine patch. with family at bedside, she expired on ; time of death 15:52. medications on admission: atorvastatin - (not taking as prescribed: pt stopped) - 10 mg tablet - 1 tablet(s) by mouth daily clonazepam - (prescribed by other provider: ) - 0.5 mg tablet - 1 tablet(s) by mouth three times a day danazol - 200 mg capsule - three times a day - no substitution levothyroxine - 100 mcg tablet - 1 tablet(s) by mouth daily losartan - 50 mg tablet - 1 tablet(s) by mouth daily metoprolol succinate - 50 mg tablet extended release 24 hr - 1 tablet(s) by mouth daily omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth twice a day physical therapy - - gait training and general reconditioning -- eval& treat sertraline - 25 mg tablet - 1 tablet(s) by mouth daily calcium carbonate - (prescribed by other provider) - 500 mg tablet, chewable - 1 tablet(s) by mouth twice a day ergocalciferol (vitamin d2) - 2,000 unit capsule - 1 capsule(s) by mouth once a day discharge medications: not applicable discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: not applicable followup instructions: not applicable procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances central venous catheter placement with guidance diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation personal history of malignant neoplasm of breast dysthymic disorder acute respiratory failure old myocardial infarction encounter for palliative care do not resuscitate status acute pancreatitis transfusion related acute lung injury (trali) natural blood and blood products causing adverse effects in therapeutic use acute myeloid leukemia, without mention of having achieved remission shock, unspecified 

Answer: The patient is high likely exposed to