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: lisinopril / pollen/hayfever attending: chief complaint: distal femoral nonunion major surgical or invasive procedure: removal , retrograde nail for nonunion history of present illness: the patient is a 63-year-old female patient who sustained a distal femur fracture immediately above a total knee replacement. this fracture was sustained several months ago and was operated in . now, almost 11 months from her injury, she has a recent ct that revealed the presence of a nonunion since she has been complaining of difficulty and pain walking over several months. however, the plate is not repaired and i suspect this could be partially healed, but still unstable. at this point, she was brought to the operating room for revision of a nonunion and bone grafting. past medical history: l tka () morbid obesity hypertension diabetes hyperlipidemia hypothyroidism gerd osteoarthritis depression allergic rhinitis djd diabetic neuropathy and retinopathy ovarian cysts abnormal mammogram breast cysts social history: lives alone family history: n/a physical exam: nad aao x 3 rrr ctab s/nt/nd rle: incision c/d/i silt, motor intact. brief hospital course: ms. presented to the on for distal femoral nonunion.she was taken to the operating room and underwent removal , retrograde nail for nonunion she tolerated the procedure well, was extubated, transferred to the recovery room, and then to the floor. on the floor she was seen by physical therapy to improve his strength and mobility. the rest of her hospital stay was uneventful with her lab data and vital signs within normal limits and his pain controlled. she is being discharged today in stable condition. discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 3. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. felodipine 2.5 mg tablet extended release 24 hr sig: four (4) tablet extended release 24 hr po daily (daily). 7. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 8. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 10. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for reflux. 11. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous q24h (every 24 hours) for 4 weeks: 40 mg daily for 4 wks. disp:*45 * refills:*0* 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. discharge disposition: extended care facility: healthcare & rehabilitation center - discharge diagnosis: distal femoral nonunion discharge condition: aao x 3 ambulatory regular diet discharge instructions: general instructions: if you have any increased pain, swelling, or numbness, not relieved with rest, elevation, and or pain medication, or if you have a temperature greater than 101.5, please call the office or come to the emergency department. medications: 1) you have been prescribed a narcotic pain medication. please take only as directed and do not drive or operate any machinery while taking this medication. there is a 72 hour (monday through friday, 9am to 4pm) response time for prescription refil requests. there will be no prescription refils on saturdays, sundays, or holidays. please plan accordingly. 2) you are prescribed a blood thinner called lovenox, you must take this for 4 weeks without missing a single dose. 3) continue any home medications unless otherwise advised. activity rle: weight bearing as tolerated lle: weight bearting as tolerated wound care: - keep incision clean and dry. - do not soak the incision in a bath or pool. other instructions - resume your regular diet. - avoid nicotine products to optimize healing. - resume your home medications. take all medications as instructed. - continue taking the lovenox to prevent blood clots. - if you have any increased redness, drainage, or swelling, or if you have a temperature greater than 101.5, please call the office or come to the emergency department. physical therapy: rle: wbat lle: wbat treatments frequency: staples/sutures out in 21 days after surgery, so 21 days from dry dressing on surgical site for 5 days, then it can be left open to air. this area must not get moist or wet. followup instructions: recommended f/u: please follow up with , np in orthopaedics in 2 weeks, please call to schedule that appointment. appointments at the made prior to your admission md, procedure: internal fixation of bone without fracture reduction, femur bone graft, femur diagnoses: esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes depressive disorder, not elsewhere classified other and unspecified hyperlipidemia morbid obesity osteoarthrosis, unspecified whether generalized or localized, site unspecified knee joint replacement nonunion of fracture diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy allergic rhinitis, cause unspecified body mass index 45.0-49.9, adult 

Answer: The patient is high likely exposed to