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: as provided by dr. in his previous discharge summary dictated on . physical examination: as noted in initial discharge dictation. hospital course: since , the patient remained well from a pulmonary standpoint. she had no further episodes of hypoxia or shortness of breath and remained afebrile. the patient stable from a gastrointestinal and infectious disease standpoint. 1. pulmonary: the patient with no more episodes of hypoxia or shortness of breath, does not longer require nasal cannula oxygen during ambulation. o2 saturations 97% on room air as well as with ambulation. prior hypoxic episode of unknown etiology, possible inhalation injury? bronchoscopy, alveolar lavage, and induced sputum were negative for any acute infection. lavage had gram positive staphylococcus aureus; however, no polymorphonuclear cells. pulmonary consulted and this was felt to be a contaminant, rather than an infectious process. infectious disease recommended no treatment for this. the patient was breathing comfortably and oxygenating well at discharge. 2. gastrointestinal: the patient with a history of achalasia, short bowel syndrome from multiple gastrointestinal surgeries. the patient able to have bowel movement on colace and dulcolax daily regimen. tube feeds tolerated at 60 cc per hour without consequences, bloating, diarrhea, pain. this was her goal tube feed rate. the patient has a history of chronic abdominal pain secondary to multiple surgeries and short bowel syndrome, discontinues. j-tube site intact without drainage, leakage, or infection. plan to continue tube feeds at goal rate, as well as colace and dulcolax regimen q day for daily bowel movements. the patient's pain increases significantly with constipation. the patient comfortable with j-tube dressing changes. the patient with history of j-tube falling out secondary to poor skin ability to maintain sutures. 3. infectious disease: the patient with septic thrombophlebitis of bilateral internal jugular arteries with heavy clot burden. the patient remained afebrile since , when she was admitted for high temperatures to the medical intensive care unit. blood cultures grew no bacteria or fungus during her febrile event or since on surveillance. plan: iv fluconazole day 28 out of 42. the patient to receive iv fluconazole through picc line to complete a 42 day course. the patient will follow-up with infectious disease clinic on , at 03:00 pm with dr. and dr. . phone number . white count stable at discharge. 4. heme: huge clot burden due to septic thrombophlebitis. the patient was placed on coumadin for anticoagulation. difficulty maintaining inr within therapeutic range; however, inr on discharge 2.9. inr between 2.5 and 3.5 for past week. currently on coumadin 2.0 mg po q hs. hematocrit stable at 26.1. the patient with a history of severe iron deficiency anemia, likely secondary to malabsorption. the patient will need follow-up of inr to maintain in therapeutic range of 2.0 to 3.0. the patient with services who will be able to draw this blood on a weekly basis and fax results to dr. at - . the patient to continue iron sulfate 325 mg po tid. 5. neurologic / pain: the patient with a history of chronic pain, narcotics abuse, depression, large doses of narcotics. psychiatry consulted for management of her psychiatric medications. psychiatry discontinued luvox and started wellbutrin per patient request. plan: the patient to follow-up with pain clinic at - . the patient to follow-up with psychopharmacologist, dr. on , at 10:30 am at human services, phone number , at which time psychiatric medications will be reviewed and assessed. in terms of large doses of narcotics needed for pain management, the patient to follow-up with dr. at pain clinic at - . the patient is aware of risks of heavy narcotics use, including respiratory depression, addiction, decreased mental status with increased risk of accidents, and medication error. 6. fluids, electrolytes, and nutrition: tube feeds at goal of 60 cc/hr. calcium 7.7, magnesium 1.8 at baseline. difficulty maintaining normal electrolyte levels in light of patient's short gut syndrome. discharged with tube feeds, vivonex at 60 cc/hr and kangaroo pet pump with bags so the patient can be mobile with these tube feeds. disposition: hospital case management, social services, and psychiatry notified prior to patient's discharge. the patient with follow-up appointment with dr. on at 03:30 pm in the clinical center at - . dr. will be patient's new primary care physician. patient with follow-up appointment with infectious disease clinic. the patient desires to switch all of her medical care over to - and is in the process of obtaining all the necessary referrals with dr. . the patient will need a new gastroenterologist to manage her short gut syndrome and achalasia. discharge medications: vivonex nestle equivalent 60 cc/hr continuously with kangaroo pet pump for mobility, protonix 40 mg po q day, dilaudid 4.0 mg to 8.0 mg q four to six hours prn, prescription for thirty pills only given, compazine 10 mg tablet per j-tube qid, neurontin 800 mg per j-tube q hs, patient given prescription for thirty pills only, fiorinal two tablets po q four hours prn migraines, prescription for fifteen pills only given, fentanyl patch 250 mcg to skin q 72 hours, the patient given enough for nine days until appointment with dr. , klonopin 1.0 mg per j-tube qid, thirty-two pills dispensed, coumadin 2.0 mg po q day, prescription for thirty pills dispensed, colace 100 mg po bid prn, wellbutrin 75 mg per j-tube q day, dispensed thirty, kangaroo pet pump with bags, drains, sponges, steri-strips, large tegaderm dressings, 4.0 cm x 4.0 cm gauze sponges, duoderm dressings, 60 cc syringes times four, iron sulfate 325 mg per j-tube tid, multi-vitamin po q day. discharge condition: stable. discharge status: the patient discharged to home with multiple follow-up services, including , to help monitor inr as well as tube feeds and pain medication management. follow-up: the patient to follow-up with dr. for new primary care physician. patient to follow-up with infectious disease clinic for continued management of septic thrombophlebitis. the patient to obtain new gastroenterologist for follow-up of short gut syndrome and achalasia. the patient to be seen at pain clinic for management of large doses of pain medications required to manage chronic pain of short gut syndrome. the patient to follow-up with psychopharmacologist at human services for management of depression and psychopharmacology. discharge diagnoses: 1. candidal septic thrombophlebitis, likely secondary to picc line infection, needed for chronic total parenteral nutrition. the patient with large clot burden and on anticoagulation. 2. achalasia with short gut syndrome secondary to multiple abdominal surgeries with complications in the past. 3. history of asthma. 4. narcotics abuse. 5. depression / bipolar disorder. 6. heparin induced thrombocytopenia. 7. migraines. 8. right ankle fracture in . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified closed [endoscopic] biopsy of bronchus diagnoses: asthma, unspecified type, unspecified depressive disorder, not elsewhere classified other complications due to other vascular device, implant, and graft iron deficiency anemia, unspecified infection and inflammatory reaction due to other vascular device, implant, and graft other and unspecified postsurgical nonabsorption bipolar i disorder, most recent episode (or current) unspecified phlebitis and thrombophlebitis of other sites 

Answer: The patient is high likely exposed to