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: compazine / droperidol / gadolinium-containing agents / demerol / morphine / haldol attending: chief complaint: wrist pain major surgical or invasive procedure: none history of present illness: 61 yo f c mast cell degranulation, p/w recurrence in setting of r wrist pain and swelling, with worsening airway edema transferred from micu on admitted on . pt was admitted to medicine in the morning on with complaints of abdominal pain, r arm pain and rash, sob, nausea, itching, diarrhea and low grade fevers for several days. she noted a rash with purulence on her right wrist for which she took a course of keflex. she also c/o diarrhea and low grade fevers. she felt on admission that these symptoms were similar to other "mast cell degranulation exacerbations." . on the floor her vanco was switched to keflex, she was given benedryl 25mg iv x4, then 50mg iv x2, dilaudid 10mg iv, ativan 2mg iv, zofran 4mg x1, albuterol neb x1, and prednisone 40mg, ranitidine 300mg po. . while on floor pt was noted to have worsening oral swelling and concern for airway compromise. anesthesia assessed her oropharynx with bronchoscopy and though the vocal cords were not edematous there was significant laryngeal edema. pt was intubated for airway protection. additionally during this episode she was given solumedrol 40mg iv, epinephrine (0.3mg sc) x1, benedryl 50mg iv, famotidine 20mg iv. she was given dilaudid 1mg iv for chest pain and abdominal pain. cardiac enzymes were negative and the pt was transferred to the micu. . pt was extubated . recent vitals: temp 98. pulse 77. bp 122/63, rr 14. 92% ra. o2 sats are usually in the high 90's. right wrist does not appear erythematous or cellulitic so keflex was discontinued. . past medical history: - mast cell degranulation syndrome as above- followed by who is an allergist at , #. also followed here by dr. in gi. has been intubated twice. - adhd - depression/anxiety - mi after given wrong dose of epi in anaphylaxis - htn - erosive osteoarthritis - gerd, gastritis and esophagitis on recent egd - paradoxical vocal cord dysfunction viewed on fiberoptic laryngoscopy - anemia, iron studies c/w aocd - hemorrhoids - pt reports egd demonstrated vegetable bezoar (?). - status post hysterectomy and oophorectomy - h/o mrsa infection (porthacath associated) - portacath placed - d/c'd mrsa infection - portacath placed social history: pt divorced approx 2 ago after 37 of marriage. husband was doctor. as ed tech at hosp. reports that she was about to hosp for wrongful termination as of but then her pcp changed her status to permanent disability which seemed to terminate the situation. son is hcp . pt divorced approx 2 ago after 37 of marriage. husband was doctor. as ed tech at hosp. reports that she was about to hosp for wrongful termination as of but then her pcp changed her status to permanent disability which seemed to terminate the situation. son is hcp . family history: mother died of mi @ 76, sister w/ breast cancer and bilateral mastectomy. physical exam: vitals - t: 98.4 bp: 154/86 hr: 78 rr: 20 02 sat: 99% on ra general: nad, eating dinner, breathing comfortably on ra heent: eomi, op clear, no jvd cardiac: rrr no m/g/r lung: b/l wheeze abdomen: soft, nt/nd 2+ ext: warm, no c/c/e neuro: cn ii-xii intact, symm strength and skin: mult skin tears, abrasions on ue pertinent results: 02:00am blood wbc-10.7 rbc-4.42 hgb-12.8 hct-38.5 mcv-87 mch-29.1 mchc-33.4 rdw-14.2 plt ct-304 05:59am blood wbc-12.2* rbc-3.88* hgb-10.9* hct-33.5* mcv-86 mch-28.0 mchc-32.4 rdw-14.0 plt ct-213 02:00am blood neuts-72.2* lymphs-19.4 monos-6.9 eos-1.2 baso-0.3 05:59am blood neuts-93.5* lymphs-3.5* monos-2.8 eos-0 baso-0 02:00am blood plt ct-304 03:38am blood pt-11.4 ptt-21.3* inr(pt)-0.9 05:59am blood plt ct-213 02:00am blood glucose-148* urean-17 creat-0.9 na-140 k-4.0 cl-105 hco3-24 angap-15 05:59am blood glucose-185* urean-20 creat-0.8 na-144 k-3.7 cl-107 hco3-29 angap-12 06:58am blood ck(cpk)-37 03:38am blood alt-26 ast-15 ck(cpk)-31 alkphos-91 amylase-31 totbili-0.2 02:00am blood ctropnt-<0.01 06:58am blood ck-mb-notdone ctropnt-<0.01 03:38am blood ck-mb-notdone ctropnt-<0.01 02:00am blood lipase-31 03:38am blood lipase-21 06:58am blood calcium-8.5 phos-3.0 mg-2.1 03:38am blood albumin-3.6 calcium-8.1* phos-2.2* mg-2.4 06:33am blood calcium-8.1* phos-3.0 mg-2.5 05:59am blood calcium-8.3* phos-3.1 mg-2.6 09:43pm blood type-art po2-444* pco2-40 ph-7.39 caltco2-25 base xs-0 05:59am blood type-mix po2-52* pco2-47* ph-7.36 caltco2-28 base xs-0 05:14pm blood tryptase (beta-subunit and alpha/beta fractions)-pnd . . . ecg study date of 1:47:54 am sinus tachycardia. borderline left axis deviation. rsr' pattern in lead v1, most likely a normal variant. modest non-specific st-t wave changes which are non-specific. compared to the previous tracing of there is no significant diagnostic change. . . chest (portable ap) study date of 2:31 am , eu sched chest (portable ap); -59 distinct procedural servic clip # reason: eval acute process medical condition: 61 year old woman with mast cell, cp after epi, sob reason for this examination: eval acute process final report history: 61-year-old female with chest pain, short of . evaluate for acute process. comparison: . portable upright chest, one view: venous access port tip terminates in the caval atrial junction. lung volumes are low, with bibasilar atelectasis. the lungs are otherwise clear without consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. heart is normal in size. calcified lymph nodes in the ap window are unchanged. impression: low lung volumes with bibasilar atelectasis. no pneumonia. .. . . . chest (portable ap) study date of 3:00 am , micu sched chest (portable ap) clip # reason: airway eval medical condition: 61 year old woman intubated for mast cell degranulation flare/airway protection. reason for this examination: airway eval final report history: intubation to protect airway, to evaluate airway. findings: in comparison with study of , the endotracheal tube has been removed. scattered bibasilar atelectatic change without acute pneumonia. . . . . brief hospital course: 61 yo f with mast cell degranulation presented with recurrence of mcd in setting of r wrist pain and swelling, with worsening airway edema. transferred from micu on admitted on . . # mast cell degranulation: the patient's symptoms were similar to prior episodes, some of which have been associated with infections, but worse airway edema than she normally had so she admitted first to the micu and was intubated for airway stabilization. pt was extubated successfully on and was able to breathe comfortably on room air following that. pt was initially on iv solumedrol and was transitioned to a po prednisone taper without incident. her home cromolyn was continued, as well as her home antihistaminic. the pt described mast cell degranulation attacks as always treated with iv dilaudid, lorazepam and benadryl and when these medications were tapered to po dosing the pt complained that her pain was not being treated appropriately. at this time she decided to leave the hospital ama, and a night float house officer was called. the night float house officer gave the pt iv doses of the medications that had been converted to po, but despite that the pt decided to leave ama. . # please see discharge summary from for further details of this hospitalization. medications on admission: zolpidem 10 mg po hs prn insomnia conjugated estrogens 0.3 mg po daily hydroxyzine hcl 25 mg po qid ranitidine hcl 300 mg po hs duloxetine 60 mg capsule once a day hydroxychloroquine 200 mg po bid fexofenadine 180 mg po bid omeprazole 20 mg cromolyn 100 mg/5 ml solution 600 mg po qid diltiazem hcl sustained release 180 mg po daily hydromorphone 4 mg every four 4 hours as needed for pain. amphetamine-dextroamphetamine sr 15 mg once a day. lorazepam 0.5 mg po every 6 hours as needed for anxiety. doxapine 50 mg epi pen prn discharge medications: pt left ama and was discharged with her home medications and a prednisone taper. discharge disposition: home discharge diagnosis: primary: mast cell degranulation syndrome . secondary: htn discharge condition: fair. discharge instructions: pt left ama followup instructions: pt left ama md procedure: insertion of endotracheal tube diagnoses: anemia of other chronic disease esophageal reflux unspecified essential hypertension infection with microorganisms resistant to penicillins pulmonary collapse dysthymic disorder anxiety state, unspecified other specified cardiac dysrhythmias methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site osteoarthrosis, unspecified whether generalized or localized, site unspecified other chest pain attention deficit disorder with hyperactivity congenital pigmentary anomalies of skin cough other specified disorders involving the immune mechanism symptomatic menopausal or female climacteric states 

Answer: The patient is high likely exposed to