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: sulfa (sulfonamides) attending: chief complaint: altered mental status major surgical or invasive procedure: intubated history of present illness: 62 year old f with h/o breast ca, metastatic to liver and bone, recently started on systemic therapy with weekly navelbine, last tx was 2 wks ago. pt recently admitted to for perforated bowel with spontaneous closure. she was discharged home 4 days ago. on the day of admission, her family noticed that the patient was confused. . she was taken to , where she was found to have na 113, k 6.5 without ecg changes. she received kayexalate, insulin and d50 and ~1l ns. her na prior to transfer was 117. ros: the patient notes being fatigued and weak but otherwise "okay. she denies recent f/c/n/v/abdominal pain. she denies constipation/diarrhea. she reports sob at baseline and uses 2l oxygen by nasal cannula at home. she is thirsty and drinks fluids but has no appetite for solids. her abd girth has not increased since d/c from . dark urine, but no other gu symptoms. past medical history: 1. inflammatory breast carcinoma on the left side (er positive, pr positive, her-2/neu negative) diagnosed in , treated with neoadjuvant therapy of adriamycin and taxotere for 3 cycles, which was interrupted by admissions for pneumonia caused by and possibly . then received xeloda and taxotere for 3 cycles and then had to left mrm followed by chest wall xrt. therefater she was on an aromatase inhibitor. in , found to have extensive mets to the liver and left pleural effusion. she was started on navelbine (last dose ), along with a left thoracentesis. abd ct shows innumerable mets in her liver. 2. elevated lipids. 3. hypertension. 4. left sciatica. 5. mild stress incontinence. 6. diastolic dysfunction 7. bowel perforation- social history: lives alone on the ; has several grown children who live nearby; her husband died of a brain tumor several years ago. family history: negative for breast, ovarian, or pancreatic cancer. physical exam: t=95.4 bp=120/68 hr=84 rr=22 o2sat=94% on 2l . gen: ill appearing heent: perrl, eomi, icteric sclerae, clear op, mmm cv: rrr, nl s1/s2 pulmo: lungs decreased breath sounds at bases abd: distended, mild diffuse ttp, ob negative, diminished bs ext: 2+ pitting edema b/l neuro: axox3, cn2-12 intact skin: post radiation changes, weeping blisters on feet . micu: pe: t 93.0 (oral) bp 87/57 hr 88 97 % ac 300 x 20 fio2 100% gen: intubated, sedated but arousable heent: perrl, sclerae icteric, ngt in place with bloody material cv: rrr, nl s1 s2 lung: + wheeze anteriorly abd: + distension, nt, hypoactive bs ext: +3 pitting edema to thighs b/l, weeping blisters on feet in gauze c/d/i. pertinent results: 05:19pm blood hct-37.0 07:54pm blood wbc-13.8*# rbc-3.14* hgb-10.4* hct-31.4* mcv-100* mch-33.0* mchc-33.1 rdw-17.7* plt ct-193 04:27pm blood hct-29.7* 03:57am blood neuts-93* bands-0 lymphs-0 monos-4 eos-0 baso-0 atyps-0 metas-1* myelos-2* nrbc-0 01:30am blood pt-14.2* ptt-43.6* inr(pt)-1.3 04:27pm blood pt-17.8* ptt-55.6* inr(pt)-2.0 07:39am blood fibrino-301 d-dimer-3892* 08:48am blood fdp-10-40 07:39am blood glucose-170* urean-39* creat-1.1 na-122* k-4.8 cl-94* hco3-22 angap-11 04:27pm blood urean-37* creat-1.1 na-124* k-4.1 01:30am blood alt-140* ast-440* ld(ldh)-654* alkphos-1000* amylase-60 totbili-13.2* dirbili-7.2* indbili-6.0 03:57am blood alt-161* ast-530* ld(ldh)-717* ck(cpk)-154* alkphos-917* totbili-14.2* 01:30am blood probnp-1363* 01:30am blood albumin-2.5* calcium-7.8* phos-3.0 mg-2.4 uricacd-4.9 07:39am blood calcium-8.1* phos-3.9 mg-2.1 01:30am blood cortsol-53.4* 01:30am blood tsh-0.58 07:11am blood type-art po2-68* pco2-41 ph-7.35 calhco3-24 base xs--2 09:59am blood type-art temp-36.4 rates-/28 tidal v-330 peep-10 fio2-70 po2-90 pco2-27* ph-7.45 calhco3-19* base xs--2 -assist/con intubat-intubated comment-axillary t . abd xr: small-bowel obstruction. . cxr: apparent interval increase in the previously demonstrated bilateral pleural effusions with bibasilar opacities consistent with collapse/consolidation. . abd u/s: 1. diffuse hepatic metastases. 2 moderate volume of ascites. 3. patent portal vein. . brief hospital course: 1) ugib: pt developed an upper gi bleed. ng lavage cleared. she was volume resuscitated, initially received 2 units of ffp, transfusion threshold of hct < 30, placed on a ppi , octreotide drip. . 2) hypotension: hypovolemia gi bleed and sepis (hypothermic, elevated wbc). cvp now 19. fluid/blood resuscitation, placed on levophed to map > 60, continued levo, flagyl for empiric coverage for aspiration/bowel flora. . 3) sbo: deemed a poor surgical candidate. conservative treatment. ngt suction, ivfs. . 4) respiratory failure: intubated for airway support as well as after probable aspiration pneumonia. levo/flagyl to cover aspiration. . 5) hyponatremia: likely decreased effective circulating volume. improved with hypertonic saline initially and then normal saline resuscitation. . 6) elevated lfts: has been high since when new liver metastatses discovered. albumin 2.4. received 2 bags ffp on . . 7) end of life: pt was made dnr/dni initially, then cmo on and extubated. pt expired with family present at , an autopsy was denied. discharge disposition: expired discharge diagnosis: pt deceased discharge condition: pt deceased discharge instructions: pt deceased followup instructions: pt deceased md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube transfusion of packed cells other irrigation of (naso-)gastric tube transfusion of other serum infusion of vasopressor agent diagnoses: hyperpotassemia malignant neoplasm of liver, secondary unspecified septicemia hyposmolality and/or hyponatremia severe sepsis secondary malignant neoplasm of pleura personal history of malignant neoplasm of breast acute respiratory failure pneumonitis due to inhalation of food or vomitus hematemesis unspecified intestinal obstruction secondary malignant neoplasm of bone and bone marrow personal history of irradiation, presenting hazards to health 

Answer: The patient is high likely exposed to