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: penicillins / cephalosporins / sulfa (sulfonamide antibiotics) / biaxin / reglan attending: chief complaint: morbid obesity major surgical or invasive procedure: : 1. open sleeve gastrectomy. 2. splenectomy. history of present illness: mrs. is a 63 year old female status post laparoscopic adjustable band in , subsequently removed in in anticipation of a gastric bypass at . the patient had lost 50 pounds at that time but then was diagnosed with parkinson's disease and gastric bypass was not performed. the patient has subsequently had weight gain, and she comes to us today in hopes of proceeding with gastric sleeve procedure. gastric bypass was not performed at because of concern of poor drug absorption for necessary medications for her parkinson's. past medical history: past medical history: hypertension, sleep apnea, hyperlipidemia, asthma, osteoarthritis, fatty liver, parkinson's disease, renal stones. past surgical history: status post band at hospital, status post band removal at , status post rotator cuff, status post hand surgery, status post lithotripsy, status post c-section, status post t&a. social history: works at as a clinical researcher. quit tobacco in . denies alcohol or drug use. family history: non-contributory physical exam: physical exam on discharge: vss, afebrile gen: nad, aaox3 heent: neck supple, mucous membranes moist cv: rrr, no murmurs/rubs/gallops pulm: ctab abd: soft, non-tender, non-distended, incision sites c/w procedure. clean, dry, intact dressings. jp drain pulled prior to discharge. derm: b/l upper thighs, groin, lower abdominal pannus diffuse macular erythema with pruritis, decreasing in size since recent cortisone creams started. also, erythema extends to back, flanks, axilla and lower extremities. ext: warm, well perfused, diffuse pitting edema to b/l lower extremities, distal pulses palpable. pertinent results: 09:32pm blood wbc-13.3*# rbc-3.72* hgb-11.3* hct-32.1* mcv-86 mch-30.2 mchc-35.0 rdw-13.9 plt ct-117* 03:03am blood wbc-17.7* rbc-3.95* hgb-11.9* hct-33.3* mcv-84 mch-30.3 mchc-35.8* rdw-14.1 plt ct-139* 02:20am blood wbc-16.4* rbc-2.84*# hgb-8.6*# hct-25.0* mcv-88 mch-30.3 mchc-34.4 rdw-14.5 plt ct-137* 11:00am blood wbc-10.5 rbc-3.14* hgb-9.6* hct-29.3* mcv-93 mch-30.4 mchc-32.6 rdw-15.1 plt ct-304# 11:00am blood neuts-79.6* lymphs-8.9* monos-3.9 eos-7.4* baso-0.2 09:32pm blood pt-14.1* ptt-25.9 inr(pt)-1.3* 02:20am blood pt-13.7* ptt-24.9* inr(pt)-1.3* 11:00am blood plt ct-304# 09:32pm blood glucose-193* urean-14 creat-0.6 na-140 k-3.6 cl-107 hco3-25 angap-12 06:15am blood glucose-104* urean-26* creat-0.9 na-145 k-4.3 cl-108 hco3-30 angap-11 03:03am blood alt-162* ast-213* alkphos-71 totbili-0.9 02:15am blood alt-76* ast-59* alkphos-61 totbili-0.5 09:32pm blood calcium-8.1* phos-3.7 mg-1.5* 06:15am blood calcium-8.1* phos-2.2* mg-2.4 06:35pm blood type-art po2-304* pco2-41 ph-7.39 caltco2-26 base xs-0 intubat-intubated vent-controlled 06:35pm blood hgb-10.9* calchct-33 05:43am blood hgb-10.5* calchct-32 06:35pm blood glucose-177* lactate-3.0* na-134 k-4.0 cl-104 07:25pm blood glucose-236* lactate-3.2* na-135 k-3.8 cl-105 09:43pm blood glucose-187* lactate-2.0 06:35pm blood freeca-1.64* 09:43pm blood freeca-1.14 cxr: : low lung volumes. extensive areas of atelectasis and mild overhydration. no pleural effusions. borderline size of the cardiac silhouette. cxr: : no newly occurred focal parenchymal opacities. possible left pleural effusion with retrocardiac atelectasis. no pneumothorax. cxr: : there are no new lung opacities of concern. top normal heart size, mediastinal and hilar contours are unchanged. there is no pleural effusion or pneumothorax. brief hospital course: the patient presented to pre-op on . pt was evaluated by anesthesia and taken to the operating room for open gastric sleeve procedure. a splenic injury occured while in the operating room and a splenectomy was also preformed. the patient was transferred to the icu intubated given history of parkinson's and sleep apnea and extended operative time. the patient was thought to be stable having received 4.5 liters of crystalloid, 2 units of ffp, 4 units of packed red blood cells with a urine output of 635 cc. please see the operative note for details. pt was extubated early on the morning of while in the icu. she was on a neo drip for hypotension. her pain was well controlled and she was tightly controlled while in the icu. on , patient was taken off of the neo drip, and she recieved an ivf bolus and albumin for low urine output. on , pt was stable and transferred to the for observation. while on the floor, she was transfused 2 units on and her hematocrit went from 23.7->28.7. on , patient was advanced to stage ii diet and lasix x1 was given with improvement in respiratory status. patient oob to chair and ambulating well that day. on , patient developed headache, presumablely related to removal of her epidural, stayed on stage 2 due to abdominal pain. on , dermatology was consulted for continuing rash and pruritis. on , nausea improved, headache subsided with fluids, and patient was advanced to stage 3 diet. wbc was within normal limits. c.diff x2 was ordered because of loose stools and came back negative. on continued rash, derm makes recommendations suspecting medication reaction - sarna liberally for cooling effect, miconazole to intertriginous rash, clobetazole to everywhere else except groin, betamethasone to groin, hydroxyzine for pruritis, if no improvement may consider skin biopsy. on , rash improving, topical steroids ok up to 1 week, aquaphor to back, jp d/c'd. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a stage 3 diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: mirapex 0.50 mg "', simvastatin 10', furosemide 20', flovent 2puff "prn, fluticasone 50 one spray each nostril"prn, fluoxetine 20', zolpidem 10qhsprn, armodafinal 150', vitamin d 2000u discharge medications: 1. modafinil 100 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). disp:*30 tablet(s)* refills:*2* 2. pramipexole 0.5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*30 tablet(s)* refills:*2* 3. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 inhaler* refills:*2* 4. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 5. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal q6h (every 6 hours) as needed for congestion. 6. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed for wheeze. 9. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 10. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day): apply to intertriginous areas only. disp:*1 tube* refills:*2* 11. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for erythema: apply liberally for cooling effect. disp:*1 tube* refills:*2* 12. clobetasol 0.05 % cream sig: one (1) appl topical (2 times a day) for 5 days: apply to legs, back, arms, chest where rash present do not apply to peri-incisional area or groin . disp:*1 tube* refills:*0* 13. betamethasone valerate 0.1 % cream sig: one (1) appl topical (2 times a day) for 5 days: apply to groin . disp:*1 tube* refills:*0* 14. hydroxyzine hcl 25 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pruritis. disp:*20 tablet(s)* refills:*0* 15. petrolatum ointment sig: one (1) appl topical tid (3 times a day). discharge disposition: extended care facility: willow manor - discharge diagnosis: 1. splenic injury. 2. obesity. 3. sleep apnea. 4. fatty liver. 5. hypertension. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please call your surgeon or return to the emergency department if you develop a fever greater than 101.5, chest pain, shortness of breath, severe abdominal pain, pain unrelieved by your pain medication, severe nausea or vomiting, severe abdominal bloating, inability to eat or drink, foul smelling or colorful drainage from your incisions, redness or swelling around your incisions, or any other symptoms which are concerning to you. diet: stay on stage iii diet until your follow up appointment. do not self advance diet, do not drink out of a straw or chew gum. medication instructions: resume your home medications, crush all pills. you will be starting some new medications: 1. you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. 2. you should begin taking a chewable complete multivitamin with minerals. no gummy vitamins. 3. you should take a stool softener, colace, twice daily for constipation as needed, or until you resume a normal bowel pattern. 4. you must not use nsaids (non-steroidal anti-inflammatory drugs) examples are ibuprofen, motrin, aleve, nuprin and naproxen. these agents will cause bleeding and ulcers in your digestive system. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: , rd,ldn phone: date/time: 2:00 provider: , md phone: date/time: 2:45 provider: , .d. phone: date/time: 10:30 procedure: other surgical occlusion of vessels, abdominal veins other lysis of peritoneal adhesions total splenectomy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt incisional hernia repair open and other partial gastrectomy diagnoses: unspecified essential hypertension asthma, unspecified type, unspecified accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia paralysis agitans hemorrhage complicating a procedure peritoneal adhesions (postoperative) (postinfection) morbid obesity other chronic nonalcoholic liver disease incisional ventral hernia with obstruction accidental cut, puncture, perforation or hemorrhage during surgical operation other fluid overload unspecified pruritic disorder body mass index 50.0-59.9, adult reaction to spinal or lumbar puncture 

Answer: The patient is high likely exposed to