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: clonidine attending: chief complaint: hip surgery major surgical or invasive procedure: status post right total hip replacement revision history of present illness: 62 yo female with significant pmh of renal tx from fsgs, htn, cad s/p mi, dm2, hyperlipidemia, who is s/p right revision of total hip replacement on . was called ~10:40 am as pt with bp of 74/51 after fluid bolus ~400 cc. pt was complaining of lightheadedness and subjective dyspnea. upon arrival t: 100.3, hr: 90s; o2 90% on 4l and fs 167. bp increased after initiation of second iv with ns bolus and came up to 130s systolic after ~700 cc. pt was transiently placed on a nrb, though pleth of the o2 was not great. with warming the finger o2 saturation increased from mid 80s to mid-upper 90s and pt put on fm with 6l. cxr showed scattered patchy alvelolar opacities b/l greated in upper zones. abg on 6l was 7.34/33/61/19. additionally, pt with ~3 episodes of coughing up hemoptysis, which has since become clear sputum. it was decided to transfer pt to for increasing observation and nursing requirements as well as for possible potential of increasing respiratory distress. . upon transfer pt is on 5l via facemask. she subjectively feels better without lightheadedness. no cp/sob. no n/v/f/c. pt does note that she felt like "i was getting a cold" for the days prior to surgery and had been coughing with minimal productive sputum, but no blood until this am. at bseline denies orthopnea, weigh gain or le edema. overall she had been feeling well prior to admission excpet with cold and mild cough symptoms prior to admission. of note in or receieved 1.5lns with 250cc blood loss and 2.3l in pacu and 1.5l on floor, but no prbc. she was started on coumadin last night. past medical history: renal transplants x 2 (, ; last hd ), chronic dyspnea (since last transplant, ; admitted 1 w/a for sob and dced w/o tx/dx), lungca(scc)/aspergilliosis s/p lobar resections('), chronic utis, cad s/p mi, anemia, b/l hip replacement x 2 ('/'), back pain (unclear etiology) social history: lives with her mother and step-father in . recently moved from . her husband passed away this past . has one daughter. quit cigs in - has p-y. never more than social etoh. no illegal drugs. family history: dad - unknown. mom (78) - heart murmur. brother (58) - healthy. brother (41, died) - mi/cocaine. daughter - migraines. other cardiac, renal, or pulm disease. no cancers. physical exam: admission exam pe: t: 95.9/100.3; hr: 80; bp: 135/70; rr: 14; o2: 97% on 5l via mask gen: aa female in nad speaking in full sentences without respiratory muscle usage. neck: jvp about 7cm cv: i/vi systolic murmur, irreg, irreg, rrr s1/s2. lungs: rales bilaterally way up, no e/a changes no tactile fremitus abd: +bs. soft, nt, nd. ext: r hip dressing in place, tender to palpation. dp 2+ b/l. no edema b/l. pertinent results: 10:15am pt-13.5* ptt-29.6 inr(pt)-1.2 10:15am plt count-148* 10:15am wbc-9.3# rbc-3.93* hgb-10.1* hct-33.0* mcv-84 mch-25.6* mchc-30.6* rdw-19.4* 10:15am glucose-145* urea n-21* creat-1.5* sodium-140 potassium-3.6 chloride-112* total co2-19* anion gap-13 cxr impression: cardiomegaly. echo tte conclusions: the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 70%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. the effusion appears loculated around the right atrial free wall. there are no echocardiographic signs of tamponade. no right atrial diastolic collapse is seen. brief hospital course: impression/plan at admission: 62 yo female s/p lrrt on immunosuppressives, paf, dm2, hx of squamous cell lung ca s/p rll lobectomy in here after right hip revision with increased sob and bilateral infiltrates. . respiratory distress: likely chf exacerbation as pt likely received fluids in the periop and operative period. other causes such as cardiogenic pulm edema, ards from infection either aspiration related to intubation or atypical pneumonia given immunosuppression or fat emboli and alveolar hemmorrhage given hemoptysis were considered and ruled out with trial of diuresis, cardiac enzymes, repeat echo and sputum cultures. pt was diuresed with lasix in the icu and was transferred to the floor not requiring further diuresis. . hypotension - in the icu transient episode of hypotension likely secondary to overmedication with metoprolol and verapamil. quickly resolved with ivf, was not an issue during the rest of the admission. . s/p hip revision: worked with pt. she was given lovenox prophylaxis and started on coumadin. discharged with lovenox until inr becomes therapeutic. pt's hematocrit had dropped from 35.2 to 28.7 and repeat was 29.7. ortho and medicine teams evaluated patient, no signs of hematoma or bleeding. incision sight was clean. pt was less symptomatic in the hip then previously. per ortho resident low concern for bleeding and the hct remained stable after this time. . cri: stable at baseline creatinine s/p lrrt on immunosuppressives, transplant team followed patient during the hospitilization and checked the sirolimus levels. renally cleared meds dosed accordingly. . pafib: stable continued verapamil, restarted coumadin goal inr . . dm2: stable on glipizide and humalog sliding scale, appreciate assistance. . cad: no hx of mi, but with ekg changes and hyperlipidemia, has presumed cad, so continued statin, repeat echo essentially uncahnged from prior ef> 55% - mild demand ischemia likely source of mild troponin leak. . osteoperosis: stable cont alendronate. medications on admission: mediactions on transfer: atorvastatin 40 qhs bactrim ss qday sirolimus 2 mg qday prednisone 5 mg qday allendronate 70 qfriday pantoprazole 40 mg qday folic acid 1 mg qday cefazolin 1 g q12 x 24 hr post-op verapamil 240 er qday glipizide 2.5 mg humalog ss/lantus metoprolol 12.5 mg qday discharge medications: 1. sirolimus 1 mg tablet sig: two (2) tablet po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 6. alendronate 70 mg tablet sig: one (1) tablet po qfri (every friday). 7. glipizide 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 8. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 9. enoxaparin sodium 40 mg/0.4ml syringe sig: one (1) 40 mg subcutaneous daily (daily). disp:*10 40 mg* refills:*2* 10. verapamil 240 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). 11. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 13. atorvastatin calcium 80 mg tablet sig: one (1) tablet po hs (at bedtime). 14. coumadin 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 15. calcitriol 0.25 mcg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* 16. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 17. insulin glargine 100 unit/ml solution sig: one (1) 3 units subcutaneous qam. 3 units discharge disposition: home with service facility: gentiva discharge diagnosis: status post right total hip replacement revision chf a. fib. discharge condition: stable discharge instructions: please make and keep all follow up appointments. take all medication as prescribed. if you experience shortness of breath that is not relieved with rest please contact your pcp or the emergency room. followup instructions: scheduled appointments : provider , orthopedic private practice where: orthopedic private practice date/time: 12:00 provider , od where: phone: date/time: 1:00 provider pulmonary breathing tests where: pulmonary function lab phone: date/time: 11:45 please call dr. to setup an appintment in weeks after discharge. also call anticogulation nurse() on monday if you do not hear from them to setup an appintment to have your inr checked. md procedure: revision of hip replacement, not otherwise specified diagnoses: other iatrogenic hypotension congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of bronchus and lung personal history of tobacco use other and unspecified hyperlipidemia osteoporosis, unspecified old myocardial infarction diastolic heart failure, unspecified kidney replaced by transplant 

Answer: The patient is high likely exposed to