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: nsaids / bactrim attending: chief complaint: angioedema major surgical or invasive procedure: intubation history of present illness: pt is an 85 y/o f with a h/o gave s/p argon treatment last on , iron deficiency anemia, cirrhosis hepc, portal htn/grade 1 varices but no hx of bleeding varices, cri (baseline cr = 1.2-1.5) who is transfered from intubated s/p angioedema. by report the pt has some mild abdominal pain and some irritation in her throat a day prior to admission to . the following morning she called her son with complaints of oral swelling; son states that her speach was garbled. the son reports that the patient denies having had any sob, no wheezing, no hives. he called an abmulance who transported the pt to . . per omr, the patient present to pheresis unit on for blood transfusion for chronic slow upper gi bleeding. she had no pretreatment medications given and no adverse events; vitals on leaving the unit were 97.4 - 67 - 119/55. she has also been recently treated for a uti with bactrim started on . . at st elizabeths', she was hd stable but had a large, edematous tongue. she recevied decadron, epinephrine, benadryl, famotidine and hydroxazine in the ed. the ed was unable to intubate and she was taken to the or. laryngeal edema was noted, but the et tube was passed successfully. she was then transfered to the ccu. she received hydroxazine tid and her tongue swelling improved. sbt was attempted early on but failed likely secondary to sedation. per report, pt did have a cuff leak. family requested transfer to as pt receives all her care here. . on arrival in the micu she passed an sbt and was successfully extubated. she did well throughout the day but continued to have an o2 requirement. by the time of transfer to the floor she was on 2l of nc o2 satting 94%. on the floor she is alert and oriented. she does not know what caused her swelling. she denies new pills, new medications, or new foods. she feels well and has no sob, itching, or complaints. . past medical history: # gave - s/p argon treatment, last on last on # hepatitis c # cirrhosis - child's class a, portal htn, grade 1 varices - no h/o ascites, encephalopathy, variceal bleeding, synthetic function intact # dm type ii # htn # iron deficiency anemia # s/p r radial nephrectomy for renal cell ca yrs ago # hypercholesterolemia # osteopenia # insomnia # angioedema possibly due to bactrim but as yet not proven social history: lives alone in in complex. is widowed. has 2 sons who live nearby. no tob in >45 yrs, occ etoh (at holidays). worked in food business in sales. family history: no family history of allergic diseases physical exam: gen: pleasant elderly lady in nad, speaking comfortably, no cyanosis, jaundice, or dyspnea vs: 99.4 124/58 82 18 94% on 2l nc heent: mmm, no op lesions, tongue nl size, neck supple, no lad or thyromegaly cv: rr, nl s1 s2 no s3 s4 mrg pulm: roncherous breath sounds with scattered wheezes and crackles 1/4 up the lung fields abd: bs+, nt, ventral hernia, gas on percussion, no masses or hsm, no fluid wave, + collaterals and angiomata limsb: no le edema, + clubbing neuro: perrla, eomi, moving all limbs, reflexes 2+ of the biceps and petellar tendons. pertinent results: admission labs: 05:15am blood wbc-7.4 rbc-3.41* hgb-10.2* hct-31.4* mcv-92 mch-29.9 mchc-32.5 rdw-16.7* plt ct-139* 05:15am blood glucose-132* urean-27* creat-1.1 na-143 k-4.3 cl-112* hco3-24 angap-11 08:30am blood alt-112* ast-59* ld(ldh)-203 alkphos-99 totbili-1.7* 05:15am blood calcium-8.6 phos-2.8 mg-2.4 . discharge labs: 05:50am blood wbc-5.0 rbc-3.13* hgb-9.6* hct-28.4* mcv-91 mch-30.7 mchc-33.8 rdw-16.9* plt ct-200 05:50am blood glucose-91 urean-34* creat-1.4* na-137 k-3.9 cl-103 hco3-24 angap-14 05:40am blood alt-55* ast-34 ld(ldh)-182 alkphos-83 totbili-1.3 05:40am blood albumin-2.6* calcium-8.3* phos-3.5 mg-2.0 brief hospital course: 85f with a h/o gave s/p argon laser treatment last on , iron deficiency anemia due to chronic ugib, cirrhosis hcv, portal htn with grade 1 varices but no history variceal bleeding, cri (baseline cr = 1.2-1.5) who is s/p prolonged intubatation for angioedema of unknown etiology - possibly due to bactrim. she is doing very well on s/p extubation at this point. all antihistamines have been discontinued at this point. she was progressively be restarted on her home meds. . # angioedema: resoved. lack of hives, bronchospasm or hypotension suggests that this was not allergic angioedema but rather bradykinin related. c3 and c4 were low. c1 esterase inhibitor pending, neg. per allergy consult at prior to transfer, non-allergic angioedema is due to complement depletion (either hereditary or ca related) or complement activation (infection or transfusion). the patient did have a transfusion recently which may be related. medications would also be high on the list of etiologies. common offenders are nsaids and aceis, but arbs have also been implicated. it was discovered that the pt was taking bactrim when the reaction leading to her admission. this is a possible offender and has been added to her allergy list. restarted home meds one by one. all but felodipine have been restarted. had hives and itching the day prior to discharge which did not generalize and seemed more of a contact dermatitis on the l arm. no new medications were started so it is unclear what initiated this. responded to hydroxyzine x1. also of note, the patient refused to shower or be washed down this admission which may contribute to her itchiness. . # chronic ugib: received regular blood transfusions as an outpatient for any hct < 30. in the past she only needed them infrequently but her transfusion requirements have increased lately. transfused prior to discharge. need outpatient follow up with gi (dr has been recommended by her outpatient gastroenterologist ). . # wheezes and ronchi: related to angioedema and volume overload most likely. resolved with diuresis and nebulizers. . # hx hcv complicated by cirrhosis. no evidence of encephalopathy now, but is at risk. continued lactulose. continued spironolactone - 50 mg daily. continue furosemide - 40 mg daily. continue nadolol - 80 mg daily as ppx against variceal bleeding. . # htn: holding home ccb as normotensive. on nadolol as above. . # cri: baseline 1.5, was elevated on admission to to 1.7. at baseline on discharge. . # diabetes: iss in house. discharged on metformin. medications on admission: home medications: felodipine - 10 mg qam and 5 mg qpm folic acid - 1 mg daily furosemide - 40 mg daily hydrocortisone acetate - 25 mg daily lactulose 10 gram/15 ml daily metformin - 1000 mg qam and 500 mg qpm mupirocin - 2 % ointment nadolol - 80 mg daily pantoprazole - 40 mg spironolactone - 50 mg daily sucralfate - 1 g tid zolpidem - 5 mg tablet - qhs prn calcium carbonate-vitamin d2 - 500 mg-375 unit cyanocobalamin - 500 mcg daily ferrous gluconate - 325 mg 5 times a day sarna ultra discharge medications: 1. calcium 500 with d 500 mg(1,250mg) -400 unit tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*11* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 4. anusol-hc 25 mg suppository sig: one (1) suppository rectal once a day. disp:*30 suppositories* refills:*6* 5. lactulose 10 gram/15 ml syrup sig: fifteen (15) ml po once a day. disp:*450 ml(s)* refills:*11* 6. metformin 500 mg tablet sig: two (2) tablet po qam. disp:*60 tablet(s)* refills:*5* 7. metformin 500 mg tablet sig: one (1) tablet po qpm. disp:*30 tablet(s)* refills:*5* 8. nadolol 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*5* 10. spironolactone 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*5* 11. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* 12. b-12 dots 500 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*11* 13. ferrous gluconate 325 mg tablet sig: one (1) tablet po five times a day. disp:*150 tablet(s)* refills:*11* discharge disposition: home discharge diagnosis: angioedema discharge condition: stable vital signs, at baseline discharge instructions: you were admitted at hospital with angioedema, or swelling in your mouth and throat. you had a breathing tube placed for this. you were then transfered to where you had the breathing tube taken out. you improved clinically and were discharged to home. . please continue to take your medications as ordered. because you had a likely medication reaction that led to your angioedema you should throw out your old medications. do not take any supplements. here is your updated medication list list: 1. stop taking felodipine for now 2. calcium + vitamin d twice daily 3. vitamin b12 daily 4. folic acid daily 5. furosimide 40mg daily 6. anusol daily as needed for hemorrhoids 7. metformin 1000mg (2 pills) in the morining and 500mg (1 pill) in the evening 8. lactulose 15ml daily to 3 bowel movements per day 9. nadolol 80mg daily 10. pantoprazole (protonix) 40mg twice daily 11. spironolactone 50mg daily 12. zolpidem (ambien) 5mg at night as needed for insomnia 13. iron 5 times daily . please attend your follow up appointments. . please call your doctor or come to the emergency room if you experience swelling of you face or tongue, chest pain, palpitations, shortness of breath, wheezing, bleeding, or other concerning symptoms. followup instructions: md: , np specialty: priamry care date and time: , at 4pm location: phone number: special instructions if applicable: booked with russain interpreter procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: pure hypercholesterolemia congestive heart failure, unspecified cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) portal hypertension unspecified viral hepatitis c without hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, stage iii (moderate) unspecified accident angioneurotic edema, not elsewhere classified esophageal varices in diseases classified elsewhere, without mention of bleeding disorder of bone and cartilage, unspecified umbilical hernia without mention of obstruction or gangrene insomnia, unspecified angiodysplasia of stomach and duodenum with hemorrhage acute on chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to