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: history of present illness: the patient has a history of coronary artery disease who presented complaining of nausea, vomiting, and abdominal pain. prior to admission, the patient noted right lower quadrant pain. she then developed nausea and had several episodes of vomiting which began on the afternoon of admission. she then went to the bathroom and noted bright red urine. her family then brought her to the emergency department. she arrived at the emergency department at approximately 3 a.m. at this point, she complained of bilateral lower abdominal pain which radiated into her back. she vomited bilious fluid in the emergency department times one. at the time, she denied any chest pain. she denied any shortness of breath, fevers, or chills. she was sent for an abdominal computed tomography which showed a 5-cm x 4-cm abscess within the portal system of the liver as well as trabeculation and wall thickening in the bladder consistent with cystitis. while in the process of being evaluated, the patient developed progressive shortness of breath and an oxygen desaturation down to the 80%. she was emergently intubated for hypoxemic respiratory failure and acute respiratory distress. subsequent to intubation, the patient developed hemoptysis with profuse blood coming from the endotracheal tube, requiring extensive suctioning. she was sent for an emergent chest computed tomography which revealed marked pulmonary parenchymal consolidation consistent with a pulmonary hemorrhage. multiple attempts to obtain blood for laboratory analysis were attempted; however, all samples drawn were severely hemolyzed and unable to be processed by the laboratory. laboratories were again attempted but continued to be markedly hemolyzed. an arterial blood gas was obtained which showed her hematocrit to be 15 with a ph initially of 7.19 which had dropped to 6.87. further laboratories were unable to be obtained at this time given her hemolysis. given her clinical symptoms and laboratory findings, there was concern that the patient was in massive disseminated intravascular coagulation. an emergent hematology consultation was obtained. in addition, an emergent surgery service consultation was obtained to evaluate for hepatic abscess for possible surgical intervention. transfer to the medical intensive care unit was arranged for further treatment. past medical history: 1. hypertension. 2. diabetes. 3. coronary artery disease (with exertional angina). 4. hypothyroidism; status post partial thyroidectomy in for a thyroid nodule. 5. cardiac catheterization in with 80% stenosis of the first diagonal. medications on admission: home medications included norvasc, atenolol, imdur, aspirin, levoxyl, and celebrex. allergies: niacin. social history: the patient was a retired pharmacist who immigrated to the united states in with her son and granddaughter. tobacco or alcohol use. family history: no family history of coronary artery disease. physical examination on presentation: physical examination on admission with vital signs which revealed the patient was afebrile, her blood pressure was 123/67, her heart rate was 86, her respiratory rate was 15 times per minute per ventilator with a tidal volume of 650 ml, positive end-expiratory pressure of 5, and oxygen saturation of 92% on an fio2 of 100%. in general, the patient was an obese female who was intubated and sedated. she was unresponsive. head, eyes, ears, nose, and throat examination revealed pupils were sluggish. there was an endotracheal tube in place with extensive blood exsanguinating from the endotracheal tube. pulmonary examination revealed coarse breath sounds bilaterally. cardiovascular examination revealed no murmurs, rubs, or gallops. the abdomen was soft and distended. there were positive bowel sounds. extremity examination revealed the extremities were cool. there were intermittent faint radial pulses. the dorsalis pedis pulses were not dopplerable. pertinent laboratory values on presentation: laboratories on admission revealed the patient's white blood cell count was 56.6, her hematocrit was 15, and her platelets were 277. differential revealed 65% neutrophils, 15% basophils, 16% lymphocytes, 1% monocytes, 2% metamyelocytes, 1% myelocyte, and 2% nucleated red blood cells. the patient's lactate was 8.3. urinalysis with large blood, 0 to 2 red blood cells, positive nitrites, and moderate leukocytes. pertinent radiology/imaging: electrocardiogram revealed a sinus rhythm at 87 beats per minute. there were st depressions in leads i, ii, and v2 through v6; consistent with a strained pattern. there were t waves in lead iii. there were t wave inversions in leads ii and avf. a chest x-ray revealed bilateral patchy infiltrates and lower lobe consolidations. a computed tomography of the abdomen and pelvis revealed bilateral lower lobe consolidation, 5-cm x 4-cm air-filled abscess in the liver, and mild pneumobilia. a computed tomography of the chest without contrast revealed bilateral lower lobe consolidation. concise summary of hospital course by issue/system: 1. liver abscess issues: the patient was admitted with right upper quadrant pain with a subsequent abdominal computed tomography showing a liver abscess with air in the abscess and biliary tree. blood cultures, urine cultures, and sputum cultures were sent. the patient subsequently developed a clinical picture concerning for sepsis with disseminated intravascular coagulation. she was aggressively treated with levaquin, flagyl, and vancomycin. she was aggressively hydrated. the surgery service was emergently consulted to see if she might benefit from drainage of the abscess. the surgical consult team felt the patient was not a surgical consult secondary to hemodynamic instability and severe coagulopathy. it was thought that she might benefit from percutaneous drainage of her liver abscess should she stabilize clinically to the point where she would tolerate and interventional radiology procedure. the patient continued to decompensate despite aggressive treatment of her sepsis including aggressive fluid resuscitation and pressors. 2. disseminated intravascular coagulation issues: the patient was admitted with complaints of hematuria. she soon developed a septic picture with concern for disseminated intravascular coagulation. her blood was massively hemolyzed to the point where laboratory analysis was unable to be obtained. the patient also developed massive hemoptysis, and a computed tomography of the chest was concerning for massive pulmonary hemorrhage. the patient was aggressively transfused with packed red blood cells, fresh frozen plasma, and cryoprecipitate to counter her disseminated intravascular coagulation. specimens continued to be sent in an attempt to obtain coagulations or fibrinogen. an emergent hematology service consultation was obtained. they concurred with aggressive transfusions. despite aggressive care, the patient's hematocrit further dropped from 15 to 10.5; presumably due to her massive hemoptysis, hematuria, and hemolysis. in addition, her abdomen became progressively distended raising concern for hemorrhage into the abdomen. 3. pulmonary issues: the patient developed acute respiratory distress in the emergency department with hypoxia, necessitating intubation. she subsequently developed massive hemoptysis. a computed tomography of the chest showed pulmonary consolidations consistent with a pulmonary hemorrhage. due to her hypoxemic respiratory failure and severe pulmonary hemorrhage presumed secondary to disseminated intravascular coagulation, the patient was maintained on mechanical ventilation. despite adjustments of the ventilatory settings, and positive end-expiratory pressure, and increase of the fio2 to 100%, the patient continued to have transient hypoxia. she continued to have massive hemoptysis despite aggressive suctioning. 4. urinary tract infection issues: the patient presented with hematuria. a computerized axial tomography of the pelvis showed trabeculae and bladder wall thickening; consistent with cystitis. her urinalysis did show leukocytes. there was concern for possible urosepsis which could have been contributing to her other problems. she was maintained on levaquin, flagyl, and vancomycin for broad spectrum antibiotic coverage. 5. pulseless electrical activity issues: following admission to the medical intensive care unit, the patient was aggressively treated with aggressive transfusions and fluid resuscitation. she continued to decompensate clinically. she then went into a rhythm of pulseless electrical activity. a code was called, and the patient was treated per pulseless electrical activity protocol. she briefly had return of a wide irregular rhythm and pulse, but was unable to sustain a blood pressure. she subsequently went into pulseless electrical activity again. she then went into aystole. the patient was aggressively coded for greater than 45 minutes with no clinical response. given the medical futility of further cardiopulmonary resuscitation, the code was ended at this point. the patient's family members were aware and in agreement with cessation of cardiopulmonary resuscitation at this point. the patient's family agreed to a postmortem examination. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube cardiopulmonary resuscitation, not otherwise specified diagnoses: unspecified essential hypertension unspecified septicemia defibrination syndrome abscess of liver 

Answer: The patient is high likely exposed to