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: risperdal attending: chief complaint: transfer for plasmapheresis thrombotic microangiopathy (tma), most likely secondary to thrombotic thrombocytopenic purpura (ttp). major surgical or invasive procedure: plasmapheresis history of present illness: the patient is a 27 yo f who was feeling in her usual state of health until yesterday when she had an right sided throbbing headache for 20 hours. denies any visual changes or prodromal symptoms. she went to get her medications (at nursing station at rehab) and the nurse told her she looked jaundice and should go to the er. . she presented to hospital at 11am with a 24 hour history of malaise, jaundice, dark urine and mild headache. she was noted to be febrile to 101 with other vital signs being stable. her hct was 15, plt count 5 and peripheral blood smear showed numerous shictocytes, ldh 1400, and creatinine 0.8. she was given tylenol and transfused 2 units of prbc (confirmed with hospital blood bank). the diagnosis of tma was made and she was transferred to . on further questioning, the patient reports brown urine x days, urinary hesitancy, fevers but no chills. denies sob, cp, abdominal pain, nausea, vomiting, recent diarhea, urinary symptoms, rash, joint/muscle pain, dizziness, neurological symptoms, fever, chills, night sweats, weight changes. she denies recent illness but did claim that hcv was recently diagnosed. she denies recent ivdu(not for past 3 months), recent change in medication, exposure to heparin, abx, tonic water. hiv and pregnancy test negative this admission. her headahce has resolved spontaneoudly. . in icu, she received 2 courses of plasmapheresis. first course was complicated by ?altered mental status, dysarthria and shortness of breath. cxr ruled out trali. ct head was normal. plasmapheresis was then continued without incidence. she tolerated her second plasmapheresis well. hct is responding appropriately to transfusion currently. past medical history: bipolar substance abuse: not for last 2.5 months hepatitis c cholescystectomy social history: the patient has been living at a rehab facility (bournwood) for drug and etoh abuse for 3-4 months. prior to that the patient was living in a shelter. reports the last use of etoh/cocaine/iv heroin was approx 2.5 months ago. smokes 1 ppd x 7 yrs. not sexually active in months. per patient hiv negative 2 months ago. family history: no history of blood illness physical exam: vitals -t98.6 bp90-101/56-67 p72-88 r13-19 99% on ra i/o 2.6l/4l gen- pleasant, young female lying comfortably in bed, no apparent distress heent- anicteric, perrla, eomi, mmm, neck supple, no cervical cv- regular, no rubs/murmur resp- clear bilaterally, no distress abdomen- soft, nontender, nondistended ext- no edema skin- petechiae noted on arms and legs neuro- alert and oriented x3, cnii-xii intact, muscle strength and sensation grossly normal and intact pertinent results: 01:59am ret aut-3.6* 01:59am fibrinoge-203 01:59am pt-12.2 ptt-27.1 inr(pt)-1.1 01:59am plt smr-rare plt count-6*# 01:59am wbc-9.9# rbc-2.32*# hgb-7.4*# hct-19.6*# mcv-84 mch-32.0 mchc-38.0*# rdw-17.8* 01:59am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:59am hcg-<5 01:59am haptoglob-<20* 01:59am calcium-8.4 phosphate-4.7* magnesium-2.0 01:59am ck-mb-3 ctropnt-0.12* 01:59am alt(sgpt)-167* ast(sgot)-164* ld(ldh)-1124* ck(cpk)-186* alk phos-61 tot bili-1.9* 01:59am estgfr-using this 01:59am glucose-105 urea n-17 creat-0.6 sodium-137 potassium-3.4 chloride-106 total co2-20* anion gap-14 04:37am urine rbc-21-50* wbc-0-2 bacteria-rare yeast-none epi-0-2 04:37am urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 04:37am urine color-yellow appear-hazy sp -1.005 04:37am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 04:37am urine hours-random 07:29am hiv ab-negative 01:10pm plt count-9* 01:10pm wbc-12.7* rbc-2.59* hgb-8.2* hct-21.7* mcv-84 mch-31.6 mchc-37.8* rdw-17.3* 01:10pm calcium-8.3* phosphate-2.8# magnesium-1.7 01:10pm ck-mb-3 ctropnt-.18* 01:10pm ck(cpk)-142* 01:10pm glucose-153* urea n-19 creat-0.8 sodium-135 potassium-3.3 chloride-100 total co2-25 anion gap-13 09:06pm ck-mb-3 ctropnt-0.03* 09:06pm ck(cpk)-132 brief hospital course: assessment and plan: 27 yo f with h/o susbstance abuse and bipolar p/w ttp . # ttp patient presented with thrombocytopenia, microangiopathic hemolytic anemia, neurologic symptoms and signs (headache), fever, but without renal function abnormalities. unclear etiology for precipitant of ttp. coagulation studies and fibrinogen had been normal. hiv negative. ucg negative. she was initially admitted to icu and received several blood transfusion. patient had 5 sessions of plasmapheresis, started on prednisone, daily folate. her hematocrit stabilized, ldh returned to and platelet was above 150k. hematology and transfusion consult services followed her throughout her hospital course. she was sent home with steroid taper and hematology follow up. adamts13 level was pending on discharge. she was to have serial cbc drawn and followed by hematology. she also has a followup appointment with hematology. . # hepatitis c patient had been diagnosed with hepatitis c several months ago at an outside clinic. she claims that she will follow up with her clinician to initiate treatment soon. . # bipolar - continue home medications . # drug abuse: patient had been in rehab, no drug use for the past 3 months. tox screen was negative on admission. medications on admission: inderal 20mg cogentin 1mg prolixin 5mg tid topamax 75mg qhs doxepin 15mg qhs discharge medications: 1. benztropine 1 mg tablet sig: one (1) tablet po bid (2 times a day). 2. fluphenazine hcl 2.5 mg tablet sig: two (2) tablet po tid (3 times a day). 3. topiramate 25 mg tablet sig: three (3) tablet po qhs (once a day (at bedtime)). 4. doxepin 25 mg capsule sig: two (2) capsule po hs (at bedtime). disp:*60 capsule(s)* refills:*2* 5. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 6. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*2* 7. outpatient lab work outpatient lab work cbc on please fax to dr. , at 8. outpatient lab work outpatient lab work cbc on please fax to dr. , or covering hematologist/oncologist fellow 9. outpatient lab work outpatient lab work cbc on please fax to dr. , at 10. inderal 20 mg tablet sig: one (1) tablet po twice a day. 11. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. prednisone 10 mg tablet sig: taper po once a day for 9 days: please take 60mg (6 tablets) per day, for 3 days, then 40mg (4 tablets) per day for 3 days, then 20mg (2 tablets) per day for 3 days. then discontinue. disp:*36 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. thrombotic thrombocytopenic purpura secondary disease 1. bipolar 2. substance abuse: not for last 2.5 months 3. hepatitis c discharge condition: stable discharge instructions: please return to the hospital or call your doctor if you have tendency to bleed, looks yellow in skin/eyes, dizziness, decrease urine output, fever, uncontrollable headache, confusion, shortness of breath or if there are any concerns at all. please take your medications as instructed. you were started on prednisone, which will be tapered as per the directions on the prescription. please have your blood work drawn on friday , sunday , and tuesday and have the results sent to dr. . in addition you have a follow up appointment with hematology, dr. listed below. followup instructions: please also follow up with your primary care physician , . for follow up within 2 weeks of your discharge. if you need a new primary care physician, can call to set up an appointment with a physician at . please follow up with dr. on in hematology in , on the at . provider: , hematology/oncology-cc9 date/time: 9:00 provider: , md phone: date/time: 9:00 procedure: therapeutic plasmapheresis diagnoses: urinary tract infection, site not specified chronic hepatitis c without mention of hepatic coma other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure thrombotic microangiopathy bipolar i disorder, most recent episode (or current) unspecified 

Answer: The patient is high likely exposed to