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: aspirin / milk attending: chief complaint: abdominal pain major surgical or invasive procedure: 1. embolization 2. splenectomy history of present illness: 83f known to the trauma surgery service presents with llq pain, right chest pain and hypotension with some amount of diaphoresis. she presnets after three days of symptoms and in the absence of recent trauma. she is appropriately anticoagulated for a st. jude's valve. does have a history of prior l-sided fall seven months ago. past medical history: pmh 1. atrial fibrillation 2. hypercholesterolemia 3. gerd 4. depression 5. osteoporosis 6. retroperitoneal bleed 7. diastolic heart failure psh 1. s/p mvr with mechanical valve 2. s/p l4-5 laminectomy social history: patient lives with a 24 hour aide and is able to do adls with help from aide. she is a holocaust survivor. her son, , is very involved in her medical care and is her hcp. : non-smoker etoh: none illicits: none family history: non-contributory physical exam: o:96.6 88 108/50 32 100 gen: wd/wn, comfortable, nad. heent: pupils: 2.5 min reactive eoms full chest ctab cor rrr abd s/nd/ luq tenderness most prominent with diffuse tenderness region ext moves all extremities pertinent results: 09:40pm wbc-16.1*# rbc-3.22* hgb-10.1* hct-30.6* mcv-95 mch-31.3 mchc-33.1 rdw-14.1 09:40pm neuts-82.7* lymphs-13.8* monos-2.9 eos-0.4 basos-0.1 09:40pm plt count-335 09:40pm alt(sgpt)-26 ast(sgot)-32 alk phos-174* tot bili-0.2 09:40pm glucose-174* urea n-26* creat-0.8 sodium-143 potassium-3.7 chloride-106 total co2-27 anion gap-14 12:20am hgb-8.2* hct-25.0* mchc-32.8 03:51am wbc-9.3 rbc-3.46* hgb-10.5* hct-31.8* mcv-92 mch-30.4 mchc-33.0 rdw-14.9 ct abd/pelvis : 1. large splenic hematoma (grade 3) with evidence of extravasation into the hematoma. there is associated small volume of free fluid in the abdomen. 2. dense atherosclerotic disease. 3. diverticulosis. 4. stable spinal compression deformities. 5. unchanged pulmonary nodules. brief hospital course: the patient was admitted to the acs service on , and underwent ir embolization of spontaneous splenic laceration with gelfoam, then was taken to the or for splenectomy. she tolerated the surgery and was transferred to the sicu for further care. cardiovascular: hx of a fib, mvr, diastolic hf, hypertrophic cardiomyopathy. heart rate was well controlled throughout her stay with metoprolol. cardiac enzymes negative x3. pulm: pt was extubated on and weaned from supplemental o2 by time of discharge; had no further pulmonary issues. gi/gu: ngt was dc'd on . pt has been tolerating a small diet and po meds. foley inserted , dc'd on . pt has had good urine output although remains incontinent. hematology: received 2 units prbc for hct 26 on . anti-coagulation was reversed for surgery. heparin gtt restarted post-op, with goal ptt 60-80. restarted on , and the patient was therapeutic with an inr of 2.3 on . hep gtt was dc'd at that time. her inr on was 2.8 which reflects a steady dose on 3 mg daily. infectious disease: ua showed positive leuk esterase, neg nitrites. chest ct showed no active infiltrate. antibiotics held for fever curve and wbc trend, which remained unimpressive. endocrine: on chronic prednisone for rheumatoid arthritis. home dose prednisone converted to methylprednisolone while in the unit as patient unable to take po meds. on , solumedrol iv dc'd. prednisone 5 mg daily may start . rehab : mrs. was very deconditioned after surgery and requires assistance getting out of bed and basically has been to weak to walk. the hope is that she will regain strength and increase her mobility so that she may return home again with her caregiver. medications on admission: 3', simvastatin 40'omeprazole 20', mirtazapine 15', lopressor 25'', mtx 12.5 weekly prednisone 5 mg daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. 3 mg tablet sig: one (1) tablet po once a day: to keep inr 2.5-3.0. 9. prednisone 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: for the aged - discharge diagnosis: splenic rupture acute blood loss anemia 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: * you were hospitalized because you had a laceration of your spleen which required an operation. please call your doctor if * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. 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 staples will be removed at rehab followup instructions: call the clinic at for a follow up appointment in weeks. call dr. for a follow up appointment after you get home from rehab procedure: injection or infusion of other therapeutic or prophylactic substance arteriography of other intra-abdominal arteries total splenectomy diagnoses: other primary cardiomyopathies esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified long-term (current) use of steroids acute posthemorrhagic anemia atrial fibrillation aortocoronary bypass status depressive disorder, not elsewhere classified heart valve replaced by other means hypotension, unspecified osteoporosis, unspecified long-term (current) use of anticoagulants rheumatoid arthritis urinary incontinence, unspecified chronic diastolic heart failure hemoperitoneum (nontraumatic) other diseases of spleen fever presenting with conditions classified elsewhere 

Answer: The patient is high likely exposed to