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: patient recorded as having no known allergies to drugs attending: chief complaint: lle pain/swelling major surgical or invasive procedure: left femoral hemodialysis line hemodialysis x 4 days s/p embolization of inferior epigastric artery egd s/p ivc filter history of present illness: 83 y.o. female with chf and gout p/w left le pain. she was in her usoh (living with her son, somewhat independent) until at midnight when she noted acute onset of left calf pain. she went back to sleep but then awoke with severe calf pain and erythema. she also notes erythema and warmth of uncertain duration. in the ed an u/s was (+) for dvt and she was started on heparin along with one dose of unasyn for cellulitis. past medical history: ## htn ## gout ## depression ## osteoporosis ## + ar, 1+mr ## ?afib (not anticoagulated) on digoxin social history: lives with son in , ma no etoh no tob (quit 10 y.a.) family history: father: brain tumor physical exam: on presentation: t: 99.5, bp:163/65, hr:84, rr:20, o2:98ra on the floor: t: 101.2 bp: 116-118/42 68-71 18 94%ra gen: nad. a/o x 3. knows some current events. heent: pearla. eomi. op: several caps on teeth cv: non-displaced pmi. iii/vi diastolic murmur at rusb with radiation to carotids. pulm: cta b/l abd: nt/nd/soft ext: left le 2+ edema. + ttp over calf. no palpable cord. warm, skin: patchy erythema l>>r. more marked over plantar surfaces b/l, venous stasis changes and several echymoses bilat neuro: motor aside from hip flexors which are . full a/prom cn ii-xii gi. gait: not observed pertinent results: 10:22pm glucose-98 urea n-62* creat-1.8* sodium-136 potassium-4.7 chloride-98 total co2-29 anion gap-14 10:22pm wbc-13.5* rbc-4.20 hgb-12.5 hct-36.5 mcv-87 mch-29.8 mchc-34.3 rdw-14.8 10:22pm neuts-87.0* bands-0 lymphs-7.4* monos-4.0 eos-1.3 basos-0.2 10:22pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal ovalocyt-occasional 10:22pm plt count-463* 10:22pm digoxin-1.0 10:22pm glucose-98 urea n-62* creat-1.8* sodium-136 potassium-4.7 chloride-98 total co2-29 anion gap-14 10:46pm lactate-1.4 07:35am wbc-12.8* rbc-3.64* hgb-10.7* hct-31.1* mcv-86 mch-29.3 mchc-34.2 rdw-14.8 07:35am plt count-373 c diff neg x 2 (3rd pending) cx : neg sputum cx : mod op flora h pylori: positive blood cx 2/17,24,25: no growth leni: nonocclusive thrombus, left common femoral-popliteal veins. egd : grade iv esophagitis in the middle third of the esophagus and lower third of the esophagus. large hiatal hernia. erythema, congestion and friability in the whole stomach compatible with gastritis. congestion, erythema and friability in the duodenal bulb compatible with duodenitis. kub : there is gas present throughout the colon with some retained contrast in the right colon. there are gas filled loops of nondilated small bowel. soft tissue density in right flank, presumably related to known hematoma. overall appearance is unchanged since the prior film of . renal u/s : no hydronephrosis or renal calculi. angiogram/embolization : findings: there are diffuse atherosclerotic changes in the abdominal aorta and iliac arteries with extensive tortuosity of the iliac arteries bilaterally. there is no evidence of active extravasation on aortogram with selective injection of the contrast material into the right external iliac artery and right inferior epigastric artery. gelfoam slurry for embolization of the right inferior epigastric artery until complete stagnation of flow. impression: 1) no evidence of acute extravasation. 2) prophylactic embolization of the right inferior epigastric artery using gelfoam slurry. ct abd : impression: 1) large right rectus sheath hematoma measuring 22.3 x 14.0 x 8.3 cm. oblong collection of arterial attenuation blood medially within the hematoma, which by doppler, represents focal ectasia of a branch of the inferior epigastric artery. an additional fluid/contrast level is present more laterally within the hematoma, which demonstrates ct evidence of active extravasation. 2) very distended gallbladder with a 6-mm calcified stone in gallbladder neck or proximal cystic duct. no ct evidence of acute cholecystitis. continued clinical followup recommended. 3) two rounded low-attenuation cystic structures in the tail of the pancreas. the findings are nonspecific and could be sequelae of prior pancreatitis, but ipmt cannot be excluded. cxr : the cardiac silhouette is mildly enlarged. there is upper zone vascular redistribution, but there is no overt evidence of pulmonary edema. small pleural effusions are noted bilaterally, and the right pleural effusion may have an associated subpulmonic component. labs on d/c: hct 34.5, creatinine 2.4, sodium 130, wbc 12.1 brief hospital course: a/p: 83 yo f w/ h/o htn, gout, cri, and depression a/w lle dvt for which she was anticoagulated but unfortunately developed a rectus abd sheath hematoma and coffee ground emesis while on anticoag so underwent embolization of inferior epigastric artery and ivc filter. # dvt: likely decreased mobility and venous insufficiency. pt was placed on a heparin drip and 5 mg coumadin was started once ptt was in the goal range of 60-80 and stopped once pt's inr was therapeutic (goal inr ). unfortunately, while on anticoagulation, patient developed a right rectus sheath hematoma w/ concurrent hct drop. she was transfused and underwent inferior epigastric artery embolization to control the bleeding. her coumadin was reversed and an ivc filter was placed () for management of her dvt. # le cellulitis: initially, pt was started on oxacillin as she has no h/o dm and no bites/water exposure to suggest need for broader coverage. however, her cellulitis did not improve and her wbc climbed. she was switched to unasyn, again without improvement, suggesting mrsa cellulitis. vanco was started with improvment clinically and with a decreased wbc. she is now completing a total of 14 days levo/flagyl to cover both her cellulitis and aspiration pna and has been doing well. # acute oliguric rf patient p/w baseline creatinine 1.8 on admission. unfortunately, in the setting of 2 iv contrast studies in addition to prerenal insult due to acute bleeding, patient suffered acute oliguric renal failure. renal was consulted and suspect atn. due to worsening uremia (causing ams) decision was made to place a left femoral temporary dialysis catheter. patient underwent 4 hd sessions and is much improved. her hd line was pulled on after her urine output returned to approx 1 l qd and her creatinine was consistently improving. plan to continue to follow chem 10 and monitor i's/o's at rehab w/ plan for follow-up with dr. or dr. of nephrology if creatinine does not return to baseline 1.8 by the end of her rehab stay. # gib: in addition to a rectus sheath hematoma, patient developed coffee ground emesis while on anticoag. she underwent an egd this admission which showed grd iv esophagitis/gastritis/duodenitis. of note, serum h pylori was positive so she is being tx w/ flagyl, amox, and ppi x 14 days total. no nsaids. hct has been stable for days. # hypoxia patient developed an o2 reqmt over her hospital stay. cxr showed rml and rll infiltrates concerning for aspiration. antibx were broadened from vanc to levo/flagyl to cover aspiration pna given patient also demonstrating a rising wbc. she will continue on these antibx through . she is due for a swallow evaluation today prior to d/c though she is on a regular diet w/ no episodes of coughing and f/u cxr only remarkable for mild volume overload. prior to d/c she was stable on room air. we are encouraging incentive spirometry qh. # right rectus sheath hematoma: patient developed this hematoma in the context of anticoagulation for her dvt. she is now s/p inf epigastric artery embolization by ir to control her bleeding and her hct has been stable since w/o transfusions. # paf: no h/o anticoagulation. currently not anticoagulated due to r/o bleeding. on digoxin as outpatient, started on bb as inpatient w/ good rate control and bp stable. # as: mod as in . lvef > 65% in '. asxic this admission. restart ace +/- lasix as outpatient when creatinine back to baseline. # ppx: ppi, bowel reg, no anticoag due to hematoma # fen: swallow eval to r/o aspiration prior to d/c cardiac diet # code: full. # communication: niece # dispo: to rehab following completion of swallow eval medications on admission: asa mvi colchicine dig 125 lasix 40 lisinopril 20 vit a/d discharge medications: 1. multivitamin capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 2. vitamin a 10,000 unit capsule sig: two (2) capsule po daily (daily). 3. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po tid (3 times a day): can be started . disp:*90 tablet(s)* refills:*2* 4. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours) for 8 days. disp:*16 tablet, delayed release (e.c.)(s)* refills:*0* 6. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day: reduce to once daily dosing after 10 days of taking this medication twice per day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. amoxicillin 500 mg capsule sig: one (1) capsule po q24h (every 24 hours) for 8 days. disp:*8 capsule(s)* refills:*0* 8. senna 8.6 mg tablet sig: one (1) tablet po daily (daily): hold if you are having diarrhea. disp:*14 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 10. levofloxacin 250 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 4 days: through . disp:*2 tablet(s)* refills:*0* 11. metronidazole 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 days: through . disp:*8 tablet(s)* refills:*0* 12. vitamin d 400 unit tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: life care center of the - discharge diagnosis: acute oliguric renal failure left lower extremity cellulitis deep vein thrombosis helicobacter pylori gastritis aspiration pneumonia right rectus sheath hematoma iron deficiency anemia secondary dx: ## htn ## gout ## depression ## osteoporosis ## + ar, 1+mr ## ?afib discharge condition: good: stable on room air, good urine output discharge instructions: please call your doctor or return to the emergency room for any fever/chills, worsening leg redness/warmth, or swelling, acute shortness of breath, or any other concerning symptoms you may have. followup instructions: please follow-up with dr. at the appointment listed below to discuss restarting your asa, coumadin, and ace inhibitor: ,mccn mccn-adult medicine (private) where: adult medicine unit healthcare - 1000 - , phone: date/time: 11:00 phone: please follow-up with dr. or dr. if your creatinine does not return to 1.8 by the end of your rehab stay. procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine interruption of the vena cava hemodialysis venous catheterization for renal dialysis injection or infusion of other therapeutic or prophylactic substance transfusion of packed cells diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease pneumonitis due to inhalation of food or vomitus cellulitis and abscess of leg, except foot unspecified gastritis and gastroduodenitis, with hemorrhage acute venous embolism and thrombosis of deep vessels of proximal lower extremity esophagitis, unspecified other and unspecified coagulation defects helicobacter pylori [h. pylori] other disorders of muscle, ligament, and fascia duodenitis, with hemorrhage acute venous embolism and thrombosis of deep vessels of distal lower extremity 

Answer: The patient is high likely exposed to