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: penicillins / sulfa (sulfonamides) / aspirin / cephalosporins / amitriptyline attending: chief complaint: s/p fall major surgical or invasive procedure: hip repair history of present illness: 89f s/p pacer for "rhythm issues" who presents withs/p mechanical fall without trauma to the head, without loc, bowel or bladder incontinence, resulting in hip fracture. patient also denies lightheadedness, dizziness, palpiatation, chest pain, sob. patient pulled herself to a rocking chair for 2 days and ambulated occassionaly to get food. patient found in chair on day of admission and brought to ed where she was found to have comminuted r it fx complicated by fevers 101.1 and lactate to 4.1 . in ed, evaluated by , with plan for operative fixation of hip after medicine clearance, non-wt bearing rle. vitals in ed: 95.9 116 96/48 18 96. ck 1200, head ct (-), spine ct (-), transfused 2 unit prbc, 3l ivf. noted to have fever to 101.2, lactate 4.0 past medical history: 1. cad s/p pacer placement 2. osteoporosis 3. niddm 4. hypothyroid social history: denies etoh, tobacco family history: nc physical exam: vitals - t:96 bp:115/39 hr:68 rr:17 02 sat: 100% 5l nc general: laying in bed, nad, with neck collar in place skin: cold extremities, large hematoma on r thigh heent: dry mm, pale conjunctiva, no jvd cardiac: distant heart sounds, rrr, s1/s2, no audible murmurs lung: diffuse end expiratory wheezes abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly m/s: able to move toes bilaterally, no le edema pulses: 1+ dp pulses bilaterally neuro: cn ii-xii intact pertinent results: imaging: ct head w/o contrast 10:38 pm impression: no acute pathology. . ct l-spine w/o contrast 10:35 pm impression: no fracture or malalignment. multilevel degenerative changes. . ct t-spine w/o contrast 10:34 pm impression: no acute fracture or malalignment. multilevel degenerative changes . ct c-spine w/o contrast 10:34 pm impression: 1. no acute fracture or malalignment. 2. mild prominence of the interstitial septae within the lung apices may be chronic or related to an acute process such as mild interstitial edema. please correlate clinically. 3. incidentally noted there is punctuate calcification on the right side of the thyroid gland correlation with ultrasound is recommended if clinically warranted. 4. bilateral atherosclerotic calcifications in both carotid arteries. . chest (single view) 8:38 pm impression: no acute pulmonary process. no radiographic evidence of traumatic injury to the chest. . hip (unilat 2 view) w/pelvis (1 view) 8:38 pm findings: there is a comminuted intertrochanteric fracture with impaction of the major fracture fragments and varus angulation. the femoral head remains appropriately located. vascular calcification is evident. the pelvis itself is intact. degenerative changes are noted in the included lower lumbar spine. surgical clips overlie the right iliac fossa. impression: comminuted intertrochanteric fracture as above. . chest (portable ap) 5:33 pm impression: ap chest compared to : in addition to new mild pulmonary edema, there is a large region of the right perihilar consolidation that has developed over 24 hours consistent with pneumonia, particularly suspicious for aspiration, or given the appropriate clinical circumstances, pulmonary hemorrhage. transvenous right atrial and right ventricular pacer leads are continuous from the right axillary pacemaker. heart size is normal. pleural effusion, if any, is minimal. no pneumothorax. dr. was paged to discuss these findings at the time of dictation. . ankle (ap, mortise & lat) right 4:09 pm impression: no fracture is seen and the ankle mortise is intact. . micro: blood cultures: ngtd sputum cultures: ngtsd . labs: 08:30pm blood wbc-18.2* rbc-3.19* hgb-9.4* hct-28.5* mcv-90 mch-29.5 mchc-32.9 rdw-15.5 plt ct-245 03:50am blood wbc-11.5* rbc-3.22*# hgb-9.6*# hct-27.8* mcv-87 mch-29.9 mchc-34.5# rdw-15.5 plt ct-145* 11:02am blood wbc-10.2 rbc-2.62* hgb-8.3* hct-23.6* mcv-90 mch-31.6 mchc-35.0 rdw-15.5 plt ct-175 03:47am blood wbc-8.1 rbc-3.24* hgb-10.1* hct-28.6* mcv-88 mch-31.3 mchc-35.4* rdw-15.7* plt ct-115* 03:26am blood wbc-7.4 rbc-2.88* hgb-8.7* hct-26.1* mcv-91 mch-30.4 mchc-33.5 rdw-15.9* plt ct-112* 08:30pm blood glucose-290* urean-54* creat-2.9* na-141 k-5.3* cl-104 hco3-17* angap-25* 02:27pm blood glucose-152* urean-50* creat-1.9* na-146* k-4.3 cl-115* hco3-25 angap-10 04:03am blood glucose-156* urean-31* creat-1.3* na-142 k-4.6 cl-112* hco3-24 angap-11 03:47am blood glucose-109* urean-29* creat-1.3* na-141 k-4.4 cl-115* hco3-23 angap-7* 03:26am blood glucose-141* urean-26* creat-1.2* na-140 k-4.5 cl-113* hco3-26 angap-6* 08:30pm blood ck(cpk)-* 06:30am blood ck(cpk)-* 02:27pm blood ck(cpk)-1349* 03:50am blood ck(cpk)-838* 04:03am blood ck(cpk)-296* 06:30am blood ck-mb-26* mb indx-1.3 ctropnt-<0.01 02:27pm blood ck-mb-17* mb indx-1.3 ctropnt-0.01 03:50am blood ck-mb-11* mb indx-1.3 ctropnt-0.01 08:30pm blood calcium-9.3 phos-5.5* mg-2.7* 03:50am blood calcium-7.3* phos-2.5* mg-2.6 09:11pm blood calcium-6.4* phos-1.7* mg-2.3 03:26am blood calcium-7.6* phos-2.0* mg-2.2 06:30am blood free t4-1.5 06:30am blood tsh-1.7 09:17am blood freeca-1.05* brief hospital course: 89 yo f with history of sick sinus syndrome s/p pacemaker who presented after a mechanical fall with a broken right femur. comminuted r it fx: mechanical in nature, does not appear to be cardiac related or seizure related. orthopedics took her to the or for surgery. she was given lovenox for ppx to continue for 4 weeks and acetaminophen and hydromorphone for pain control. . anemia: likely due to blood loss into the hip. her hemodynamics remained stable. she was given 2 units of prbcs on and required an additional 3u following surgery. her hct was stable on dc and shuold be checked each morning for 2 days following dc to ensure stability. . hyperkalemia: in the setting of increased muscle breakdown from being down and also being seated for 48 hours. this resolved with aggessive fluid hydration. . rhabo: due to fall and being sedentary for 48 hours prior to presentation. likely contributing to arf. she was aggressively hydrated with ivf and her ck levels came down quickly and her renal function normalized. . arf: likely pre-renal in setting of decreased intake. urine lytes suggested pre-renal etiology. her cr returned to baseline after aggressive fluid hydration. . elevated lactate: likely due to decreased intake over 48 hours prior to admission. patient does not appear to be septic. she was hydrated and her lactate normalized. . cad: patient continued on statin and asa restarted following surgery. bb was also continued hospital stay. pump: patient restarted on bb although lasix was not started on discharge. patient's bp was 120/50 while in house and will need coverage with lasix started at rehab. rhythm: s/p pacer placement, perhaps due to afib. amio initially held and restarted at full dose prior to dc. she will require uptitration of this medication. . hypothyroid: continued on synthroid . osteoporosis: patient on fosamax, although didn't receive a dose in house. she was continued on vitamin d and calcium . . after discussion with the patient, patient's family, and medical staff all were in agreement that the patient was a suitable candidate for discharge to rehab. medications on admission: amiodarone 100 qd avapro 150 qd glipizide 5 mg qd vitamin e vitamine d atenolol 50 qd furosemide 20 qd synthroid 0.025 daily asa 81 iron 325 fosamax 70 weekly drisdol iu weekly nitroquick prn lunesta prn discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 9. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q4h (every 4 hours) as needed. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 11. amiodarone 200 mg tablet sig: 0.5 tablet po daily (daily). 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). tablet, chewable(s) 13. enoxaparin 40 mg/0.4 ml syringe sig: 40 mg subcutaneous q24h (every 24 hours): last dose on . 14. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 15. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days. tablet(s) 16. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed. discharge disposition: extended care facility: & rehab center - discharge diagnosis: r hip fracture s/p repair discharge condition: afebrile, stable vital signs, tolerating pos, ambulating with assistance. discharge instructions: you were admitted after sustaining a hip fracture and underwent a repair on that you've tolerated well. you also had anemia from bleeding into your hip and received blood transfusions. in addition you had acute renal failure, increased potassium, and rhabdomyolysis all in the setting of dehydration from the days preceeding admission. . 1. please take all medication as prescribed. 2. please make all medical appointments. 3. please return to the emergency room if you have any concerning symptoms. followup instructions: provider: xray (scc 2) phone: date/time: 9:20 provider: , md phone: date/time: 9:40 procedure: open reduction of fracture with internal fixation, femur diagnoses: acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism unspecified fall pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified cardiac pacemaker in situ closed fracture of intertrochanteric section of neck of femur 

Answer: The patient is high likely exposed to