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: iodine; iodine containing / vantin / cephalosporins / adhesive tape attending: chief complaint: fevers and chills major surgical or invasive procedure: 1.rij line placement 2.picc placement history of present illness: 61f with morbid obesity s/p gastric bypass , c/b gastroparesis and eventual chronic tpn since , with recent admit for line sepsis who presented on with fevers and shaking chills at 3 am. no other complaints. no sob, no cough (began to have cough only after admission to hospital), no sick contacts, no emesis/abd pain/diarrhea or constipation, +nausea (but at baseline), ?sinus tenderness, no dysuria, no recent travel except to cape and pt denies eating (at baseline can only tolerate chicken broth and has on average 1-2 episodes of bilious emesis). of note, only event is that picc recently changed at . on arrival to the ed her vs were t100.7, bp 68/37, hr 108, rr 31 sa02 100% on 4lnc. wbc 13.7 with 77% pmns and 14% bands. lactate 4.4. cxr showed infiltrate in right lung. she was given 4l of ns with improvement of her bp to 80-100 systolic, briefly placed on levophed, cvp 8, lactate down to 2.9. given levofloxacin/vancomycin and gentamicin and admitted to for sepsis from ?pneumonia vs line related. past medical history: 1. s/p lap rny gastric bypass complicated by gastroparesis. has had 3 surgeries subsequently to evaluate failure, including lysis of adhesions tpn dependent since . 2. h/o of picc infections, s/ admission . 3. aortic insufficiency and mitral regurgitation phen-phen use. 4. hypothyroidism. 5. depression. 6. left ureteral stone, s/p stent placement. 7. anemia, normocytic, following bypass surgery. 8. s/p ccy, appy. social history: the patient lives alone . she does all of her own picc line and tpn care. the patient denies tobacco, alcohol, illicit drug use. family history: noncontributory physical exam: tmax 99.4/99.1 bp 99-114/42-47 p 61-76 r 17-32 sat 100% ra gen: pleasant, obese female, sitting comfortably, nad skin: rash along r clavicle heent: perrl, eomi, op clear with mmm chest: +r basilar crackles, otherwise clear cv: rrr, hsm at apex, no r/g abd: soft, obese, nt, +bs, +surgical scar ext: 1+pitting edema, no ct, +2 dp pulses bilaterally; lue edema >right (bp cuff on l arm) neuro: a+o x3; no focal neuro deficits pertinent results: on admission, pt was hemoconcentrated with cbc showing wbc 13.6 (neuts-77* bands-14* lymphs-5* monos-3 eos-0 basos-0 atyps-0 metas-1* myelos-0), hct 35.9, and plt 214. ua was negative with ph 7.0 and sp 1.018 coags revealed pt-13.2 ptt-25.9 inr(pt)-1.1. chem 7 was na 137, k 4.4, cl 101, hco3 24,bun 40*, creat 1.1, and glucose 134*, calcium 9.7 phosphate 0.7*, and mg 1.7. cardiac enzymes were negative. crp was 1.07*, cortisol was 38.9*. lipase was 12. lfts showed alt 34 ast 37 alk phos 105 amylase 145* tot bili 1.4 and lactate-4.4* cxr on compared to showed worsening right-sided infiltrate; lll atelectasis vs. early infiltrate; upper zone redistribution, without other chf; and right ij central line, tip well seen and overlying the right atrium. brief hospital course: 1. sepsis: likely caused by rll pna rather than line infection as line was only placed 2 days prior to admission. was sent to the where she was initially placed on pressors and covered per sepsis protocol on with levo/vanc/gent. placed on only levo iv as of . on , was taken off pressors with stable bps until discharge. transferred to the floor on . wbc continued to trend downwards until 5.6 on discharge and remained afebrile on the floor. did not require fluid boluses on the floor. will cont with levofloxacin for tx of cap. picc line d/ced in the , but as catheter tip cx was negative and blood cx remained negative x 72 hours, it was replaced on . 2. hypotension. likely secondary to sepsis. no evidence of ischemia on ecg or enzymes. serum cortisol wnl so adrenal insufficiency unlikely. since transfer to the floor, remained hemodynamically stable and did not require any fluid boluses. 3. ?chf: received over 4l in ivf and c/o increased le edema and also mild lue edema. recent echo with ef 70-80%, hyperdynamic systolic fxn, likely diastolic dysfunction. fluid status was monitored closely with strict i+os and daily weights. 4. f/e/n. complex nutritional picture and has had many picc infections. at home, tpn dependent with recent advance to broth and baby food. after picc d/ced on admission to , received tpn via ij line. picc replaced on for tpn on discharge. patient manages her tpn infusions by herself at home and was thus discharged with home tpn. 5. hypothyroidism. continued outpt dose of levothyroxine 125 mg po qd. had problems tolerating dose on last admission with increased emesis and was on iv as an outpatient. discharged on po levothyroxine. 6. anemia: unclear etiology, but could possibly be dilutional, though hct at baseline appears to be 27-30 (came in very hemoconcentrated at 38). hemolysis labs were normal. most likely the result of bone marrow suppression due to sepsis. had fe, b12, and folate studies performed on with nl b12 and folate. appeared to be anemia of chronic disease with low nl iron, lo tibc, hi ferritin, and low transferrin. was guiac negative. pcp aware and will follow up as an outpatient. 7. thrombocytopenia - platelets decreased from over 200 on admission (though hemoconcentrated) to around 125 throughout course. hit abs were sent and heparin was initally held in tpn bag. dic panel was neg and she did not have any problems with bleeding. on discharge, plt increased to 163 and was stable, and decrease in plts was not considered to be secondary to heparin. since plt count on discharge was stable and improved, pcp was made aware of thrombocytopenia and will follow up hit ab as well as any further w/u as an outpatient. 8. ppx: on h2 blocker initially and changed to protonix for worry of thrombocytopenia. 9. code status. full. medications on admission: colace 100 mg po bid protonix 40 mg po qd zelnorm 6 mg po tid levothyroxine sodium 62.5 mcg iv qd compazine 10 mg po q6h benzonatate 100 mg po tid tpn discharge medications: 1. tegaserod hydrogen maleate 6 mg tablet sig: one (1) tablet po tid (). 2. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 3. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po qd (once a day). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. hydrocortisone 1 % cream sig: one (1) appl topical qid (4 times a day) as needed. disp:*1 tube* refills:*0* 6. benzonatate 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 7. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous qd (once a day) as needed. discharge disposition: home with service facility: critical care systems discharge diagnosis: 1. right lower lobe pneumonia 2. chronic tpn use secondary to gastric bypass discharge condition: stable discharge instructions: please continue levofloxacin for 5 more days to treat your pneumonia. you can also continue to take the hydrocortisone cream 1% twice daily on the affected area of your chest. you can also continue with the tessalon perles as needed for your cough. please return to the ed or call your pcp if you experience any worsening fevers or chills, redness or swelling at the picc line site, worsening nausea or vomiting, shortness of breath followup instructions: please call your primary care physician, . to schedule a follow up appt. she will check your hemoglobin level at that time md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnoses: thrombocytopenia, unspecified mitral valve disorders congestive heart failure, unspecified unspecified septicemia unspecified acquired hypothyroidism aortic valve disorders depressive disorder, not elsewhere classified pneumonitis due to inhalation of food or vomitus gastroparesis 

Answer: The patient is high likely exposed to