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: service: acove history of present illness: the patient is a 62 year-old female admitted to the acove service on after transfer from the medical intensive care unit. the patient was initially admitted to an outside hospital on for a right total hip replacement. postoperatively, the patient was anticoagulated with lovenox and coumadin secondary to thromboembolic concerns given her history of deep venous thrombosis, pulmonary embolus and known anticardiolipin antibody positive. on postop day number two several adverse events occurred including the patient spiking a temperature to greater then 101, having an elevated white blood cell and an inr, which was noted to be supratherapeutic. her creatinine also increased from a baseline of 1.4 to 3.8 and the patient had become anuric and acidotic. on postoperative day number three the patient became transiently hypotensive and an infection workup was instituted. at that time she was given stress dose steroids. further anticoagulation was held and the renal team was consulted. subsequently the patient was transferred to the on postoperative day number four for further management. prior to transfer she was given bicarbonate and transfused 3 units of packed red blood cells. on the 30th the patient was directly admitted to the intensive care unit. at that time she was evaluated by the renal service who felt that her physiology, urine and phena represented acute atn and as such hemodialysis was not indicated. the patient also had antibiotics tapered to levaquin for treatment of an e-coli urinary tract infection. on the 27th the patient was noted to have a hematocrit drop from 28 to 22 and abdominal pelvic ct demonstrated a right hip thigh hematoma. as such the patient was taken to the operating room by orthopedics dr. for exploration and evacuation of the expanding hematoma. the patient was transfused 5 units of packed red cells at that time. she was also noted to hve neurological deficits in the right leg. it is not clear as to the timing of these deficits. past medical history: 1. right hip avascular necrosis diagnosed by mri with subsequent total hip replacement as described in the history of present illness. 2. history of prior deep venous thrombosis and pulmonary embolism last approximately five years prior to admission. 3. systemic lupus erythematosus. 4. sjogren. 5. chronic renal insufficiency. 6. peripheral vascular disease. 7. coronary artery disease status post myocardial infarction, status post percutaneous transluminal coronary angioplasty. 8. known anticardiolipin antibody positive. 9. anemia thought secondary to chronic renal insufficiency. 10. total abdominal hysterectomy. 11. history of benign prostatic biopsy. medications on transfer: 1. synthroid .125. 2. protonix 40 mg po q day. 3. prednisone 60 mg po q day. 4. sodium bicarb mg t.i.d. 5. amphojel 30 cc q.d. 6. zocor 5 mg po q day. 7. epogen 3000 units one time per week. 8. colace 100 mg po b.i.d. 9. percocet prn. 10. iron sulfate 325 mg po b.i.d. 11. levaquin 250 mg po q.o.d. 12. lovenox 30 mg subq b.i.d. 13. regular insulin sliding scale. 14. lactulose prn. allergies: the patient has reported allergies to penicillin, sulfa, codeine and imuran. social history: the patient lives with her husband. she has a remote history of both tobacco and ethanol use unquantitative. hospital course on the acove service: given the patient's renal failure the decision was made in consultation with the renal service to hold her lovenox and change over to heparin as there is little data as to the clearance of lovenox in acute renal failure and as such could not be appropriately dosed. during the transition period to heparin, which was done without a bolus the patient was again noted to have increasing girth of her right thigh and an 8 point hematocrit drop. as such repeat ct scan of the thigh was done, which showed reaccumulation of the hematoma. the patient was again evaluated by orthopedics in this setting, however, since there was no progression of her neurologic deficits and there was no neurovascular compromise of the leg the decision was made not to intervene at this time. instead anticoagulation was held until the patient was stabilized and the patient was transfused a total of 3 units of packed red blood cells. during this time the patient was also evaluated by the neurology service for her right sided deficits. on further evaluation it was determined that the patient that the patient has a history of spondylolithiasis. however, this could not account for all of her symptoms. consultation with both orthopedics and neurology suggests the possibility of damage of the nerve at time of initial surgery, as her nerve was noted to be very superficial in the operative report during the second operation at the for evacuation. it also possible that some compression of the nerve occurred with her initial hematoma. after the patient was hemodynamically stable her renal function was noted to return to baseline and her creatinine fell to 1.1. as such it was felt that it was safe to reinstitute lovenox in this patient and to slowly load coumadin. it was verified with her primary care physician that indeed the patient is anticardiolipin antibody positive and as such will require long term anticoagulation with a goal inr of approximately 3.5. in this setting coumadin was again started. on both lovenox and coumadin the patient was hemodynamically stable with no further evidence of bleeding for greater then 48 hours. given the patient's neurologic deficits evaluation by physical therapy revealed that the patient would benefit from a rehab facility and the patient was discharged on hip precautions for three months to rehab. discharge medications: 1. synthroid 0.125 mg po q day. 2. zocor 5 mg po q.d. 3. iron sulfate 325 mg po b.i.d. 4. colace 100 mg po b.i.d. 5. tylenol 500 mg po q 6. 6. oxycontin 10 mg po q 12. 7. aspirin 81 mg po q day. 8. prednisone 5 mg po q day, which is her baseline dose. 9. metoprolol 75 mg po t.i.d. 10. captopril 25 mg po t.i.d. 11. oxycodone 5 mg po q 6 prn. 12. lovenox 30 mg subq q 12 until therapeutic inr is met. 13. coumadin 5 mg po q.h.s. with goal inr of approximately 3.5. 14. multivitamin one tab po q day. the patient is to be on hip precautions for three months including no hip flexion with internal rotation. the patient is to follow up with dr. of orthopedics, . at this time emg will be deferred as the patient is to be anticoagulated and as such the risk of the procedure would out weigh the benefits of the information gained. the patient was discharged to rehab in stable condition. discharge diagnoses: 1. status post right total hip replacement with subsequent hematoma and evacuation with reaccumulation. 2. anticardiolipin antibody positive. 3. atn now resolved. secondary diagnoses: 1. hypothyroidism. 2. sjogren. 3. systemic lupus erythematosus. 4. right avn. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other incision with drainage of skin and subcutaneous tissue diagnoses: systemic lupus erythematosus acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified unspecified acquired hypothyroidism hematoma complicating a procedure peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status old myocardial infarction 

Answer: The patient is high likely exposed to