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: ciprofloxacin hcl / epinephrine / pentothal / flagyl / fentanyl attending: chief complaint: abdominal pain, chest pain major surgical or invasive procedure: none history of present illness: 44f h/o mesenteric ischemia, cholecystectomy, cad with recent stents presenting for one day of severe crampy abdominal pain and intermittent bloody diarrhea similar to prior presentations who then developed chest pain while in the ed. abdominal pain is intermittent and worse with bowel movements. of note she reports chornic intermittent bloody diarrhea at baseline, and reports having small amounts of blood in her underwear daily for years, as well as blood on toilet paper and blood mixed with stool. her last bloody bm was at nine am this morning. . also complaining of overall weakness. no fever of chills, no sob or chest pain prior to arrival at hospital. . in the ed initial vs were 98.7, 108, 128/89, 18 with 99% on ra. ct scan in ed showed no change in abdominal perfusion from prior. evaluated by surgery in the ed who felt she was a nonsurgical patient. . while in the ed she also complained of chest pain. ekg showed t-wave flattening in iii, avf, v3-v6 but no st elevations, and overall no change from prior. first set of troponins were negative. recieved morphine 14mg morphine total, iv fluids at least 2l. did not receive any nitroglycerin. she was chest pain free at the time of transfer to the floor. vitals at the time of transfer were 98.6 81 114/69 18 99% on ra. . of note on floor pt reported several weeks of constant mild lower central substernal chest pain unrelated to activity or eating and without any associated sob, n/v or diaphoresis. past medical history: 1. hypertension 2. hyperlipidemia 3. chronic fatigue 4. chronic headaches 5. fibromyalgia 6. depression/anxiety 7. talus fracture 8. cervical cancer 9. gerd 10. hydronephrosis 11. mild copd 14. chronic mesenteric ischemia - known occlusion of sma and celiac, was re-implanted in by surgery . recent admission for ? tia - foudn to have microvascular infarcts on mri and htn. 16. admission for gi bleeding, antral ulcers social history: lives with son. history of heavy alcohol, stopped in . 20 pack year smoking history, still smokes 1-2 packs/day. works as proofreader. no drug use. family history: mother and aunt with coronary artery disease and carotid disease. both parents died of lung cancer, mother at age 73, father at age 68. physical exam: vs: 98.6, 81, 114/69, 18, 99%ra gen: nad heent: dry mm neck: supple, no jvd cv: rrr s1 s2 no r/g/m pulm: clear abd: soft, mild diffuse tenderness, nondistended, normoactive bowel sounds ext: no edema, pulses 2+ bilaterally neuro: cnii-xii intact, moving all extremities pertinent results: technique: pa and lateral chest radiographs were taken. comparison: comparison was made to prior radiograph from , . findings: there is a left lung base pleural effusion that has increased in comparison to the prior study. there is compressive atelectases in the left lung base but pneumonia could not be excluded in the right clinical setting. right basal opacity remains unchanged in comparison to prior study. this opacity could also represent infection and/or aspiration. retrocardiac opacity remains unchanged compared to the prior study. dextroscoliosis of the spine remains unchanged. cardiomediastinal and hilar silhouettes appear unchanged. there is no pneumothorax. impression: increase in left lower lobe pleural effusion along with a possible overlying pneumonia. retrocardiac and right basal opacities could represent infection and are unchanged from prior study. 11:45am blood wbc-13.0*# rbc-3.49* hgb-11.3* hct-33.9* mcv-97 mch-32.5* mchc-33.5 rdw-13.9 plt ct-388 09:08am blood wbc-11.0 rbc-3.15* hgb-10.6* hct-30.1* mcv-96 mch-33.8* mchc-35.3* rdw-14.9 plt ct-292 11:45am blood pt-12.3 ptt-24.8 inr(pt)-1.0 11:45am blood glucose-102* urean-12 creat-0.9 na-139 k-3.5 cl-101 hco3-26 angap-16 09:08am blood glucose-140* urean-7 creat-0.8 na-140 k-3.6 cl-106 hco3-25 angap-13 11:45am blood alt-22 ast-19 ld(ldh)-182 alkphos-143* totbili-0.2 11:45am blood ctropnt-<0.01 06:55am blood ck-mb-1 ctropnt-<0.01 02:10pm blood ck-mb-1 ctropnt-<0.01 05:41pm blood ck-mb-1 ctropnt-<0.01 04:13am blood ck-mb-1 ctropnt-<0.01 06:55am blood calcium-7.9* phos-3.3 mg-1.5* 09:08am blood calcium-8.3* phos-1.7* mg-2.5 09:06am blood type-art po2-84* pco2-36 ph-7.35 caltco2-21 base xs--4 brief hospital course: ms. was admitted on for abdominal pain, brbpr (chronic), chest pain. chest pain: ruled out for mi with serial enzymes and ekgs. continued asa and plavix. abdominal pain: abdominal ct grossly unchanged, surgery consulted, felt nonsurgical. hypotension: on day of admission, was hypotensive with sbp in 70s-80s, intially unresponsive to fluid boluses, received 1 unit transferred to the micu for < 24h for observation, bp stablized, returned to the floor. brbpr: very small amount of blood. followed hct. discharged to home with close followup. medications on admission: amitriptyline - 25 mg tablet -clonazepam - 1 mg tablet prn -clopidogrel - 75 mg tablet dicyclomine - 10 mg capsule -fluoxetine - 40 mg capsule lidocaine - 5 % (700 mg/patch) adhesive patch -lisinopril - 2.5 mg tablet -metoclopramide - 10 mg tablet tid -nitroglycerin - 0.4 mg tablet, sublingual (rarely) -omeprazole - -simvastatin - 20 mg tablet -aspirin - 325mg -b complex vitamins discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 5. simvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). 7. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet sublingual as needed for chest pain. 8. b complex vitamins tablet sig: one (1) tablet po once a day. 9. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 10. hydrocortisone acetate 1 % ointment sig: one (1) appl rectal prn (as needed) as needed for hemorrhoids. 11. fluoxetine 40 mg capsule sig: one (1) capsule po once a day. 12. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 13. amitriptyline 25 mg tablet sig: one (1) tablet po at bedtime. 14. dicyclomine 10 mg capsule sig: one (1) capsule po three times a day. 15. cefpodoxime 200 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. hypotension 2. abdominal pain 3. chest pain 4. pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital because of abdominal pain, chest pain, and ekg changes. while you were here, your blood pressure was low, so you received iv fluids and one unit of blood, and were transferred to the icu temporarily for observation. blood tests and more ekgs of your heart were reassuring. you should follow up with your primary card doctor, your cardiologist, and a gastroenterologist. we have made appointments for you, please see below. quitting smoking would greatly improve your health. please discuss strategies for quitting with your pcp. a chest x-ray shows that you may have pneumonia, an infection in the lungs. we are treating you with antibiotics: start taking cefpodoxime 200 mg twice each day for one week, then stop. it is very important to take your aspirin and plavix every day to protect your heart. followup instructions: *we are working on an appointment for you to see dr. in cardiology. the office will contact you with an appointment. if you do not hear from them, please call ( department: when: monday at 12:10 pm with: , md building: (, ma) campus: off campus best parking: free parking on site department: surgery when: tuesday at 8:00 am with: lab building: lm campus: west best parking: garage department: surgery when: tuesday at 9:00 am with: lab building: lm campus: west best parking: garage department: div. of gastroenterology when: monday at 9:30 am building: ra (/ complex) campus: east best parking: main garage md procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified anemia, unspecified coronary atherosclerosis of native coronary artery chronic airway obstruction, not elsewhere classified percutaneous transluminal coronary angioplasty status hypotension, unspecified other chest pain internal hemorrhoids with other complication chronic vascular insufficiency of intestine abdominal pain, generalized 

Answer: The patient is high likely exposed to