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: mushrooms attending: chief complaint: splenic rupture s/p fall major surgical or invasive procedure: : exploratory laparotomy & splenectomy history of present illness: pt is a 63 female with a hx of pfo, stroke and af on coumadin who was transferred emergently to for management of a splenic rupture s/p mechanical fall onto her l side. she was originally brought to hospital where ct scan revealed a grade iv splenic lac. her inr was 2.4. clinically she had signs of peritonitis and was hypotensive with sbps in the 60s-70s so she was bolused 3l crystalloid, transfused 3u prbc, 1u ffp, given 10mg vit k and emergently transferred to where she was taken immediately to the or. there was approximately 2l of blood encountered upon entering the abdomen. a splenectomy was performed. , pt received 2600ml crystalloid 5u rbc, 3u ffp, ebl 2l, uop 210 (over 2 hours). past medical history: atrial fibrillation, pfo, tia, hld social history: married, denies tobacco or illicits. rare etoh family history: nc physical exam: pe on arrival to : vitals: sbp 115, hr 110 aaox3, anxious tachycardic ctab tender distended abdomen extremities cool and mottled physical examination upon discharge: vital signs: t=96, hr=86, bp=123/80, resp. rate 18, room air saturation 93% general: nad, sitting comfortably in chair cv: irregular, ns1, s2, -s3, -s4 lungs: diminished in bases abdomen: soft, non-tender, mild brusing along staple line, no induration, no exudate ext: + dp bil., no pedal edema bil.,no calf tenderness bil. pertinent results: 04:30am blood wbc-13.0* rbc-3.64* hgb-11.5* hct-33.0* mcv-91 mch-31.5 mchc-34.7 rdw-15.3 plt ct-187 03:14am blood wbc-12.6* rbc-4.27 hgb-12.8 hct-36.9 mcv-86 mch-30.0 mchc-34.7 rdw-16.0* plt ct-173 03:52pm blood hct-37.0 05:02am blood wbc-11.6* rbc-4.39 hgb-13.7 hct-37.9 mcv-86 mch-31.2 mchc-36.1* rdw-15.1 plt ct-147* 04:30am blood plt ct-187 03:14am blood plt ct-173 03:14am blood pt-14.7* ptt-25.1 inr(pt)-1.3* 05:02am blood fibrino-243 04:30am blood glucose-101* urean-9 creat-0.6 na-140 k-4.3 cl-104 hco3-30 angap-10 03:14am blood glucose-106* urean-12 creat-0.6 na-144 k-4.5 cl-109* hco3-28 angap-12 04:30am blood calcium-8.0* phos-1.6* mg-2.0 03:14am blood calcium-7.7* phos-2.8 mg-2.2 11:03am blood lactate-1.6 05:22am blood lactate-1.7 02:58am blood glucose-196* lactate-2.9* na-139 k-4.8 cl-107 11:03am blood freeca-1.12 : chest x-ray: moderate-to-severe cardiomegaly and engorgement of pulmonary vasculature, particularly the hila have been present since . bibasilar atelectasis has worsened with extubation. small-to-moderate bilateral pleural effusion is presumed. borderline pulmonary edema is unchanged. ng tube passes into the stomach and out of view. no pneumothorax. brief hospital course: pt was transfered to via and taken directly to the operating room where exploratory laparotomy and splenectomy was performed. she had a 2 liter blood loss and required blood product replacement. she remained intubated post-op and was taken to the sicu for management. sicu course: she was extubated on pod 0 and her hematocrit remained stable. on pod#1 her ngt was removed, she was started on a clear diet and her home atenolol and lipitor were resumed. she was admitted to the surgical floor on pod #1. her diet was advanced from clear liquids to a regular diet. her vital signs are stable and she is afebrile. her foley catheter was discontinued on pod #2 and she voided without difficulty. there has been no further evidence of bleeding. the hemtocrit is stable at 32.6. she will resume coumadin on and follow-up with your primary care provider 3 days for inr monitoring. post-splenectomy vaccines given prior to discharge. you are preparing for discharge home with vna services. you can have your staples removed by the vna in 1 week. please follow-up with the acute care service in 2 weeks. medications on admission: coumadin 7mg qhs, lipitor 10mg qhs, atenolol 50mg daily (confirmed w/cvs at (--central st in ) discharge medications: 1. atenolol 25 mg tablet sig: three (3) tablet po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain: may cause drowsiness, avoid driving while taking this medication. disp:*30 tablet(s)* refills:*0* 4. colace 100 mg capsule sig: one (1) capsule po twice a day: hold for diarrhea. 5. coumadin 7 mg daily, begin ...please follow up with your primary care provider for monitoring of your pt/inr on discharge disposition: home with service facility: steward home care (caritas) discharge diagnosis: grade 4 splenic laceration hemoperitoneum 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 with abdominal pain after falling. upon imaging you were found to have a laceration to your spleen. you were taken to the operating room where you had your spleen removed. you are now preparing for discharge home with the following instructions: please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: please follow up with the acute care service in 2 weeks. you can schedule your appointment by calling # . you will also need to follow-up with your primary care provider on , for monitoring of your inr. procedure: total splenectomy diagnoses: atrial fibrillation unspecified fall long-term (current) use of anticoagulants accidents occurring in unspecified place injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum injury to spleen without mention of open wound into cavity, massive parenchymal disruption 

Answer: The patient is high likely exposed to