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: patient recorded as having no known allergies to drugs attending: chief complaint: cufusion with recent diagnosis of celiac disease major surgical or invasive procedure: lumbar puncture under flouroscopy history of present illness: 62 year old right handed woman recently diagnosed with celiac transferred from osh with altered mental status. patient admitted to osh on for weakness, diarrhea and weight loss. she was found to be hypokalemic with k of 2.8 and was repleted and started on immodium and lomotil. on she developed acute mental status changes according to outside records and had an extensive work up. b12, folate, esr, ammonia, lfts and chem 10 were all normal. mri of the brain showed generalized cortical atrophy and ct scan of the brain showed a cystic atrophic region in the right temporal lobe. eeg was normal and spect results pending. she was diagnosed with delirium secondary to anticholinergics and after medications were discontinued, her symptoms reportedly improved. on her day of scheduled discharge, she developed dizziness and palpitations and ekg showed svt. she was given adenosine which normalized her heart rate and was transferred to for further evaluation. .. she was placed on metroprolol and monitored in the ccu. on admission, labs were remarkable for pt 30.3 of ptt 37.1 inr of 3.2 and bun of 2.3 on she underwent cardiac ablation and is currently in normal sinus. she reportedly continued to have problems with memory and cognition and was transferred to the neurology service in . .. while here, her nurse has reported that while patient appears disoriented at times, she is able to dress herself without problem, can order meals and does crossword puzzles without difficulty. she knows the names of her husband and family members, is aware of where she lives however continually forgets where she is and why she is in the hospital. her husband reports that he has noticed changes in his wife??????s memory over the past couple of months and says that patient??????s sister also thought that there were changes in her memory. patient also reports that she has been feeling disoriented lately however cannot attest for how long it has been. she currently works as a secretary at medical center in three separate departments. she denies hallucinations, emotional changes, problems with getting lost, headaches or dizziness or apraxias. past medical history: osteoporosis scoliosis s/p 2 spinal cord fusions hypothyroidism- on levoxyl celiac sprue (diagnosed recently by transglutaminase abs) social history: she is presently working as a secretary at medical center and running three separate departments there. lives with husband. children. no smoking or etoh. family history: no history of dementia. physical exam: chest: ctab cv: rrr no m/r/g sbd: soft, nt, nd, + bs mental status: alert sitting in chair ; oriented to person but not place (knew she was at a hospital but forgot the name) or time (date was ) attention: could say months of the year forward and backwards without difficulty memory: registration 4 out of 4. consolidation impaired-recall 0 out of 4 at 5 minutes with cues. short term memory: unable to recall significant event that occurred in past couple months long term memory: knew name of president, where she was born, where she grew up, getting shot in the 80??????s, but did not know specific details about these events (ie knew that something was bombed in on but did not know what it was and how it was done. knew about flooding in the south but could not say specifically where or what. language: fluent with normal prosody, no paraphasic errors or anomia. repeated phrases without difficulty. good comprehension, followed commands. naming, , writing normal. 3d construction: drew clock normally. was able to replicate 3d image calculations: was able to perform complex math, two digit additions and subtractions. no frontal release signs: no snout, glabellar sign, grasp reflex no agraphesthesia or asterognosia frontal testing: unable to perform luria sequence testing. graphomotor sequence testing with perseveration. could only name 4 animals in 1 minute and 4 words starting with the letter ??????b?????? in one minute. very perseverative and easily distracted during these tasks. cranial nerves i: not tested ii: no visual field loss iii iv vi: no ptosis, eomi no nystagmus v-xii intact motor: deltoid, biceps, triceps, iliopsoas, hamstring, toe extensor weakness bilatearlly 4+/5. normal bulk and tone, no tremor, myoclonus or asterixis sensory: nl to light touch and vibration throughout. diminished proprioception especially on right however test complicated by paratonia. downgoing toes. reflexes: 2 dtrs in triceps, biceps, brachialis, patellar bilaterally. 1 achilles. gait: stooped, mainly due to scoliosis, no shuffling or festination. pertinent results: 10:50pm glucose-99 urea n-4* creat-0.4 sodium-139 potassium-4.9 chloride-110* total co2-20* anion gap-14 10:50pm ck(cpk)-140 10:50pm ck-mb-3 10:50pm calcium-6.7* magnesium-1.9 uric acid-2.5 08:55pm pt-27.1* ptt-34.0 inr(pt)-2.8* 08:50pm smooth-positive a 05:06pm alt(sgpt)-32 ast(sgot)-41* ld(ldh)-231 ck(cpk)-102 alk phos-81 tot bili-0.2 05:06pm albumin-2.3* calcium-6.5* phosphate-2.0* magnesium-1.3* iron-21* 05:06pm caltibc-150* ferritin-22 trf-115* 05:06pm tsh-32* 05:06pm hbsag-negative hbs ab-positive igm hbc-negative 05:06pm hcv ab-negative 05:06pm wbc-9.6 rbc-3.76* hgb-10.6* hct-31.5* mcv-84 mch-28.1 mchc-33.5 rdw-14.7 05:06pm plt count-334 05:06pm pt-30.3* ptt-37.1* inr(pt)-3.2* 04:50pm urine color-yellow appear-clear sp -1.015 04:50pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg brief hospital course: #.dementia her exam was remarkable for disorientation, profound anterograde amnesia with long-term component, exectutive dysfunction and frontal release signs. according to the patient's nephew, this represents at the very least a severe acute-on-chronic exacerbation of his aunt's cognitive status. the differential is wide and includes, nutritional deficiency, celiac-related dementia, cjd, or acute exacerbation of existing alzheimer's disease which is the most likely. family insists however that she was functioning very highly prior to admission. underwent fluroscopic-guided lp. the csf did not demonstrate signs of infection. tau, a-beta, anti-gliadin ab, adrl, and cytology were sent. the results for these test are pending and patient will be notified with findings. she has been cleared to be discharged home with 24 hour supervision. she will be contact by dr. office in within the next couple of days to schedule an appointment for follow-up. she also will be followed by dr. in behavioral neurology at . .. #.svt patient was admitted to the cardiac service for psvt responsive to adenosine. she was placed on metoprolol however was discontinued due to systolic drops in bp to the 80's. she underwent ablative therapy on with resolution of arrhythmia and does not require pharmacological therapy. .. #.celiac disease patient diagnosed with celiac disease by tissue biopsy. was placed on wheat free diet and, although had modest improvement of her symptoms, continued to have loose stools during this hospital course. she should continue her wheat free diet and follow up with her primary care physician within the next couple of weeks. she continued to have diarrhea. attempts were made to reach her gastroenterologist to try to use an that was not anticholinergic, and she was referred to her pcp for followup. .. #.hypothyroidism patient had tsh of 32 but it was reported that she may not have been taking her levothyroxine. she was increased to 175mcg daily. medications on admission: levothyroxine discharge medications: 1. m-vit tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. levothyroxine 175 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. outpatient occupational therapy please assist with cognitive therapy, safety at home discharge disposition: home discharge diagnosis: supraventricular tachycardia ?celiac sprue dementia amnesia (memory loss) discharge condition: stable discharge instructions: 1) please take your medications 2) if you have acute worsening of your symptoms or acute changes in cognitive functioning, please notify your doctor. 3) call your doctor if you develop nausea, vomiting, excessive diarrhea or notice blood in your stool. followup instructions: 1) you are scheduled to see dr. in behavioral neurology on at 12:30 pm in the building. 2) you will be contact by dr. office in in the next couple of days to schedule an appointment for follow up. his office number is ( and is located at , , . 3) please contact your pcp . at to schedule appointment for follow up. md, procedure: spinal tap incision of lung catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: unspecified acquired hypothyroidism osteoporosis, unspecified celiac disease alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance paroxysmal supraventricular tachycardia 

Answer: The patient is high likely exposed to