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: phenytoin / phenobarbital / augmentin / aspirin / zithromax / cefazolin / sudafed / clindamycin / vancomycin attending: chief complaint: left elbow failed fixation major surgical or invasive procedure: : left elbow removal of hardware, total elbow arthroplasty, ulnar nerve transposition, extensor mechanism history of present illness: ms. is a 74-year-old female with who sustained a distal humerus fracture. she underwent 2 operative fixations at an outside hospital. she presented to dr. with a failure of fixation. she now presents for operative repair. past medical history: 1. ra on chronic low dose prednisone, methotrexate and etanercept which was held recently secondary to bacterial sinusitis and orif *sle with no known renal involvement, on chronic prednisone 2. raynaud's syndrome ? 3. osteoporosis with spontaneous rib fractures in 4. copd fev1 1.46 l fev1/fvc of 61 c/w mod copd 5. gerd with schatzki ring requiring endoscopy 6. hiatal hernia 7. anxiety 8. oral hsv 9. chronic anemia, on folate, b12, colonoscopy normal 3-4 years ago, spep, upep negative 10. exercise stress test that per the patient were negative as well as multiple ed-romis. 12.?mild as by echo per patient social history: lives alone but family nearby family history: nc physical exam: upon admission alert and oriented cardiac: regular rate rhythm chest: lungs clear bilaterally abdomen: soft non-tender non-distended extremities: lue incision healed, + pulses pertinent results: 07:45am blood wbc-8.8 rbc-2.99* hgb-9.9* hct-30.1* mcv-101* mch-33.1* mchc-32.9 rdw-17.8* plt ct-276 11:00am blood wbc-8.5 rbc-2.92* hgb-9.8* hct-29.6* mcv-102* mch-33.4* mchc-32.9 rdw-18.1* plt ct-276 06:25am blood wbc-9.5 rbc-2.69* hgb-8.9* hct-26.9* mcv-100* mch-33.0* mchc-33.0 rdw-18.6* plt ct-270 02:55am blood wbc-12.3*# rbc-2.50* hgb-8.5* hct-25.7* mcv-103* mch-33.8* mchc-32.9 rdw-17.0* plt ct-298 05:56pm blood wbc-7.6 rbc-2.73* hgb-9.1* hct-28.0* mcv-102*# mch-33.4* mchc-32.6 rdw-16.6* plt ct-316 06:25am blood glucose-90 urean-20 creat-1.2* na-139 k-4.3 cl-109* hco3-25 angap-9 02:15am blood glucose-128* urean-22* creat-1.1 na-139 k-5.0 cl-109* hco3-24 angap-11 05:56pm blood glucose-163* urean-23* creat-1.2* na-140 k-4.8 cl-110* hco3-24 angap-11 brief hospital course: ms. presented to the on for an elective removal of hardware, total elbow arthroplasty with ulnar nerve transposition and extensor mechanism repair. prior to surgery she was prepped and consented, and taken to surgery. she tolerated the procedure well, was extubated, transferred to the recovery room. in the recovery room she was reintubated due to respiratory failure. she was transfused with 1 unit of packed red blood cells due to acute blood loss anemia. she was weaned an extubated and then transferred to the floor. on the floor she was seen by physical and occupational therapy to improve her strength and mobility. she was fitted in an orthoplast splint. the rest of her hospital stay was uneventful with her lab data and vitals signs within normal limits and her pain controlled. she is being discharged today in stable condition. medications on admission: albuterol prn, amiodarone 100qod, beclomethasone, fexofenadine 180', flonase 50mcg', folic acid 1', formoterol fumarate, levothyroxine 50mcg', methotrexate 5(5d/wk), minocycline 100'', singulair 10', protonix 40', prednisone 6', forteo 750mcg', spiriva 18' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. multivitamin tablet sig: one (1) cap po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 5. prednisone 1 mg tablet sig: eight (8) tablet po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. amiodarone 200 mg tablet sig: 0.5 tablet po q48 h (). 8. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 9. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 10. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 11. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 12. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 13. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 14. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 15. methotrexate sodium 2.5 mg tablet sig: five (5) tablet po 1x/week (fr). 16. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po q 8h (every 8 hours). 17. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 18. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 19. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 20. fluticasone 110 mcg/actuation aerosol sig: four (4) puff inhalation (2 times a day). 21. medication please continue taking all other medications as directed by your primary care . dilaudid 2 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*80 tablet(s)* refills:*0* discharge disposition: home with service facility: diversified vna and hospice discharge diagnosis: left elbow painful hardware acute blood loss anemia respiratory failure requiring reintubation discharge condition: stable discharge instructions: continue to be non-weight bearing on your left arm. continue your medications as prescribed if you have any increased redness, drainage, or swelling, or if you have a temperature greater than 101.5, please call the office or come to the emergency department. physical therapy: activity: ambulate left upper extremity: non weight bearing will need orthoplast splint at that point and rom exercises only 0-90 degrees by pt/ot no flexion past 90deg treatment frequency: staples/sutures out 14 days after surgery or at follow up appointment. followup instructions: please follow up with , np in orthopaedics on , please call to schedule that appointment. provider: phone: date/time: 10:00 provider: xray (scc 2) phone: date/time: 10:10 provider: , md phone: date/time: 10:30 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube open biopsy of soft tissue transposition of cranial and peripheral nerves insertion of two vascular stents removal of implanted devices from bone, radius and ulna total elbow replacement biopsy of bone, radius and ulna diagnoses: systemic lupus erythematosus esophageal reflux long-term (current) use of steroids acute posthemorrhagic anemia acute respiratory failure osteoporosis, unspecified other emphysema rheumatoid arthritis nonunion of fracture raynaud's syndrome other complications due to other internal orthopedic device, implant, and graft 

Answer: The patient is high likely exposed to