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: erythromycin base / indomethacin / actonel / reglan attending: chief complaint: hypoxia and hypotension s/p thoracentesis major surgical or invasive procedure: none history of present illness: 63 f with nash cirrhosis, recurrent pleural effusions, dm, esrd on tts schedule who was sent to the er after 2 liter thoracentesis done by radiology. her oxygen saturation dropped to the high 80s and she was transiently hypotensive to 80s systolic. she denied lightheadedness, dizziness, chest pain, nausea, diaphoresis, her only complaint was of pleurisy on inspiration. in the er her blood pressure was stable in the 90s systolic (b/l 90-100s), cxr with no ptx, 99% 4l/nc. clinically without complaints, asking for food. guiaic negative. no other complaints. no fluids given. admitted to micu for close observation of hemodynamics. . review of systems is otherwise negative other than hpi. in the icu she had no complaints other than pleurisy. past medical history: nash cirrhosis: liver bx = stage iv cirrhosis, grade 2 inflammation, complicated by portal htn --esophageal varicies (grade i and ii, s/p banding), s/p tips in --history of encephalopathy --history of ascites - anemia - thrombocytopenia - esrd on hd due to diabetes and contrast-induced nephropathy - type 2 diabetes with retinopathy, nephropathy, and neuropathy - history of c. difficile infection - history of seizures - small left frontal meningioma - hypertension - gerd - osa - leg cramps/? rls - djd of neck - history of dermoid cyst - right adrenal mass . past surgical history: - status post cholecystectomy followed by tubal ligation - status post left oopherectomy - status post appendectomy . past psychiatric history: depression first experienced in high school. first hospitalization in (after husband's death). history of cutting and burning self. history of overdose. one course of ect in past that was helpful. social history: social history: widowed, lived in although most recently has been at rehab. has 4 children, several in ma. smoking: none etoh: never illicits: none family history: family history: mom: cad, stroke dad: htn, dm physical exam: tmax: 36.7 ??????c (98 ??????f) tcurrent: 36.7 ??????c (98 ??????f) hr: 58 (56 - 62) bpm bp: 98/34(49) {76/34(47) - 100/47(59)} mmhg rr: 15 (11 - 15) insp/min spo2: 97% general appearance: no acute distress eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic lymphatic: cervical wnl, supraclavicular wnl cardiovascular: (s1: normal), (s2: normal), (murmur: systolic) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (percussion: dullness : rll), (breath sounds: diminished: rll) abdominal: soft, non-tender, bowel sounds present, distended, ascites present extremities: right: 1+, left: 1+ skin: not assessed neurologic: attentive, follows simple commands, responds to: not assessed, oriented (to): x3, movement: not assessed, tone: not assessed pertinent results: comparison: . findings: there is no pneumothorax. there is small residual pleural effusion on the right. left lung is clear. there is no left effusion. heart and mediastinal contours are stable. right-sided tunneled catheter is again noted, and the tip is situated within the right atrium. a tip is noted, and projects over the expected location within the liver. osseous structures are stable. impression: no pneumothorax. ------------ chest portable ap reason for exam: 63-year-old woman with re-expansion pulmonary edema, assess change. since yesterday, right middle lobe and right lower lobe alveolar opacity decreased. bilateral pleural effusions are unchanged, still small, more marked on the right. right hemodialysis catheter still ends in the right atrium. clips in the upper abdomen are unchanged. there is no other change. brief hospital course: 63 f with cirrhosis, esrd s/p thoracentesis who presents with hypoxia and hypotension in setting likely re-expansion pulmonary edema . #. hypoxia- patient currently 99% on 2l and comfortable. suspect she had some desaturation in setting of re- expansion edema which has stabilized. no evidence of pneumothorax on multiple cxr, there is re-accumulation of fluid in the right lung. she was monitored for 48 hours in the icu and had stable blood pressure and oxygen saturation on 2 liters of oxygen. she was discharged to rehab facility. she should have future thoracentesis by interventional pulmonary in order to follow trans pulmonary pressures to avoid re-expansion pulmonary edema. . # hypotension- patient back to baseline, suspect transient hypotension in setting volume shifts after thoracentesis. baseline systolic pressure 90s. . # esrd- diabetes, continue phos binder, was dialyzed on with 3 liters removed. - call renal in am, due for hd - continued midodrine with hd . # cirrhosis- on transplant list - encephalopathy- continued lactulose and rifaximin - sbp- h/o prior sbp, continued bactrim ds ppx - ascites- off diuretics, intermittent pc as indicated, none this hospitalization - varices- nadolol - anemia- cont ppi . # diabetes- continued lantus and humalog ss . # seizures- continued lamictal . # depression- continued celexa code status: confimred full code medications on admission: acetaminophen prn lactulose 30cc qid lamotrigine 100 mg qhs pantoprazole 40 mg daily allopurinol 100 mg qod folic acid 1 mg tablet sig: one (1) tablet po daily citalopram 20 mg tablet sig: two (2) tablet po daily ursodiol 300 mg capsule sig: two (2) capsule po bid hydroxyzine hcl 25 mg tablet sig: one (1) tablet po q8h prn lorazepam 0.5 mg q8h prn gabapentin 300 mg daily sevelamer hcl 800mg po tid cholecalciferol 800 units daily rifaximin 200 mg po tid albuterol prn ipratropium prn b-complex with vitamin c po daily insulin glargine 20 units qhs nadolol 20 mg tablet sig: two (2) tablet po daily keppra 1,000 mg tablet sig: one (1) tablet po once a day docusate sodium 100 mg po bid bactrim ds 1 tab daily midodrine 5 mg tablet sig: one (1) tablet po qtuthsa zolpidem 5 mg tablet sig: 0.5 tablet po hs insulin lispro subcutaneous medications: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po qid (4 times a day). 2. lamotrigine 100 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. 7. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 8. ursodiol 300 mg capsule sig: two (2) capsule po bid (2 times a day). 9. gabapentin 300 mg capsule sig: one (1) capsule po q48h (every 48 hours). 10. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 11. lorazepam 0.5 mg tablet sig: one (1) tablet po every eight (8) hours as needed. 12. sevelamer carbonate 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 13. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 14. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). 15. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 16. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 17. levetiracetam 500 mg tablet sig: two (2) tablet po daily (daily). 18. insulin glargine 100 unit/ml cartridge sig: twenty (20) subcutaneous at bedtime. 19. insulin lispro 100 unit/ml cartridge sig: as directed subcutaneous four times a day: per sliding scale. 20. nadolol 20 mg tablet sig: two (2) tablet po daily (daily). 21. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 22. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po daily (daily). 23. midodrine 5 mg tablet sig: one (1) tablet po 3x/week (tu,th,sa). 24. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. disposition: extended care facility: , diagnosis: re-expansion pulmonary edema condition: stable instructions: you were in the icu for monitoring after fluid removal of your lung. your vitals were stable. follow up with the liver doctors . followup instructions: provider: , md phone: date/time: 11:30 procedure: hemodialysis thoracentesis diagnoses: other iatrogenic hypotension anemia in chronic kidney disease end stage renal disease obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified pleural effusion cirrhosis of liver without mention of alcohol portal hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes acute respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation esophageal varices in diseases classified elsewhere, without mention of bleeding diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy other chronic nonalcoholic liver disease acute edema of lung, unspecified 

Answer: The patient is high likely exposed to