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 attending: chief complaint: face swelling. major surgical or invasive procedure: laryngoscopy. history of present illness: the patient is a 58 year old female with a history of lupus, antiphospholipid syndrome w/ pulmonary and renal vein thromosis on coumadin, stage v lupus nephritis who presents with 4 days of progressive left facial swelling. four days prior to presentation, the patient began to develop a head ache. the following morning she noticed swelling of her left lace and neck. on the prior to presentation, the swelling became markedly worse, and the patient developed subjective fevers and chills. she felt as if her tougue could not fit within her mouth, and noticed some dysphagia. she had no difficult breathing, but pain with opening of her mouth. the pain radiated to her left year, and has been upable to take much po intake. the patient reports no recent illness or sick contacks. the patinet denies any history of salivary duct stones, neck surgery, dental pain or recent procedures. in the ed, initial vs were: t 100.5 p 120 bp 130/75 r 20 o2 sat 98% on ra. patient had a ct scan that demonstrated a submandibular gland obstructing stone with evidence of infection. she was seen by ent, underwent larygoscopy, was given unasyn and vanc, 10mg iv decadron, and iv moprhine for pain control. the patient was admitted to the micu for airway monitoring. past medical history: 1. systemic lupus erythematosus with antiphospholipid syndrome on chronic anticoagulation-status post pulmonary embolism, renal vein thrombosis 2. stage v membranous glomerulonephritis nephrotic syndrome, now stage 3. 3. depression 4. obstructive sleep apnea social history: the patient does not smoke any cigarettes, but she does drink two to three alcoholic beverages per week. she is married and works as a real estate and has one child who is healthy. family history: is notable for diabetes mellitus, and she does have one cousin who did have lupus and was deceased of complications with therapy. physical exam: on admission: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema on discharge: vitals: t 97.9, bp 142/82, hr 63, rr 16, o2sat 100% on ra tm 98.6, 142-143/76-82, 63-72, 16, 100% on ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear; face with very mild assymtetric swelling of left side with slight neck fullness; nontender; no appreciable exudate on oral exam neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: on admission: 04:36pm lactate-1.8 04:20pm glucose-118* urea n-16 creat-1.0 sodium-140 potassium-4.5 chloride-102 total co2-27 anion gap-16 04:20pm ck(cpk)-104 04:20pm ctropnt-<0.01 04:20pm ck-mb-3 04:20pm wbc-6.6# rbc-4.59 hgb-12.5 hct-38.5 mcv-84 mch-27.3 mchc-32.5 rdw-14.9 04:20pm neuts-86.8* lymphs-9.7* monos-1.9* eos-1.2 basos-0.4 04:20pm plt count-205 04:20pm pt-25.7* ptt-26.9 inr(pt)-2.5* on discharge: 07:25am blood wbc-9.9 rbc-3.58* hgb-9.8* hct-30.2* mcv-85 mch-27.4 mchc-32.5 rdw-15.0 plt ct-215 07:25am blood pt-30.0* ptt-114.0* inr(pt)-3.1* 07:25am blood glucose-95 urean-23* creat-1.0 na-144 k-3.7 cl-111* hco3-24 angap-13 02:46am blood calcium-8.8 phos-4.0 mg-2.3 wound cultures showed mixed flora as well as albicans. studies: ct neck with contrast, : artifact from the dental amalgam degrades the images, within these limitations there is a 20 x 15 mm enhancing inflammatory mass below is angle of left mandible may be related to infection/inflammation of the salivary gland or inferior extension of the left parotid gland. several enlarged neck lymph nodes are seen. fiberoptic exam per ent note: nasopharynx - right medial aspect of fossa of rosenmuller with approx 0.5cm clear watery cyst, posterior pharyngeal in np with 0.5cm mass with overlying granular muscosa in midline, larynx - valleculae clear, crisp epiglottis, patent piriforms bil, crisp vocal folds with good mobility. brief hospital course: # left facial swelling: the patient presented with left submandibular gland infection and large duct stone. the patient was at risk for ludwig's angina given rate of progression of infection (over 1 day) and given that infection already involves left submandibular space, and sublingual space. had been seen by ent in ed, without evidence of airway compromise. no evidence of laryngal swelling on scope. she received antibiotics in ed and one time dose of dexamethasone. she continued on vanc/unasyn while gland cultures were sent. these returned with finding of mixed flora and albicans. she was discharged on augmentin and fluconazole. ent also recommended wedges qid and salivary massage qid to help stimulate secretions. she was also discharged on prednisone. # anti-phospholipid syndrome (apls): the patient has a history of pe and renal vein thromosis, managed on coumadin as outpatient. her inr remained therapeutic on this admission. # lupus: the patient has a history of lupus managed by dr. . no evidence of acute flare. no reason to suspect any correlation with other autoimmune process like sojourn's. she continued hydrochlorquine but held cellcept in setting of infection. she was discharged on prednisone rather than cellcept until follow up with dr. . # glomerularnephritis: this had significantly improved on cellcept. grade 3 membranous glomerularnephritis with cr at baseline at 1.1. she was continued on hydrochloroquine and lisinopril. cellcept was held in setting of infection and was discharged on prednisone. she will likely resume cellcept to be decided at follow-up with dr. . # depression: she was continued on prozac. medications on admission: fluoxetine 40mg daily flovent hydrochloroquine 200mg lisinopril 40mg daily cellcept 500mg omeprazole 20mg daily mirapex 0.125mg qhs prn coumadin vitamin d units daily discharge medications: 1. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). 2. hydroxychloroquine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. warfarin 5 mg tablet sig: one (1) tablet po days (,tu,we,fr,sa). 6. warfarin 2 mg tablet sig: three (3) tablet po days (mo,th). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: five (5) tablet po daily (daily). 8. prednisone 2.5 mg tablet sig: three (3) tablet po once a day. disp:*90 tablet(s)* refills:*0* 9. mirapex 0.125 mg tablet sig: one (1) tablet po at bedtime. 10. flovent hfa inhalation 11. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: -sialadenitis secondary: -systemic lupus erythematosus -membranous glomerulonephritis -antiphospholipid syndrome discharge condition: stable, afebrile. discharge instructions: you were admitted for facial and neck swelling and found to have sialdenitis (infection in salivary gland due to stone). the stone is no longer obstructing your duct and the swelling has improved. you should continue to take augmentin as written (875mg by mouth twice a day) for an additional 10 days. you should also follow up with ent in days. please continue to use slices to stimulate saliva and warm compresses as your have been. dr. would like you to take 7.5mg of prednisone daily instead of the cellcept until you can follow up with her. you have an appointment with her on at which time you can further discuss your medication. please return to the hospital or call your doctor if you have temperature greater than 101, shortness of breath, worsening difficulty with swallowing, chest pain, abdominal pain, diarrhea, or any other symptoms that you are concerned about. followup instructions: please have your inr checked on monday as your antibiotics can interfere and your coumadin dose may need to be adjusted. provider: , md phone: date/time: 10:30 ent: please see dr. at . on at 2pm (). the phone number there is . please fill out the new patient forms and bring these with you (if you need additional copies they can be found on the webiste /) provider: , md phone: date/time: 10:30 provider: , m.d. phone: date/time: 11:00 md procedure: pharyngoscopy diagnoses: systemic lupus erythematosus obstructive sleep apnea (adult)(pediatric) asthma, unspecified type, unspecified depressive disorder, not elsewhere classified candidiasis of mouth long-term (current) use of anticoagulants personal history of venous thrombosis and embolism swelling, mass, or lump in head and neck primary hypercoagulable state restless legs syndrome (rls) sialoadenitis sialolithiasis other and unspecified nonspecific immunological findings cellulitis and abscess of oral soft tissues nephrotic syndrome with lesion of membranoproliferative glomerulonephritis 

Answer: The patient is high likely exposed to