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: penicillins attending: chief complaint: dka major surgical or invasive procedure: cardiac cath: no cad history of present illness: 39 yo f w/ h/o hypothyroid, type ii dm who started to complain of flu-like sx with generalized malaise, headache, neck and pain approx 6d ago after going to a chinese restaurant where all of her family members got nausea/diarrhea. according to husband, pain radiating around to abdomen in "bandlike" pattern. remained in bed most of next two days. had decreased p.o. intake, on wed went to pcp, on nsaids, flexaril, vicodin. pt still complained of increased lethargy that evening and brought to osh ed where her glucose was 744, ag 28, bicarb 5, ph 6.9. amylase 99, lipase 656 and arf w/ cr 1.4. also wbc 18.7 w/ 17% bandemia. she was started on insulin gtt, sodium bicarb, and ivf. cxr was clear, ruq u/s w/o evidence of cholelithiasis, of dilated cbd. head ct neg. started on cefotax and levoflox on . tte reported to show anterior and lateral and apical hk w/ ef 40%. lipase peaked at 1649. glucose difficult to control and pt transferred to . past medical history: hypothyrodism dm ii- not taking meds for last 3 months. social history: marries w/ 2 children works at catholic charity denies etoh denies tobacco denies ivdu. family history: father dm paternal gm dm mother died of mi at 69. no h/o pancreatitis. physical exam: t 97.2, bp 106/68, p 124, r 17, 100% ra middle aged woman, resting in bed, w/ fluctuating ability to hold a conversation. perrl. op clear. no jvd dry mucous membranes lca b/l bony protrusion of r cervical area of c6-7 area. minimally tender, no surrounding erythema, no flocculence. +bs. soft. nt. nd. horizontal stretch marks on both sides of her abdomen. no le edema. pertinent results: 04:24am blood wbc-13.8* rbc-3.55* hgb-11.8* hct-31.4* mcv-89 mch-33.2* mchc-37.5* rdw-13.6 plt ct-127* 04:24am blood neuts-75.6* lymphs-20.8 monos-3.0 eos-0.3 baso-0.3 cxr: no acute cardiopulm dz ct abd/pelvis: small amount of nonspecific free fluid within the pelvis and minimal right sided pleural effusion. otherwise, normal ct of the abdomen and pelvis. cath: a right dominant system with no angiographically apparent flow limiting stenoses. the lmca, lad, and rca had minimal luminal irregularities. the patent lcx supplied 2 oms. the cardiac index was normal (3.5 l/min/m2). left ventriculography showed global hypokinesis (ef 40 to 45%) with no mitral regurgitation. brief hospital course: 1) pt has a hx of type ii dm with no requirement of insulin and was only on oral hypoglycemic previously. pt presesnted to the osh with dka and was managed in the icu with insulin drip, fluid resuccitation, and electrolyte replacement. was following her and started the patient on insulin (15 units glargine qhs, and humalog iss). she may have a late onset of type i dm, or this could be secondary to pancreatitis with beta cell dysfunction. she will be discharged with insulin and a follow up with . 2) gpc bacteremia- pt presented with 1/1 bottle gpc +blood cx at osh. it was most likely contaminant since it grew out staph. epi at osh. vancomycin was initially started but discontinued once repeat blood cultures were negative. 3) pancreatitis-unclear diagnosis given relatively benign presentation. enzymes elevated out of proportion to clinical symptoms but trended down on it's own. at osh, triglycerides and calcium were normal. pt has no history of alcohol abuse and denies any recent binge. ct of the abdomen/pelvis were normal. it only showed small amount of nonspecific free fluid within the pelvis and minimal right sided pleural effusion. since pt had a flu-like sx several days prior to these events, pancreatitis could be from viral infection as well. 4) systolic dysfunction- at osh, tte was ordered which showed ef of 40%. the repeat tte showed ef of 35%, moderate regional left ventricular systolic dysfunction with focal hypokinesis of the distal half of the septum and anterior walls and apex. the remaining segments contract well. right ventricular chamber size is normal with mild global free wall hypokinesis consistent with possible mid-lad disease. pt was taken to cath which showed clean coronaries. work up for cardiomyapathy including spep/upep, iron studies, , rheumatoid factor, lyme titer. hiv study was not sent since she is does not have any risk factor. given the hx of flu-like sx, it could be from viral etiology such as coxsacke virus which could also cause pancreatitis which may have led to dka. pt should be seen by dr. clinic and should have a follow up echo in few months. pt was discharged with toprol 25 mg qd, lisinopril 2.5 mg qd, and asa 81 mg qd. lisinopril was not titrated since sbp runs in 80's-90's at baseline. 5)hypothyroid: pt's tsh and free t4 level were consistent with hypothyroid. she was continued on synthroid 150 mcg po qd. 6)spine mass: pt reports having painful spine bony protusion for the last 2 years. she says that the pain is intermittent and is paraspinal. on exam, she has a mass that is firm consistent with bone, nontender to palpation that is at c5-c6 level. she has never gotten a work up for this. pt should get an outpatient mri of the spine for further evaluation. medications on admission: on transfer: cefotaxime levoflox insulin gtt 7 units/h diflucan 100mg iv q24h synthroid 150mcg qday discharge medications: 1. levothyroxine sodium 150 mcg tablet sig: one (1) tablet po daily (daily). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 3. insulin take glargine insulin 15 units at bedtime, and take humalog sliding scale as printed 4. insulin syringes and needles please give 120 syringes and needles, with 2 refills 5. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. ketone strips sig: one (1) as needed. disp:*30 * refills:*2* 7. outpatient lab work serum potassium within 2 weeks of discharge 8. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po at bedtime. disp:*30 tablet sustained release 24hr(s)* refills:*2* 9. humalog 100 unit/ml solution sig: as directed subcutaneous four times a day: per sliding scale. disp:*1 vial* refills:*2* 10. lantus 100 unit/ml solution sig: fifteen (15) units subcutaneous at bedtime. disp:*10 ml* refills:*2* discharge disposition: home with service facility: discharge diagnosis: primary: 1. diabetic ketoacidosis 2. depressed ejection fraction/systolic dysfunction secondary: 1. hypothyroidism 2. tachycardia discharge condition: stable, tolerating po, ambulating discharge instructions: please keep all of your appointments and take all of your medicine. you should have your potassium checked within 2 weeks. you will need to check your sugars 4 times a day and give yourself insulin as prescribed on the insulin sliding scale. you should call the clinic with any questions. you should call your doctor or come to the hospital if you experience chest pain, shortnes of breath, fevers or other concerning symtpoms. followup instructions: 1) -thursday mb rn - 9:30am dr. 2) cardiology: provider: , m.d. where: cardiac services phone: date/time: 2:00 please call to make an appointment with a primary care doctor. the number for the clinic is (.provider: , md where: phone: date/time: 2:00 please call dr. clinic to make an appointment in weeks. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified anemia, unspecified unspecified acquired hypothyroidism systolic heart failure, unspecified acute pancreatitis diabetes with ketoacidosis, type i [juvenile type], uncontrolled 

Answer: The patient is high likely exposed to