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: levofloxacin / macrobid / sulfa (sulfonamides) attending: chief complaint: abdominal pain and cough major surgical or invasive procedure: none history of present illness: 89yo woman with pmh sig for atrial fibrillation, with supratherapuetic inr, presenting with abdominal pain and cough. regarding abdominal pain, this has been present for 2 days, is epigastric and "burning." no diarrhea/constipation/fever/melena/hematochezia/vomitting. no history of alcohol use or gallstones. cough has been present for one week, productive of whitish sputum, no sob, no fever. past medical history: atrial fibrillation oa pancreatitis social history: lives at center. physical exam: 98.9 116/80 68 16 95%ra nad no jvd, no lad rrr nl s1s2 2/6 sem loudest at apex lungs with decreased bs b/l abd soft with very mild tenderness in epigastric area, no distension, no increased pain and crepitus at right knee, no erythema or calf tenderness pertinent results: 06:35pm wbc-14.1* rbc-4.47 hgb-13.6 hct-40.0 mcv-89 mch-30.4 mchc-34.0 rdw-13.6 06:35pm albumin-4.3 calcium-9.1 phosphate-2.9 magnesium-1.9 06:35pm lipase-1847* 06:35pm alt(sgpt)-65* ast(sgot)-62* alk phos-63 amylase-2623* tot bili-0.5 triglycerides 97 u/s:isolated slightly dilated extrahepatic duct, with no evidence of acute cholecystitis. visualization of the distal most common hepatic duct, and pancreatic head is slightly obscured by overlying bowel gas, and mass or stone cannot be excluded. correlation with subsequent ct is recommended for further evaluation. . ct abd 1) no pancreatic mass was identified. small cyst with punctate calcification in the anterior pancreatic head, most probably post-pancreatitis changes. pancreas otherwise, normal and normal pancreatic duct. 2) small duodenal diverticulum. 3) small amount of ascites and bilateral pleural effusions. . right knee- severe demineralization, degenerative disease, chondrocalcinosis, loose bodies within the joint. . right hip- severe degenerative disease with associated avascular necrosis of the right hip. no evidence for fracture or other indications of inflammatory arthropathy. . cxr- right lower lobe infiltrate or atelectasis and right pleural effusion. brief hospital course: 1)pneumonia: cxr infiltrate v. atalectasis. pt with a cough but afebrile, treated with 5 days azithro. pt was also initially on ceftriazxone but this was stopped. after stopping the ceftriaxone she spiked fever and repeat cxr showed rll infiltrate. she was restarted on ceftriaxone and remained afebrile on combination of ceftriaxone/azithromycin. plan to complete standard course. she had swallowing study to rule out aspiration which found her to have no difficulties swallowing. she remained afebrile and with good sats on the ceftriaxone and azithromycin. this will be completed for day course. . 2)pancreatitis: ultrasound and enzymes consistant with pancreatitis. etiology was unclear passed stone vs meds. her amylase and lipase peaked and remained stable. her diet was slowly advanced and her pain diminished. patient with poor appetite but tolerating po'son discharge. . 3)knee and hip pain: per family pt has chronic arthritis and pain. uses walker "poorly" to get around at nursing home. knee and hip films showed no evidence of fracture. she has severe right hip/knee degenerative disease. . 4)coagulopathy: in past her inrs have been difficult to control. on admission inr was 6.3. her coumadin was held and she was given 5mg of vitk. there were no signs of active bleeding. after she was started on her antibiotics the inr continued to remain high and then began to rise along with her ptt. liver enzymes were normal. dic panel negative. she was given additional 10mg of vit k which had good effect as inr decreased to 1.4. it was felt that her coagulopathy was likely secondary to poor nutrition adn her antibiotics. . 5) pt was in sinus on admission. she was continued on metoprolol for rate control. coumadin was held secondary to elevated inr. it was ultimately decided due to her history of gi bleed and sensitivity to coumadin to not resume at this time. pt will be kept on aspirin for now. medications on admission: donepezil hydrochloride 5 mg tablet sig: one (1) tablet po hs (at bedtime). hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). multivitamin capsule sig: one (1) cap po daily (daily). paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). valacyclovir hcl 500 mg tablet sig: one (1) tablet po bid (). acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. discharge medications: 1. donepezil hydrochloride 5 mg tablet sig: one (1) tablet po hs (at bedtime). 2. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 4. multivitamin capsule sig: one (1) cap po daily (daily). 5. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 6. valacyclovir hcl 500 mg tablet sig: one (1) tablet po bid (). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. azithromycin 250 mg capsule sig: one (1) capsule po q24h (every 24 hours) for 2 days. 9. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: pancreatitis community acquired pna atrial fibrillation coagulopathy discharge condition: stable, afebrile, tolerating po's discharge instructions: return to the emergency room with fever, difficulty breathing, or increased abdominal pain. followup instructions: provider: , m.d. where: center phone: date/time: 1:30. pt will follow up with dr. at rehab. procedure: other endoscopy of small intestine endoscopic control of gastric or duodenal bleeding arteriography of other intra-abdominal arteries transcatheter embolization for gastric or duodenal bleeding transfusion of packed cells diagnoses: unspecified essential hypertension atrial fibrillation other opiates and related narcotics causing adverse effects in therapeutic use other persistent mental disorders due to conditions classified elsewhere dermatitis due to drugs and medicines taken internally chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction aseptic necrosis of head and neck of femur osteoarthrosis, localized, not specified whether primary or secondary, lower leg 

Answer: The patient is high likely exposed to