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: patient recorded as having no known allergies to drugs attending: chief complaint: cc: major surgical or invasive procedure: intubation r leg femoral artery thrombectomy cvl placement history of present illness: the patient is a 56 year old female patient with a history of anterior communicating artery anuerysm of 6mm x 6mm x 3mm s/p clipping admitted to dr. service on neurosurgery from to complicated by uti, ? partial nephrogenic diabetic insipidus ( 158 on desmospressin which was stopped on , followed by endocrine) right femoral and external iliac dissection post angiogram with emergent thrombectomy of right iliac, common femoral and superficial femoral arteries with endarterectomy of the right common femoral artery and dacron patch angioplasty, right external iliac artery stent, and four compartment right lower extremity fasciotomies, as well as left basal ganglia, left frontal infarct (possibly secondary to intraoperative parenchymal retraction), and posterior left frontal infarct thought likely secondary to embolic phenomena during angiogram who presented from today after being found unresponsive. a ct of the head was performed which showed (per neurosurgery report, no copies/report in patient chart from ed): . " no evidence of hemorrhagic stroke of ct. l aca and mca areas of infarct still present." . neurosurgery was consulted in the ed and noted possible tremors in lue ?seizure and ?new lle weakness but felt there were no acute neurosurgical issues. . . in the ed, vanco 1 gm iv, cefepime 2 gm iv given for ?empiric sepsis for a fever of 100.8. also, noted to have k of 5.7->5.9, give 10 units iv insulin with 1 amp of d50. no other meds given for hyperkalemia normal appearing ekg with no acute changes. . also, newly elevated lfts noted in ed: . alt 519, ap 506, ldh 801. bili 0.5. during last admit, alt, ast in 70, 50s range. . a right upper quadrant ultrasound was performed which showed: . no intra or extra-hepatic biliary dilatation. cbd is 5 mm. portal vein is patent. no ascites. s/p chole. labs were otherwise significant for the following: past medical history: *polycystic kidney disease *htn *mi(unknown age) *hyperlipidemia *bipolar disorder *anterior communicating aneurysm s/p elective clipping left basal ganglia, left frontal infarct (possibly secondary to intraoperative parenchymal retraction), and posterior left frontal infarct emboli from ct-a of head with resulting cn iii palsy, right sided hemiplegia * right femoral and external iliac dissection post angiogram with emergent thrombectomy of right iliac, common femoral and superficial femoral arteries with endarterectomy of the right common femoral artery and dacron patch angioplasty, right external iliac artery stent, and four compartment right lower extremity fasciotomies * nephrogenic di, followed by endocrine *h/o recent uti during last admit to social history: lived with husband previously, no etoh, 60 pack years tob. transferred from acute care rehab facility. family history: non-contributory physical exam: initial pex: tc = 99.6 tm = 100.8 in ed p=108 bp = 106/75 rr = 27 99% on 4 liters o2 . gen - non-responsive to verbal stimuli heent - pupils responsive to light, left eye >dilated than right (documented as old), anicteric, no head trauma, pursed lip breathing heart - rrr, no m/r/g lungs - ctab (anteriorly) abdomen - soft, nt, nd, decreased breath sounds, no hepatosplenomegaly, g tube ext - rue erythematous, swollen, hemiplegic on right side, moves lue spontaneously, no spontaneous movement of lle, retracts lle to painful stimuli back - unable to assess skin - warm, erythematous blanching rash on chest, abdomen neuro - cn iii ? palsy in left eye, lle no spontaneous movement, r sided hemiplegia, brisk lle dtrs, positive bilaterally, left upper extremity tremor with pill-rolling pertinent results: ruq u/s : impression: status post cholecystectomy. no intra- or extra-hepatic biliary dilatation. . head ct : conclusion: no evidence of hemorrhage. evolving acute infarction in the left frontal lobe, new since the study of , this region was obscured on the earlier examination of . . ct abd/pelvis : 1. large acute hemmorage within the right biceps femoris and surrounding soft tissues. the largest pocket of acute hemorrhage measures 4.2 cm in greatest dimension with a fluid-fluid level within. 2. large wedge shaped hypoattenuating region within the right lobe of the liver consistent with an infarct suggesting an acute portal vein thrombosis. 3. trace pericardial effusion. . head ct : 1. no evidence of acute intracranial hemorrhage or new major vascular territorial infarct. 2. continued evolution of large left eca and mca infarcts with mild edema and minimal subfalcine herniation (approximately 2 mm). 3. stable appearance of left frontal craniotomy and aneurysm clips in the suprasellar region. . brief hospital course: hospital course: her mental status change was thought secondary to old and concern for new r stroke given new l hemiparesis. followed by neuro, neurosurg and vascular teams. head ct showed new left large frontal cva. pt with unresponsive pupils, blunted reflexes, tachypnea, labile bp. was intubated for airway protection given her mental status. neurology evaluated patient but was not able to examine her off propofol given her instability. on hd#1 she was found to have a cold ischemic rle and she was evaluated by vascular surgery who took her immediately to the angio suite for a thrombectomy. they were able to restore her flow. given her multiple arterial clots (cva and rle arterial clot) and her drop in platelets, hitt was suspected and all heparin products were stopped. she was started on lepirudin given her lft abnormalities. she developed bleeding into her rle thigh given her recent intervention and she was aggressively transfused. her bp remained labile and required pressors to maintain adequate cpp. on hd#2, she continued to deteriorate with continued bleeding into her thigh. vascular surgery did not feel she was an adequate candidate for a re-operation. she was aggressively hydrated, maintained on pressors, and hyperventilated to prevent further acidosis. given her deteriorating hemodynamic status, as well as her very poor long term neurologic prognosis given her large stroke and complications, her family decided to convert her to comfort measures only on at 6pm. her pressors, fluids, and transfusions were stopped adn family was present at her bedside. she was kept on propofol, and a morphine gtt was added for comfort. she expired at 11:30pm. her family was notified and declined an autopsy. medications on admission: . acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. docusate 50 mg/5 ml liquid sig: po bid (2 times a day). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection every eight (8) hours. 5. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 6. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po tid (3 times a day). 7. phenytoin 50 mg tablet, chewable sig: four (4) tablet, chewable po bid (2 times a day). 8. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed: to groin intertrigo. 9. miconazole nitrate 2 % cream sig: one (1) appl vaginal hs (at bedtime) for 7 days. 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). discharge medications: n/a discharge disposition: expired discharge diagnosis: cva suspected hitt rle arterial thrombus arf liver infarct respiratory failure discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified transfusion of packed cells endarterectomy, lower limb arteries destruction of cranial and peripheral nerves procedure on three vessels diagnoses: acidosis hyperpotassemia unspecified essential hypertension acute and subacute necrosis of liver acute kidney failure, unspecified other and unspecified hyperlipidemia hemorrhage complicating a procedure anticoagulants causing adverse effects in therapeutic use hyperosmolality and/or hypernatremia cerebral artery occlusion, unspecified with cerebral infarction bipolar i disorder, most recent episode (or current) unspecified arterial embolism and thrombosis of lower extremity nephrogenic diabetes insipidus portal vein thrombosis hepatic infarction polycystic kidney, unspecified type 

Answer: The patient is high likely exposed to