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: history of present illness: this is a 42 year-old woman with a history of schizophrenia, mental retardation who was brought in by her care provider for having increased lethargy and decreased po intake. per the report of her home care provider, patient has had decreased po intakes in the last few weeks and had increased lethargy over the last few days. she also had a low grade temperature and has been breathing rapidly, but otherwise no abdominal pain, nausea, vomiting or diarrhea. no cough. per her care provider the patient did have a lot of sick contacts at her day care place where there are several cases of strep throat, upper respiratory infection and flu. the patient was seen by her primary care physician four days prior to admission for a questionable right sided abdominal tenderness. she was sent home after some laboratory tests. the laboratories at the office were notable for ast of 66, alkaline phosphatase 137, and tsh of 7.0. upon arrival to the emergency room on the day of admission her temperature was 102.6, heart rate 112, blood pressure 94/50, o2 sat 78% on room air. finger stick 96. per the patient's home care provider her mental status was at her baseline. she was given a dose of vancomycin and ceftriaxone in the emergency room for empirical coverage. ct angio was obtained, which revealed submassive pe and splenic infarct. she was admitted to the micu for pe and sepsis. past medical history: schizophrenia, mental retardation. she has been institutionalized since age 17 until two years ago when she was finally allowed to leave institution and live with a care provider. disorder, anemia, sv1 dermatitis, hypothyroidism on replacement. allergies: moban. medications on admission: 1. clozaril 100 mg po b.i.d. 2. depakote 750 mg po b.i.d. 3. klonopin .5 mg po b.i.d. 4. levoxyl 50 micrograms po q.d. 5. zoloft 100 mg po q.d. 6. ditropan 5 mg po b.i.d. social history: no tobacco or alcohol currently, but with a history of heavy smoking per her mom's report. family history: noncontributory. physical examination on admission: temperature 102.6, heart rate 102, blood pressure 101/53. oxygenation 93% on 50% facial mask. in general, open eyes to voice and following command. head and neck examination anicteric sclera. neck supple. no lymphadenopathy. lungs decreased breath sounds bilaterally. no wheezes or crackles. cardiovascular tachycardia, normal s1 and s2. abdomen obese, slightly distended and diffusely tender, but no rebound or guarding. guaiac negative. extremities no clubbing, cyanosis or edema. neurological not able to fully cooperate with neurological examination, but otherwise grossly intact. laboratories on admission: white blood cell count 7.3, hematocrit 28.3, stable at baseline, platelets at 138, mcv 36, 35% neutrophils, 16% bands, 38% lymphocytes, 10% atypical cells. sodium 136, potassium 4.0, chloride 101, bicarb 26, bun 16, creatinine .7, glucose 90. ast 104, alt 50, alkaline phosphatase 128, total bilirubin .3, ammonia 17, calcium 17.9, mag2.6, pt 15.2, ptt 43.5, inr 1.5. depakote 97. arterial blood gas on admission with nonrebreather was ph 7.46, pco2 37, po2 95. lactate 2.2. urinalysis was specific gravity of 1.024, ph 6, negative leukocyte esterase or nitrites, negative protein, trace ketone, trace blood, trace protein, 0 to 2 reds, 0 to 2 whites, no bacteria or yeast, 0 to 2 epi. chest x-ray showed increased opacity at the left retrocardiac region concerning for possible pneumonia. chest ct angio occlusive right middle lobe segmental pe with extension to the right main pulmonary artery, nonocclusive right basilar segmental emboli. multiple bilateral wedged shaped areas of consolidation extending to pleural surfaces. bilateral ground glass opacities. small bilateral pleural effusion. multiple enlarged hilar and mediastinal lymph nodes. apparent right subclavian artery tracheal malacia. enlarged spleen with a posterior infarct. hospital course: the patient was admitted to micu, but no pressors or intubation was needed. she was called out to the floor on hospital day five. as her chest x-ray on admission with possible pneumonia she was started on levofloxacin and flagyl for both community acquired pneumonia and possible aspiration pneumonia. since her electrocardiogram on admission revealed new onset of right bundle branch block ct angio was obtained on admission, which revealed submassive occlusive emboli to right middle lobe segmental artery and nonocclusive emboli to right basilar submental artery as well as a splenic infarct. she was started on intravenous heparin and coumadin for anticoagulation. she also had a transthoracic echocardiogram, which showed no evidence of patent foramen ovale. the hypercoagulable workup including protein s, protein c, prothrombin mutation, factor 5 laden mutation was sent in addition to antiphospholipid antibodies. the only noticeable available results upon her discharge was positive anticardiolipen igm with moderately high titer. given her fevers, splenomegaly and atypical lymphocytes on blood smear monospot was obtained on admission, which came back positive. further workup including serologies for ebv, toxo, hiv and cmv all came back negative except positive igm for ebv, vca, which suggested acute ebv infection. the hepatitis panel also came back negative for hepatitis b and hepatitis c. the trace amylase and ldh levels were initially trending up likely secondary to acute viral infection and loss pe and splenic infarct. the chest amylase and ldh levels started to improve on their own after peaked at 300s and 1000s range respectively. she finished a ten day course of levofloxacin and flagyl for presumptive pneumonia and chest x-ray and ct. her lingering low grade temperature was most likely secondary to viral syndrome and eventually resolved on its own. all of her blood cultures and urine cultures were negative in house. in the setting of initial septic picture the decision was also made to taper off clozaril given the risk of a granulocytosis. olanzapine was started to replace the clozaril. since the patient had episodes of supratherapeutic inr and complained of persistent dizziness in the absence of orthostatic signs a head ct was obtained, which showed no evidence of cerebellar infarct or hemorrhage, since we are entertaining the hypothesis of induced hypercoagulable state due to ebv induced antiphospholipid antibody formation. the decision was made to recheck antiphospholipid antibody in four to six weeks and then make the decision whether the patient should be on life long anticoagulation versus one year. during her hospital stay she also received 1 unit of packed red blood cells on the floor for worsening anemia, which was likely due to bone marrow suppression in the setting of acute viral infection. discharge condition: stable. discharge status: rehab. discharge diagnoses: 1. submassive pe. 2. splenic infarct. 3. pneumonia. 4. acute mononucleosis. 5. schizophrenia. 6. anemia. 7. transaminitis. discharge medications: 1. dulcolax 10 mg po q.d. 2. senna one tablet po b.i.d. 3. coumadin 4 mg po q.h.s. with klonopin .5 mg po b.i.d. 4. olanzapine 5 mg po b.i.d. 5. milk of magnesia 30 cc prn for constipation. 6. atrovent and albuterol nebulizers prn. 7. tylenol prn. 8. haldol prn. 9. colace 100 mg po b.i.d. 10. ditropan 5 mg po b.i.d. 11. zoloft 100 mg po q.d. 12. levoxyl 50 micrograms po q.d. 13. depakote 750 mg b.i.d. discharge follow up: the patient will need to have her inr checked at least twice a week until inr is stabilized in the range of 2.5 to 3.5. she should also have her anticardiolipen antibody rechecked in four to six weeks. she should continue to follow up with her primary care physician and have the issue regarding the duration whether her anticoagulation adjust. , m.d. dictated by: medquist36 procedure: other oxygen enrichment diagnoses: pneumonia, organism unspecified other pulmonary insufficiency, not elsewhere classified unspecified septicemia pneumonitis due to inhalation of food or vomitus embolism and thrombosis of other specified artery other pulmonary embolism and infarction other diseases of spleen unspecified schizophrenia, chronic infectious mononucleosis 

Answer: The patient is high likely exposed to