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: addendum: this addendum covers the states to and revises the discharge medications and instructions. continuation of hospital course: th patient continued to do well on her antibiotic regimen and completed a ten day course of vancomycin, aztreonam with no return of fevers or elevated white blood cell count. the patient's pain was well controlled with ms-contin, midrin, tylenol and nortriptyline added at night. the patient was transitioned off of coumadin and onto lovenox while she underwent an upper endoscopy procedure. the patient will go out on lovenox and then will need to be reloaded with coumadin and made therapeutic on coumadin for her positive anticardiolipin antibody syndrome and history of pulmonary embolus. an upper endoscopy was performed which was remarkable for food contents noted in the lower third of the esophagus, above the gastroesophageal junction. the contents were cleared and the dilation was performed. the patient also underwent mrcp to follow-up on ct findings which showed dilated common bile duct. the mrcp and the ct findings were essentially identical to similar tests done three years ago at . the mrcp was noted for dilatation of the intra and extra hepatic ducts without masses or stones; greater dilatation on the left sided hepatic ducts with hepatic atrophy. this finding will be followed up as an outpatient with her gastroenterologist. the patient will also likely need a colonoscopy with her gastroenterologist, dr. . the patient also had a nasogastric tube placed under fluoroscopic for tube feedings and tube feedings were begun and advanced towards the goal rate of 50 cc per hour of pro-balance. the patient tolerated these tube feedings without vomiting or diarrhea. rheumatology saw the patient regarding her diagnosis of systemic lupus erythematosus. the patient will be instructed to follow-up with the rheumatology service as an outpatient for further evaluation of this condition. the patient was also seen by the surgery consult service with regards to the surgical placement of a jejunostomy feeding tube. they felt that she would benefit from aggressive nutritional repletion first, before undergoing any surgery for fear that she would not heal well from surgery at this time. the patient will be discharged to a rehabilitation facility for further nj tube feedings and p.o. feedings as tolerated. she will continue to follow-up with her specialty physicians while there. revised discharge medications: vg capsule once a day. protonic 40 mg once a day. mirtazapine 30 mg once a day. lactulose 15 ml once at bedtime. colace twice a day 100 mg. calcium carbonate 500 mg three times a day with meals. albuterol inhaler. vitamin d3 400 unit tablet once a day. folic acid 1 mg once a day. ativan two times a day. reglan one tablet four times a day. buspirone 15 mg three times a day. midrin capsule one to two tabs every eight hours as needed for migraine. prednisone 7.5 mg once a day. morphine sulfate 15 mg tablet every four to six hours for break through pain. morphine sulfate 30 mg sr tablet every 12 hours. levothyroxine 35 mcg once a day. coumadin 2 tablets once a day; please adjust this dose based on monitoring of inr. lovenox 50 mg subcutaneous every 12 hours. this medication can be stopped once the inr is in therapeutic range. miconazole nitrate powder three times a day as needed. nortriptyline 10 mg once at bedtime. tylenol 650 mg every six hours. zofran 2 mg intravenous as needed. vitamin b-12 1000 mg injection once a month. follow-up appointments: the patient is to follow-up with dr. in neurology on . to follow-up with dr. in gastroenterology on . the patient will have a rheumatology appointment made for follow-up for her systemic lupus erythematosus. , m.d. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of small intestine dilation of esophagus removal of other device from thorax diagnoses: pneumonia, organism unspecified systemic lupus erythematosus anemia of other chronic disease tobacco use disorder urinary tract infection, site not specified unspecified septicemia pneumonitis due to inhalation of food or vomitus barrett's esophagus other severe protein-calorie malnutrition 

Answer: The patient is high likely exposed to