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: chest pain and sob major surgical or invasive procedure: (1) cardiac catheterization with drug-eluting stent placement x 1 (2) l femoral catheterization with fluoro-assisted balloon tamponade of r cfa bleed (3) ultrasound-guided thrombin injection to r cfa false aneurysm history of present illness: 62 year-old woman with pmh of imi s/p des x1 to rca & 1 to lad () and 1 to lad () presents for repeat cardiac catheterization due to persistent chest pain. after the initial imi & stent placement in , pt had been asymptomatic until when she began to develop recurrent cp. on , the patient underwent a successful proximal lad stenting. two weeks later, cp returned, several times at rest, with radiation to her shoulder blades. the patient also reports sob a/w the chest discomfort. she denies pnd, orthopnea, lightheadedness over the past month. pt does report increased ble edema since having her hctz dose cut in half around time. past medical history: htn high cholesterol left breast cancer with mastectomy ovarian cyst hysterectomy imi diverticulitis gerd anxiety social history: she is married and does clerical work. 30 ppd cigs, quit 1 yr ago. no etoh, no illicit drugs. family history: (-) fhx cad physical exam: (on admission to ccu s/p cath procedure) gen: afebrile, 140/86, 72, 12, 100% on 2l heent: nc/at, mm dry. neck: no jvd cor: s1 s2 rrr no mrg pulm: cta anteriorly abd: soft, mild ttp suprapubic, mild distension. neg rebound, neg cullen sign, neg grey- sign. no voluntary or involuntary guarding. ext: wwp l: 2+ dp, 2+ pt; r: 1+ dp, 2+pt. r cath site w systolic bruit. no thrill. no hematoma. neuro: a/o x 3. pertinent results: 01:30pm hct-34.8* 04:09pm pt-13.6* ptt-34.8 inr(pt)-1.2* 04:09pm plt count-257 04:09pm neuts-84.7* bands-0 lymphs-11.7* monos-2.7 eos-0.8 basos-0.1 04:09pm wbc-10.8 rbc-3.79* hgb-11.9* hct-34.6* mcv-91 mch-31.3 mchc-34.3 rdw-13.4 04:09pm haptoglob-174 04:09pm ld(ldh)-143 tot bili-0.3 dir bili-0.1 indir bil-0.2 04:09pm glucose-106* urea n-14 creat-0.7 sodium-140 potassium-3.8 chloride-105 total co2-23 anion gap-16 08:50pm pt-12.8 ptt-22.3 inr(pt)-1.1 08:50pm plt count-184 08:50pm wbc-14.4* rbc-4.67 hgb-14.1 hct-40.8 mcv-88 mch-30.2 mchc-34.6 rdw-14.4 08:50pm calcium-8.9 phosphate-3.1 magnesium-1.7 08:50pm ck-mb-notdone 08:50pm ck(cpk)-95 08:50pm glucose-120* urea n-11 creat-0.8 sodium-138 potassium-3.8 chloride-105 total co2-22 anion gap-15 12:00am hct-42.8 . cardiac catheterization at d/t acute mi: successful stenting of the rca using a 3.0 x 16 mm taxus stent. successful mid lad stenting using a 2.5 x 24 mm taxus. . ett: the patient exercised for 6 minutes of protocol to an aphr of 77%. no ischemic ekg changes with exercise. cardiolite images revealed a matched apical perfusion likely c/w apical thinning vs. a small apical infarction. otherwise, no significant perfusion abnormality. gated images revealed no regional or global wma. ef 64%. . cath: lad had an 80% lesion prior to the stent, which was widely patent. successful pci of the proximal lad using a 3.0 x 13 mm cypher des. rca stent was widely patent. . : cardiac cath: lvgram: no mr, lvef 65%. mild inf hk lmca: mild distal tapering lad: patent stents w timi 2 flow lcx: mid 70% before sm om2 and large om3. rca: mild luminal irregularities prox p stent, large rpl system . : post-pci ekg: nsr at 74. nl axis/intervals. downsloping std 2mm v2 (new), 1mm std v3-4 (new), twi v1 (old) . : ct abd w/o contrast: beginning in the right inguinal region, there is a focal area of soft tissue attenuation extending upward into the retroperitoneum just to the base of the kidney that is moderate in size, likely representing a retroperitoneal hematoma. impression: moderate sized right retroperitoneal hematoma extending from the inguinal region up to the base of the right kidney. . : r femoral u/s: at the right groin puncture site there is a 4.1 x 2.1-cm pseudoaneurysm. more than half of the pseudoaneurysm is thrombosed; however, there is active flow observed through the neck. the neck is well seen and measures approximately 2-3 mm in diameter. there is no evidence of an arteriovenous fistula. . : ct ab/pel: 1. interval expansion of right retroperitoneal hematoma, now extending up from the inguinal region and dissecting into the right flank. 2. rounded high-attenuation collection seen in the inguinal region consistent with hematoma. ultrasound would be necessary to exclude pseudoaneurysm. brief hospital course: #cardiovascular (1) ischemia: the patient was admitted to the hospital for repeat elective catherization for persistent chest pain. cardiac catheterization was performed on and revealed 70% l circumflex occlusion. this lesion was corrected with a 3.0 x 23 mm cypher drug eluting stent. the procedure was complicated by a retroperitoneal bleed secondary to r cfa tear and pseudoaneurysm as documented below but was otherwise well tolerated. when the patient arrived on the floor, she was free of chest pain and shortness of breath. she was continued on her aspirin, plavix, and statin at her home doses. her bb and ace inhibitor were held after the procedure given her hypotension. her cardiac enzymes were followed after the procedure and the ck was 95 and the ck-mb was below detection threshold. ekg showed downsloping std 2mm in v2 and 1mm std v3-4 which were both new and twi in v1 that was present on previous ekg. daily ekgs revealed no further findings that were concerning for ischemia. the patient remained without chest pain and sob while in house. . (2) retroperitoneal bleed: right femoral angiography conducted during the procedure demonstrated entry of the access sheath slightly above the location of the inguinal ligament, which elicited concern for rp bleed. at the time of cath, manual compression of the site was conducted once bivalirudin wore off. after the cath, pt became hypotensive to 70/50 upon sheath removal. the hypotension did not respond to 1mg atropine x 2. ct scan of the abdomen and pelvis revealed rp hemorrhage. she was given fluid resuscitation, with acute resolution of bp to 90s systolic. hematocrit was stable at 34.6, but given potential acutiy of blood loss, there was still great concern for significant rp bleed. the patient was transferred to the ccu for intensive monitoring of bp. upon arrival at ccu, bp was 140/60 and stable. at that time, the patient denied cp, sob, lightheadedness, back pain, or abdominal pain at rest. she did c/o dry mouth. . shortly after admission to the ccu, the patient again developed persistent hypotension to 70s systolic. she was given 1mg atropine x 2 with no improvement in her bp. intervention cardiology was called emergently, and the patient was taken to the cath lab for angiography with balloon tamponade of suspected r cfa tear. angiography revealed a tear at the junction of cfa. balloon tamponade x 3 was able to stop the bleeding as evidenced by angiography. she received 3 units of prbcs during the procedure. she was sent back to the ccu for intensive monitoring of hemodynamics and hct. . on the following day (), the patient remained hemodynamically stable but showed steadily decreasing hct. hct decreased from 42.8 directly after the procedure to 32.8 at 7pm on . she was given another unit of prbcs with acute improvement of hct to 35. she was sent for repeat ct scan of the abdomen and pelvis, which showed expansion of the rp bleed and also a high-attenuation collection in the r inguinal region that was suspicious for r cfa pseudoaneurysm. r femoral u/s verified this finding, showing 4 x 2 cm pseudoaneurysm with active flow and no av fistula. vascular surgery suggested ultrasound-guided thrombin injection of the pseudoaneursym. . on the patient received the thrombin injection, and hct thereafter remained stable. . #hypertension: the patient has known hypertension that is controlled with outpatient regimen of toprol xl, lisinopril, hctz, and imdur. her bp meds were held during the first two days of the hospital course due to her hypotension and the concern for an ongoing rp bleed. after thrombin injection, metoprolol was slowly reintroduced to her medication regimen. she was discharged with instructions to follow up as an outpatient for addition of an ace-i and nitrate. . #hyperlipidemia: the patient was continued on her outpatient doses of atorvastatin and ezetimibe during her hospital course. . #anxiety: the patient has chronic anxiety which is treated with xanax. during the first hospital day, xanax was held given its potential to lower bp. on the second hospital day, xanax was re-added with good effect. she was pre-treated with ativan before her thrombin injection given her significant anxiety. she tolerated this well. . #prophylaxis: the patient was kept on a prophylactic regimen of a proton pump inhibitor, bowel regimen, and pneumo boots during her hospital course. medications on admission: toprol xl 100mg daily. lisinopril 20mg daily. hctz 12.5mg daily. xanax 0.25mg . prilosec 20mg daily. lipitor 40mg daily. zetia 10mg daily. plavix 75mg daily. asa 325mg daily. temazepam 30mg qhs. ntg 0.4mg sl p.r.n. imdur 30mg daily. . discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. alprazolam 0.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: (1) coronary artery disease s/p stent placement to lcx, rca, and lad (2) right common femoral artery tear and pseudoaneurysm s/p thrombin injection repair discharge condition: stable discharge instructions: (1) please take your medications as directed. - you must take aspirin and plavix every day for at least months. - your blood pressure medications were changed: continue toprol xl at 100mg daily. stop hydrochlorothiazide and lisinopril until you follow up. . (2) please follow up with your outpatient cardiologist, dr. , at your scheduled follow up appointment at the end of . (3) please follow up with your pcp's office (dr. ) on thurs, at 1pm. you will see her nurse practitioner. you should bring a copy of your discharge summary with you. relevant issues at that time will be inspection of your groin catheter sites and checking a hematocrit. (3) please return to the hospital if you have recurrent chest pain, shortness of breath, swelling in your legs, fainting episodes, dizziness upon standing, increased belly pain, confusion, lightheadedness, or fever > 101.5. also return if you have redness or swelling around your groin catheter sites. followup instructions: (1) please follow up with your outpatient cardiologist, dr. , at your regularly scheduled appointment at the end of . (2) please follow up with your pcp's office (dr. ) on thurs, at 1pm. you will see her nurse practitioner. you should bring a copy of your discharge summary with you. relevant issues at that time will be inspection of your groin catheter sites and checking a hematocrit. please call their office at if you need to reschedule the appointment. procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries transfusion of packed cells right heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) injection of anticoagulant cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension personal history of malignant neoplasm of breast accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure peripheral vascular complications, not elsewhere classified old myocardial infarction aneurysm of artery of lower extremity shigella flexneri 

Answer: The patient is high likely exposed to