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: doe major surgical or invasive procedure: none history of present illness: 63 yo woman with cad s/p cabg (lima->lad, svg->d1, svg->pda), chf secondary to diastolic dysfunction, cri=1.7, anemia admitted for chf management and ultrafiltration. past medical history: 1. hypertension. 2. diabetes mellitus with last hemoglobin a1c of 8.7 in 12/. 3. chronic renal insufficiency baseline creat 1.7-2.0 . 4. coronary artery disease status post coronary artery bypass graft in (lima to lad, svg to d1 and pdca), last cath with elev r and l filling pressures, ptca of rca and 2 vd; last ett-mibi 6 min on protocol, no reversible defects. 5. hypothyroidism. 6. depression. 7. osteoarthritis. 8. hyperlipidemia. 9. chf with ef 45-50% on last echo , mild lv systolic dysfunction, mildly depressed lv function, inf and mid inf hk, mild 1+mr. 10. anemia - unclear etiology; baseline hct 29-31, last iron studies nl ; per pt, has never had egd or colonoscopy social history: sh: lives with her boyfriend at home, retired; previous tob user 2ppdx20 yrs, quit ; no etoh family history: fh: sig for father who deceased in his 50s from cirrhosis secondary to alcoholism; 1 brother deceased from mi in his 40s; other brother who died of lymphoma in his 50s physical exam: 98.6 56 150/70 18 96% ra gen: in nad heent: mmm, op clear. cv: rrr, + sem at rusb. lungs: + slight crackles at bases l>r. abd: s/nt/nd, +bs. ext: + chronic changes from edema, 2+ pitting edema b with erythema. neuro: a&ox3. pertinent results: 10:45pm urine hours-random tot prot-33 10:45pm urine u-pep-multiple p ife-no monoclo 10:45pm urine color-straw appear-clear sp -1.014 10:45pm urine blood-neg nitrite-pos protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 10:00pm ptt-78.4* 03:20pm glucose-172* urea n-69* creat-2.1* sodium-140 potassium-4.8 chloride-111* total co2-22 anion gap-12 03:20pm alt(sgpt)-68* ast(sgot)-39 ld(ldh)-247 alk phos-76 tot bili-0.6 03:20pm probnp-* 03:20pm tot prot-6.8 albumin-4.2 globulin-2.6 calcium-9.0 phosphate-3.8 magnesium-2.0 iron-57 03:20pm caltibc-322 ferritin-122 trf-248 03:20pm -positive titer-1:320 03:20pm tsh-0.13* 03:20pm -positive titer-1:320 03:20pm pep-no specifi 03:20pm wbc-5.2 rbc-3.56* hgb-10.6* hct-32.6* mcv-92 mch-29.8 mchc-32.5 rdw-16.9* 03:20pm neuts-75.5* lymphs-16.1* monos-5.4 eos-2.7 basos-0.3 03:20pm hypochrom-1+ anisocyt-1+ poikilocy-1+ macrocyt-1+ 03:20pm plt count-159 03:20pm pt-13.9* ptt-28.7 inr(pt)-1.2 mra abd: 1. no evidence of significant renal artery stenosis. small amount of atherosclerotic plaque within the proximal left renal artery ( <50% narrowing). 2. poor corticomedullary differentiation of both kidneys, on pre-contrast sequences, suggest of chronic renal parenchymal disease. clinical correlation is recommended. brief hospital course: # cardiac: a) pump/chf: pt came in with sig vol overload (jvd to angle jaw, 3+ le pitting edema). pt was entered in the unload trial and was randomized to ultrafiltration (uf). over 2 days ~17 l of fluid was taken off, at 500 cc/hour. lasix was held while on uf, and actos was d/c'd (can lead to retention of fluid). however, after 2 days the pt's cr and uf was stopped. afterwards, no further diuresis was attempted and the pt was fluid restricted while cr recovered. on restarted lasix at low doses 20 (previously had been 80 tid at home). weights: 129.6 on initiation ..... 118.9 am ..... 115.2 ..... 116 ..... 114.8 before discharge. . b) cad- h/o cad s/p cabg. pt was continued on a statin, beta blocker, and asa was started. . c) hypertension: on admission to the ccu pt's atenolol was changed to toprol xl 50. d/c'd hydralazine and imdur, started norvasc 5 qd initially. continued valsartan at 80 qday and clonidine patch was weaned off. as ultrafiltration removed a great deal of fluid, the pt's bp decreased significantly and as arf ensued, her bp meds were taken off and ultrafiltration was stopped. by , she was having hypertension during the night so her toprol was increased to toprol 25mg for more even-action throughout the day. bp meds were added back on as kidney function improved and on valsartan 40 was added back and lasix was restarted at low dose. her bp remained high and so isosorbide dinitrate 20 mg tid was started as well as hydralazine 50 mg tid. lasix was titrated up to 40mg daily. these will be adjusted further as an outpatient. . d) rhythm- sinus. on tele. . # renal failure: baseline cr is 1.8-2.0. creatinine with ultrafiltration to as high as 4.0 on . this was likely due to over-diuresis with the ultrafiltration leading to volume depletion and pre-renal renal failure. her antihypertensive regimen was also down-titrated as her bp droped with rapid volume correction. urine lytes were consistent with atn. urine eosinophils were negative. mra look for renal artery stenosis was positive for plaque but radiology did not feel this would be physiologically signficant. the pt's creatinine trended down to baseline with time and on discharge it was 2.1. she was restarted on the and lasix which will be adjusted as an outpatient. . # anemia: hct dropped from 32.6 on admission to 27 after admission. iron (iron 57, ferritin 122), b12 ok. epo level was high-normal. thus, her anemia was felt to be likely anemia of chronic disease. on , she was transfused 1 u prbc. hct bumped to only 29.8. stool was guiac negative. subsequently, however, her hct improved without further transfusion and on discharge hct was 31.2. . # endocrine: history of type ii diabetes mellitus and hypothyroidism. her admission tsh was 0.13 (on levothyroxine 175) and hgba1c 6.2. levoxyl was decreased back to 150mcg. actose was held and pt was maintained on lantus and humalog. . # depression: pt was felt to have a depressed affect and was started on celexa in house. her mood improved slightly near her discharge. discharge medications: 1. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain,fever. 3. 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:*1* 4. levothyroxine sodium 150 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. white petrolatum-mineral oil cream sig: one (1) appl topical (2 times a day) as needed. 6. citalopram hydrobromide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. isosorbide dinitrate 20 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 8. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po bid (2 times a day). disp:*60 tablet sustained release 24hr(s)* refills:*2* 9. hydralazine hcl 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 12. insulin glargine 100 unit/ml solution sig: twenty six (26) units subcutaneous once a day. disp:*1 month supply* refills:*0* 13. humalog 100 unit/ml solution sig: per scale subcutaneous three times a day. disp:*1 month supply* refills:*2* discharge disposition: home discharge diagnosis: congestive heart failure type ii diabetes mellitus acute on chronic renal failure coronary artery disease s/p cabg discharge condition: stable, afebrile. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1.5l please take your medications as directed. followup instructions: 1) provider: , medicine (private) where: adult medicine unit healthcare - 1000 - , phone: date/time: 10:30 2) please see dr. in weeks for followup. you will be called with an appointment. if you do not get called in days, please call to arrange an appointment. md procedure: venous catheterization, not elsewhere classified hemodialysis transfusion of packed cells diagnoses: anemia, unspecified pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified unspecified acquired hypothyroidism aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled acute on chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to