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: bacitracin / keflex / plavix attending: chief complaint: progressive lower extremity claudication and lower extremity ulcerations bilaterally major surgical or invasive procedure: picc line placement rt. femoral gamma nail fixation abdominal aortogram with proximal study of bilateral lower extremities bilateral femoral endartectomies and iliac stenting history of present illness: 77 yo female presented with progressive left toe pain after trama by "high heel shoes" and lt.. toe ulcerations with multiple debridments and rt. toe ulcerations with progression of toe pain requiring narcotics for relieve . she has been incompacitated by pain and not able to ambulate as she use to do. admitted for vascluar evaluation and iv antibiotics for toe ulcerations. past medical history: histroy of dm2 histroy of hypothyroidism histroy of hypertension history of urinary incontinence histroy of carotid disease s/p left cea ' ,multiple tia and syncople episode over the last eight years. current u/s of carotids occluded , left ica patent, social history: lives with daughter family history: noncontributory physical exam: gen: aaox3 heart; rrr holosysltoic with percordial transmission lungs:clear to ausculatation abd: benging, tuberant. wearing diaper ext: toes exquisetly tender and erythematous bilaterally with ulcerations of left ist toe and rt. #2 toe pulses absent bilaterally. neuro: nonfocal pertinent results: 11:00pm urine color-straw appear-clear sp -1.005 11:00pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 11:00pm urine rbc-0 wbc-0 bacteria-none yeast-none epi-0-2 08:30pm glucose-196* urea n-13 creat-0.6 sodium-133 potassium-4.4 chloride-99 total co2-23 anion gap-15 08:30pm estgfr-using this 08:30pm alt(sgpt)-23 ast(sgot)-23 alk phos-109 tot bili-0.1 08:30pm wbc-7.0 rbc-3.86* hgb-12.3 hct-34.4* mcv-89 mch-32.0 mchc-35.8* rdw-12.1 8 08:30pm plt count-284 08:30pm pt-11.8 ptt-22.7 inr(pt)-1.0 ekg 1low atrial rhythm, likely sinus with atrial premature beat. diffuse t wave flattening. no significant difference compared with prior tracing. sun 3:08 pm pfi: left picc tip is not clearly visualized. the tip can be followed to the brachiocephalic confluence. the lungs are clear. there is no pneumothorax or pleural effusion. cardiac size is top normal. echo: the left atrium and right atrium are normal in cavity size. left ventricular wall thicknesses and cavity size are normal. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. an eccentric, posteriorly directed jet of mild to moderate (+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. there is an anterior space which most likely represents a fat pad. stress test: 1. normal myocardial perfusion, apart from the inferior wall which could not be assessed. reimaging was not performed due to concerning ekg changes. 2. normal lv cavity size and systolic function (ef 74%). ct abd/pelvis 08 1. no evidence of solid organ injury. 2. porcelain gallbladder. 3. right femoral fracture, previously described on recent pelvic ct. u/scarotids findings: duplex evaluation was performed of bilateral carotid arteries. on the right there is a heterogeneous plaque with heavy calcification in the proximal ica. there is minimal flow seen in the right ica with a peak velocity of 17 and end-diastolic velocity of 0. cca and eca are patent with peak velocities of 44 and 147 cm/s respectively. this is consistent with near-occlusive stenosis or recanalization. on the left there is mild plaque in the proximal ica. peak velocities are 103, 81 and 172 cm/s in the ica, cca and eca respectively. this is consistent with less than 40% stenosis. cta impression: 1. severe atherosclerotic disease of the aorta and its distal branches. some of the vessels demonstrate a focal noncalcified occlusion but with reconstitution of collaterals distally.please refer to the body of the report 2. calcified gallbladder stone versus porcelin gallbladder. a ct abdomen non-contrast or ultrasound examination is recommended. 3. colonic diverticulosis without evidence of diverticulitis. the report has been placed on the radiology dashboard for it to be relayed to the referring doctor. brief hospital course: admitted . iv antibiotics started vanco,cipro,flagyl. carotid ultra sounds cardiology consult for ? hx nstemi in last months cta of aorta,iliacs and femoral severe diseased calcified aorta iliac and femorals stress, negative for ischemia. fall, rt. hip fx ortho consulted /08 awaiting cardiology evaluation to proceed with ortho procedure. poor venous access picc line placed. rt. gamma nail fixation /08 iv antibiotics continued. social service consulted for family support. angio diagnostic completed. consult for dm management. dos: bilateral iliac stenting with femoral endartectomies.cvl placed(rt. ij) ;enc reversed with narcan. patient in respiratory failure re intubated. transferred to icu .hypotension treated with neo gtt.low urinary ;output treated with fluid resustation.beta blockers held. cardiac enzymes . troponin 0.03-0.05 .intraoperative af.converted to nsr. pod#1 remains intubated and on neo gtt.antibiotic of vanco and cipro continued. pod#2 extubated and re intubated for respiratory failure. transfused for hct. 26.6(30.0) ct scan of abd done was negative for retroperitoneal bleed. pod#3 remain intubated and on propofol gtt. neo weaned. post transfusion hct. 31.9 requiring iv ntg gtt for systolic htn. sacral coccyx stage 1 decubitus: duoderm. pod#4 off ntg gtt. hypertension controlled. remains intubated on cpap/ps successfully weaned and extubated later in pm/.pt continues to follow. pod#5 transferred to vicu.coumadin began, lovenox continued. pod#6 swallowing evaluation. sings/sx of aspiration of thin liquids and pharyngeal residue of solids .recommendation nectar thickened clear liquids. po meds crushed in spoon fulls. video study scheduled for conformation of ? prandial aspiration and safest diet.aztreonam started for pna. pod# 7 videoswallow done, mild orophargeal dysphagia without aspiration. recommended ground solids and thin liquits. med in purees. 1:1 supervision with meals with standard aspiration precautions.nutrition consulted. supplements ar meals. pod# 8 glycemic control continues to improve. rehab screening in place. pod's # stable. pulmonary status stable. tolerating po's. d/c to rehab. medications on admission: levothyroxin 75mcg daily glyburide 2.5mg daily simvistatin 10mgm daily norvasc 5mgm daily vicodan tab @ hs lisinopril 10mgm qpm tylenol prn asa 81mgm daily discharge medications: 1. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 7. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day). 8. haloperidol lactate 5 mg/ml solution sig: as directed injection hs (at bedtime) as needed for agitation: 0.125-0.25mg im. 9. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 10. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 11. enoxaparin 30 mg/0.3 ml syringe sig: thirty (30) mg subcutaneous q12h (every 12 hours). 12. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 13. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 14. warfarin 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 15. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 16. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 17. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 18. insulin sliding scale insulin sc fixed dose orders bedtime glargine 8 units insulin sc sliding scale breakfast lunch dinner bedtime humalog glucose insulin dose 0-60 mg/dl amp d50 61-120 mg/dl 0 units 0 units 0 units 0 units 121-160 mg/dl 2 units 2 units 2 units 0 units 161-200 mg/dl 3 units 3 units 3 units 0 units 201-240 mg/dl 4 units 4 units 4 units 2 units 241-280 mg/dl 5 units 5 units 5 units 4 units 281-320 mg/dl 6 units 6 units 6 units 5 units > 320 mg/dl notify m.d. discharge disposition: extended care facility: rehab @ hospital discharge diagnosis: postoperative pna bilateral aorto-ilia-femoral disease with lower extremity ulcerations and claudication history of hypertension history of dm2,controlled history of carotid disease with multiple tia and syncopal episode over last eight years,s/p left cea '97now with occluded by u?s, patent right femoral neck fx history of urinary incontinance history of hypothyroidism post angio confusion secondary to concous sedation,resolved postoperative somulance with respiratory failure, reintubated postoperative acute blood loss anemia,transfused-corrected postoperative hypotension, treated with neo gtt,resolved postoperative hypertension, resolved with ngt. gtt. postoperative oliguria, fluid resustated postoperative dysphagia postoperative sacral decub stage 1 postoperative lymphatic drainage, treated with wound vac discharge condition: stable discharge instructions: incision care: keep clean and dry. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. -your staples will be removed during at your follow up appointment. please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to ambulate several times per day. * no heavy ( lbs) until your follow up appointment. * continue wound vac care. followup instructions: 2 weeks dr. , call for an appointment. dr. (orthopedic surgeon), call for an appointment. follow-up with primary care physician 1 week. pt needs to have inr checked with followup on . please check electrolytes (chem-10) every other day for next week until electrolytes normalize. replete electrolytes as necessary with po supplements. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube insertion of endotracheal tube angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries arterial catheterization aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) closed reduction of fracture with internal fixation, femur suture of cranial and peripheral nerves procedure on four or more vessels endarterectomy, lower limb arteries insertion of four or more vascular stents diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation ulcer of other part of foot acute respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation pressure ulcer, lower back accidents occurring in residential institution urinary complications, not elsewhere classified atherosclerosis of native arteries of the extremities with gangrene drug-induced delirium fall from other slipping, tripping, or stumbling urinary incontinence, unspecified closed fracture of intertrochanteric section of neck of femur opiate antagonists causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to