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: codeine / crestor / amoxicillin / gatifloxacin / benzonatate / altace attending: chief complaint: shortness of breath major surgical or invasive procedure: coronary artery bypass grafts x 6 left heart catheterization, coronary angiography dental extractions history of present illness: this is 74 year old woman visiting from has a history of hypertension and chronic lymphocytic leukemia. on she awoke short of breath, with a dry cough. she also had symptoms of back pain, from shoulder to shoulder which began that day. she was brought to , where she was found to have a troponin of 1.93, with chf, she was diuresed. she had a ct which was negative for pulmonary embolism. she was asymptomatic after admission. she was given plavix (loaded), aspirin, iv heparin, and nitro. she was also treated with antibitoics for a uti. she was transferred to on for cardiac catheterization, where 3 vessel disease, not amenable to percutaneous intervention was found. echocardiography revealed lvef of 30% with mild mitral regurgitation. there was mild mitral regurgitation as well. the apical dyskinesis seen on catheterization did not represent a true aneurysm. the patient agrred to surgical intervention here. further workup included arepeat urine culture which was sterile and carotid ultarsound which revealed non obstructive lesions. hematolgy cleared the patient for surgery as well. dental evaluatiuon revealed the need for three extractions which were performed on . a thallium viability study was done to further evaluate the lv and there was a small area of anteroapical scar. past medical history: hypertension congestive heart failure chronic lymphocytic leukemia social history: no history of tobacco, alcohol, or other drug use. lives with husband in ; is visiting sons here in . family history: mother died of cancer at 51; father died of stroke at 70. physical exam: at the time of discharge: t98.8 bp102/50 p78 rr20 sat93% ra lungs:clear to auscultation bilaterally b/l cor:regular rate and rhythm, no murmurs, clicks, or rubs abd:bowel sounds, soft, non-tender, non-distended, +bowel movement ext: 2+lower extremity edema incision: mediastinal incision and left endovascular harvest site clean, dry, intact sternum stable pertinent results: 05:40am blood wbc-27.6* rbc-2.44* hgb-7.8* hct-22.6* mcv-93 mch-32.1* mchc-34.6 rdw-14.5 plt ct-148* 05:40am blood glucose-101 urean-30* creat-1.0 na-138 k-4.4 cl-105 hco3-27 angap-10 brief hospital course: ms was transferred to on for cardiac catheterization, where 3 vessel disease, not amenable to percutaneous intervention was found. echocardiography revealed lvef of 30% with mild mitral regurgitation. there was mild mitral regurgitation as well. the apical dyskinesis seen on catheterization did not represent a true aneurysm. the patient agreed to surgical intervention here. further workup included a repeat urine culture which was sterile and carotid ultrasound which revealed non obstructive lesions. hematolgy cleared the patient for surgery as well. dental evaluation revealed the need for three extractions which were performed on . a thallium viability study was done to further evaluate the lv and there was a small area of anteroapical scar. on she went to the operating room where sextuple bypass grafting was accomplished (see operative note for details). she weaned from bypass on phenylephrine and epinephrine easily. these drips were easily weaned as well and she awoke and was extubated. her chest tubes and epicardial wires were removed. she had several burst of atrial fibrillation which spontaneously resolved. she was transferred to the step-down floor, where she was seen in consultation by the physical therapy service. given her left ventricular ejection fraction of 30%, she will benefit from being placed back on her ace-i therapy once her blood pressure can tolerate it. it was too low at the time of her discharge to safely restart it. by post-operative day four she was ready for discharge to a rehab facility. medications on admission: metoprolol tartrate 25mg olmesartan-hydrochlorothiazide (benicar hct) 40-12.5mg po daily omeprazole 20mg po daily bactrim 800-160mg (started at osh for aspirin 325mg po daily discharge medications: 1. aspirin 81 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:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): as needed for constipation. disp:*60 capsule(s)* refills:*0* 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. lasix 40 mg tablet sig: one (1) tablet po once a day for 10 days: eval at end of therapy for need to continue. disp:*10 tablet(s)* refills:*0* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 10 days. disp:*20 tab sust.rel. particle/crystal(s)* refills:*0* 6. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*45 tablet(s)* refills:*0* 8. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: severe coronary artery disease s/p coronary artery bypass grafts x 6 (lima-lad,svg-dg1,svg-dg2,svg-om,svg-drca-om2) congestive heart failure hypertension chronic lymphocytic leukemia s/p hysterectomy mitral regurgitation discharge condition: good discharge instructions: shower daily, no baths or swimming no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any temperature greater than 100.5 report ant redness of, or drainage from incisions report any weight gain greater than 2 pounds a day or 5 pounds a week no lotions, creams or powders to incisons take all medications as directed followup instructions: dr. in weeks before returning to () dr. in 2 weeks () dr. in 2 weeks () please call for appointments procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries extraction of other tooth transfusion of packed cells perioperative autologous transfusion of whole blood or blood components diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation mitral valve insufficiency and aortic valve insufficiency rheumatic heart failure (congestive) dental caries, unspecified chronic lymphoid leukemia, without mention of having achieved remission hypogammaglobulinemia, unspecified 

Answer: The patient is high likely exposed to