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: hypotension major surgical or invasive procedure: central venous line placement arterial line placement history of present illness: ms. is a y.o. f with esrd on hd t/th/sat, htn, cad, and new type 2 dm, who was admitted on for hypotension in the setting of hd. normally, she is a&o x 3 but developed hypotension to the 50s with ams while at hd. day prior to admission, she had angioplasty of her left av fistula which increased flow rate from 195 to 450 cc/min. in the ed, initial vs: t 98.0 bp 95/50 hr 88 rr 13 100% on 3 l nc. received 1 l ns with improvement of sbp to 120s. fs 69 and amp d50 given with repeat fs 90. o2 sat stable. exam with pinpoint pupils and depressed mental status. she was also given narcan with some improvement in mental status given recent percocet use. she was then admitted to medicine for further evaluation of her hypotension and altered mental status. on the medical service, her hypotension was attributed to hypovolemia in the setting of hd. she continued to have altered mental status that was thought to be due to delirium due to pain, narcotics, and hospitalization. narcotics were held, and tylenol and lidocaine patch were instituted. renal followed patient, and she continued to have hd. she had leukocytosis and was cultured, although never mounted fever. patient cultured as foci of infection could be necrotic toes of l foot. vascular surgery was consulted for ? superinfection of necrotic toes on l foot. also found to have new rue dvt. had episode of coffee ground emesis on . hct was stable at 40. patients meds were held until mental status was improved to prevent aspiration. patient was triggered on at 20:57 for o2<90% in spite of oxygen and marked nursing concern. per trigger note, ra o2 sat 68-80% on ra. with 2 l nc, o2 sat 100%. at that time, thought to be due to hypoventilation due to ams, but concerned for pe vs infection. heparin gtt was started as pt guiaic negative, but then not resumed due to loss of iv access. on day of transfer to micu, pt had hd with no ultrafiltration. per resident, she was noted to be slightly more tachycardic in low 100s with bps in 90s (usually 140s), but not documented in chart. she was also noted to be hypotermic to 93 axillary. around 8 pm on evening of transfer, pt bp 67/palp in thigh and repeat in wrist was 98/60s. ej was attempted but not successful. she was unresponsive to sternal rub or pain. l sided facial droop was notably worse, and per floor resident, the family had noted that earlier also. she is being transferred to the icu for urgent iv access and her hypotension. per medicine resident, family continues with dnr/dni, but allows a-lines, cvls and pressors. of note, patient admitted 2 weeks agos with new l 1st and 2nd toe ischemia and gangrene severe pad. started on pletal and discharged to rehab on pain medications. past medical history: 1. esrd on hd, tues, thurs, sat. started in . has left av fistula for which she had a fistulogram and angioplasty on 2. htn 3. cad: tte : ef of >55%, moderate as, mild mr, mild tr. exercise stress test from that showed no evidence of redistribution. 4. djd 5. osteoporosis 6. iron deficiency anemia 7. colonic polyps, hemorrhoids 8. duodenal bulb ulcer, 9. shatski ring, hiatal hernia 10. glaucoma 11. right kidney cysts, slightly complex, first noted in , increased in size on 12. seasonal allergies 13. pancreatic tumor resection in 14. s/p appy 15. s/p oopherectomy for cyts 16. s/p cholecystectomy . s/p bilateral cataract surgery . proctitis in 19. left lower ext gangrene w dx angiography on with no suitable intervention possible 20. new dm type 2 social history: from notes and daughter - was living alone in independent living in until recent hospitalization after which she was sent to epic in . her husband passed away in and she has 2 adopted children. she has a sister who lives close by. she denies tobacco, etoh, recreational drug use. family history: from notes - mother who died from a stroke at yo. father who died from a stroke at yo. sister who is healthy. 2 brothers who passed fairly young, one from alcohol abuse. 3rd brother with prostate problems. family h/o kidney disease. physical exam: vitals - t: 95.5 ax bp: 45/33 --> 110/35 hr: 96 rr: 13 02 sat: 96% ra fs 35 --> 137 general: unresponsive initially on floor to sternal rub or pain, but after d50 x 2, able to open eyes and garble words heent: perrl, anicteric, op - mmm, no cervical lad, noticeable l sided facial droop that improved with glucose cardiac: ii/vi sem at rusb, no r/g lung: difficult exam, but no wheezes or rales abdomen: diffuse ttp with grimacing of face, hypoactive bs ext: 3+ pitting edema to knees neuro: a&o x 0, unable to follow commands rectal: guiaic positive brown stool with brb pertinent results: 03:44am blood wbc-15.6* rbc-2.97* hgb-8.8* hct-28.4* mcv-95 mch-29.8 mchc-31.2 rdw-19.9* plt ct-88* 08:35am blood wbc-11.1*# rbc-3.94* hgb-11.7* hct-37.1 mcv-94 mch-29.8 mchc-31.6 rdw-18.2* plt ct-162 08:35am blood neuts-92.8* lymphs-4.7* monos-2.0 eos-0.5 baso-0 03:44am blood neuts-93.5* lymphs-3.7* monos-2.5 eos-0.2 baso-0.1 05:11am blood pt-19.2* ptt-150* inr(pt)-1.8* 08:35am blood pt-14.0* ptt-38.6* inr(pt)-1.2* 11:30am blood fibrino-165 08:44pm blood ret aut-2.2 03:44am blood glucose-102 urean-14 creat-2.1* na-143 k-3.4 cl-106 hco3-26 angap-14 08:35am blood glucose-71 urean-24* creat-3.0*# na-140 k-5.5* cl-102 hco3-26 angap-18 03:44am blood alt-51* ast-151* ld(ldh)-408* ck(cpk)-2552* alkphos-122* totbili-0.3 08:44pm blood alt-29 ast-69* ld(ldh)-324* ck(cpk)-756* alkphos-127* totbili-0.3 12:45pm blood alt-26 ast-29 ld(ldh)-283* alkphos-151* totbili-0.2 08:35am blood ck(cpk)-148* 03:44am blood ck-mb-40* mb indx-1.6 ctropnt-0.26* 08:44pm blood ck-mb-16* mb indx-2.1 ctropnt-0.17* 08:35am blood ctropnt-0.14* 03:44am blood albumin-1.8* calcium-7.3* phos-2.9 mg-2.0 12:45pm blood albumin-2.3* calcium-8.2* phos-3.5 mg-1.5* 04:04am blood lactate-4.2* 08:57pm blood lactate-3.3* 08:49am blood lactate-1.4 08:57pm blood type-art po2-134* pco2-33* ph-7.52* caltco2-28 base xs-4 comment-greentop : echo, tte: the left atrium is normal in size. the estimated right atrial pressure is 0-5 mmhg. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. left ventricular systolic function is hyperdynamic (ef>75%). a mid-cavitary gradient is identified. right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is severe aortic valve stenosis (valve area 0.9 cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a small pericardial effusion. no right atrial or right ventricular diastolic collapse is seen. compared with the prior study (images reviewed) of , the heart rate has doubled and the left ventricular size is smaller with mid-cavitary obstruction, suggesting underfilling of the left ventricle. the severity of aortic stenosis may be slightly worsened. upper extremity ultrasound: acute deep venous thrombosis involving the right subclavian, axillary, basilic, and brachial veins. cxr: previous severe atelectasis in the right middle and lower lobes has improved. persistent air bronchograms in the right lower lung could represent consolidation due either to atelectasis or pneumonia, but much of the relative increase in radiodensity of the right lower chest is due to a moderate right pleural effusion. pulmonary vasculature is generally engorged. mild-to-moderate cardiomegaly is stable. brief hospital course: the patient was admitted with hypotension at the time of dialysis. she had a leukocytosis and had no source for infection. she was cultured and monitored. her leukocytosis persisted and her hypotension returned on hospital day 2, she was transferred to the icu for hypotension. she was started on broad spectrum antibiotics, no source for infection was found. the patient had coagulation studies consistent with worsening dic, a discussion with the family was held to discuss the poor prognosis associted with the likely diagnosis of severe septic shock complicated by dic. a decision was made to make the patient "cmo" (comfort measures only). medications on admission: lidocaine patch 5% transdermal daily zofran 4 mg iv q8 hours prn nausea heparin 5000 sq qid pantoprazole 40 mg iv q24 hours acetaminophen 1 g po/pr tid warfarin 5 mg po daily discharge medications: deceased discharge disposition: expired discharge diagnosis: severe septic shock disseminated intravascular coagulation discharge condition: deceased discharge instructions: deceased followup instructions: deceased procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: end stage renal disease renal dialysis status coronary atherosclerosis of native coronary artery unspecified septicemia severe sepsis aortic valve disorders unspecified glaucoma diaphragmatic hernia without mention of obstruction or gangrene hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease defibrination syndrome diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled osteoporosis, unspecified septic shock osteoarthrosis, unspecified whether generalized or localized, site unspecified iron deficiency anemia, unspecified hemorrhage of gastrointestinal tract, unspecified hypovolemia atherosclerosis of native arteries of the extremities with gangrene drug-induced delirium unspecified sedatives and hypnotics causing adverse effects in therapeutic use cyst of kidney, acquired 

Answer: The patient is high likely exposed to