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: shellfish derived / shellfish attending: chief complaint: nausea, vomiting, dyspnea on exertion major surgical or invasive procedure: cardiac catheterization-iabp placement mvr(26 ring)cabg x4(lima-lad,svg-diag,svg-om,svg-pda) open chest chest washout/sternal closure history of present illness: 60 year old female presented to er on w/nausea/vomiting and diarrhea since last week. stopped lasix due to gastrointestinal symptoms and now has dyspne on exertion. on arrival to er troponins 1.62- today at 2.31. ekg w/ infer/lat changes. bnp 20,000. has been pain free on heparin drip.taken to cath lab today -prelim report found to have occluded circ and small rca with normal lad. became unstable in cath lab and iabp placed. cardiac surgery was called to eval for emergent surgery. required emergent intubation in cath lab for resp distress. she subsequently developed asystole, rec'd cpr and transvenous pacer placed. shocked for vf. she was taken emergently to the operating room. past medical history: htn, anemia, dm type 2 (age of diag: 47 year diag: ), hyperlipidemia, hypertension, nephrolithiasis, peripheral vascular disease - (weak dp in the right foot), chronic kidney disease, stage 3, proteinuria, vitamin d deficiency, cad social history: she does not smoke, occasionally drinks 1 beer. works in admin for the div of nutrition at hsph. family history: father - mi aunts - cad, mi brother - cerebral aneurysm 34 physical exam: vs: t= 99 bp= 123/62 hr= 99 rr= 18 o2 sat= 98% 2l general: nad. oriented x3. mood, affect appropriate. heent: perrl, eomi. some conjunctival pallor. neck: supple with no elevation of jvd. cardiac: rrr, normal s1, s2, physiologically split s2, no s3, s4, pmi non-displaced, no heaves lungs: respirations unlabored, l>r crackles at bases, some mild bronchial breath sounds throughout abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: warm, well perfused, trace le edema bl neuro: nonfocal skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: admission- 02:35pm blood wbc-9.7# rbc-3.28* hgb-9.2* hct-29.2* mcv-89 mch-28.1 mchc-31.5 rdw-12.7 plt ct-234 02:35pm blood glucose-237* urean-55* creat-1.6*# na-137 k-5.0 cl-102 hco3-18* angap-22* 12:58am blood pt-13.1* ptt-46.0* inr(pt)-1.2* 02:35pm blood alt-13 ast-41* ck(cpk)-432* alkphos-38 totbili-0.4 02:35pm blood albumin-3.6 calcium-9.5 phos-4.9* mg-2.0 cardiac enzymes- 02:35pm blood ck-mb-14* mb indx-3.2 ctropnt-1.68* probnp-* 12:58am blood ck-mb-10 mb indx-2.9 ctropnt-2.21* 09:05am blood ck-mb-8 ctropnt-1.94* 03:57pm blood ck-mb-6 ctropnt-2.13* 05:37am blood ck-mb-5 ctropnt-2.31* studies- -portable tte () the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with inferior and inferolateral akinesis, as well as lateral hypokinesis. the remaining segments contract normally (lvef = 30-35%). right ventricular chamber size is normal. with mild global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion. impression: moderate regional left ventricular systolic dysfunction, c/w extensive left circumflex-territory infarction. moderate to severe ischemic mitral regurgitation. -pcxr () the heart is mild-to-moderately enlarged. there is hazy perihilar opacification with indistinct pulmonary vascularity and increased interstitial markings, consistent with mild-to-moderate pulmonary edema. very small bilateral pleural effusions are suspected. fissures appear thickened. minimal linear atelectasis is noted in the posterior right lower lobe, but there is no definite evidence for pneumonia. impression: findings suggesting mild-to-moderate pulmonary edema. . intra-op tee: conclusions extremely limited prebypass images were viewed as patient arrested and cpb was emergently initiated. post-cpb: the patient is on epinephrine, norepinephrine, milrinone, and vasopressin infusions. no thrombus/mass is seen in the body of the left atrium. overall left ventricular systolic function is moderately depressed (lvef= 35-39 %). hypokinesis is most notable in the mid-inferior and inferolateral segments. the right ventricle base is mildly hypokinetic and the free wall is moderately hypokinetic. the aortic valve leaflets (3) are mildly thickened. mild (1+) aortic regurgitation is seen. a mitral valve annuloplasty ring is present. moderate (2+) mitral regurgitation is seen. echogenic material seen in the descending thoracic aorta is consistent with iabp. there is no evidence of aortic dissection. dr. was notified in person of the results at time of study. . brief hospital course: 60 year old female presented to er on with nausea, vomiting and diarrhea times one week. lasix was stopped due to gastrointestinal symptoms and now she then had dyspnea on exertion. on arrival to er troponins 1.62-2.31. ekg w/ infer/lat changes. bnp 20,000. she had been pain free on heparin drip and was taken to the cath lab on . prelim report found to have occluded circumflex and small rca with normal lad. ms. became unstable while in the cath lab and an iabp was placed. cardiac surgery was called to eval for emergent surgery. she required emergent intubation in the cath lab secondary to respiratory distress. she subsequently developed asystole, rec'd cpr and a transvenous pacer placed. she was shocked for vf, required pressor support for blood pressure and taken emergently to the operating room with dr.. she underwent emergent coronary bypass grafting x4 with left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the distal right coronary artery, first obtuse marginal artery and first diagonal artery/ mitral valve repair with a 26-mm cg feature and annuloplasty ring, model #638r.cross-clamp time:107 minutes.pump time: 174 minutes. the pericardium was reapproximated around the internal mammary artery and around the aorta. the patient was oxygenating marginally,and given her tenuous status, dr. left her with an open chest, sedated and paralyzed. due to her hypoxia, postoperatively she was bronched with clearing of secretions, after which her oxygenation improved. she received a few doses of lasix, and with minimal response,she was given a bolus of 120 mg iv along with 500 mg iv chlorothiazide, started on lasix drip, and renal was consulted. pod#2 she underwent a mediastinal washout with clot removal. the iabp was discontinued. she remained volume overloaded and oliguic. renal recommended that cvvh for volume removal be started. attempts to wean off inotropy and pressor support was slow. ms. was taken back to the or for sternal closure. please see operative report for further details. over the next few days pressors were weaned, and volume was removed via cvvh. nutrition was initiated via tpn and ultimately tube feeds. her neuro status was intact, with some minor weakness of her right upper extremity. an us of her right upper extremity was negative for dvt. a luq us was done on secondary to an elevated tbili. there were no findings to suggest acute cholecystitis; no intra- or extra-hepatic biliary ductal dilatation. she was placed on heparin drip for a progressive right tibial vein thrombus. coumadin was initiated for further anti-coagulation. she continued on antibiotics for staph in her sputum and gram negative rods in her urine. ms. was extubated. she remained essentially oliguric and requiring cvvh for volume removal and on she had a tunnelled line dialysis catheter placed, along with dobhoff tube advancement via ir. speech and swallow re-evaluated her and advanced her diet as recommended. ent evaluated the patient for persistent hoarseness and she was found to have a paralyzed vocal cord and injection is recommended. she will follow-up as an outpatient for this procedure. she was consulted by physical therapy and occupational therapy. on the patient experienced some naseau and vomiting, a kub was obtained to check dobhoff tube placement, which was in good position, and there was no evidence of an ilieus. the renal team continued to follow during the hospital course for hemodialysis and ultrafiltration. no further episodes of nausea or diarrhea. the patient's amylase and lipase continued to trend down. the nutrition service was following the patient, tube feeds were cycled and the patient was taking po with calorie counts. anticoagulation therapy was continued with coumadin. now on she is ready to be discharged to rehab today. all follow up appointments were advised. medications on admission: lasix 20mg qod glipizide 10mg lisinopril 10mg qday crestor 40mg qday sitagliptin 50mg qday aspirin 162mg mvi aranesp prn discharge medications: 1. warfarin 1 mg tablet sig: two (2) tablet po daily (daily): please dose 2mg of coumadin on . check inr , dose per the inr. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 50 mg/5 ml liquid sig: two (2) po bid (2 times a day). 4. ranitidine hcl 15 mg/ml syrup sig: one y (150) mg po daily (daily). 5. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 6. midodrine 5 mg tablet sig: one (1) tablet po tid (3 times a day). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 650 mg/20.3 ml solution sig: one (1) po q4h (every 4 hours) as needed for pain, fever. 9. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 11. lanthanum 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 12. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 13. cholecalciferol (vitamin d3) 400 unit tablet sig: 0.5 tablet po daily (daily). 14. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for coughing. 15. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q6h (every 6 hours) as needed for nausea. 16. diet please hold tube feeds for 3 days to increase appetite from - . monitor caloried counts closely. if insufficient calorie intake, restart tube feeding with the following regimen: tubefeeding: nepro full strength; additives: banana flakes, 3 packets per day starting rate: 50 ml/hr; do not advance rate goal rate: 50 ml/hr cycle?: yes, starting now cycle start: 1800 cycle end: 0400 residual check: q4h hold feeding for residual >= : nausea flush w/ 30 ml water q8h other instructions: shorten tf duration due to morning fullness and decreased appetite 17. wound bilateral groins: cleanse with aloe vesta daily, pat dry, and apply thin layer of xeroform to open area, cover with dry gauze to remainder of fold to absorb moisture. abdomen: cleanse with wound cleanser and soft cloths, pat dry. apply duoderm wound gel to all erosions, cover entire area with 1 layer of xeroform and cover with dry gauze, secure with paper tape. change daily. pannus and breast folds: cleanse and pat dry and apply critic aid clear. coccyx: apply sacral mepilex, change q3 days or prn when soiled. peri-anal: cleanse and with oozing stool, apply critic aid clear with every third cleansing. please continue aggressive q2h turning schedule and check peri-anal area with each turn for oozing stool. elevate heels off bed and apply aloe vesta cream . 18. urine output bladder scan q24h and straight cath for > 300 ml 19. nutrition regular; consistency: ground (dysphagia); thin liquids supplement: magic cup breakfast, lunch, dinner please send magic cup with meals food allergies: crustacean shellfish, shell fish 20. outpatient lab work inr draw 21. insulin nph 12 units sq with dinner 22. blood sugars please check blood sugars qac and qhs 23. sliding scale regular insulin sliding scale: glucose insulin dose 0-70 mg/dl proceed with hypoglycemia protocol 71-120 mg/dl 0 units 121-160 mg/dl 3 units 161-200 mg/dl 5 units 201-240 mg/dl 7 units 241-280 mg/dl 9 units 281-320 mg/dl 11 units 321-360 mg/dl 14 units > 360 mg/dl notify m.d. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: mitral regurgitation coronary artery disease acute renal failure atrial fibrillation dvt pmh: diabetes mellitus hypertension hyperlipidemia chronic kidney disease chronic diastolic heart failure nephrolithiasis anemia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol as needed. incisions: sternal - healing well, no erythema or drainage. there is eschar at the lower sternal pole, please do not remove. no lotions or creams applied to the incisions. leg right/left - healing well, no erythema or drainage. discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr : 1:00 cardiologist: , md phone: date/time: 2:20 ent: dr phone: date/time: 9:45 please call to schedule appointments with your primary care dr. , i. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication afib, dvt goal inr first draw then please do inr checks every other day until a steady therapeutic inr is achieved, then decrease lab check as directed by clinician. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis other electric countershock of heart venous catheterization for renal dialysis other bronchoscopy insertion of temporary transvenous pacemaker system reopening of recent thoracotomy site other repair of chest wall closed [endoscopic] biopsy of bronchus implant of pulsation balloon open heart valvuloplasty of mitral valve without replacement pharyngoscopy diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) cardiac arrest cardiogenic shock long-term (current) use of anticoagulants ventricular fibrillation obesity, unspecified acute on chronic systolic heart failure acute myocardial infarction of inferoposterior wall, initial episode of care other nonspecific abnormal serum enzyme levels staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms acute venous embolism and thrombosis of deep vessels of distal lower extremity acute respiratory failure following trauma and surgery unilateral paralysis of vocal cords or larynx, complete 

Answer: The patient is high likely exposed to