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: history of present illness: ms. is a 69-year-old female currently referred by dr. for cardiac catheterization at due to increasing dyspnea on exertion and exertional throat and chest pain which has occurred over the past two months. the patient had reported that these symptoms occur while walking up an incline and after walking up one flight of stairs. the patient has denied having these symptoms at rest. an exercise treadmill test done on depressions on the lateral leads with prior and post echocardiogram which showed inferior wall hypokinesis. additionally, mild-to-moderate systolic dysfunction with an ejection fraction of 40% with concomitant 1+ tricuspid regurgitation and trace mitral regurgitation was noted. on cardiac catheterization at , left anterior descending artery showed 60% to 80% stenosis, left circumflex showed 70% stenosis at the first obtuse marginal to second obtuse marginal, right coronary artery with moderate diffuse irregularities with a subtotal occlusion after the posterior descending artery with left-to-right collaterals. given these 3-vessel disease findings, a cardiothoracic surgery evaluation was sought. past medical history: 1. gastroesophageal reflux disease. 2. hypertension. 3. depression. 4. hyperlipidemia. 5. status post appendectomy. 6. status post hysterectomy. 7. status post tonsillectomy. medications on admission: (medications at home included) 1. aspirin 325 mg p.o. once per day. 2. nexium 40 mg p.o. once per day. 3. lipitor 20 mg p.o. once per day. 4. toprol-xl 50 mg p.o. once per day. 5. prozac 60 mg p.o. once per day. allergies: questionable penicillin allergy, shell fish, dye, and a codeine allergy. physical examination on presentation: physical examination revealed vital signs with a temperature of 97 degrees fahrenheit, heart rate was 77 (sinus), blood pressure was 121/72, respiratory rate was 20, and oxygen saturation was 98% on 2 liters nasal cannula. in general, the patient was a well-developed and well-nourished female in no apparent distress at the time of discharge. head, eyes, ears, nose, and throat examination revealed sclerae were anicteric. mucous membranes were moist. no evidence of oral ulcers. cranial nerves ii through xii were intact. no cervical lymphadenopathy was noted. the chest was clear to auscultation bilaterally. cardiovascular examination revealed a regular rate and rhythm. no murmurs. sternotomy incision site was without evidence of erythema or serosanguineous drainage. staples were intact along the sternotomy incision site without skin separation. the abdomen was soft, nontender, and nondistended. positive bowel sounds. no evidence of inguinal lymphadenopathy. no hepatosplenomegaly was noted. extremity examination revealed no evidence of rash. graft site appeared to be healing well without any evidence of erythema, no evidence of serosanguineous drainage, and no edema. pertinent laboratory values on presentation: pertinent laboratories as of ; white blood cell count was 12.7, hematocrit was 28.4, and platelets were 355. sodium was 139, potassium was 3.9, chloride was 101, bicarbonate was 28, blood urea nitrogen was 26, and creatinine was 1.2. calcium was 9, magnesium was 1.9, and phosphate was 4.4. summary of hospital course: ms. is a 69-year-old female with progressively worsening dyspnea on exertion with corresponding cardiac catheterization revealing 3-vessel disease localized to the left anterior descending artery, left circumflex, and right coronary artery. given these findings, and undergoing proper cardiac surgical preoperative evaluation, the patient underwent an uncomplicated coronary artery bypass graft times five on (graft sites of left internal mammary artery to left anterior descending artery, saphenous vein graft to second obtuse marginal, saphenous vein graft to right pulmonary artery, and saphenous vein graft to diagonal). postoperatively, the patient was transfused one unit of packed red blood cells and the patient's pressors were weaned to off. the patient was also given aggressive pulmonary toilet and extubated subsequently. by postoperative day two, the patient was tolerating a diet as tolerated, and the patient's cordis was removed along with the chest tube. no evidence of pneumothorax was noted status post removal of mediastinal chest tube. by postoperative day three, the patient required an additional 2 units of packed red blood cells; following which pressors were weaned off. at this time, the patient's captopril was initiated along with lopressor. by postoperative day four, the patient continued to maintain good blood pressures and oxygen saturations; and lopressor was correspondingly titrated higher. during this time physical therapy assessed the patient and determined that given the fact that the patient continued to make slow progress, the patient was not safe to return home. at this time, the decision was made to discharge the patient to a rehabilitation facility. additionally, on postoperative day five, the patient's white blood cell count elevated to 12.8. without any clear source, and the patient continuing to be afebrile, a urinalysis was sent which confirmed the suspicion of a urinary tract infection. the patient was initiated on oral ciprofloxacin at this time with an expected course of five days. by postoperative day six, the patient was doing very well, tolerating diet, and maintaining good oxygen saturations on room air. at this time, the patient was discharged to a rehabilitation facility. condition at discharge: condition on discharge was good. discharge status: discharge status was to a rehabilitation facility. discharge diagnoses: status post coronary artery bypass graft times five vessels (with left internal mammary artery to left anterior descending artery, saphenous vein graft to second obtuse marginal, saphenous vein graft to right pulmonary artery, and saphenous vein graft to diagonal). medications on discharge: 1. ciprofloxacin 500 mg p.o. twice per day (times three days after discharge). 2. toprol 50 mg p.o. twice per day. 3. lasix 20 mg p.o. twice per day (times seven days); further discussion of extending the use of this medication should be determined by the patient's cardiologist. 4. plavix 75 mg p.o. once per day. 5. atorvastatin 20 mg p.o. once per day. 6. potassium chloride 20 meq p.o. twice per day (times seven days); only during the duration of the lasix usage to prevent hypokalemia. 7. fluoxetine 50 mg p.o. once per day. discharge instructions/followup: 1. the patient was to follow up with dr. in four weeks. 2. the patient was also to follow up with dr. in one week for evaluation of cardiac medications as well as further evaluation to extend the lasix usage. , m.d. dictated by: medquist36 d: 15:38 t: 16:04 job#: procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter double internal mammary-coronary artery bypass diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome urinary tract infection, site not specified unspecified essential hypertension other and unspecified hyperlipidemia diseases of tricuspid valve 

Answer: The patient is high likely exposed to