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: this is a 56 year old woman with coronary artery disease, status post myocardial infarction times two, with a distant percutaneous transluminal coronary angioplasty, insulin dependent diabetes mellitus, peripheral vascular disease, congestive heart failure with a normal ejection fraction, history of ovarian cancer, admitted to c-medicine , with chest pain for several hours and an electrocardiogram with diffuse st elevations and echocardiogram with mild effusion consistent with pericarditis. on , the patient became bradycardic, heart rate 40 to 50 with a decrease in mental status, systolic blood pressure 80s. the patient was transferred to the ccu. in the ccu, dopamine and atropine were given and with the dopamine, the blood pressure increased to 100 to 110 over 80, no change in heart rate. swan ganz done at that time revealed right atrial pressure 15, right ventricle 37/15, pulmonary artery 42/17, pulmonary capillary wedge 22, cardiac output 4.7, svr 681. of note, the patient was found to have white blood cell with 91% polys, temperature maximum 100.2. chest x-ray with a question of left lower lobe infiltrate. she was started on intravenous levofloxacin for question of pneumonia. with relative equalization of right ventricular pulmonary artery pressures, she was sent to the catheterization laboratory to rule out tamponade versus ischemia. her coronaries were without significant disease. right atrial pressure was 18, right ventricle 57/14, pulmonary artery 51/14, pcw 25, cardiac output 4.0, cardiac index 2.1. an echocardiogram was done which showed a small effusion, no right atrial, right ventricular collapse. ct surgery was consulted and they took her to the operating room for pericardial window with 150 ccs of turbid fluid removed. after the procedure, her heart rate went to the 60s, blood pressure 110/40 and without dopamine. mediastinal drain was placed with small output of about 20 ccs of bloody fluid. of note, on , two units of packed red blood cells were given for low hematocrit at 27.0 which bumped to 32.0. past medical history: 1. coronary artery disease, status post myocardial infarction times two. catheterization in 02/94, , . 2. insulin dependent diabetes mellitus for thirty years. 3. syndrome. 4. lipodystrophy with complications of retinopathy, gastroparesis. 5. chronic renal insufficiency. 6. peripheral vascular disease, status post left below the knee amputation, . 7. congestive heart failure with a normal ejection fraction. 8. ovarian cancer, status post total abdominal hysterectomy, bilateral salpingo-oophorectomy. 9. hip fracture on the right. 10. lower gastrointestinal bleed in , due to ileal arteriovenous malformation. 11. septic cholecystitis. 12. sciatica. 13. chronic urinary tract infection. 14. gout. 15. hypothyroidism. allergies: penicillin, cephalosporin, erythromycin, ibuprofen. medications on admission: 1. insulin u-500. 2. insulin sliding scale. 3. levoxyl 200 q.d. 4. plavix 75 mg q.d. 5. 60 mg q.d. 6. isordil 80 mg t.i.d. 7. aldactone 100 mg b.i.d. 8. lasix 40 mg once a day. 9. norvasc 5 mg q.d. 10. lopressor 50 mg q.d. 11. k-dur 20 meq q.d. 12. tylenol #3. 13. percocet. 14. allopurinol 100 mg q.d. 15. lopid 600 mg b.i.d. 16. ativan 1 mg b.i.d. 17. epogen 10,000 every sunday. social history: the patient is married. she has some prior history of smoking, no history of alcohol. physical examination: on physical examination, the patient was sitting comfortably, denied chest pain, complained of some incisional pain at the mediastinal drain site. temperature currently is 98.2, heart rate 64, blood pressure 118/60, respiratory rate 20, oxygen saturation 96% in room air. the patient is blind, resting comfortably in no acute distress. cardiovascular is regular rate and rhythm, no murmurs, rubs or gallops. respiratory - lungs clear to auscultation anteriorly. the abdomen revealed positive bowel sounds, subxiphoid drain, dressing clean, dry and intact. extremities - trace lower extremity edema in the right leg. laboratory data: white blood cell count 8.4, hematocrit 27.2, platelets 291,000. sodium 142, potassium 4.1, chloride 109, bicarbonate 21, blood urea nitrogen 46, creatinine 1.2, glucose 83. calcium 9.1, phosphate 3.7, magnesium 2.2. alt 117, ast 131. hospital course: during the course of the patient's hospitalization, heart rate and blood pressure were controlled by taking her off most of her medications and we tried to elucidate the etiology of her pericarditis, investigated for infectious versus rheumatologic versus neoplastic. from the pericardial effusion, cultures were sent which were negative for fungal, bacterial and otherwise gram stain was negative. ppd was placed which was negative. rheumatologic - was done which was negative. rheumatoid factor was negative. esr was done which came back at 131 which was consistent with esr done two years ago which was 140. her neoplastic workup considering her history of ovarian cancer and she had some complaint of chronic abdominal pain, we had a ct of the abdomen which was negative. also, ct of the chest was negative. endocrine workup for the pericarditis, tsh was not elevated so hypothyroid cause of pericarditis was excluded. throughout her hospital course, she also had an issue of anemia. in the ccu, her hematocrit was down to 23.0 to 24.0. they transfused her two units of packed red blood cells and it went up to 33.0 to 34.0. after one day, her hematocrit drifted back down to 27.0. another two units of packed red blood cells were given and it went up to 40.0. hematology was consulted and it was their opinion that the anemia was most likely a picture of chronic hypoproliferative anemia with some component of low iron. it was their feeling that this might likely be due to autoimmune disease. with stabilization of blood pressure and heart rate and no proven cause of etiology of pericarditis, the patient is discharged in stable condition to home with vna and her husband. discharge diagnosis: constrictive pericarditis versus restrictive cardiomyopathy with pericardial effusion requiring a pericardial window. medications on discharge: 1. insulin u-500 sliding scale as per the patient's schedule. 2. levoxyl 200 mcg q.d. 3. 60 mcg b.i.d. 4. epogen 10,000 units every sunday. 5. lopid 600 mg b.i.d. 6. plavix 75 mg p.o. q.d. 7. allopurinol 100 mg q.d. 8. zestril 5 mg p.o. q.d. 9. lopressor 25 mg p.o. b.i.d. 10. ativan 1 mg b.i.d. 11. tylenol #3 one to two tablets q4hours p.r.n. pain. 12. percocet one to two tablets q6hours p.r.n. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters pulmonary artery wedge monitoring pericardiotomy diagnoses: pneumonia, organism unspecified other primary cardiomyopathies congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status other shock without mention of trauma constrictive pericarditis personal history of malignant neoplasm of ovary 

Answer: The patient is high likely exposed to