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: the patient is a 53-year-old woman who had onset of severe thoracic pain two days prior to admission while she was away in . she returned home to from due to the chest pain associated with nausea and vomiting. since that time the nausea and vomiting had subsided; however, the patient chest pain remained constant over the past 48 hours. on examination in the emergency room the patient was found to profoundly bradycardic and diaphoretic. her electrocardiogram revealed 30-degree av block with a rate in the 40s, and a systolic blood pressure of 110. at that time she was brought to the cardiac catheterization laboratory for cardiac catheterization and temporary pacemaker placement. please see the catheterization report for full details. past medical history: (past medical history is significant for) 1. coronary artery disease. 2. type 2 diabetes mellitus. 3. hypertension. 4. cholesterol. medications on admission: medications prior to admission included atenolol, zestril, aspirin, and glucophage. laboratory data on presentation: laboratory work on admission revealed a white blood cell count of 22.8, hematocrit 38, platelets 376. sodium 131, potassium 4.4, chloride 93, bicarbonate 22, blood urea nitrogen 18, creatinine 1.1, glucose of 520. pt was 13.8, ptt was 24.5, inr of 1.3. physical examination on presentation: the patient's physical examination prior to admission in the emergency room revealed a heavy-set woman. neurologically, alert and oriented. head, ears, nose, eyes and throat revealed pupils were equally round and reactive to light. extraocular movements were intact. neck was supple. no lymphadenopathy. no obvious jugular venous distention. no bruits. lungs had diminished breath sounds anteriorly bilaterally. heart sounds revealed a regular rate and rhythm with a positive rub. no murmur. abdomen was soft, midline laparoscopy scar. extremities revealed no obvious peripheral vascular disease, positive pedal pulses. radiology/imaging: the patient's catheterization showed left anterior descending artery with a shifting plaque into the circumflex with no refill down the left anterior descending artery or the circumflex, proximal ostial 80% to 90% lesion. hospital course: the patient remained hypotensive in cardiogenic shock while in the catheterization laboratory. an intra-aortic balloon pump was placed, and cardiac surgery was consulted. post catheterization, the patient was brought emergently to the operating room for coronary artery bypass graft. please see the operative note for full details. in summary, the patient underwent coronary artery bypass graft times two with a vein graft to the left anterior descending artery and a vein graft to the first obtuse marginal. at the time of transfer the patient remained in cardiogenic shock. she had an arterial line, a swan-ganz catheter, and intra-aortic balloon pump, ventricular pacing wires times two, and atrial pacing wires. she also had two mediastinal chest tubes and a right pleural chest tube. at the time of transfer, her mean arterial pressure was 84. central venous pressure was 19. she was av paced with an intra-aortic balloon pump at 1:1. she was transferred with propofol at 30 mcg/kg per minute, milrinone at 0.25 mcg/kg per minute, amiodarone at 1 mcg/kg per minute, neo-synephrine at 1.5 mcg/kg per minute, dopamine at 10 mcg/kg per minute, and insulin at 1 unit per hour. on postoperative day one the patient was kept sedated in an effort to allow her to rest throughout the day. she remained fully ventilated and the balloon pump remained at 1:1. on the morning of postoperative day two the patient was weaned from her sedation. following the weaning of sedation she was weaned from the ventilator and successfully extubated. later on that morning her intra-aortic balloon pump was weaned and ultimately discontinued. in addition, the patient's milrinone was weaned to off. the patient remained in the intensive care unit on postoperative days three and four to monitor her respiratory and cardiopulmonary status. over the course of those two days the patient remained hemodynamically stable. however, on postoperative day four her cardiac index took a dip and she was restarted on her milrinone. in addition, her respiratory status seemed to be taking a turn for the worse. her respiratory rate increased. she was producing large amounts of sputum and becoming increasingly hypoxic despite increasing oxygen support. a chest x-ray at that time showed bilateral patchy infiltrates. on the afternoon on postoperative day four the patient was intubated by anesthesia. over the next several days the patient remained intubated requiring full ventilatory support. she was empirically started on vancomycin and levaquin. her chest x-ray during that time showed acute respiratory distress syndrome versus bilateral lower lobe infiltrates. infectious disease was consulted and the patient was begun on vancomycin, levofloxacin, and clindamycin which were ultimately changed to vancomycin and ceftazidime. sputum from her previous culture grew out methicillin-susceptible staphylococcus aureus. on postoperative day 10 through postoperative day 13 the patient showed vast gains in her pulmonary status, and on postoperative day 13 she was weaned from the ventilator and successfully extubated. she remained in the intensive care unit for two additional postoperative days to monitor her pulmonary status. on postoperative day 15 she was transferred to the floor for continued postoperative care and cardiac rehabilitation. following extubation the patient had a speech and swallow consultation as well as clinic consultation. on further recommendations of speech and swallow, she was initially begun on clear liquids and advanced slowly to soft solids and then to a full regular diet. once on the floor, with the assistance of nursing and physical therapy, the patient's activity level was increased on a daily basis. she remained hemodynamically stable. her respiratory status continued to improve. she was weaned from her oxygen. on postoperative day 16 she was brought to the electrophysiology laboratory for electrophysiology studies. at that time she was found to not have inducible ventricular tachycardia, and therefore no automatic internal cardioverter-defibrillator was placed. she continued to work with nursing and physical therapy over the next several days. on postoperative day 20, it was deemed that she was stable and ready for discharge to home. condition at discharge: at the time of discharge, the patient was stable. discharge diagnoses: 1. coronary artery disease, status post percutaneous transluminal coronary angioplasty, status post coronary artery bypass graft times two with saphenous vein graft to left anterior descending artery and saphenous vein graft to first obtuse marginal. 2. type 1 diabetes mellitus. 3. hypertension. 4. hypercholesterolemia. medications on discharge: 1. aspirin 325 mg p.o. q.d. 2. glucophage 500 mg p.o. t.i.d. 3. zestril 2.5 mg p.o. q.d. 4. amiodarone 400 mg p.o. q.d. 5. nph insulin 42 units q.a.m. and 8 units q.p.m. 6. regular insulin sliding-scale. physical examination at time of discharge: vital signs were temperature 98.8, heart rate 84, sinus rhythm, blood pressure 100/60, respiratory rate 18, oxygen saturation 95% on room air. weight preoperatively was 66.2 kg, at discharge was 66.1 kg. physical examination revealed alert and oriented times three, conversant. moved all extremities. breath sounds were clear to auscultation bilaterally. heart sounds revealed a regular rate and rhythm, first heart sound and second heart sound. sternum was stable. incision was open to air, clean and dry. the abdomen was soft, nontender, and nondistended, normal active bowel sounds. extremities were warm and well perfused. no clubbing, cyanosis or edema. right lower extremity incision was healing well, open to air, clean and dry. laboratory data on discharge: hematocrit 34.6, glucose 4.8, blood urea nitrogen 19, creatinine 0.8. discharge followup: the patient was to have follow up with dr. in one month. she was also to have follow up with dr. of cardiology on . she was to return to the clinic in two weeks for follow-up wound checks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube (aorto)coronary bypass of one coronary artery implant of pulsation balloon diagnoses: pneumonia, organism unspecified acidosis coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care atrial fibrillation atrioventricular block, complete shock, unspecified 

Answer: The patient is high likely exposed to