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: past medical history: 1. coronary artery disease, status post mi times two in , three vessel disease, not a candidate for cabg or ptca, based on a catheterization in , left main 70%, left circumflex 95%, lad 80%, rca 100%. 2. chf with an ef of less than 25%. 3. type 2 diabetes. 4. hypothyroidism. 5. chronic renal insufficiency, baseline creatinine apparently 1.2 to 1.3. 6. vertebral fractures. medications at home: 1. lasix 40 mg p.o. q.d. 2. imdur 50 mg p.o. q.d. 3. digoxin 0.125 mg p.o. q.d. 4. levoxyl 25 micrograms p.o. q.d. 5. lipitor 10 mg p.o. q.d. 6. univasc, unknown dose. 7. metoprolol 50 mg b.i.d. 8. aldactone, unknown dose. allergies: the patient has no known drug allergies. social history: the patient lives with her husband. she has been bed bound for greater than a year for unknown causes. she is demented and has intermittent episodes of delirium but is able to carry on a coherent conversation at times. there is no history of alcohol or drug abuse. physical examination on admission: vital signs: on presentation, the patient had a temperature of 97.9, pulse 82, blood pressure 134/62, saturating 100% on 2 liters nasal cannula. general: she was sleepy but confused. heent: dry mucous membranes. pupils equal, round, and reactive to light, anicteric. neck: supple. the trachea was midline. the lungs were clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, normal s1, s2, ii/vi systolic murmur at the apex. abdomen: soft, nontender, normal bowel sounds. ob positive stools. extremities: the right lower extremity had some firmness in the right calf and dopplerable pulses and a dp and tp. neurologic: she was lethargic but intermittently arousable and moving all extremities symmetrically. laboratory/radiologic data: on presentation to the micu, the patient had the following laboratories: white blood cell count 13.6, hematocrit 33.2 after the 5 units of red blood cells, platelets 186,000. her coagulations were 12.8, 57.3, and 1.1. her chem-7 was as follows: sodium 144, k 3.9, chloride 112, bicarbonate 14, bun 36, creatinine 1.6, glucose 268, calcium 8.0, phosphorus 6.3, magnesium 1.9. her ck was 8,300 and peaked at around 12,000. her troponin was greater than 50. her blood gas was 7.29/32/198 with a lactate of 2.8. ekg showed no st depressions in v4 through v6. normal sinus rhythm at 89. chest x-ray showed a hematoma in the left superior mediastinum and a u/a from the outside hospital showed moderate leukocyte esterase and 50-100 white blood cells. the patient had an echocardiogram which showed small pericardial effusion near the right atrium, no clot, and an ejection fraction, mildly dilated la, moderately to severely depressed ef of 30%, akinesis at the inferior and posterior walls, hypokinesis of the inferior septum wall, no masses or thrombi. mild thickening of the aortic leaflets but no stenosis, trace aortic regurgitation, 1+ mr. tamponade. on , the patient had the following labs, her white count was 8.3. her hematocrit 32.5, platelets 150,000. bun 28, creatinine 1.0, and total c02 of 20. albumin 2.4. her u/a showed ten to four times ten to five yeast and a hit antibody was pending. hospital course: 1. cardiovascular: a. ischemia: the patient had the ischemic right leg, as previously indicated with ctas elevated to a peak of 12,000. she underwent a successful thrombectomy with restoration of flow, the etiology of the thrombus was thought to be an embolic event, likely from the heart, although it was not seen on echocardiography. the patient was initially treated with heparin which was to be continued after she had the gi bleed and the hematocrit dropped to 24. subsequently vascular surgery recommended that the patient be started on warfarin as prophylaxis for further embolic events. this was done so on , but it was unclear if this would be continued given her continued heme-positive stools needed to be resolved on the day of discharge. in terms of cardiac ischemia, the patient had multiple troponins greater than 50, deemed likely from ischemia from demand given her low hematocrit, severe underlying coronary artery disease. the patient was treated with a beta blocker, aspirin, and imdur in addition to her atorvostatin. she was not deemed a candidate for cardiac catheterization and again the heparin was deemed too risky given the gi bleeds and the falling hematocrit. in terms of her pump function, the patient showed no signs of congestive heart failure during the hospital stay and she was several liters positive without any drop in her oxygen. she should be considered for restarting her lasix and aldactone as an outpatient. the patient had several episodes of hypotension in the pacu after thrombectomy. this was likely due to gi bleed and she had no further episodes of hypotension or any events during the stay. 2. gastrointestinal: the patient had heme-positive stools and hematocrit dropped. the etiology of the heme-positive stools was unknown. the hematocrit was more or less stable in the micu after receiving 5 units of packed red cells in the pacu. she was continued only on the aspirin and the warfarin for anticoagulation. she needs her hematocrit checked one to two weeks following discharge to ensure that this level is stable. the patient's stay was also notable for very small p.o. intake apparently at baseline. the patient has a poor appetite and eats minimally, taking pureed solids. she was continued on this pureed diet and did fairly well without any signs of aspiration, although she is certainly at risk for this. the patient was also kept on a ppi. the patient was also given boost supplementations for a low albumin. 3. infectious disease: the patient had a positive u/a at an outside hospital. she was treated with six days of levofloxacin and had no fevers and her white count remained normal during the hospital stay. 4. endocrine: the patient has a history of type 2 diabetes. she continued a regular insulin sliding scale. her blood sugars were fairly well controlled. in addition, she was continued on synthroid for hypothyroidism. 5. psychiatric: the patient has a history of depression and was continued on her sertraline. 6. neurologic: the patient has a history of dementia, questionable delirium and has apparently been bed bound and delirious at home. she remained coherent in the intensive care unit several days prior to discharge. the patient is apparently on home hospice care for her coronary artery disease and dementia at home. no further intervention was taken for her neurologic status. discharge diagnosis: 1. embolus to the right femoral artery with subsequent elevations in ck. 2. non-st elevation mi. 3. gastrointestinal bleed. 4. urinary tract infection. 5. dementia. 6. type 2 diabetes. 7. hypothyroidism. 8. poor nutritional status. discharge medications: 1. metoprolol 25 mg p.o. q.d. 2. aspirin, enteric-coated, 81 mg p.o. q.d. 3. warfarin 5 mg p.o. q.d., to be checked with vascular surgery prior to discharge. 4. atorvostatin 10 mg p.o. q.d. 5. sertraline 50 mg p.o. q.d. 6. isosorbide mononitrate 30 mg p.o. q.d. 7. insulin sliding scale. 8. levothyroxine 75 micrograms p.o. q.d. follow-up: the patient is to follow-up with her primary care physician within one to two weeks of discharge. , m.d. procedure: venous catheterization, not elsewhere classified arteriography of femoral and other lower extremity arteries arterial catheterization incision of vessel, lower limb arteries repair of blood vessel with synthetic patch graft diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified hematoma complicating a procedure pneumonitis due to inhalation of food or vomitus other complications due to other vascular device, implant, and graft arterial embolism and thrombosis of lower extremity 

Answer: The patient is high likely exposed to