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: service: cardiothoracic surgery history of present illness: the patient is a 57-year-old woman with multiple medical problems including coronary artery disease, status post inferior q wave mi in , copd, chf/mr who presented to outside hospital with progressive shortness of breath and chest pain. the patient was noted to be hypoxic and was intubated. she had a severe respiratory acidosis with a ph of 6.99 shortly after intubation. ekg showed old inferior q waves and depressions in the anterior leads. she was initially started on heparin and nitroglycerin for ischemia. a tte was performed emergently on and showed hyperdynamic lv function with an ef of 75%. small amount of inferobasilar wall hypokinesis, trace tr, normal aortic valve, + mr and normal rv function. the patient ruled out for mi with negative enzymes. the patient was extubated on although she was still requiring 50% fio2 and ventilating well with normal ph. she was fatigued but not retaining co2 and tolerated extubation early in a.m. on when she was noted to be in severe respiratory distress, tachycardic to 150 and hypertensive to 160/112, o2 sat on 100% non rebreather. the patient was given 100 mg iv lasix. chest x-ray showed flash pulmonary edema. the patient was also having long runs of v tach and given lidocaine 100 mg iv bolus. she had a seizure for which she was given ativan. the patient was intubated. a repeat tte was performed and she was transferred to for further management. past medical history: 1) coronary artery disease, status post inferior wall mi in . 2) congestive heart failure times one episode. 3) severe chronic obstructive pulmonary disease. 4) lumbar laminectomy. 5) right humeral fracture. 6) sciatica. 7) shingles. 8) left hydronephrosis. 9) severe diverticulosis. 10) appendectomy. 11) cardiogenic shock due to severe mr . medications: xanax 0.5 mg po tid, imdur 90 mg po q d, accolate 20 mg po bid, -dur 300 mg tid, univasc 15 mg po q d, prevacid 15 mg po q d, atenolol 50 mg po q d, lipitor 10 mg po q d, albuterol and atrovent inhalers prn, percocet 1-2 tabs po q 6 hours prn. on transfer she was also on a heparin drip, reglan 6 mg iv q 6 hours, levaquin 500 mg iv q d, ativan drip, lidocaine, amiodarone bolus, fentanyl drip, nitroglycerin drip. allergies: penicillin which causes anaphylaxis. social history: she is a heavy smoker with 2-3 pack per day history times 30 years and moderate alcohol use. physical examination: she was intubated, sedated, with dysconjugate gaze, her vital signs were temperature 100.6, heart rate 100, blood pressure 100/57 and o2 saturation of 97%. vent settings on transfer were assist control of 500/16, peep of 5, fio2 50%. heent: pupils are equal, round, and reactive to light. neck, no jugulovenous distension. chest clear to auscultation bilaterally and anteriorly. heart regular, normal s1 and s2 with 3/6 systolic ejection murmur at the apex radiating to the axilla and carotids. abdomen soft, diffusely tender but mostly in the right upper quadrant, non distended, positive bowel sounds, bruit vs transmitted heart murmur, no clubbing, cyanosis or edema on extremities. laboratory data: on admission white count was 26.1, hematocrit 43.8, platelet count 264,000. chem 7, 140, 3.0, 104, 27, 32, 1.0 and 138. pt 10.9, inr 0.8, ptt 87.4. hospital course: the patient was admitted and remained intubated on the coronary care unit service. repeat tte at showed severe mr and a hypodynamic left ventricular function. the patient was requiring levophed for blood pressure support. the patient was started empirically on vancomycin, flagyl and levaquin for presumed sepsis. the patient was aggressively diuresed in the ccu. cardiac catheterization demonstrated severe mr. -aortic balloon pump was placed. cardiothoracic surgery was contact for mitral valve replacement and one vessel cabg. the patient underwent mitral valve repair with a mechanical valve and saphenous vein graft to the pda cabg on . postoperatively the patient did well and was transferred to the unit. the patient was noted to have a pneumothorax on chest x-ray on postoperative day #1 so right chest tube was placed. the patient continued to do well and on postoperative day #4 the patient's chest tubes were removed. the patient was restarted on her coumadin post-operatively. on postoperative day #5 the patient was transferred to the floor. on the first night on the floor the patient required a sitter due to some confusion but on postoperative day #6 the patient no longer required a sitter and was somewhat more oriented. on postoperative day #6 the patient's inr was noted to be 5.8. the previous day the patient's coumadin had been held and was held again on postoperative day #6. the patient's foley was removed on postoperative day #6 and patient was transferred to rehab in stable condition on postoperative day #7, . discharge medications: metoprolol 25 mg po bid, lasix 20 mg po bid times 7 days, kcl 20 meq po bid times 7 days, colace 100 mg po bid, zantac 150 mg po bid, aspirin 81 mg po q d, percocet 1-2 tabs po q 4-6 hours prn, albuterol and atrovent nebs q 4 hours prn, combivent 2 puffs q 4 hours, accolate 20 mg po bid, lipitor 20 mg po q d, oxycontin 10 mg po bid, -dur 300 mg po tid and haldol 0.5 mg iv q 6 hours prn. discharge diagnosis: 1. status post mvr with mechanical valve and cabg times one vessel. discharge status: to rehab in stable condition. dr. will regulate anticoagulation. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters intraoperative cardiac pacemaker (aorto)coronary bypass of one coronary artery open and other replacement of mitral valve implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder mitral valve disorders unspecified pleural effusion unspecified septicemia acute respiratory failure iatrogenic pneumothorax left heart failure rupture of chordae tendineae 

Answer: The patient is high likely exposed to