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 67-year-old female with multiple medical problems and a complicated medical history who presented to an outside hospital status post myocardial infarction for cardiac catheterization. she was initially seen in the emergency department at and was evaluated and treated for left foot cellulitis the patient had for approximately one month. while in the emergency department, the patient developed chest pain associated with electrocardiogram changes. she was admitted and continued to have electrocardiogram changes on the morning of admission; although, she was chest pain free at that time. past medical history: 1. coronary artery disease. (a) status post coronary artery bypass graft in with a left internal mammary artery to first diagonal, saphenous vein graft to the posterior descending artery, saphenous vein graft to left anterior descending artery and obtuse marginal. (b) status post myocardial infarction in with pericarditis. (c) non-q-wave myocardial infarction in . (d) non-q-wave myocardial infarction in . 2. chronic renal insufficiency with bilateral renal artery peripheral vascular disease. no carotid disease. 3. status post right carotid endarterectomy in . 4. status post a left carotid endarterectomy in . 5. the patient has undergone a left femoral-popliteal bypass in with a left iliac angioplasty in . 6. the patient is status post left anterior cerebral infarction from left endarterectomy with minimal residual. 7. the patient has insulin-dependent diabetes mellitus. 8. recurrent congestive heart failure. 9. history of pilonidal cysts. 10. history of left retinal hemorrhage. 11. history of seizure disorder; type not documented. 12. history of hypothyroidism. past surgical history: please see past medical history; in addition to a cholecystectomy in and a cesarean section times two. allergies: hydralazine (causes "pericardial rub" per patient). medications on admission: (medications at the time of transfer to the cardiac service included) 1. zosyn 2.25 mg intravenously q.6h. (for cellulitis). 2. aspirin 81 mg by mouth once per day. 3. zoloft 50 mg by mouth twice per day. 4. imdur 60 mg by mouth once per day. 5. plavix 75 mg by mouth once per day. 6. lorazepam 0.5 mg by mouth once per day. 7. accupril 5 mg by mouth once per day. 8. protonix 40 mg by mouth once per day. 9. colchicine 0.6 mg by mouth once per day. 10. pletal 50 mg by mouth twice per day. 11. levoxyl 0.075 mcg by mouth once per day. 12. lasix 80 mg by mouth twice per day. 13. dilantin 300 mg by mouth once per day. 14. metoprolol 12.25 mg by mouth twice per day. 15. dilantin 300 mg by mouth in the morning and 200 mg by mouth in the evening (in addition to the 300 mg of dilantin once per day). 16. lipitor 10 mg by mouth once per day. 17. calcitriol 0.25 mcg by mouth once per day. social history: the patient lives at home with her husband. she has an oxygen requirement of one liter per nasal cannula. she has a 100-pack-year smoking history. pertinent laboratory values on presentation: laboratories on admission revealed a complete blood count with a white blood cell count of 9.9, her hematocrit was 30.4, and her platelets were 167,000. her prothrombin time, partial thromboplastin time, and inr were normal. her sodium was 136, potassium was 4.4, chloride was 101, bicarbonate was 24, blood urea nitrogen was 92, creatinine was 2.3, and her blood glucose was 146. her creatine kinase was 217. her ck/mb was 8. her troponin was 0.35. her calcium was 9.3, her phosphorous was 4.8, and her magnesium was 1.8. pertinent radiology/imaging: a chest x-ray showed cardiomegaly with severe pulmonary edema. concise summary of hospital course: on (at 1410), the patient developed flash pulmonary edema with hypertension and a blood gas of 7.2/40/63. the patient was intubated and given 180 mg of lasix. a chest x-ray at that time showed cardiomegaly with blunting of the right costophrenic angle with peripheral vascular redistribution and prominence of the pulmonary vasculature. her troponin level was 4.2. her creatine kinase was 219. her ck/mb was 9.3. at this time, the patient was begun on intravenous heparin and 2-beta 3-a inhibitor. she was then transferred to for further evaluation. the patient underwent a cardiac catheterization which demonstrated severe 3-vessel disease. the left main coronary artery was 90% occluded, the left anterior descending artery was totally occluded after the first diagonal, the left circumflex was totally occluded, and the right coronary artery was not injected because it was known to be occluded. the grafts were visualized with a patent left internal mammary artery to the first diagonal, the saphenous obtuse marginal was patent with a distal limb atretic with retrograde filling of the left circumflex. the saphenous vein graft to the posterior descending artery was patent with diffuse distal branch disease and 90% stenosis of the posterolateral branch. the saphenous vein graft to the left anterior descending artery was patent throughout. the resting hemodynamics demonstrated moderately elevated left-sided and right-sided filling pressures with a left ventricular end-diastolic pressure of 15, a pulmonary wedge pressure of 15, and the right atrial mean pressure was 10, and the central aortic pressures were normal. at the time of the patient's admission and cardiac evaluation, vascular surgery was consulted regarding the patient's left leg cellulitis. ultimate recommendations were that she would require an angiography to determine the extent of her peripheral vascular disease. this was delayed until the patient was clinically stable. her post myocardial infarction course was complicated by recurrent pulmonary edema and congestive heart failure requiring afterload reduction and diuretics for improvement, diminished renal output secondary to hypoperfusion and microvascular disease, with a peak creatinine of 2.4, and difficulty with swallowing which was evaluated by a speech and swallow evaluation. this showed mild pharyngeal dysphagia. recommendations were a regular diet with thick liquids and the patient to be sitting up when eating. the patient eventually had her renal function improve and to baseline. on , after mucomyst and intravenous hydration protocol, an arteriogram which demonstrated abdominal aorta with moderate diffuse disease. the right renal artery had a dual supply with a 90% stenosis at the osseus, and the left renal artery had an 80% stenosis with ulceration. the left lower extremity showed the common femoral artery with mild disease. the graft was patent, but the distal anastomosis showed 99% stenosis with reconstitution of the popliteal with distal occlusion at the ak. the bk was reconstituted by the collaterals. the tibial peroneal trunk the main vessel runoff was the anterior tibial to the foot. because of the patient's renal failure, she did require a hemodialysis catheter placement and dialysis was begun for volume control. after review of the arteriograms, the patient was transferred to the vascular service on after undergoing a left ak popliteal to anterior tibial bypass with reversed saphenous vein. she was transferred to the regular nursing floor on postoperative day three. on postoperative day six, the patient had an episode of increased shortness of breath with a negative electrocardiogram and cardiac enzymes. a chest x-ray showed congestive heart failure. she required adjustment in her diuresis. social service followed the patient for support. she required multiple adjustments in her antihypertensive medications and beta blockers to maintain a systolic blood pressure in the 120s to 150s. on , the patient underwent a transmetatarsal amputation without complications. a right internal jugular perm-a-cath was placed on . a right renal artery stenting bilaterally with both arteries of the superior and lower arteries and a left renal artery stenting was done without complications. on , she did require one unit of packed red blood cells for a hematocrit of 26. on , angiotensin receptor blocker and beta blockers were adjusted because of persistent systolic hypertension. condition at discharge: at the time of discharge, the patient was in stable condition. the transmetatarsal amputation site was intact without skin necrosis. there was mild discoloration of the anterior and posterior skin flaps, but the foot was warm. the graft pulse was palpable. discharge status: medications on discharge: 1. aspirin 325 mg by mouth once per day. 2. levothyroxine 0.075 mcg by mouth every day. 3. atorvastatin 10 mg by mouth once per day. 4. zoloft 150 mg by mouth twice per day. 5. lansoprazole 30 mg by mouth once per day. 6. albuterol ipratropium meter-dosed inhaler 1 to 2 puffs inhaled three times per day. 7. insulin sliding-scale (please see flow sheet). 8. oxycodone/acetaminophen one to two tablets by mouth q.4-6h. as needed. 9. phenytoin 200 mg by mouth twice per day. 10. bisacodyl tablets 10 mg per rectum once per day as needed. 11. labetalol 300 mg by mouth twice per day (hold for systolic blood pressure of less than 110 or a heart rate of less than 60). 12. plavix 75 mg by mouth once per day. 13. isosorbide mononitrate extended release 60 mg by mouth once per day. 14. calcitriol 0.25 mcg by mouth every day. 15. ascorbic acid 500 mg by mouth twice per day. discharge diagnoses: 1. peripheral vascular disease with left heel ulceration; status post left femoral ak popliteal to anterior tibial with reversed saphenous vein graft on . 2. left transmetatarsal amputation secondary to toe necrosis on . 3. status post perm-a-cath placement on for hemodialysis. 4. coronary artery disease. (a) status post myocardial infarctions. (b) status post cardiac catheterization. 5. systolic hypertension with medication adjustment; controlled. 6. mitral regurgitation of 3+ and aortic insufficiency of 2+. 7. peripheral vascular disease. 8. chronic renal insufficiency compounded with acute tubular necrosis secondary to hypoperfusion and microvascular disease; corrected. 9. chronic obstructive pulmonary disease; stable. 10. recurrent congestive heart failure requiring afterload reduction and intubation, status post extubation; stable. 11. bilateral renal artery stenosis, status post renal stents times three. 12. hypothyroidism; stable. 13. left leg cellulitis; treated with zosyn; stable. 14. diabetes mellitus; stable. discharge instructions/followup: 1. the patient was instructed to follow up with dr. in two to three weeks. 2. the patient was also instructed to follow up with the renal service for continued hemodialysis. hemodialysis to be done on monday, wednesday, and friday. 3. both heels need to be protected, so multipoultice splints should be applied continuously; especially when the patient is in bed. 4. the legs should be evaluated when sitting in a chair. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified coronary arteriography using two catheters hemodialysis angioplasty of other non-coronary vessel(s) angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass amputation through foot arterial catheterization aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) right heart cardiac catheterization right heart cardiac catheterization injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled atherosclerosis of native arteries of the extremities with gangrene cellulitis and abscess of foot, except toes 

Answer: The patient is high likely exposed to