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 69-year-old female with a three day history of diarrhea. on the day of admission, the patient ha four to five bowel movements and weakness. her son called ems. the patient was being treated for cellulitis at her left antecubital dialysis graft site. she was on an antibiotic which name she does not recall for one week. the patient began experiencing nausea, vomiting, diarrhea for three to four days after started antibiotics which is three days prior to admission. she denied blood in her vomit. no fever or chills. patient has reported intermittent chest pain unlike her last mi in . she has shortness of breath with walking at baseline. no sick contacts. raw meat or egg ingestion. patient had dialysis today with profound weakness following dialysis. the patient has a history of cva with left sided residual weakness. also was admitted in status post myocardial infarction. past medical history: 1. hypertension. 2. diabetes mellitus. 3. hypercholesterolemia. 4. coronary artery disease status post myocardial infarction with stent to lad. 5. paroxysmal atrial fibrillation. 6. end stage renal disease on hemodialysis. patient has port-a-cath and av fistula placed in her arm. 7. hypertension. 8. history of cva , and . patient has left sided weakness. 9. cataract. medications on admission: 1. lisinopril 40 mg p.o. q.d. 2. amiodarone 200 mg p.o. q.d. 3. elavil 25 q.h.s. p.r.n.. 4. lipitor 40 mg p.o. q.d. 5. aspirin 325 p.o. q.d. 6. prilosec 40 mg p.o. q.d. 7. amlodipine 10 mg p.o. q.d. 8. lopressor 100 mg p.o. b.i.d. 9. dulcolax p.r.n. 10. insulin nph 26 q. am, 14 q. pm. 11. phos-lo three tabs with meals. 12. colace 100 mg p.o. b.i.d. 13. iron sulfate 325 mg p.o. q.d. 14. unknown antibiotic for her cellulitis. allergies: 1. eggs. 2. tetracycline. 3. iv contrast. social history: negative for tobacco and alcohol. patient has two children and lives with her husband. and . physical examination: on admission, temperature 99.7 f, blood pressure 158/52, heart rate 80, respiratory rate 18, o2 saturation 100% on room air. in general obese female in no apparent distress. head, eyes, ears, nose and throat: pupils are equal, round and reactive to light. extraocular muscles are intact. mucous membranes dry. neck: carotid bruits bilaterally. heart: normal s1, s2. there is a ii/vi systolic ejection murmur, regular rate and rhythm. patient has quinton catheter. respiratory: clear to auscultation bilaterally, no rales, no wheezes. abdomen: diffusely tender, soft with normoactive bowel sounds. neuro: there is 2+ lower extremity edema bilaterally. no clubbing or cyanosis. left upper extremity: fistula site evident, plus redness and warm, plus bruit and thrill, 2+ edema. neuro: cranial nerves ii through xii intact. strength 2+ bilaterally. laboratory data on admission: showed a sodium of 134, potassium 4.1, chloride 94, bicarbonate 24, bun 16, creatinine 3.3, glucose of 228. the white count was 11.3, hemoglobin 12.8, hematocrit 38.3, platelets 270, 86% neutrophils, 9% lymphocytes, 5% monocytes, 0% eosinophils. alt was 9, ast was 25, amylase 37, lipase 12, total bilirubin was 0.6. ecg on admission was unchanged from her prior hospitalization. hospital course: patient was initially admitted to the medicine service. her hospital course will be reviewed by system. 1. infectious disease: patient was started on a two week course of vancomycin for cellulitis of her left upper extremity. her vancomycin was dosed based on levels. she completed her two week course on . 2. cardiovascular: a - coronary artery disease. patient is status post myocardial infarction in with subsequently cardiac catheterization and lad stent. on , the patient developed substernal chest pain and hemodialysis. an ecg was done which disclosed significant changes. there were st segment elevations in v2 through v4, st segment depressions in ii, iii and avf. the patient was emergently taken to the cath lab for intervention. resting hemodynamics demonstrated elevated right and left sided filling pressures. there was a v wave dominance in the pulmonary capillary wedge pressure tracing. ......... saturation was elevated with a difference in the svc to ivc and saturations all consistent with known av fistula in the left arm. there is severe systemic arterial hypertension and moderate to moderate pulmonary artery hypertension. selective coronary angiography of the right dominant circulation demonstrated a proximal lad culprit lesion. the lad had a 99% instant restenosis with distal timi ii flow. successful ptca of the proximal lad was performed using a cutting balloon. there was 20% residual stenosis, normal flow and no apparent dissection. on the following day the patient underwent brachytherapy. she was transferred to the ccu for management following her catheterization. she was administered aspirin, plavix, beta blocker and statin. b - pump: patient has hypertension. she continued on beta blocker and was administered norvasc and ace inhibitor. a tte done on following her mi showed an ejection fraction of 60%. there was mild symmetric lvh. c - rhythm: patient has a history of paroxysmal atrial fibrillation. she continued on her amiodarone and beta blocker. she was monitored on telemetry. she is currently being restarted on her coumadin with lovenox as a bridge to coumadin. 3. neurologic: patient has a history of cva in , and . she has left sided residual weakness. following her cardiac catheterization, the family noted that the patient was demonstrating mental status changes. a mri done on disclosed a large subacute infarct involving the left parietal lobe. the stroke was believed to be initially ischemia with hemorrhagic conversion. the patient was seen by the stroke service who evaluated her and ultimately recommended that she be administered coumadin due to her history of paroxysmal atrial fibrillation. following her stroke, the patient had demonstrated swallowing deficits on the swallow evaluation. in addition, she showed some right sided weakness which has improved over this admission. a carotid duplex ultrasound disclosed 60 to 69% laminal stenosis at the origin of the right internal carotid artery. the patient has been started on coumadin with lovenox as a bridge to coumadin due to her history of paroxysmal atrial fibrillation. 4. renal: patient has end stage renal disease secondary to diabetes mellitus complicated by contrast nephropathy. she undergoes hemodialysis three times a week. she is administered phos-lo three tablets t.i.d. with meals. her nephrologist is dr. . . a fistulogram done on demonstrated a patent av fistula. 5. fluids, nutrition and electrolytes / gi: as noted above, the patient underwent a swallow evaluation on . she failed this evaluation and it was recommended that she be npo with tube feeds. patient initially received tube feeds and medications per ng tube. on , a peg was placed. patient is currently being administered tube feeds. her goal tube feeds are nepro at 35 cc an hour plus 25 grams of promod per day. this will give her 1788 kilocalories and 78 grams of protein per day. the nutrition service has suggested that the patient be administered nephrocaps and her phosphate should be monitored. in addition, the patient has chronic constipation. a colonoscopy in the past demonstrated melanosis coli. the patient has continued on her bowel regimen with senna, colace and lactulose p.r.n. 6. endocrine: patient has type 2 diabetes mellitus. her fingersticks were monitored q.i.d.. she was administered regular insulin sliding scale and fixed dose insulin 7 units nph q. am, 3 units nph q. pm. 7. vasculature: on following the patient's cardiac catheterization, it was noted that she had a right femoral artery pseudoaneurysm. on , the patient underwent thrombin injection to that site. on a repeat ultrasound was done which confirmed thrombosis of the right groin and pseudoaneurysm. the patient also had doppler ultrasound of the lower extremities done during this hospital which disclosed no evidence of deep venous thrombosis. code status: the patient is full code. discharge diagnoses: 1. myocardial infarction status post cardiac catheterization and intervention with balloon thrombectomy and brachytherapy to instant restenosis of lad stent. 2. end stage renal disease secondary to diabetic nephropathy. 3. hypercholesterolemia. 4. hypertension. 5. diabetes mellitus type 2. 6. cerebrovascular accident. condition on discharge: fair. discharge medications: 1. zestril 40 mg p.o. q.d. 2. lovenox 80 mg subcu b.i.d. 3. coumadin 3 mg p.o. q.h.s. 4. plavix 75 mg p.o. q.d. 5. aspirin 81 mg p.o. q.d. 6. lactulose 30 cc t.i.d. p.r.n. 7. nephrocaps one tab p.o. q.d. 8. prevacid 30 mg per peg q.d. 9. metoprolol 100 mg p.o. b.i.d. 10. norvasc 10 mg p.o. q.d. 11. colace 100 mg p.o. b.i.d. 12. regular insulin sliding scale. 13. insulin 9 units nph q. am, 3 units nph q. pm. 14. senna one tablet b.i.d. p.r.n. 15. tylenol p.r.n. 16. phos-lo three tabs t.i.d. with meals. 17. atorvastatin 40 mg p.o. q.d. 18. amiodarone 200 mg p.o. q.d. discharge instructions: 1. patient is being discharged on lovenox and coumadin. when her coumadin reaches therapeutic range of 2 to 3, the lovenox should be discontinued. 2. patient is to undergo dialysis three times per week. her nephrologist is dr. . . 3. patient should follow up with her cardiologist and with her primary care physician, . . , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters injection or infusion of platelet inhibitor enteral infusion of concentrated nutritional substances hemodialysis injection or infusion of other therapeutic or prophylactic substance arteriography of other specified sites implantation or insertion of radioactive elements percutaneous (endoscopic) jejunostomy [pej] diagnoses: acute myocardial infarction of other anterior wall, initial episode of care atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified blood in stool other complications due to other cardiac device, implant, and graft infection and inflammatory reaction due to other vascular device, implant, and graft diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to