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: allergies: sulfa (sulfonamides) / dilaudid / percocet attending: chief complaint: mva major surgical or invasive procedure: a. procedure: 1. guillotine amputation of the right foot at the level of the ankle. 2. irrigation and debridement of right thigh degloving injury with closure. 3. closure of left thigh laceration. b. procedure: 1. open reduction, internal fixation of left posterior wall, posterior column acetabular fracture. 2. open reduction, internal fixation of left distal radius fracture. 3. aspiration and injection, left knee to rule out open knee. c. procedure performed: right lower extremity below knee amputation revision. history of present illness: this is a 61 year-old female with a history of diabetes who was involved in a motor vehicle collision. she was transferred to the by life flight. on initial evaluation, she was hemodynamically stable with a gcs of 15. she had a clearly identifiable right lower extremity injury. the right ankle had a compound fracture with the tibia protruding out over the skin and the whole right foot displaced anteromedially. there was clear avulsion of nearly all of the posterior and medial as well as lateral structures and the foot was tethered to the leg anteriorly by skin and connective tissue bridge. she also had a degloving injury to the right thigh as well as a laceration to the left thigh. she had bilateral charcot foot and her vascular exam was significant for palpable femoral and popliteal pulses bilaterally. she had pulses to her left foot, however, there was no appreciable pulse on the right foot although the right foot did have capillary refill. given the degree of the neurovascular injury in combination with the orthopedic injury, it was felt that there would be no meaningful recovery of function for this mangled extremity and the decision was made to amputate the foot after discussion with the patient and her son who agreed with the plan. past medical history: -asthma ?????? requiring steroid therapy for 13 years, never intubated -breast cancer s/p l mastectomy in and xrt -cad dx in on echocardiogram; negative stress test -dm dx 1 year ago -htn -gerd -history of mrsa and vre -anxiety -l foot ulcer s/p multiple surgeries (most recent ) and infections. recent use of vanc/levo/linezolid (>2 months rx) -glaucoma social history: ms. is divorced, has a 38 year old son who lives in ct and several grandchildren. her son has power of attorney and is her health care proxy. she owns a house in where she lives with a roommate and many cats; however, she has been in rehab for a substantial portion of the past year. she expresses concern that her insurance many not cover continued rehabilitation. family history: noncontributory. physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness ext: rle - palp fem, , pt, dp lle - palp fem, inc c/d/i pertinent results: 05:30am blood pt-13.8* ptt-32.9 inr(pt)-1.2* 05:30am blood glucose-108* urean-11 creat-0.5 na-138 k-3.8 cl-108 hco3-18* angap-16 05:30am blood calcium-7.7* phos-3.7 mg-2.4 10:38am urine color-yellow appear-clear sp -1.010 urine rbc-0-2 wbc-0-2 bacteri-occ yeast-none epi-0 urine hours-random cardiology report ecg study date of 4:23:00 pm sinus rhythm with an atrial premature beat. since the previous tracing of there is less atrial ectopic activity. intervals axes rate pr qrs qt/qtc p qrs t 89 158 92 392/438.57 43 -10 51 brief hospital course: mrs. presented to the emergency department with the following injuries, motor vehicle collision with near amputation of the right foot as well as lacerations to the bilateral lower extremities. she was evaluated by the orthopaedics / podiatry / vascular surgery departments. she was also found to have the following fracture's left posterior wall, posterior column acetabular fracture, left distal radius fracture, left knee laceration.she was admitted and consented for surgery. on , she was prepped and brought down to the operating room for surgery. she had the following procedures: orthopedics: 1. open reduction, internal fixation of left posterior wall, posterior column acetabular fracture. 2. open reduction, internal fixation of left distal radius fracture. 3. aspiration and injection, left knee to rule out open knee. vascular: 4. guillotine amputation of the right foot at the level of the ankle. 5. irrigation and debridement of right thigh degloving injury with closure. 6. closure of left thigh laceration. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure's well without any difficulty or complication. post-operatively, she was extubated and transferred to the pacu for further stabilization and monitoring. she was then transferred to the floor for further recovery. , she was prepped and brought down to the operating room for surgery. she had the following procedures: 1. right lower extremity below knee amputation revision. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure's well without any difficulty or complication. post-operatively, she was extubated and transferred to the pacu for further stabilization and monitoring. she was then transferred to the floor for further recovery. on the floor, she remained hemodynamically stable with her pain controlled. she progressed with physical therapy to improve her strength and mobility. she continues to make steady progress without any incidents. she was discharged to a rehabilitation facility in stable condition. to note pt had psych consult / 1:1 sitter on dc pt denies suicidal tendencies discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain, fever. 2. alprazolam 1 mg tablet sig: one (1) tablet po qid (4 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q12h (every 12 hours) as needed. 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 7. becaplermin 0.01 % gel sig: one (1) appl topical daily (daily). 8. topiramate 100 mg tablet sig: one (1) tablet po bid (2 times a day). 9. pregabalin 25 mg capsule sig: four (4) capsule po tid (). 10. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 11. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 12. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po daily (daily). 13. enoxaparin 30 mg/0.3 ml syringe sig: subcutaneous q12h (every 12 hours). 14. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed for sob. 15. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for sob. 16. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 17. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 18. enalapril maleate 10 mg tablet sig: one (1) tablet po daily (daily). 19. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual asdir (as directed). 20. diltiazem hcl 30 mg tablet sig: two (2) tablet po tid (3 times a day). 21. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: motor vehicle collision 1. with near amputation of the right foot. 2. left posterior wall, posterior column acetabular fracture. 3. left distal radius fracture. 4. left knee laceration. discharge condition: stable discharge instructions: discharge instructions following below knee amputation this information is designed as a guideline to assist you in a speedy recovery from your surgery. please follow these guidelines unless your physician has specifically instructed you otherwise. please call our office nurse if you have any questions. dial 911 if you have any medical emergency. activity: there are restrictions on activity. on the side of your amputation you are non weight bearing for 4-6 weeks. you should keep this amputation site elevated when ever possible. no driving until cleared by your surgeon. please call us immediately for any of the following problems: redness in or drainage from your leg wound(s). watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. exercise: limit strenuous activity for 6 weeks. do not drive a car unless cleared by your surgeon. no heavy lifting greater than 20 pounds for the next 14 days. try to keep leg elevated when able. bathing/showering: you may shower immediately upon coming home. no bathing. a dressing may cover you??????re amputation site and this should be left in place for three (3) days. remove it after this time and wash your incision(s) gently with soap and water. you will have sutures, which are usually removed in 4 weeks. this will be done by the surgeon on your follow-up appointment. wound care: sutures / staples may be removed before discharge. if they are not, an appointment will be made for you to return for staple removal. when the sutures are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. avoid taking a tub bath, swimming, or soaking in a hot tub for four weeks after surgery. medications: unless told otherwise you should resume taking all of the medications you were taking before surgery. you will be given a new prescription for pain medication, which can be taken every three (3) to four (4) hours only if necessary. remember that narcotic pain meds can be constipating and you should increase the fluid and bulk foods in your diet. (check with your physician if you have fluid restrictions.) if you feel that you are constipated, do not strain at the toilet. you may use over the counter metamucil or milk of magnesia. appetite suppression may occur; this will improve with time. eat small balanced meals throughout the day. cautions: no smoking! we know you've heard this before, but it really is an important step to your recovery. smoking causes narrowing of your blood vessels which in turn decreases circulation. if you smoke you will need to stop as soon as possible. ask your nurse or doctor for information on smoking cessation. avoid pressure to your amputation site. no strenuous activity for 6 weeks after surgery. diet: there are no special restrictions on your diet postoperatively. poor appetite is expected for several weeks and small, frequent meals may be preferred. for people with vascular problems we would recommend a cholesterol lowering diet: follow a diet low in total fat and low in saturated fat and in cholesterol to improve lipid profile in your blood. additionally, some people see a reduction in serum cholesterol by reducing dietary cholesterol. since a reduction in dietary cholesterol is not harmful, we suggest that most people reduce dietary fat, saturated fat and cholesterol to decrease total cholesterol and ldl (low density lipoprotein-the bad cholesterol). exercise will increase your hdl (high density lipoprotein-the good cholesterol) and with your doctor's permission, is typically recommended. you may be self-referred or get a referral from your doctor. if you are overweight, you need to think about starting a weight management program. your health and its improvement depend on it. we know that making changes in your lifestyle will not be easy, and it will require a whole new set of habits and a new attitude. if interested you can may be self-referred or can get a referral from your doctor. if you have diabetes and would like additional guidance, you may request a referral from your doctor. follow-up appointment: be sure to keep your medical appointments. the key to your improving health will be to keep a tight reign on any of the chronic medical conditions that you have. things like high blood pressure, diabetes, and high cholesterol are major villains to the blood vessels. don't let them go untreated! please call the office on the first working day after your discharge from the hospital to schedule a follow-up visit. this should be scheduled on the calendar for seven to fourteen days after discharge. normal office hours are 8:30-5:30 monday through friday. please feel free to call the office with any other concerns or questions that might arise. followup instructions: provider: , dpm phone: date/time: 11:30 provider: , dpm phone: date/time: 10:20 procedure: diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances excisional debridement of wound, infection, or burn closure of skin and subcutaneous tissue of other sites open reduction of fracture with internal fixation, radius and ulna transfusion of packed cells open reduction of fracture with internal fixation, other specified bone other amputation below knee repair of entropion or ectropion with wedge resection revision of amputation stump diagnoses: unspecified essential hypertension acute posthemorrhagic anemia asthma, unspecified type, unspecified personal history of malignant neoplasm of breast diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled delirium due to conditions classified elsewhere personal history of irradiation, presenting hazards to health open wound of knee, leg [except thigh], and ankle, without mention of complication other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle closed fracture of acetabulum other closed fractures of distal end of radius (alone) arthropathy associated with neurological disorders open wound of hip and thigh, without mention of complication traumatic amputation of foot (complete) (partial), unilateral, without mention of complication 

Answer: The patient is high likely exposed to