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 55-year-old female with a past medical history of end-stage renal disease, diabetes, coronary artery disease, hypertension, high cholesterol, peripheral vascular disease (status post gastrointestinal bleed with chronic guaiac-positive stools who presented with increased abdominal pain since . the patient states that she had an abdominal paracentesis on where 2 liters of fluid was removed. she states the tap was done because the patient had an increased abdominal girth. patient states she had increased abdominal pain which had been increasing until she presented to the hospital. the pain is diffuse throughout her abdomen and increased when she sits up. she had a positive bowel movement yesterday which was within normal limits. no diarrhea. she has had nausea and vomiting yesterday. of note, the patient has had multiple medical admissions in the recent past. in she was admitted with the diagnosis of mesenteric ischemia versus gastritis. flexible sigmoidoscopy was complicated by bleeding, and ascites was noted but not tapped. hepatitis serologies were negative. she was readmitted several days after discharge with a headache and lightheadedness. her hematocrit was 14.7. esophagogastroduodenoscopy led to gastritis. a colonoscopy revealed polyps and diverticula. a small-bowel follow-through was negative. past medical history: 1. coronary artery disease, status post myocardial infarction. 2. diabetes. 3. hypertension. 4. end-stage renal disease. 5. cryptogenic cirrhosis. 6. bilateral below-knee amputation. 7. high cholesterol. 8. asthma. 9. gastritis. 10. lower gastrointestinal bleed with chronic guaiac-positive stools. 11. peripheral vascular disease versus calciphylaxis. 12. bilateral frequent gangrene. 13. status post appendectomy. 14. left arteriovenous fistula. medications on admission: medications on admission included lopressor 75 mg p.o. b.i.d., clonidine 0.2 mg p.o. b.i.d., hydralazine 100 mg p.o. t.i.d., nitroglycerin patch as needed, carafate 1 g p.o. q.d., phos-lo 3 tablets p.o. t.i.d., nifedipine-cr 120 mg p.o. q.d., zestril 60 mg p.o. q.d., lipitor 20 mg p.o. q.d., enteric-coated aspirin 325 mg p.o. q.d., xanax 0.25 mg p.o. b.i.d., dilaudid 4 mg to 5 mg p.o. q.2-4h. as needed, protonix 40 mg p.o. q.d., senna two tablets p.o. q.p.m. as needed for constipation. allergies: allergies include vancomycin, penicillin, sulfa drugs, keflex, and ciprofloxacin. physical examination on presentation: physical examination on admission revealed the patient was afebrile, heart rate was 80, blood pressure was 161/91, respiratory rate was 20. in general, she was a frail african-american female, lying in bed, appeared uncomfortable. head, eyes, ears, nose, and throat was unremarkable. cardiovascular examination revealed a regular rate and rhythm. normal first heart sound and second heart sound. lungs were clear to auscultation bilaterally. the abdomen was tense, distended, diffusely tender; especially in the lower quadrant in the right lower quadrant around the paracentesis site. extremities revealed bilateral below-knee amputations, and fingers were wrapped in ace. the patient requested not to unwrap. pertinent laboratory data on presentation: laboratories on admission were significant for a creatinine of 4.3, a white blood cell count of 8.2, and a hematocrit of 18.7 (down from 26). an ascites tap revealed 1175 white blood cells with 73% polymorphonuclear leukocytes. radiology/imaging: a chest x-ray revealed no pneumothorax. hospital course: the patient was initially admitted to the floor for management of her hematocrit drop. 1. gastrointestinal: a ct scan was performed which revealed blood present in the peritoneal cavity. there was an active source of extravasation seen. because of these results, the patient was transferred to the medical intensive care unit. there, she was given fresh frozen plasma, vitamin k, desmopressin acetate, and packed red blood cells. surgery was consulted but did not think the patient emergently needed surgery. they recommended that she go to interventional radiology. on approximately the third hospital day, the patient was taken to interventional radiology where she underwent an embolization procedure. substantially following that, the patient's hematocrit stabilized. she was followed in the intensive care unit. she subsequently was able to maintain her hematocrit; although, she required a few blood transfusions. no further treatment was needed for her bleeding. the patient also had large volume paracenteses several times in house, and she seemed to tolerate this reasonably well. she was called out to the floor on . 2. renal: the patient underwent hemodialysis while she was in house. she continued to do well with this. 3. diabetes: the patient had several low blood sugars and was treated with d-50; but, otherwise, she seemed to do reasonably well. there were some issues with patient compliance. she was refusing some of her medications, but these were ultimately resolved. 4. hematology: twice per day hematocrit checks were done following discharge from the unit, but she remained hemodynamically stable. she ultimately required a total of four units during her hospital stay. 5. pain: the patient had significant abdominal pain. this was her main issue on the floor. we were attempting to get this under control so that she would be safe for discharge. a pain management consultation was obtained. she was started on a fentanyl patch and given p.o. dilaudid. she had no evidence of over sedation, and this regimen seemed to work reasonably well for her. the patient ultimately had her pain controlled with a fentanyl patch and dilaudid. she was deemed safe to go home. she was to follow up with her primary care physician (dr. and was to follow up with the clinic as necessary. condition at discharge: condition on discharge was stable. discharge diagnoses: anemia secondary to bleeding into peritoneum. discharge followup: she was to follow up with her primary care physician (dr. ). medications on discharge: 1. lopressor 75 mg p.o. b.i.d. 2. clonidine 0.2 mg p.o. b.i.d. 3. hydralazine 100 mg p.o. t.i.d. 4. nitroglycerin patch as needed. 5. carafate 1 g p.o. q.d. 6. phos-lo 3 tablets p.o. t.i.d. 7. nifedipine-cr 120 mg p.o. q.d. 8. zestril 60 mg p.o. q.d. 9. lipitor 20 mg p.o. q.d. 10. enteric-coated aspirin 325 mg p.o. q.d. 11. xanax 0.25 mg p.o. b.i.d. 12. dilaudid 4 mg to 5 mg p.o. q.2-4h. as needed. 13. protonix 40 mg p.o. q.d. 14. senna two tablets p.o. q.p.m. as needed for constipation. dr., 12-740 dictated by: medquist36 procedure: hemodialysis percutaneous abdominal drainage percutaneous abdominal drainage arteriography of other intrathoracic vessels other surgical occlusion of vessels, thoracic vessels diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia asthma, unspecified type, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hemorrhage complicating a procedure diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to