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: is a 75 -year-old female with a past medical history of non-insulin-dependent diabetes, hypertension, chronic renal insufficiency, and hypercholesterolemia who presented with complaints of shortness of breath and back pain. she was found to be in decompensated congestive heart failure and was admitted to the medical service for diuresis and investigation as to why she had suffered an acute decompensation. physical examination: admission examination was remarkable for tachypnea, respiratory rate of 28, 84% on room air saturation, bilateral crackles to the mid thorax, 9.0 cm jugular venous distention, and an s3 gallop and trace pretibial edema. admission laboratory data: noted for a bun and creatinine of 99 and 2.1, her baseline is 0.9 as of of this year, and a cpk of 170, mb fraction of 7.0, and troponin i of 5.4. admission electrocardiogram was remarkable for sinus rhythm at 70, a left bundle branch block that was new, flipped t-waves in i, avl, v5, v6 that were consistent with lateral ischemia. chest x-ray showed congestive heart failure, cardiomegaly, cephalization, and bilateral effusion. hospital course: she was therefore placed on glycoprotein 2b and 3a inhibitor therapy as well as nitroglycerin, aspirin, and heparin. a cardiology consultation was obtained by admitting medicine services. cardiac catheterization on showed high grade stenosis in the distal left main system, involving the origin of the left anterior descending artery as 90% osteal stenosis, moderate disease of the left circumflex including 50% stenosis of the oblique marginal and other diffuse disease throughout the circumflex system. there is an 80% osteal stenosis of the right coronary artery and it was additionally reported that the patient ultimately ruled in for a myocardial infarction. cardiothoracic surgery with dr. was consulted for operative management of the patient's three vessel disease and left main disease. a renal consultation was also acquired perioperatively to assist in optimizing her renal function. she was given mucomyst and cautious fluid management and elimination of ace inhibitors and nsaids and other nephrotropic medications was made accordingly in her management. an echocardiogram revealed an ejection fraction of approximately 20-30% and given the relative hypoperfusion of her kidneys, her creatinine rose to a peak of 3.2. on , the patient had a four vessel coronary artery bypass graft; a left internal mammary artery to left anterior descending, saphenous vein graft to first diagonal and also to second obtuse marginal artery sequentially, as well as a saphenous vein graft to the posterior descending artery. postoperatively the patient was managed in the csr unit. she was extubated on postoperative day two. her renal function initially worsened, but steadily improved after postoperative day two. by postoperative day three, she was transferred to the floor and started on oral medications. the patient's pulmonary status was also an issue because of the relative volume overload due to her acute renal failure and she was noted to have bilateral pulmonary effusions by chest x-ray. she underwent a thoracentesis drainage of the effusions with marked symptomatic relief on postoperative day four. she eventually had a saphenectomy wound dehiscence that also occurred postoperatively involving the right medial malleolus and the right proximal thigh. postoperatively she did also suffer from serous drainage involving the inferior aspect of the sternal wound that persisted up until 24 hours prior to discharge. the patient received consultation for diabetes management and her usual measurement of avandia and sliding scale was changed. see below for the medication list to see final diabetic management. wet-to-dry dressing changes were utilized to manage the wound dehiscence as well as vancomycin and levaquin. on discharge, the patient was afebrile without sternal drainage. her activity level was rated as and her blood sugars were well controlled. the sternum was stable, no erythema or exudate was noted. the heart was regular. lungs were clear. extremities were without edema and wounds were granulating well with no erythema. discharge creatinine was 1.2, white count was 13,000 with a normal differential. chest x-ray had shown stable, but resolving bilateral effusions and a room air saturation of 93%. discharge medications: include lipitor 20 mg po q day, lopressor 25 mg po bid, levaquin 250 mg po q day times fourteen days, colace 100 mg po bid, lasix 40 mg po q day, percocet as needed for pain, keflex 250 mg po qid times two weeks, k-dur 20 meq po q day, aspirin 325 mg po q day, humalog sliding scale and lente 14 units q hs. discharge condition: stable. disposition: to rehabilitation. follow up: follow up will include seeing dr. in the office in one month. she will have a wound check in one week, here on far six at the - with the outpatient clinic staffed by the cardiac physician's assistant. additionally, she will see her cardiologist in three to four weeks from the time of this discharge. discharge diagnosis: status post coronary artery bypass graft times four, complicated by postoperative renal failure. this is now improved. she had a right saphenous vein graft site wound infection and dehiscence. the patient has native three vessel disease and left main disease, is now status post repair. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using a single catheter diagnostic ultrasound of heart other esophagoscopy thoracentesis angiocardiography of right heart structures right heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery other postoperative infection unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified 

Answer: The patient is high likely exposed to