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: a -year-old female, with moderate aortic stenosis, cad, hypertension, peripheral vascular disease and 3+ mitral regurgitation, who presented with acute onset of dyspnea. the patient received sublingual nitroglycerin and lasix en route to the hospital. in the emergency department, the patient's blood pressure was 193/88, with heart rate in the 140s. she was started on a nitroglycerin drip and given additional lasix of 20 mg iv. the patient was placed on noninvasive ventilation in the form of bipap, and due to o2 sats at 70-80%. of note, for the patient's cardiac history, she had a stent to her rca done in , and had untreated disease in her left circumflex and lad noted on the same catheterization in . the patient has been intubated twice prior for episodes of pulmonary edema in , and she was against cardiac catheterization in for a non-st elevation mi. allergies: 1. succinylcholine. 2. benzodiazepines which she has mental status changes to. current medications: 1. aspirin 325. 2. lasix 20 qd. 3. metoprolol 50 . 4. isosorbide 10 tid. 5. lisinopril 2.5 qd. 6. lipitor 10 qd. 7. vitamin e. 8. remeron 30. 9. mesalamine rectal suppository. past medical history: 1. hypertension. 2. pseudomembranous colitis diagnosed 2 weeks ago by flexible sigmoidoscopy. 3. c. diff negative, treated with mesalamine and rectal suppositories. social history: the patient denied any smoking history. denied any alcohol use. family history: noncontributory. physical exam on admission: she was afebrile, blood pressure 108/55 from 198/98, heart rate 98 from 140, she was breathing at 16 on bipap, 100%, on settings of 10 and 5 when seen. general: she was an elderly appearing female in respiratory distress. heent: arcus senilis bilaterally. anicteric sclerae. slightly dry mucous membranes. neck: jvp of approximately 12 cm. chest: noted to have increased use of accessory muscles. she had inspiratory crackles greater than halfway up bilaterally. heart: significant for a iii/vi systolic murmur at the left upper sternal border, as well as a iii/vi systolic murmur at the apex radiating to the axilla and the back with an aortic stenosis sound. abdomen: soft, nontender, nondistended with positive bowel sounds. extremities: showed no clubbing, cyanosis or edema, and 2+ distal pulses bilaterally. neuro: the patient was awake, alert and oriented x 2 to person and place, but not time. pertinent labs and studies on admission: ekg showed sinus tach at a rate of 130 with j-point elevations in v1-v4 with normal axis, q waves v1-v4, st depressions v5, v6, i and avl. an echocardiogram done on showed an ejection fraction of 35%, moderate as, 3+ mr, 2+ tr, with aortic valve area of 1.1 at that time. a cardiac catheterization in 12/99 showed an rca proximal 100% lesion with a stent placed at that lesion, a distal 95% lesion of the rca with also stent deployed to that lesion as well. the lad showed multiple areas of occlusion, all less than 60%. left circumflex with 100% lesion. om2 a 70% lesion. her chest x-ray showed cardiomegaly, left-sided effusion, and pulmonary edema. brief summary of hospital course - 1) cardiovascular: the patient had multiple episodes of acute pulmonary edema while in the hospital. she was treated with nitroglycerin, lasix and morphine with good responses to these medications. she was also placed on noninvasive ventilation of bipap two times during the hospital stay for these episodes of acute pulmonary edema. she had evidence of significant cardiac enzyme leak during two of her episodes of pulmonary edema with troponin elevation peak of 5.38 on , and a ck peak of 1,047 on that same date, with an mb fraction of 204. the patient was thought to have recurrent ischemia and infarct causing her episodes of pulmonary edema. there was some discussion regarding the possibility of cardiac catheterization. however, given the patient's tenuous status and multiple co-morbidities, it was felt that the risks far outweigh the benefits of the procedure, and the family, and the patient's primary cardiologist, as well as primary care physician agreed with this plan. as evident by the recurrent episodes of pulmonary edema and the minimal interventions that could be done, the patient was treated aggressively for symptom control, and for comfort measures. she was transitioned to the floor, and her symptoms were treated with morphine as needed. the patient also had several episodes of atrial fibrillation with rapid ventricular response, in which she responded to low-doses of iv lopressor. however, the patient also had episodes of significant hypotension which limited the possible interventions. the patient had a very tenuous fluid status, and any sort of imbalance in her heart rate or blood pressure would result in acute pulmonary edema. the patient had a repeat echocardiogram done during the hospital stay which showed worsening aortic stenosis, and a new anterior septal wall motion abnormality, as well as worsening of her mitral regurg, and now 4+ mr. she was discharged to home hospice care for symptom control with morphine, sublingual nitroglycerin as needed, and supplemental oxygen as needed. 2) gi: the patient had a history of pseudomembranous colitis for 2 weeks prior to coming to the hospital. this was treated with rowasa enemas which had some improvement in her frequent, loose stools. she had c. diff toxin sent twice during this hospitalization and both times were negative. she was then placed on lomotil as needed for diarrhea. she was sent home with this medication for symptom control. 3) urinary tract infection: the patient had an e. coli urinary tract infection noted on , and was treated with 7 days of cipro for a catheter-associated urinary tract infection. disposition: the patient and the patient's family had multiple discussions with the housestaff regarding long-term prognosis and treatment goals, and conclusions were made to have the patient be treated for comfort care measures only, and aggressive treatment with invasive procedures to be avoided. the patient's code status was changed to dnr/dni, and she was sent home with home hospice. the patient and the patient's family were seen by the palliative care team, including and , who agreed with the plan for hospice care. discharge status: to home hospice with comfort as goal of treatment. discharge diagnoses: 1. moderate to severe aortic stenosis. 2. severe mitral regurgitation. 3. coronary artery disease. 4. recurrent pulmonary edema. 5. urinary tract infection. 6. pseudomembranous colitis. discharge medications: 1. tylenol 650 qid prn pain and fever. 2. lomotil 1 tab po prn loose stools. 3. levsin 0.125 mg/ml 1 drop q 2 h prn. 4. lasix 20 mg qd prn shortness of breath. 5. trazodone 25 mg prn insomnia. 6. nitroglycerin 0.3 mg tablets sublingual prn chest pain or shortness of breath. 7. nystatin swish and swallow qid prn. follow-up: the patient will be followed by good hospice care, and dr. , her primary care physician, aware of this plan. , m.d. dictated by: medquist36 d: 08:25 t: 08:31 job#: procedure: non-invasive mechanical ventilation diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified other persistent mental disorders due to conditions classified elsewhere rheumatic heart failure (congestive) cardiogenic shock intestinal infection due to clostridium difficile mitral valve insufficiency and aortic valve stenosis encounter for palliative care 

Answer: The patient is high likely exposed to