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: (information was obtained from the transfer records for hospital and interview of the patient) this is a 72-year-old nondiabetic white female with a history of hypertension, hypercholesterolemia, and history of migraines headaches with complaints of postprandial epigastric pain since . she eats a regular diet with good appetite, but pain starts about one and a half hours after eating anything and last from two to two and a half hours. she has lost 25 pounds since and has been admitted to hospital several times. a gastrointestinal workup with an esophagogastroduodenoscopy and colonoscopy showed mild gastritis, diverticulosis, and was negative for helicobacter pylori biopsy. an abdominal ct with ultrasound were negative. a magnetic resonance angiography was done on which showed superior mesenteric artery and internal mammary artery stenosis. the patient was treated with plavix and nitrates without improvement. she is now transferred here for further evaluation and treatment. past medical history: (illnesses include) 1. aortic insufficiency. 2. hypertension. 3. gastritis. 4. history of migraines. 5. history of hypercholesterolemia. past surgical history: tonsillectomy. medications on admission: medications included aspirin 81 mg p.o. q.d., nitroglycerin paste one-half inch q.6h., atenolol 25 mg p.o. q.d., pepcid 20 mg intravenously b.i.d., senokot tablets one p.o. b.i.d., darvocet-n 100 one p.o. q.i.d. as needed. at home, she took hydrochlorothiazide 25 mg q.48h. and plavix 75 mg p.o. q.d. allergies: drug allergies are penicillin (which causes erythema and swelling), erythromycin (reaction unknown). social history: she lives with a roommate. she is single. she is a former smoker of one pack per day. she denies alcohol. family history: there is a family history of neurologic disease, heart disease, and cancer. review of systems: except for the postprandial abdominal pain, there were no other remarkable review of systems. physical examination on presentation: vital signs revealed temperature was 98.5, blood pressure was 170/86, pulse was 60, respiratory rate was 18, oxygen saturation was 97% on room air. general appearance revealed an alert and cooperate white female in no acute distress. skin was warm and dry. there were no rashes. there were multiple actinic keratosis on the back. head, eyes, ears, nose, and throat examination was unremarkable. there was no lymphadenopathy. there was no thyromegaly or carotid bruits. she had intact carotid, radial, and femoral pulses bilaterally. she had a palpable abdominal aorta without bruits. the pedal pulses were a dopplerable signal only. neurologic examination was grossly intact. the chest was clear to auscultation. heart had a regular rate and rhythm. a 1/6 systolic ejection murmur at the base. abdominal examination was unremarkable. the rectal examination was deferred. bone and joint examination were essentially warm and pink in color without ulceration. hospital course: the patient was evaluated by our cardiology department prior to surgery for risk assessment. she felt she was at a low risk for a high-risk procedure. their recommendations were an echocardiogram to determine the degree of aortic insufficiency and that postoperatively she should be started on an ace inhibitor with captopril 12.5 mg t.i.d. and titrate up to a dose as blood pressure tolerates. she needed no further imaging or stress studies. change the atenolol to metoprolol 37.5 mg p.o. b.i.d. and watch for bradycardia. echocardiogram results revealed transesophageal echocardiogram demonstrated left ventricular wall thickness, cavity size, and systolic function were normal with an ejection fraction of greater than 55%, regional left ventricular motion was normal. there was simple atheroma in the descending aorta. the aortic valves were moderately thickened. there was mild-to-moderate aortic insufficiency. the mitral valves were mildly thickened with mild mitral regurgitation. the aorta and mesenteric bypass graft was not visualized. there was no significant change from previous echocardiogram done on . the patient was admitted to the preoperative holding area. on she underwent two bisiliac aorta to celiac artery and a superior mesenteric artery bypass with 12 x 6 bifurcated graft. she tolerated the procedure well and was transferred to the postanesthesia care unit in stable condition. on immediate postoperative check, she was hemodynamically stable and afebrile. cardiac index was 3.07, systemic vascular resistance was 1233, pulmonary artery was 38/13, central venous pressure was 6. blood gas was 7.28/42/134/21/-6. she did well and was transferred the medical intensive care unit for continued monitoring and care. on postoperative day two, the patient developed respiratory failure and required reintubation and was transferred to intensive care unit for continued respiratory support. nutrition saw the patient. she was assessed for total parenteral nutrition. serial creatine kinase, mb, and troponin levels were drawn. her peak creatine kinase was 370, mb fraction was flat, and troponin levels were less than 0.3. alt and ast were elevated at 335 and 716 with an elevated white count. levofloxacin and flagyl were begun. a transesophageal echocardiogram was obtained which was negative for vegetations. she required one unit of packed red blood cells for her hematocrit. venous doppler studies were which were negative for deep venous thrombosis. she had an episode of hypotension requiring levophed for blood pressure support. levofloxacin and flagyl were discontinued, and vancomycin and bactrim were begun. tube feeds were considered, but these were deferred. a left pleural tap was done on for a total of 1.6 liters. the patient had a repeat tap 48 hours later. an ultrasound of her gallbladder was obtained with questionable cholecystitis. she remained intubated. on , general surgery was consulted and a cholecystotomy tube was placed percutaneously. this was to remain in for a total of three weeks. the patient underwent studies at that time. a chest ct showed no bowel ischemia. there was a simple liver cyst. the cholecystectomy tube had decompressed the gallbladder. the superior mesenteric artery, internal mammary artery, and celiac arteries were patent. a chest x-ray showed diminished pleural effusion. multiple sputum, urine, and blood cultures were obtained, and cultures of the pleural fluid. all of these were no growth and finalized. the patient had a peripherally inserted central catheter line placed on for further intravenous access. gastroenterology saw her on because of persistent inability to eat solids or liquids. an esophagogastroduodenoscopy was done which demonstrated an esophagus with a grade 1 candidiasis. the stomach was atrophic gastritis changes, and the duodenum showed an intrinsic stenosis at the distal duodenal bulb which the scope could pass through. fluconazole was begun at this time. she was continued on total parenteral nutrition and then converted to tube feeds, and these were discontinued, and caloric assessments were made. the patient did not meet necessary caloric requirements. gastroenterology was consulted again on and repeated the endoscopy which demonstrated a normal esophagus with mild gastritis. the duodenum was normal. a #20 french percutaneous endoscopic gastrostomy tube was placed in the stomach for anticipated tube feeds. nutrition would make their appropriate recommendations regarding tube feeds, and this would be initiated 24 hours after the tube insertion. the patient also had a swallow done prior to have the percutaneous endoscopic gastrostomy tube placed, and there was no aspiration; although, she had a delayed aorticopulmonary bolus transit time with premature spillage into the funiculi with delayed swallowing, but there was no aspiration. at the time of discharge, the patient was stable. she was ambulating and working with physical therapy. tube feeds will be dictated as an addendum. medications on discharge: (discharge medications included) 1. reglan 10 mg p.o. a.c. and q.h.s. 2. fluconazole 100 mg p.o. q.24h. (this was started on and will continue through and then be discontinued). 3. lopressor 75 mg p.o. b.i.d. (hold for a systolic blood pressure of less than 100 and heart rate of less than 50). 4. lasix 20 mg p.o. q.d. 5. enteric-coated aspirin 81 mg p.o. q.d. 6. tube feeds with empac with fiber starting at 10 cc per hour; this will be advanced for a goal rate to be determined. residuals should be checked q.4h., and tube feeds should be held if residual is greater than 100 cc. discharge followup: follow up with dr. in two to three weeks. discharge instructions: the patient may ambulate, full weightbearing, ad lib distances. discharge diagnoses: 1. mesenteric ischemia; status post celiac superior mesenteric artery bypass graft. 2. pleural effusion, status post thoracentesis times two. 3. respiratory failure requiring reintubation. 4. esophageal candidiasis; treated. 5. gallbladder disease; status post percutaneous cholecystotomy with gallbladder decompression; this has continued anorexia and difficulty in feeding; the etiology is undetermined. status post esophagogastroduodenoscopy times two and barium swallow which were unremarkable. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other endoscopy of small intestine other esophagoscopy thoracentesis percutaneous [endoscopic] gastrostomy [peg] arterial catheterization other cholecystotomy other intra-abdominal vascular shunt or bypass diagnoses: pure hypercholesterolemia unspecified pleural effusion mitral valve insufficiency and aortic valve insufficiency other specified gastritis, without mention of hemorrhage candidal esophagitis unspecified vascular insufficiency of intestine cholecystitis, unspecified 

Answer: The patient is high likely exposed to