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: this is a 69 year-old female with a past medical history of coronary artery disease status post coronary artery bypass graft, end stage renal disease, hypertension, type 2 diabetes, hyperlipidemia, hypothyroid, paroxysmal atrial fibrillation, peripheral vascular disease. she was transferred from an outside hospital for evaluation of chest pain. the patient had a coronary artery bypass graft to multiple vessels, left anterior descending coronary artery, obtuse marginal two, obtuse marginal in with stents placed in the obtuse marginal one, left circumflex, left main in and . on the day of admission the patient had chest pain radiating to the jaw with orthopnea and paroxysmal nocturnal dyspnea. the patient went to the outside hospital and received some nitroglycerin there and became hypotensive and she was transferred to and found to have an myocardial infarction by positive troponin. the coronary care unit team was consulted. past medical history: 1. coronary artery disease. 2. end stage renal disease on peritoneal dialysis. 3. diabetes type 2. 4. hypercholesterolemia. 5. peripheral vascular disease. 6. atrial fibrillation. 7. anemia. 8. hypothyroid. 9. hypertension. 10. claudication. allergies: prevacid. social history: the patient is married and retired. she denies alcohol and illicit drug use. quit tobacco 30 years ago. medications on admission: 1. aspirin 325 mg q day. 2. plavix 75 q day. 3. renagel 800. 4. synthroid 75 q day. 5. glipizide 10 q day. 6. vitamin e 400 q day. 7. ranitidine 150 q day. 8. lipitor 40 q day. 9. iron. 10. neurontin q.h.s. 11. isosorbide mononitrate 30 b.i.d. 12. atenolol 60 q day. 13. amiodarone 200 q day. physical examination on admission: the patient was afebrile. heart rate 62. blood pressure 90/28. o2 sat 98% on room air. respiratory rate 18. the patient was an obese elderly female lying flat in no acute distress. heent anicteric. pink conjunctiva. mucous membranes are moist. no jvd. cardiovascular regular rate and rhythm. 2 out of 6 systolic ejection murmur. no carotid bruits. respirations clear to auscultation with a very poor respiratory effort. abdomen is obese, distended, slightly tympanic with positive bowel sounds, but nontender. extremities were warm with 2+ pulses and 1+ pedal edema. laboratory findings at the outside hospital: white blood cell count was 9.6, h&h 12.7 and 35.6. the patient had a ck of 18, ckmb of less then .5, index 2.8, troponin .06. pt 13.3, inr of 1.2, ptt 22, with normal electrolytes. repeat laboratories at showed a white blood cell count of 16, electrolytes within normal limits. pt 14.2, ptt 48.5, inr 1.3. liver function tests all within normal limits. troponin of .5. electrocardiogram showed an irregularly irregular rhythm. the patient was in atrial fibrillation with normal axis. no q waves, st depressions in v2 through v6 with an incomplete right bundle branch block. it was read as a nonspecific stt wave changes. chest x-ray showed mild congestive heart failure. cta of the chest was negative for pe and pneumothorax and just showed calcified coronary arteries and aorta. hospital course: the patient was sent to the catheterization laboratory for reperfusion. the patient received integrilin for 18 hours and placed on plavix 75 mg q.d. for nine months. the hospital course was complicated with vomiting and severe abdominal pain with elevated amylase and lipase status post catheterization consistent with pancreatitis. there were no further cardiovascular complications and the patient was transferred to the medicine team. ct of the abdomen then revealed gallstones with no dilation of the biliary tree. ultrasound showed gallstones in the gallbladder. mrcp was deferred due to recent stent and endoscopic retrograde cholangiopancreatography was not indicated since this was the first incident of pancreatitis. the pancreatitis resolved by date of discharge. the patient was kept npo and was gently hydrated with intravenous fluids until discharge. the hospital stay was also complicated by a decreased platelet count that resolved with the discontinuation of heparin. heparin induced thrombocytopenia antibody titers were pending on the day of discharge. elevated inr and macrocytic anemia were also noted and should be evaluated in the outpatient setting. they were not contributory to her hospital stay. the patient resumed peritoneal dialysis on . the patient was also noted to have a skin wound or burn on the back that was due to a heating pad that she left for too long. the patient's wound was not infected, but healing slowly and was treated with neosporin ointment. the patient was also found to have an elevated tsh indicating insufficient levothyroxine and was discharged on an increased dose of levothyroxine to be followed up as an outpatient. procedures performed: cardiac catheterization on . condition on discharge: stable. discharge status: home with vna services. discharge diagnoses: 1. myocardial infarction. 2. pancreatitis. 3. cholelithiasis. discharge medications: 1. aspirin 325 mg q.d. 2. clopidogrel 75 mg q.d. 3. levothyroxine 125 micrograms q.d. 4. vitamin e 400 units q.d. 5. atorvastatin 40 mg q.h.s. 6. amiodarone 200 mg q.d. 7. erythropoietin 500 units three times a week. 8. sevelamer 800 mg t.i.d. 9. glipizide 5 mg q.d. 10. neosporin ointment applied to back wound as needed. follow up: the patient is to follow up with her primary care physician and cardiologist dr. appointment for , with her nephrologist dr. on and with the gastrointestinal clinic on . , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor peritoneal dialysis insertion of drug-eluting coronary artery stent(s) diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute pancreatitis 

Answer: The patient is high likely exposed to