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 73 year old female with a history of coronary artery disease, status post two vessel coronary artery bypass graft with ischemic cardiomyopathy, hypertension, diabetes type ii, hypercholesterolemia; chronic gastrointestinal bleed, secondary to arteriovenous malformation, hypothyroidism and chronic renal insufficiency who presents with several complaints. her first complaint is abdominal fullness times two days but not abdominal pain. no history of fevers or chills, no nausea or vomiting. she has had some loose stools over the past several days prior to admission but no blood in her stool. she recently returned from with intermittent chest pain but no shortness of breath, with no radiation to the back. she has also had some dysuria with urination as well. in the emergency department, her temperature was noted to be 93 degrees orally. her blood pressure was 110/50. her heart rate was 42. electrocardiogram was showing a slow atrial fibrillation versus a primary arteriovenous block. laboratory data: notable for a bun of 128 and creatinine of 7.5. her hematocrit was decreased at 28.8. her urinalysis was positive for an infection. in the emergency department, her blood pressure dropped transiently to 85 over 40. she was subsequently transferred to the medical intensive care unit for his hypotension. other past medical history, as stated in the history of present illness, plus helicobacter pylori infections in the past, hypothyroidism, osteoarthritis, iron deficiency anemia and mild pulmonary hypertension. the medications she is on at home are synthroid, tricor, cor-reg, nexium, iron, diovan, tylenol, isordil, zaroxolyn, bumex, colace, neurontin and humulin 70/30. allergies: penicillin which causes a rash. codeine which causes an unknown reaction. physical examination: on admission, the patient was a pleasant, spanish-speaking woman, resting comfortably in bed. her temperature was 96.1 degrees; heart rate was 57; blood pressure was 100/37; respirations were 17. she was saturating 99% on room air. head, eyes, ears, nose and throat: pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. she had moist mucous membranes. her neck was supple. no jugular venous distention was appreciated; however, it was difficult due to her body habitus. her lungs were clear to auscultation with no rales. cardiac examination demonstrated bradycardia and a 2/6 systolic murmur at the left sternal border that radiated to the axilla. her abdomen was obese but soft, nontender and nondistended. rectal examination demonstrated guaiac positive brown stool which was noted in the emergency department. her skin showed multiple ecchymosis on her upper arms. extremities had 2+ edema to the knees. neurologic: alert and oriented times three. cranial nerves 2 through 12 were intact. laboratory values on admission demonstrated a white count of 4.0; hematocrit was 28.8; platelets were 55. her inr was 1.6. ptt was 28. chemistry 7 showed a sodium of 138, potassium of 4.6, chloride of 107, bicarbonate of 16, bun of 128; creatinine of 7.5 and glucose of 81. urinalysis showed trace protein; greater than 50 white blood cells, many bacteria. ck was 432; mb was 16 and troponin was .03. electrocardiogram showed bradycardia with possible atrial fibrillation versus primary arteriovenous block. she had an abdominal x-ray that showed no evidence of obstruction. she had a chest x-ray that showed mild congestive heart failure. hospital course: 73 year old woman with multiple medical problems, now presenting in acute renal failure, possibly acute on chronic renal failure and hypotensive. in the medical intensive care unit, the patient was started on dopamine for pressure support, in consideration of her dirty urinalysis and her positive dic labs. there was a question of urosepsis. a swan was placed at one point in the medical intensive care unit which showed a wedge of 28 and a pap of 61/29 with a mean of 46. this suggested that the patient was in clinical congestive heart failure and volume overload. by hospital day number three, the patient was started on a lasix drip. she had intermittent episodes of hypotension and, on hospital day number six, required titration of her dopamine and dobutamine that she was subsequently started on. the patient began hemodialysis on hospital day number four with an average goal of one to two liters removed each time. with regard to her drop in platelets, the patient was found to be heparin induced thrombocytopenic, antibody positive and she was subsequently taken off all heparin products. by hospital day number seven, the patient was weaned off dopamine and started on hydralazine and natrecor. also, on hospital day number seven, the patient was transferred out of the medical intensive care unit and onto the floor. in terms of the patient's infectious disease issues, she had three out of three blood cultures taken on hospital day number five which grew out methicillin resistant staph aureus. she was subsequently started on vancomycin and that was dosed by levels each day. in terms of her cardiovascular status, the patient was initially started on the lasix drip on the floor with a goal diuresis of negative 500 to a liter cc per day. she was subsequently switched over to 80 intravenous twice a day and ultimately 80 mg p.o. twice a day which is her current dose. on average, she diuresed 500 to 700 cc a day, negative. her fluid status was also managed via dialysis which was performed several times per week. in terms of her rhythm status and her bradycardia, we were holding all her nodal blockers and monitored her on tele. her rhythm appeared to be a primary arteriovenous block with a pr interval in upwards of 400 milliseconds. in terms of her coronary artery disease, she was continued on her aspirin, statin and an ace inhibitor was slowly added on hospital day number eight. in terms of her renal status, she received hemodialysis intermittently throughout her hospital course but remained generally azotemic. a 24 hour urine creatinine was being collected at the time of this discharge summary. in terms of her hematologic status, the patient was hit antibody positive. no heparin products were continued. the patient was transfused to keep her hematocrit above 28. on hospital day number 13, the patient required a transfusion due to a hematocrit of 25. she was also on epogen and iron for iron deficiency anemia and chronic renal insufficiency anemia respectively. in terms of her pulmonary status, she was continued on her fluticasone and ipratropium. in terms of her gastrointestinal status, the patient chronically had guaiac positive stools that were dark; however, she was being treated with iron which somewhat obscured the results. on hospital day number 13, her iron was held to see if the guaiac positivity cleared. the results of holding the iron are unknown at the time of this discharge summary. in terms of her electrolyte status, she was repleted as needed, in terms of her potassium and magnesium. this discharge summary is dictated up to and the remainder of the patient's course will be dictated by the intern coming on the service, including discharge medications. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart hemodialysis injection or infusion of thrombolytic agent venous catheterization for renal dialysis pulmonary artery wedge monitoring endoscopic destruction of other lesion or tissue of large intestine transfusion of packed cells injection or infusion of nesiritide diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation methicillin susceptible staphylococcus aureus septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease defibrination syndrome infection and inflammatory reaction due to other vascular device, implant, and graft combined systolic and diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to