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: ms is a 56 year old woman with coronary artery disease, type 1 diabetes mellitus who was in her usual state of health until roughly one to two weeks prior to admission when she started to experience chest pressure, relieved with sublingual nitroglycerin. the patient has been experiencing more frequent episodes of chest pressure up to several times per week at rest. the day prior to admission the patient again experienced her usual angina which she describes as "pressure" in the middle of her chest at rest. she took one sublingual nitroglycerin which relieved the pain, however, the pressure then returned 30 minutes later and was again relieved with one sublingual nitroglycerin and then returned soon after as a sharp mid sternal chest pain not relieved by nitroglycerin. she presented to the emergency department at this point. she was also experiencing shortness of breath by then, nausea, vomiting and diaphoresis. in the emergency department she was found to have st elevations in 3, depressions in avl, . depressions in v3, v4, q waves in v1 and v2 and slightly prolonged qt interval. at the outside hospital she was treated with 15 mg of lopressor intravenously and made painfree with 10 mg of morphine. she was also treated with aspirin, aggrastat and a nitroglycerin drip as well as heparin. she was painfree and transferred to for cardiac catheterization. past medical history: 1. coronary artery disease, angioplasty in . myocardial infarction times two in and then again in . 2. renal insufficiency. 3. diabetes type 1 for 47 years, complicated by retinopathy, nephropathy and neuropathy. 4. depression. 5. toe amputation times five. 6. chronic anemia. 7. tremor. medications at home: 1. lopressor 75 mg b.i.d.; 2. insulin 20 nph in the morning with 10 of regular, regular insulin sliding scale, 24 units of nph at night. 3. lasix 80 q.d.; 4. zoloft 50 q.d.; 5. lipitor 10 q.d.; 6. nitroglycerin prn; 7. aspirin q.d.; 8. iron; 9. vitamin c. allergies: bactrim which causes nausea and biaxin which causes nausea. physical examination: temperature 97.8, blood pressure 107/55, heartrate 76 and regular, respiratory rate 16, saturations 88% on room air which went up to 100% on 10 liters via nonrebreather. in general, the patient was lying in bed, nonrebreather but speaking in full sentences in no apparent distress, resting tremor right foot and left hand. head, eyes, ears, nose and throat, no vision, right eye. left eye with decreased vision and surgical pupil. pupils anicteric. oropharynx is clear and dry. neck supple. no bruits. no jugulovenous distension appreciated at 45 degrees. cardiovascular, regular rate and rhythm, s1 and s2, no murmurs, rubs or gallops. lungs, inspiratory crackles bilaterally to one-third on the right and one-half the way up the lungs on the left, no wheezes or rhonchi. abdomen is soft, nontender, nondistended, positive bowel sounds. extremities, five toes amputated on the left, no edema. dopplerable dorsalis pedis bilaterally, 1+ femoral pulses bilaterally. neurological, alert and oriented times three, moves all four extremities, symmetrically. resting tremor right foot, left hand, decreased sensation, bilaterally in the feet to 2 cm above the ankle. laboratory data: outside hospital data revealed creatinine kinase of 149, mb 4.7, index 3.2, troponin less than .3. blood sugar at an outside hospital 513, potassium 5.1, hematocrit 32.2, inr 1.0. chest x-ray, bilateral basilar opacities. heart size within normal limits. last catheterization in showed diffuse disease with a 90% stenosis of the proximal right coronary artery and diffuse disease in all other vessels with three vessel disease. echocardiogram at in showed an ejection fraction of 45 to 50%. data at our hospital four hours after the first set of enzymes at the outside hospital showed a creatinine kinase of 377, mb 44 and index of 11.7 and troponin had bumped to 37.8, hemoglobin a1c was pending. urinalysis showed 6 to 10 white cells, 3 to 5 red cells, negative nitrate, trace leukocyte esterase, bacteria many. impression: this is a 56 year old female with extensive three vessel disease presenting with chest pain and an elevation of cardiac enzymes. electrocardiogram changes were consistent with occlusion at the mid distal right coronary artery, patient also presented with poorly controlled blood sugars. hospital course: 1. cardiovascular - the patient was started on captopril 6.25 t.i.d. for afterload reduction. she was given lopressor 12.5 b.i.d. as tolerated, intravenous fluid boluses for hypotension. cardiac catheterization was planned for the morning of hospital day #2. she was started on a gp2b3a inhibitor precatheterization and continued on heparin, lipitor and aspirin. the patient was given mucomyst over the evening of hospital day #1 and went for cardiac catheterization on . the mid right coronary artery had a discrete 99% stenosis. the proximal and distal right coronary artery was said to be diffusely diseased. there was an 80% stenosis of the diagonal branch, 60% stenosis of the proximal circumflex and 90% stenosis of the obtuse marginal 1. the left main was said to be diffusely diseased, the proximal left anterior descending was diffusely diseased. comments on cardiac catheterization revealed severe three vessel disease. all vessels were small in caliber and diffusely diseased, therefore making stenting impossible. hemodynamics revealed a markedly elevated left-sided filling pressure with an left ventricular end diastolic pressure of 31 mm of mercury. the left ventriculography was deferred secondary to the patient's renal insufficiency and elevated left-sided filling pressures. the patient's creatinine kinases were trended. her peak creatinine kinase was 1,112 with third creatinine kinase coming down to 692. her creatinine was stable immediately after cardiac catheterization at 1.9. the patient was continued on metoprolol. her ace was held after cardiac catheterization for renal protective reasons. she was given gentle intravenous fluids and continued on plavix and aspirin, heparin was discontinued after catheterization. as the right coronary artery lesion was complex and not stented due to the high risk of restenosis it was decided to perform a nuclear ett to further quantitate the level of ischemia from this lesion and determine if the patient needed emergent/aggressive measures now versus waiting for the future drug-eluding stent. on the patient had the cardiac stress test. a persantine mibi was done which showed reversible perfusion defects in the apical inferior and septal walls of the left ventricle with an ejection fraction of 23% based on gated imaging. with this amount of reversible defects it was decided that the patient should go to cardiac catheterization to have intervention on the occluded right coronary artery. therefore on , the patient went for cardiac catheterization. successful percutaneous transluminal coronary angioplasty and stenting of the proximal and mid right coronary artery was performed using a 2.5 by 28 mm pixel stent distally and a 3.0 by 33 mm zeta stent proximally. the distal stent was then post-dilated with a 3.0 mm balloon. the patient tolerated the procedure well. she had mucomyst pre and post catheterization. she was continued on beta blocker, her ace was added back .i.d. captopril. she was continued on aspirin, plavix and a statin. the patient was discharged to home after observation status post stenting on . for the patient's known congestive heart failure with an ejection fraction of roughly 30%, she was given gentle intravenous lasix for diuresis. she had an echocardiogram on that showed the left atrium elongated. there was lipomatous hypertrophy of the intra-atrial septum. the left ventricular cavity size was said to be normal. the patient had the following resting regional left ventricular wall motion abnormalities, akinetic basal inferior wall, hypokinetic mid inferior wall, hypokinetic basal inferolateral wall and hypokinetic mid inferior lateral wall. right ventricular size was normal, 1+ mitral regurgitation, 1+ tricuspid regurgitation, no pericardial effusion. as stated above, the patient was continued on ace inhibitor and beta blocker. her metoprolol was at 12.5 p.o. b.i.d. and the ace inhibitor was titrated up to captopril 12.5 t.i.d. the patient was discharged on on the following cardiac regimen, lisinopril 5 q.d., atenolol 25 q.d., plavix 75 q.d., lipitor 10 q.d., aspirin 325 q.d. and lasix 20 q.d. endocrine - the patient has longstanding type 1 diabetes with multiple complications. it was decided to consult with while the patient was in-house. she was continued on a humalog sliding scale and she was continued on her nph in the morning and in the evening. hemoglobin a1c was checked on which came back at 7.0 indicating relatively good control of her blood sugars. the patient was started on lantis during her hospital course. she was started on 30 units q. pm. different insulin permeations were tried during her hospital course. based on the patient's hemoglobin a1c she had relatively good glucose control at home on her prior regimen, therefore she was discharged on her prior regimen of nph 20 q. am, nph 24 q. pm, regular insulin 10 units q. am with the 20 of nph and the regular insulin sliding scale. infectious disease - the patient was diagnosed with a urinary tract infection on admission. she was initially treated with ciprofloxacin for this urinary tract infection. the urine culture grew out klebsiella which was sensitive to levofloxacin and therefore the patient was continued on ciprofloxacin for a five day course. the patient was discharged on . discharge diagnosis: 1. st elevation inferior myocardial infarction 2. type 1 diabetes mellitus complicated by retinopathy, neuropathy and nephropathy 3. chronic renal insufficiency 4. anemia of chronic disease 5. klebsiella urinary tract infection 6. gastroparesis discharge medications: 1. regular insulin 10 q. am, nph 20 units q. am, 24 q. pm 2. regular insulin sliding scale with dinner 3. lisinopril 5 q.d. 4. atenolol 25 q.d. 5. plavix 75 q.d. 6. lipitor 10 q.d. 7. protonix 40 q.d. 8. reglan 10 b.i.d. 9. iron 325 q.d. 10. aspirin 325 q.d. 11. zoloft 50 q.d. 12. lasix 20 q.d. discharge instructions: she was to have for medication review and diabetes management. she was also to have home physical therapy. she was to follow up with cardiology. she was to follow up with dr. in two weeks. dr., 12- dictated by: medquist36 d: 15:50 t: 18:56 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified polyneuropathy in diabetes atherosclerosis of native arteries of the extremities, unspecified diastolic heart failure, unspecified diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled 

Answer: The patient is high likely exposed to