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 79-year-old white female with coronary artery disease, status post myocardial infarction with coronary artery bypass grafting in , myocardial infarction with congestive heart failure in , with diabetes, end-stage renal disease on hemodialysis, status post left above-knee amputation in , who complained of an eight-month history of right forefoot ulceration. in spite of treatment, the patient's left fifth toe ulceration has not healed. over the previous week prior to admission, the patient noted changes in the color of her right toes. she denied rest pain. she complained of prior symptoms of right lower extremity claudication, although currently she is wheelchair bound. she has a left lower extremity prosthesis, which she does not use. the patient was seen in the office a week prior to admission and scheduled for admission and elective revascularization of her right leg. past medical history: 1. coronary artery disease; myocardial infarction in , coronary artery bypass grafting in ; myocardial infarction in . 2. congestive heart failure in ; ejection fraction 42%. 3. nonsustained ventricular tachycardia, status post ablation. 4. type 2 diabetes. 5. hypertension. 6. end-stage renal disease on hemodialysis every tuesday, thursday, and saturday on the at via right quinton catheter. 7. anemia. 8. ovarian mass. 9. glaucoma. 10. depression. 11. peripheral vascular disease. 12. deep venous thrombosis in following coronary artery bypass grafting treated with coumadin. past surgical history: 1. left above-knee amputation by dr. in . 2. coronary artery bypass grafting times four with right saphenous vein in at hospital. 3. cataract extraction and iol o.s. family history: noncontributory. social history: the patient lives with her daughter in . she does not use her left lower extremity prosthesis. she is wheelchair bound. she does not smoke cigarettes. she does not drink alcohol. allergies: morphine and demerol cause hallucinations. medications on admission: 1. nph insulin 26 u subcue q.a.m. 2. regular insulin 2 u at supper if blood sugar greater than 50. 3. coumadin 2 mg p.o. every day except thursday. 4. digoxin 0.125 mg p.o. q.monday, wednesday and friday, on non-dialysis days. 5. imdur 60 mg p.o. q.sunday, monday, wednesday and friday. 6. lisinopril 10 mg p.o. q.sunday, monday, wednesday and friday. 7. diovan 160 mg p.o. q.sunday, monday, wednesday and friday. 8. lopressor 75 mg p.o. b.i.d. 9. pravachol 40 mg p.o. q.h.s. 10. mirapex 0.125 mg p.o. b.i.d. 11. aspirin 81 mg p.o. q.d. 12. zoloft 50 mg p.o. q.d. 13. nephrocaps 1 p.o. q.d. 14. zantac 150 mg p.o. q.d. 15. remegel 800 mg p.o. t.i.d. 16. ativan 0.5 mg p.r.n. 17. cosopt 1 drop o.u. h.s. 18. epogen 3000 u twice a week at hemodialysis. physical examination: vital signs: pulse 78, respirations 20, blood pressure in right arm 90/50, blood pressure in left arm 115/50. general: the patient was an alert, cooperative white female in no acute distress. skin: warm and dry. heent: normocephalic. tongue midline. neck: no lymphadenopathy or thyromegaly. carotids palpable. no bruits. breast: exam negative. chest: .................. lungs: clear bilaterally. heart: regular, rate and rhythm. there was a 2/6 systolic ejection murmur at the base. abdomen: soft and nontender. bowel sounds positive. no bruits. no hepatosplenomegaly. rectal: exam deferred. extremities: left above-knee amputation well healed. right foot with cyanotic, ruborous toes. heel cyanotic. left first and fifth toes have superficial abrasions. pulse exam: carotid, radial pulses 2+ bilaterally. abdominal aorta nonpalpable. right femoral pulse has a doppler signal. right popliteal, dorsalis pedis and posterior tibial pulses nonpalpable. left femoral pulse 2+. neurological: nonfocal. laboratory data: admission wbc 10.4, hematocrit 32.6, platelet count 195,000; pt 17.8, inr 2.1, ptt 32.8; sodium 132, potassium 4.8, chloride 91, co2 26, bun 65, creatinine 4.4, calcium 10.4, phosphate 3.5, magnesium 2.3. chest x-ray showed no congestive heart failure or pneumonia, pleural thickening/small left-sided pleural effusion and left midzone atelectases/scarring, unchanged. electrocardiogram showed normal sinus rhythm at a rate of 70, no acute ischemic changes. hospital course: the patient was admitted to the hospital on . she was started on levofloxacin and flagyl. vancomycin was ordered at hemodialysis and doses when random vancomycin level was less than 15. on , the patient received fresh frozen plasma in order to undergo an arteriogram. the arteriogram showed a right occluded popliteal artery with reconstitution of the anterior tibial artery. following arteriogram, the patient had hemodialysis in the afternoon. the cardiology service was consulted for preoperative cardiac risk assessment. on , the patient underwent persantine mibi study which was positive. on , the patient had hemodialysis followed by cardiac catheterization. she underwent a stent to her posterior descending artery vein graft. she was started on plavix 75 mg p.o. q.d. for one month. on , the patient underwent a right femoral to anterior tibial bypass graft with ptfe. perioperatively she received a unit of packed red blood cells. postoperatively the patient developed atrial fibrillation/flutter. the doppler signal in her right bypass graft diminished and was lost by late afternoon. her toes were cool and ischemic appearing. she was taken back to the operating room about 6:30 p.m. and underwent a thrombectomy of her bypass graft. she was started on a heparin drip. the patient had a warm foot with a doppler signal at the right dorsalis pedis. the cardiology service was reconsulted regarding the patient's new atrial fibrillation. they noted that her troponin was elevated to 9. they recommended decreasing the afterload with an ace inhibitor and also increasing her beta-blocker for rate control. they recommended cardioversion if the patient remained in atrial fibrillation. midway through hemodialysis on the afternoon of , the patient suffered ventricular tachycardia arrest. she was resuscitated, intubated and transferred to the surgical intensive care unit. she was treated with amiodarone drip. she was extubated the following day. she was maintained on her heparin drip, plavix, levofloxacin and flagyl. cardiology recommended increasing her aspirin from 81 to 325 mg p.o. q.d. intravenous amiodarone treatment was changed to oral treatment. on , while on amiodarone, the patient developed wide complex tachycardia to a rate of 130. the patient was asymptomatic. her rhythm then changed to atrial fibrillation and to ventricular tachycardia and then again to atrial fibrillation. she had another five-minute run of ventricular tachycardia. she was treated with intravenous amiodarone. upon discussion with her primary cardiologist, dr. , it was decided that the patient was not a candidate for a aicd. on , the patient underwent cardioversion for ventricular tachycardia. she was maintained on a heparin drip. she went on to have two more recurrences of ventricular tachycardia. she was treated with lidocaine, rebolused with amiodarone, and her rhythm changed from ventricular tachycardia to atrial fibrillation. the patient was asymptomatic throughout her episodes of ventricular fibrillation. on , the patient underwent an electrophysiology study and ventricular tachycardia ablation which resulted in normal sinus rhythm. amiodarone 400 mg p.o. q.d. was started. coumadin was restarted. at the time of dictation, the patient is receiving 1 mg p.o. q.d. her inr is 1.9. her goal inr is 2.0-2.5. the patient's amiodarone dose will be adjusted by her primary care cardiologist dr. . the patient was from the surgical intensive care unit to the vascular intermediate care unit on . she remained on telemetry until . the remainder of her hospitalization was uneventful. physical therapy assessed the patient's need with transfer skills. she required a lift for transfer from bed to chair initially. at the time of dictation, the patient's right groin and leg incision are clean, dry, and intact. her foot is warm. she has a doppler signal of her right dorsalis pedis. her staples will be removed, and her incision steri-stripped prior to discharge. her levofloxacin and flagyl, as well as vancomycin will be stopped at the time of transfer to the rehabilitation facility. the patient will follow-up with dr. in the office following discharge from the rehabilitation facility. discharge medications: 1. coumadin 1 mg p.o. q.d., dose adjustment for goal inr of 2.0-2.5. 2. amiodarone 400 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. 4. lopressor 12.5 mg p.o. b.i.d. 5. diovan 160 mg p.o. q.sunday, monday, wednesday and friday. 6. lisinopril 10 mg p.o. q.sunday, monday, wednesday and friday. 7. imdur 60 mg p.o. q.sunday, monday, wednesday and friday. 8. mirapex 0.125 mg p.o. b.i.d. 9. aspirin 325 mg p.o. q.d. 10. pravachol 40 mg p.o. q.h.s. 11. protonix 40 mg p.o. q.d. 12. remegel 2400 mg p.o. t.i.d. with meals. 13. nephrocaps 1 p.o. q.d. 14. zoloft 50 mg p.o. q.d. 15. lorazepam 0.5 mg p.o. p.r.n. anxiety. 16. tylenol 325-650 mg p.o. q.4-6 hours p.r.n. pain. 17. humalog sliding scale q.i.d., breakfast, lunch, dinner, bed time; glucose 101-150 2 u breakfast, 2 u lunch, 2 u dinner, 2 u bed time, glucose 151-200 4 u breakfast, lunch, dinner, bed time, glucose 201-250 6 u breakfast, lunch, dinner, bed time, glucose 251-300 8 u across the board, glucose 301-350 10 u across the board, glucose 351-400 12 u across the board, glucose greater than 400 14 u across the board. condition on discharge: good. disposition: rehabilitation facility. discharge diagnosis: 1. ischemic right foot. 2. right femoral to anterior tibial 6 mm ptfe bypass graft on . 3. thrombectomy, right ptfe bypass graft on . secondary diagnosis: 1. coronary artery disease, stent of the posterior descending artery vein graft, on . 2. blood loss anemia, status post transfusion. 3. new onset atrial fibrillation. 4. ventricular tachycardia arrest on , with resuscitation and intubation. 5. status post ablation for ventricular tachycardia on . 6. end-stage renal disease on hemodialysis via right quinton catheter on tuesday, thursday and saturday. 7. type 2 diabetes. 8. hypertension. 9. hypercholesterolemia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters other revision of vascular procedure insertion of endotracheal tube hemodialysis other electric countershock of heart other (peripheral) vascular shunt or bypass catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach angiocardiography of right heart structures repair of blood vessel with synthetic patch graft diagnoses: congestive heart failure, unspecified acute posthemorrhagic anemia atrial fibrillation paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiac arrest other complications due to other vascular device, implant, and graft chronic diastolic heart failure atherosclerosis of native arteries of the extremities with ulceration 

Answer: The patient is high likely exposed to