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: allergies: no known allergies / adverse drug reactions attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass grafting (left interior mammary artery to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to obtuse marginal, saphenous vein to right coronary artery) emergency l femoral thrombectomy /angioplasty history of present illness: ms. is an 81 year old female who was admitted to vascular surgery with severe bilateral lower extremity claudication. she has been followed for aortic stenosis with serial echos, but recently had an abnormal stress test. a cardiac catheterization revealed severe three vessel coronary artery disease. she was referred for cardiac surgery prior to any peripheral revascularization. past medical history: severe peripheral vascular disease (r>l claudication) non insulin dependent diabetes mellitus atrial fibrillation aortic stenosis bilateral foot neuropathy chronic obstructive pulmonary disease cva (no residual deficit) paroxysmal atrial fibrillation hypertension depression osteoarthritis hypothyroidism hypercholesterolemia peptic ulcer disease ventral hernia eczema gastric ulcer repair incisional herniorrhaphy bilateral cataract extractions social history: ms. lives alone and has family in . she is retired. she quit smoking 18 years ago and has a 50-100 pack year history. she reports drinking less than one alcoholic beverage per week. family history: ms. sister died of a myocardial infarction at age 54. her son a coronary artery bypass grafting and aortic valve replacement in his 50s. physical exam: pulse:64 resp: 16 o2 sat: 99% b/p right: 163/70 left: 161/62 height: 63" weight: 155 general: skin: dry intact heent: perrla eomi anicteric sclera;op unremarkable neck: supple full rom no jvd appreciated chest: lungs clear bilaterally heart: rrr irregular murmur grade _3/6 sem radiates throughout precordium and carotids abdomen: soft non-distended non-tender bowel sounds + ;no hsm; well-healed abd scars extremities: warm , well-perfused edema none _____ varicosities: bilateral r > l neuro: grossly intact ; mae strengths; nonfocal exam pulses: femoral right: np left:1+ dp right: np left:np pt : np left:np radial right: trace left:1+ carotid bruit : murmur radiates to b carotids pertinent results: admission labs; 04:00pm urine rbc-0 wbc-10* bacteria-none yeast-none epi-1 renal epi-<1 04:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-lg 04:00pm urine color-yellow appear-clear sp -1.006 04:00pm pt-12.1 ptt-22.4 inr(pt)-1.0 04:00pm plt count-306 04:00pm neuts-64.7 lymphs-28.4 monos-3.6 eos-2.6 basos-0.7 04:00pm wbc-11.8* rbc-3.63* hgb-11.3* hct-33.0* mcv-91 mch-31.0 mchc-34.1 rdw-12.5 04:00pm %hba1c-7.0* eag-154* 04:00pm tot prot-7.3 albumin-4.7 globulin-2.6 04:00pm alt(sgpt)-20 ast(sgot)-22 ld(ldh)-208 alk phos-51 tot bili-0.2 04:00pm urea n-35* creat-1.6* sodium-142 potassium-5.5* chloride-102 total co2-24 anion gap-22* tee :conclusions pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). doppler parameters are most consistent with normal left ventricular diastolic function. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is av paced. the patient is on no inotropes. biventricular function is unchanged. mitral regurgitation is unchanged. aortic stenosis is unchanged. the aorta is intact post-decannulation. discharge labs: 03:03am blood wbc-28.2*# rbc-3.01* hgb-9.2* hct-29.1* mcv-97 mch-30.7 mchc-31.8 rdw-15.7* plt ct-194 03:03am blood plt ct-194 03:03am blood pt-22.9* ptt-50.4* inr(pt)-2.1* 03:03am blood glucose-74 urean-61* creat-4.1*# na-141 k-4.7 cl-100 hco3-21* angap-25* 06:44pm blood alt-59* ast-91* ld(ldh)-316* alkphos-165* amylase-362* totbili-2.3* 08:24am blood type-central ve ph-7.21* caltco2-14* 08:24am blood glucose-13* lactate-14.3* na-138 k-5.4* cl-103 calhco3-14* brief hospital course: on ms. coronary artery bypass grafting times four performed by dr. . please see the operative note for details. she tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. she was extubated and did well initially. beta blockade was resumed and she was diuresed towards her preoperative weight. her atrial fibrillation was somewhat difficult to control from a rate standpoint. coumadin was given for the fibrillation. on she acutely became cyanotic, hypotensive and lethargic. she was brought emergently to the icu, intubated, a swan ganz catheter placed, arterial monitoring begun as well. her initial bp was in the 60's with a cardiac index of 0.6. epinephrine, milrinone and neo synephrine were begun with improvement of all parameters over an hour or so. the index rose to >2 and pressors were weaned. she became anuric despite adequate bp,ci and correction of her acidosis. her legs were severely mottled, but the left failed to resolve and was pulseless. she was taken to the operating room by dr. for thrombectomy and angioplasty of the left common femoral artery. she remained anuric and cvvh was begun. hd was susequently tolerated and she was transitioned to this. she awoke, seemingly intact after the initial insult. she also had a significant rise in her liver enzymes. she developed thrombocytopenia and ultimately was hit assay negative.argatroban was changed back to heparin. the platelet count continued to improve slowly. she had some rectal bleeding which resolved. tube feeds were started. gnr bacteremia was treated with meropenem. the patient was extubated and seemed to be progressing toward discharge to rehabilitation. on pod22 the patient became increasingly lethargic, see lost the pulse in her right leg and was becoming increasingly acidotic. after a discussion with both sons it was decided not to pursue any further agressive therapy, she was made comfort measures only and passed away a short time later. medications on admission: alprazolam - (prescribed by other provider) - 0.5 mg tablet - 1 tablet(s) by mouth twice a day clonidine - (prescribed by other provider) - 0.2 mg tablet - 1 tablet(s) by mouth twice a day digoxin - (prescribed by other provider) - 125 mcg tablet - 1 tablet(s) by mouth once a day fluoxetine - (prescribed by other provider) - 20 mg capsule - 1 capsule(s) by mouth once a day glyburide - (prescribed by other provider) - 5 mg tablet - 2 tablet(s) by mouth twice a day isosorbide mononitrate - (prescribed by other provider) - 60 mg tablet extended release 24 hr - 1 tablet(s) by mouth once a day lansoprazole - (prescribed by other provider) - 30 mg tablet,rapid dissolve, dr - 1 tablet(s) by mouth once a day levothyroxine - (prescribed by other provider) - 25 mcg tablet - 1 tablet(s) by mouth once a day lisinopril - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth twice a day metformin - (prescribed by other provider) - 500 mg tablet - 2 tablet(s) by mouth twice a day rosuvastatin - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth once a day triamterene-hydrochlorothiazid - (prescribed by other provider) - 37.5 mg-25 mg capsule - 1 capsule(s) by mouth once a day verapamil - (prescribed by other provider) - 240 mg cap,ext release pellets 24 hr - 1 cap(s) by mouth once a day medications - otc aspirin - (prescribed by other provider) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day cholecalciferol (vitamin d3) - (prescribed by other provider) - 1,000 unit capsule - 1 capsule(s) by mouth once a day discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis angioplasty of other non-coronary vessel(s) venous catheterization for renal dialysis aortography arteriography of other intra-abdominal arteries other endovascular procedures on other vessels procedure on single vessel diagnoses: acidosis thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome acute kidney failure with lesion of tubular necrosis acute and subacute necrosis of liver chronic airway obstruction, not elsewhere classified atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortic valve disorders chronic kidney disease, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure cardiogenic shock unspecified hereditary and idiopathic peripheral neuropathy other psoriasis rhabdomyolysis arterial embolism and thrombosis of lower extremity other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria tricuspid valve disorders, specified as nonrheumatic bloodstream infection due to central venous catheter other pulmonary insufficiency, not elsewhere classified, following trauma and surgery 

Answer: The patient is high likely exposed to