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 46 year old woman with a past medical history of type 1 diabetes, retinopathy, peripheral neuropathy and multiple admissions of diabetic ketoacidosis who was transferred from an outside hospital on . by report several days prior to admission, the patient began experiencing nausea and vomiting. on the day of admission she was found by her mother to be lethargic with decreased responsiveness. she was taken to an outside hospital where her glucose was found to be 1,258 with a creatinine of 5.9, potassium of 7.6, and a bicarbonate of less than 5. an arterial blood gases showed ph of 7.01/12/107. the electrocardiogram showed changes consistent with hypokalemia. the patient was given insulin, intravenous fluids and bicarbonate. this resulted in improvement of her electrocardiogram. she was transferred to for further care. in the emergency department here she was aggressively hydrated with normal saline and started on dopamine for blood pressure support. she received a total of 11 liters of intravenous fluids in the emergency department and was transferred to medical intensive care unit. at the time the patient denied any shortness of breath, fevers, chills, chest pain, or abdominal pain. past medical history: 1. type 1 diabetes with multiple admissions for diabetic ketoacidosis, retinopathy, peripheral neuropathy; 2. hypertension; 3. depression. medications on admission: atarax 50 mg prn; calcium carbonate 650 mg b.i.d.; ferrous sulfate 325 mg b.i.d.; flonase 2 puffs each nostril q.d.; epogen units tuesday and wednesday; hydrochlorothiazide 12.5 mg q.d.; lantis 10 units subcutaneously q.h.s.; lisinopril 20 mg b.i.d.; ativan prn; methoxa-dome 600 mg q.h.s.; neurontin 900 mg t.i.d.; protonix 40 mg q. am; humalog sliding scale q.i.d. allergies: tegretol, prozac and procardia. physical examination: physical examination at admission revealed the patient was in mild distress. temperature was 98.1, heartrate 100, blood pressure 95/50. her mucous membranes were slightly dry. there was no jugulovenous distension. there was regular rhythm with normal s1 and s2. there were no murmurs, rubs or gallops. a few rales were noted at the right base. the abdomen was soft, nontender with bowel sounds present. there was no peripheral edema. the patient was awake and answered questions appropriately. laboratory data: laboratory data at admission, white count 18.6 with 79% neutrophils. hematocrit was 22.4, platelets 324, sodium 133, potassium 4.0, chloride 90, bicarbonate 15, bun 81, creatinine 4.9, glucose 847, anion gap 28. an arterial blood gases revealed 7.28/31/107. urinalysis was positive for glucose. toxicology screen was positive for opioids and tricyclics. chest x-ray showed no signs of pneumonia or heart failure. an electrocardiogram revealed normal sinus rhythm at 102. the axis was normal. there were st depressions in v3 through v6. there were peak t waves. hospital course: ms was transferred to the medical intensive care unit. her course in the hospital will be discussed by systems. 1. endocrine - ms was aggressively hydrated. she was placed on her insulin drip. he anion gap was followed. she responded well to this treatment and her blood sugar continued to come down. as the blood sugar control improved she was restarted on her outpatient medications, lantis 10 units q.h.s. and a regular insulin sliding scale. the day prior to discharge she was restarted on her humalog sliding scale which she uses as an outpatient. of note, ms was found to have hypercholesterolemia during this admission. she was started on atorvastatin. 2. pulmonary - on the night of admission ms developed dyspnea and increasing oxygen requirements. she required intubation. a repeat chest x-ray showed complete white out of the right lung, this was rapid advancement and her chest x-ray on admission had been clear. it was thought that these changes were likely secondary to an aspiration pneumonia. she had been vomiting prior to admission. she was started on a course of levofloxacin, ceftriaxone and vancomycin. she improved gradually and was extubated on . chest x-ray done the day prior to discharge showed marked improvement and clearing of the right lung. her antibiotic course ended on . 3. cardiovascular - hypertension, ms was very hypotensive on admission, requiring pressors for several days. these were eventually weaned. after her massive volume resuscitation she became hypertensive. it was difficult to control her hypertension. at the time of discharge her medications included captopril, amlodipine, metoprolol, hydralazine. the day after admission ms in by enzymes for a myocardial infarction. there were no st elevations noted on electrocardiogram. once she was medically stabilized, she underwent cardiac catheterization on . this showed a nonocclusive coronary artery disease with a 40% lesion in the mid left anterior descending. the right coronary artery had a 40% proximal lesion. the left ventricular ejection fraction was 54%. an echocardiogram revealed mild to moderate mitral regurgitation. tachycardia, ms remained tachycardiac throughout much of her admission. she was eventually controlled on metoprolol 125 mg p.o. b.i.d. 4. gastrointestinal - during the admission ms was noted to have black tarry stools. her hematocrit dropped and she required transfusion of 3 units of packed red blood cells. the gastrointestinal service was consulted. her hematocrit stabilized at approximately 30. she was no longer acutely bleeding. the presumptive diagnosis was stress-induced gastritis. given her recent myocardial infarction, the gastrointestinal service felt that an esophagogastroduodenoscopy and colonoscopy were not necessitated at this time. they would like her to follow up and receive an outpatient esophagogastroduodenoscopy and colonoscopy. they also recommended that she continue protonix 40 mg p.o. b.i.d. 5. renal - ms came in in acute renal failure. this was thought to be secondary to prerenal/acute tubular necrosis causes. she responded to massive volume resuscitation. she maintained good urine output. at the time of discharge her creatinine is 0.8. 6. dermatology - ms developed an irritation rash over her buttocks. this was treated with lidocaine ointment, and has responded well. 7. infectious disease - ms completed a ten day course of antibiotics. at the time of discharge she had been afebrile for several days. all of her cultures are negative to date. 8. fluids, electrolytes and nutrition - ms experienced hypocalcemia as well as hypomagnesemia during her admission. she is on supplements to treat her electrolyte abnormalities at the time of discharge. discharge diagnoses: 1. diabetic ketoacidosis 2. respiratory failure secondary to aspiration pneumonia 3. non-st elevation myocardial infarction 4. acute renal failure 5. gastrointestinal bleed discharge condition: good. discharge medications: 1. atorvastatin 20 mg p.o. q.d. 2. aspirin 325 mg p.o. q.d. 3. neutra-phos two packets p.o. t.i.d. 4. captopril 150 mg p.o. t.i.d. 5. amlodipine 10 mg p.o. q.d. 6. desitin ointment, apply to buttocks t.i.d. 7. lidocaine ointment, apply to buttocks t.i.d. 8. calcium carbonate 1500 mg p.o. q. 6 h. 9. magnesium oxide 800 mg p.o. t.i.d. 10. insulin glargine 10 units subcutaneously q.h.s. 11. pantoprazole 40 mg p.o. b.i.d. 12. potassium chloride 40 meq p.o. q.d. 13. benzonatate 1 caplet p.o. t.i.d. prn for cough 14. metoprolol 125 mg p.o. b.i.d. 15. hydralazine 10 mg p.o. q. 6 h. 16. gabapentin 900 mg p.o. t.i.d. 17. methoxa-dome 600 mg p.o. q.h.s. 18. guaifenesin/codeine phosphate 5 ml p.o. q. 6 h. prn for cough 19. oxazepam 10 mg p.o. q.h.s. prn for insomnia 20. humalog sliding scale discharge follow up: ms will be discharged home to her mother's house, as she will be followed by . she will also receive home physiotherapy. she will also follow up with dr. in one to two weeks. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube closed [endoscopic] biopsy of bronchus diagnoses: subendocardial infarction, initial episode of care acute kidney failure with lesion of tubular necrosis unspecified essential hypertension acute respiratory failure unspecified gastritis and gastroduodenitis, with hemorrhage diabetes with peripheral circulatory disorders, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled 

Answer: The patient is high likely exposed to