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 -year-old female hospitalized in of this year for right foot ischemia, who underwent a diagnostic arteriogram with perclose groin closure and right leg runoff for hit induced thrombocytopenia with right foot embolus. the study demonstrated right sfa popliteal disease with single-vessel runoff via the peroneal artery. the patient was seen in dr. clinic on for right foot cellulitis. since discharge, last dialysis was on __________. the right foot and blood toes remained the same but in the last 48 hours there is increasing erythema, edema and drainage from the wound. the patient denies any constitutional symptoms. she is now admitted for iv antibiotics and consideration for revascularization of the right lower extremity. allergies: penicillin, manifestations not known; heparin, hit antibody positive. medications: include levothyroxine 75 mcg daily, lopressor xl 75 mg daily, __________ 10 mg daily, calcium 1000 mg t.i.d., multivitamin capsule daily, coumadin 2 mg monday, wednesday, friday, and 1 mg tuesday, tuesday, saturday, sunday, aspirin 81 mg daily, protonix 40 mg daily, senna tablets 8.6 mg twice a day, colace 100 mg b.i.d., oxycodone 2.5 mg q.8h. p.r.n. pain. illnesses: include endstage renal disease, stage v, on dialysis tuesdays, thursdays and saturdays; status post right ij permcath in ; history of coronary artery disease with a non-st elevated mi; history of peripheral vascular disease; history of hypertension; history of anemia of renal disease; history of osteodystrophy; history of hypothyroidism; history of gastroesophageal reflux disease. social history: the patient denies tobacco or alcohol use. the patient is dialyzed at hemodialysis center. their number is . her nephrologist is dr. . , his number is . cardiologist is , office number . physical examination: vital signs: 95.3 axillary, 104, 18, blood pressure 111/85, o2 sats 97% on room air. heent exam: there is no jvd or carotid bruits. pulses are palpable 2+ bilaterally. lungs are clear to auscultation bilaterally. heart is of regular rate and rhythm without murmur, gallop or rub. abdomen is mildly distended, nontender, with bowel sounds x4. there are no abdominal bruits or masses. extremity exam shows left foot is pale, cool, without lesions. the right foot is with 2 to 3+ edema, white toes with erythema at the toes extending to the ankle. the foot is cool. pulse exam shows 2+ femoral pulses with 1+ popliteal, bp, and pt bilaterally. neurological exam: oriented x person and place, nonfocal. hospital course: the patient was admitted to the vascular service. wound cultures were obtained and she was begun on triple antibiotic therapy of vancomycin, ciprofloxacin, and flagyl. wound culture gram stain showed no polys or microorganisms. the wound culture was finalized as no growth. renal was consulted for hemodialysis and the patient was continued on her preadmission schedule for tuesdays, thursdays and saturdays. the patient's inr on admission was 2.9. epo was started at 22,000 units at dialysis. a long discussion was held with the family, amputation versus bypass, given the patient had poor outflow and questionable graft patency, was presented to the family. they were adamantly against amputation. the patient proceeded to surgery after being evaluated by cardiology who felt that patient was at moderate risk for a perioperative event. her medications were adjusted to improve her blood pressure and heart rate for a goal of systolic pressure of 120-140 and a pulse rate of 60 or less. the cellulitis improved and edema improved with antibiotics and bedrest. the patient underwent on , a right fem-dp bypass graft in situ saphenous vein angioscopy. the patient tolerated the procedure well and was extubated and transferred to the pacu in stable condition. on arrival to the pacu, the foot was cold, there was no signal in the graft. the patient returned to the or and underwent a thrombectomy of the right femoral dp bypass x2. the patient was extubated and returned to the pacu. the graft pulse was marginal after the second surgery and decision was made if the graft failed that no further surgical intervention would be attempted. the patient remained intubated overnight and in the pacu. postoperative day 1 there were no overnight events. the patient was weaned off neo-synephrine for systolic blood pressure control. the patient was weaned off __________. she underwent hemodialysis and then was attempted at extubation. postoperative day 2 there were no overnight events. the patient was afebrile. the patient was extubated the day prior and was transferred to the vicu for continued monitoring of care. she was continued on triple antibiotics with vanco, cipro, and flagyl. we will continue to follow the patient for her hemodialysis needs. she was transfused 1 unit of packed red blood cells for a hematocrit of 26. postoperative day 3 overnight events: the patient experienced chest pain with st depressions. she was given aspirin and nitroglycerin with relief of her symptoms. the patient continued to do well from a cardiac standpoint. arterial studies were done on which showed on the right foot 3 mm pressure wave tracings and on the left 2 mm. post transfusion hematocrit was 29.3. the patient remained on argatroban for her history of heparin allergy. __________ was restarted on for regained doppler signals in the left foot that had been initially lost. physical therapy was requested through the patient for evaluation for discharge planning. case management was consulted to assist in discharge planning needs. the patient will be discharged when medically stable per pt's evaluation. discharge medications: include levothyroxine 75 mg daily, __________ 10 mg daily, calcium carbonate 1000 mg t.i.d., niferex capsule 1 daily, aspirin 81 mg daily, colace 100 mg b.i.d., oxycodone/acetaminophen 5/325 solution ml q.4h. p.r.n. for pain, protonix 40 mg daily, senna tablets 8.6 mg b.i.d., metoprolol 75 mg t.i.d., warfarin 2 mg monday, wednesday and friday, and 1 mg sunday, tuesday, thursday and saturday, lisinopril was started for her systolic hypertension at 5 mg daily. discharge instructions: she may ambulate essential distances. she should wear an ace from foot to knee on the right side when ambulating. she should keep the right foot and leg elevated in a chair. she should continue her coumadin for history of thrombus and heparin allergy and take as directed. the goal inr is 2.0-3.0. she should follow up with her primary care physician for monitoring of her inr and adjustment of her coumadin dosing as required. we have made arrangements for her to see hematologist because of her history of clotting problems, please keep that appointment. please call dr. office for the following reasons: if you develop fever greater than 101.5, if the with wound changes, becomes red, swollen or drainage, or there is any increasing blue discoloration of the right toe or increasing right foot pain. you may shower but no tub baths. please continue to take the stool softener, colace, as directed while you are taking pain medication since pain meds can cause constipation. discharge diagnoses: 1. right foot cellulitis with ischemic toes. 2. history of endstage renal disease, stage v, on dialysis tuesday, thursday and saturday. 3. history of hypertension, uncontrolled. 4. history of peripheral vascular disease. 5. history of anemia of renal disease. 6. history of renal osteodystrophy. 7. history of hypothyroidism. 8. history of gastric reflux. 9. history of coronary artery disease status post non-st myocardial infarction. 10.history of heparin-induced thrombocytopenia, postoperative blood loss anemia, transfused. major surgical procedures: right femoral-dorsalis pedis bypass in situ saphenous vein with thrombectomy of the right femoral-dorsalis pedis graft x2 on . , procedure: other revision of vascular procedure hemodialysis other (peripheral) vascular shunt or bypass transfusion of packed cells diagnoses: chronic kidney disease, stage v anemia in chronic kidney disease esophageal reflux acute posthemorrhagic anemia unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction other complications due to other vascular device, implant, and graft atherosclerosis of native arteries of the extremities with gangrene cellulitis and abscess of foot, except toes 

Answer: The patient is high likely exposed to