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: demerol / epinephrine / fosamax / latex / dilaudid attending: chief complaint: right lower extremity rest pain/nonhealing ulcer major surgical or invasive procedure: : right common femoral to anterior tibial artery bypass with nonreversed saphenous vein graft. history of present illness: mrs. has a history of severe degenerative spine disease and also carotid artery disease. she recently has developed increasing pain in her foot. she is very disabled by her back. she does walk but uses a wheelchair a lot and is having severe pain in her right foot. this is bad at all times but particularly severe at night and she has now developed some small ulcerations. she saw dr. at who did some noninvasives and told that her circulation was really poor and suggested that she see dr. . it was recommended that she be admitted to the hospital for an arteriogram. past medical history: history of b/l hip and ankle ulcers chronic diarrhea / constipation of unclear etiology colonic polyps pud with hx of gib htn fibromyalgia hypothyroidism glaucoma cataracts "irregular heartbeat" h/o benign fallopian tumor, removed sbo adhesions ibs gastritis s/p multiple spinal fusions amd kyphoplasty osteoarthritis h/o r hip fracture frequent falls h/o l cea for "93% blockage" per pt hx mrsa 35% burn s/p skin grafting social history: she does smoke at least pack per day, and has a 50 year smoking history but does not drink alcohol. she has spent most of the past several months in rehab. needs assistance with adls. family history: mother with breast cancer and osteoarthritis. father with diabetes type 2. her family history is negative for colorectal cancer or inflammatory bowel disease. physical exam: on discharge: tm 98.0, tc 96.0, hr 87, bp 98.58, rr 16, 93% on ra aao x3, in no acute distress chest clear to auscultation bilaterally, heart rate regular. abdomen soft, nontender, nondistended. right lower extremity warm, with palpable dp pulse, surgical incision healing, with areas of serosanguinous drainage. small nonhealing ulcer at right lateral malleolus. no clubbing, cyanosis, or edema. pertinent results: 04:53am blood wbc-5.0 rbc-3.06* hgb-9.5* hct-28.4* mcv-93 mch-31.1 mchc-33.5 rdw-15.3 plt ct-216 04:53am blood glucose-92 urean-15 creat-0.6 na-142 k-3.9 cl-112* hco3-26 angap-8 04:49am blood calcium-8.7 phos-2.6* mg-2.1 ucx: no growth (finalized) u/a: >182 wbc, no epis, large leuks, no nitrites mrsa swab: positive brief hospital course: ms. a diagnostic angiography of her right lower extremity on , which revealed moderate to severe stenosis in the sfa with complete occlusion distally, reconstituting into the popliteal, but occluding again at the pt, with moderate to severe stenosis of a diminutive dp. no intervention was attempted. she went back to the operating room on for a right femoral-at bypass with nonreversed saphenous vein. please see operative report dictated for full details of the operation. postoperatively, she was somewhat hypotensive and anemic, so a fluid bolus was given and a blood transfusion attempted. however, soon after starting the blood transfusion she became rigorous, acutely hypotensive, and temporarily developed stridor with decreased o2 sats that resolved spontaneously. she was transferred to the icu for closer monitoring. the blood bank was notified of a possible transfusion reaction, and a complete workup was performed which turned out negative for transfusion reaction. she was transfused two more units of blood the next day without issue. she was transferred back to the vicu on , and her hematocrits stabilized. her foley catheter and arterial line were discontinued, and she was started on a regular diet. her right foot was much warmer postsurgery, and she developed a strong palpable pulse of her right foot, as well as a dopplerable pt signal. she got out of bed to a chair on pod 2 and ambulated minimally with full assistance on pod3. by pod4 she was tolerating a regular diet, her pain was controlled, and her incisions were healing nicely. she was discharged to an extended care facility for intensive rehabilitation. medications on admission: amytriptyline 75''' prn anxiety amlodipine 5' clonazepam 1-2 mg qhs prn insomnia cosopt 0.5-2% 1gtt ou daily latanoprost 0.005% 1gtt ou qpm synthroid 100' lidocaine patch lovastatin 1 qpm mesalamine 800''' oxycodone prn oxycodone extended release 40'' protonix 40' kcl promethazein 25'' vitamin c colace vitamin d iron loperamide 2mg prn diarrhea mvi discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 3. mesalamine 400 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po tid (3 times a day). 4. olanzapine 10 mg tablet sig: one (1) tablet po hs (at bedtime). 5. amitriptyline 75 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 6. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 7. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic daily (daily). 8. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 9. levothyroxine 50 mcg tablet sig: two (2) tablet po daily (daily). 10. lipase-protease-amylase 5,000-17,000 -27,000 unit capsule, delayed release(e.c.) sig: two (2) cap po tid w/meals (3 times a day with meals). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 12. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 13. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dryness. 14. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 15. insulin aspart 100 unit/ml solution sig: zero (0) units subcutaneous qachs: adjust sliding scale as needed. 16. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours): last day . 17. gabapentin 100 mg capsule sig: two (2) capsule po hs (at bedtime). 18. gabapentin 100 mg capsule sig: one (1) capsule po daily (daily). 19. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours). 20. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: rehab discharge diagnosis: right lower extremity nonhealing ulcer right lower extremity bypass discharge condition: alert and oriented x3 ambulating with , assist full weight bearing discharge instructions: what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 1:45 procedure: arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass aortography diagnoses: anemia, unspecified unspecified essential hypertension unspecified glaucoma ulcer of other part of foot hypotension, unspecified lumbago myalgia and myositis, unspecified atherosclerosis of native arteries of the extremities with ulceration 

Answer: The patient is high likely exposed to