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: strawberry / shellfish attending: chief complaint: aortic stenosis, chf and lower gi bleed major surgical or invasive procedure: cardiac catherization history of present illness: 77 year old woman tranferred from the hospital for consideration of aortic valve replacement. admitted to the on with uti sepsis, pneumonia and colitis after presenting a syncopal episode. her bp was found to be 60/palp. she was given ivfs and antibiotics and transferred to the ccu. she suffered a pea arrest and was briefly intubated, but was extubated within a few hours per her family. she underwent a echocardiogram that revelaed as with a valve area of 0.7 and and abdominal imaging that revealed a 4.2 cm aa. she was evaluated by vascular surgery, but was not felt to be a surgical candidate. patient had multiple episodes of abdominal pain and bloody diarrhea following an episode of pea arrest. ct showed an area of colon consistent with inflammation / infection / ischaemia and a fusiform aortic anneurysm. she was treated with multiple antibiotic regimens while at . her course was also complicated by acute on chronic renal faily with creatinine up to 3.7 but back to 1.4-1.6 by discharge. on aspirin for many years, but denies any other nsaid use recently. bowels have settled down over the past week. currently no pain in the abdomen. had 2 bowel movements today - semi solid maroon stool, guaiac positive. last colonoscopy 3-4 years ago at . reportedly removed polyps. denies cp, sob, dizziness and breathing feels improved. on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors prior to admission to osh. she denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: copd ckd with baseline creatinine around 2.0 as valve area 0.6 cm dm2 - but denies formal diagnosis of this hypothyroidism - primary lung carcinoma t2m0n0. excised, no recurrence. - left hip replacement - right total hip replacement x2 - cabg - lima to lad, svg om/d1/rca social history: social history is significant for the absence of current tobacco use, quit 9 years ago, denies drug use, occasional wine. there is no history of alcohol abuse. family history: father died of mi at age 60, sister died of ? ca, grandfather died of mi. physical exam: admission physical examination: vs: t 98.1, bp 125/50 , hr 101 , rr 18 , o2 93 % on 3 l gen: elderly female sitting up in bed in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa, mm dry. neck: supple with jvd hard to asses given line in place cv: rr, normal s1, s2. no s4, no s3 appreciated, sysolic mumrur at rusb. chest: resp were unlabored, no accessory muscle use. crckles way up lung flield s bilaterally abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; 2+ dp left: carotid 2+ without bruit; 2+ dp neuro: cn ii-xii intact, strength in upper and lower extremities and equal pertinent results: admission labs: 01:00am blood wbc-10.3 rbc-2.87* hgb-8.8* hct-27.3* mcv-95 mch-30.5 mchc-32.0 rdw-14.7 plt ct-345# 01:00am blood pt-13.2 ptt-29.8 inr(pt)-1.1 01:00am blood plt ct-345# 01:00am blood glucose-81 urean-35* creat-1.4* na-144 k-5.1 cl-109* hco3-23 angap-17 01:00am blood alt-16 ast-23 ld(ldh)-217 alkphos-93 amylase-191* totbili-0.7 01:00am blood albumin-2.9* calcium-8.6 phos-3.4 mg-1.3* admission ekg: nsr rate 93, nl axis, pvc, biphasic t waves in v2-v6, nl intervals. tte: the left atrium is normal in size. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with focal hypokinesis of the basal inferior and inferolateral walls. the remaining walls contract normally and overall ef is preserved.. tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). there are simple atheroma in the aortic root the ascending aorta is 0.6 cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. the pulmonic valve leaflets are thickened. no pericardial effusion seen. impression: severe aortic stenosis (0.6 cm). mild to moderate aortic regurgitation. moderate symmetric lvh with mild regional lv dysfunction but overall preserved function. moderate pulmonary hypertension. mild to moderate mitral regurgitation. cxr: there are new bilateral interstitial opacities and peribronchial cuffing, more striking on the right than left, since . the appearance is most suggestive of interstitial pulmonary edema, arising in the setting of underlying emphysema. the patient also has known subpleural fibrosis, better characterized on a prior ct from . small bilateral pleural effusions are also present. the patient is status post cabg, and elevation of the left hemidiaphragm appears unchanged. tagged rbc study: no evidence of gastrointestinal bleeding colonoscopy: diverticulosis of the sigmoid colon and descending colon upto 40cm (area reached). erythema, congestion and ulceration involving 2/3rd of circumference in the distal descending colon( at 40cm)-- findings highly suggestive of ischemic colitis brief hospital course: severe aortic stenosis ms. has severe as with a valve area of 0.6, as well as mild to moderate aortic regurgitation. given her ischemic bowel (see below), she was not considered an acute surgery candidate. a temporizing aortic valvuloplasty was considered on with the hopes that she would be eligible for avr in several weeks to months once her gut has stablized. the cardiac catheterization showed a mean gradient of 23mmhg across valve hence no valvuloplasty was performed. throughout her hospitalization, she required large volumes of ivf (and briefly levophed pressor support) to maintain blood pressures, but she maintained her oxygen saturation and did not require mechanical ventillation at any point. aortic valvuloplasty was considered to help heal mesenteric ischemia. however, during her repeat cardiac catheterization her av gradient was measured using an aortic catheter and an lv catheter via a transeptal approach which showed less severe gradient than on echo. therefore, no valvuloplasty was pursued and valve replacement was not currently recommended given significant operative risk. . gi bleed ms. was admitted from the osh with active lower gi bleeding, requiring multiple blood transfusions to maintain her hematocrit. abdominal ct from the osh was concerning for ischemic colitis. at , the gi service was consulted and performed a tagged rbc study on , which showed no active bleeding. despite his, she continued to have bloody stools and decreasing hematocrit. a colonoscopy was performed on , which showed erythema, congestion and ulceration of the descending colon, consistent with ischemic colitis. by , her bleeding stopped and her hematocrit had stabilized. the gi surgery service followed ms. throughout her admission and deferred bowel surgery at this point because of her high operative risk. she completed a 7 day course of cipro/flagyl/ampicillin per surgical recommendations. her gi bleeding slowly resolved over the course of her admission. . cad pt s/p cabg with lima --> lad, svg to d1 / om / rca. has biphasic twaves in lateral leads, unchanged from prior. no chest pain. she was continued on her aspirin and started on atorvastatin 40mg, favored over her home zetia for cholesterol control. on further questioning with family, the patient develops leg cramps from statins. should continue to monitor. she had a cardiac catheterization which showed 3 vessel disease but no intervention was performed. given patient's significant operative risk, she was further risk stratified with a persantine mibi which showed normal myocardial perfusion. medical management was elected. . chronic kidney disease likely htn, baseline cr 2.0. currently improved from baseline to 1.0, unclear if loss of muscle mass vs. improved forward flow. continued to maximize cardiac output / renal perfusion with afterload reduction. no further diuresis given. . htn currently sbp in 110s. started lopressor 50mg . decreased lisinopril to 5mg daily. diltiazem was discontinued. restarting hctz 25mg will be left up to dr. at her outpatient follow visit in 2 weeks time. medications on admission: acetaminophen 500 mg--1 to 2 tablet(s) by mouth as needed alphagan p 0.15 %--in each eye twice a day aspirin 81 mg--1 (one) tablet(s) by mouth once a day cartia xt 180 mg--1 (one) capsule(s) by mouth once a day combivent 18 mcg-103 mcg (90 mcg)/actuation--1 (one) three times a day calcium 600 + d 600 mg (1,500 mg)-200 unit--1 (one) tablet(s) by mouth once a day hydrochlorothiazide 25 mg--1 (one) tablet(s) by mouth once a day lisinopril 10 mg--1 (one) tablet(s) by mouth once a day lorazepam 1 mg--1 (one) tablet(s) by mouth once a day levothyroxine 25 mcg--1 (one) tablet(s) by mouth once a day motrin 100 mg--2 (two) tablet(s) by mouth twice a day prilosec 20 mg--1 (one) capsule(s) by mouth once a day senior vitamin --1 (one) tablet(s) by mouth once a day travatan 0.004 %--in each eye twice a day tylenol arthritis 650 mg--1 (one) tablet(s) by mouth ultram 50 mg--1 tablet(s) by mouth every 6-8 hours as needed for pain zetia 10 mg--1 (one) tablet(s) by mouth once a day inpatient medications: acetaminophen 650 mg po q6h:prn ascorbic acid 500 mg po daily aspirin ec 81 mg po daily ciprofloxacin hcl 500 mg po daily ezetimibe 10 mg po daily heparin 5000 unit sc tid insulin sc (per insulin flowsheet) levothyroxine sodium 25 mcg magnesium sulfate 2 gm iv once metronidazole (flagyl) 500 mg po tid metoprolol xl (toprol xl) 6.25 mg po daily pantoprazole 40 mg po q12h tramadol (ultram) 25 mg po q8h:prn vancomycin 1000 mg iv q48h discharge medications: 1. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 2. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 3. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. 8. brimonidine 0.15 % drops sig: one (1) ophthalmic (). 9. travoprost 0.004 % drops sig: one (1) ophthalmic qpm (). 10. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: lifecare west discharge diagnosis: aortic stenosis gib hypothyroid aaa ckd discharge condition: stable discharge instructions: you were admitted for for aortic valve replacement. your hospital course was complicated by concern for gi bleed. you had a cardiac catheterization which showed normal gradient and you did not have a aortic valvuloplasty. you were discharged to a rehab facility in order to regain your strength. return to the er if you develop worsening chest pain and dyspnea or any worrisome symptoms. followup instructions: called and spoke with dr. office at , they will call patient within the next 2 days and have her come into the office within the next 7-10 days. provider: , md phone: date/time: 2:30 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures enteral infusion of concentrated nutritional substances colonoscopy diagnoses: coronary atherosclerosis of native coronary artery unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders chronic kidney disease, unspecified paroxysmal ventricular tachycardia pressure ulcer, lower back ventricular fibrillation abdominal aneurysm without mention of rupture coronary atherosclerosis of artery bypass graft unspecified vascular insufficiency of intestine 

Answer: The patient is high likely exposed to