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 79-year-old woman who had intermittent claudication of both legs for many years. the claudication has continued to worsen to the point where she has rest pain in her right foot. over the several weeks prior to surgery, she had a small ulcer and developed a right fifth toe and heel ulcer of that foot. her pain is worse at night, and she was referred to dr. for possible surgical intervention. past medical history: (her past medical history is significant for) 1. coronary artery disease; status post angioplasty in . 2. she had a carotid endarterectomy in . 3. she had a left lower extremity bypass with a prosthetic graft; she thinks a femoral to anterior tibial graft in . 4. she also had a thyroidectomy. 5. hysterectomy. 6. open reduction/internal fixation of a lift hip fracture. medications on admission: inderal, cardizem, capoten, coumadin, nitroglycerin patch, beconase, , and nexium. allergies: allergy to procardia, percodan, and keflex. social history: the patient does not smoke currently. the patient is married and lives with her husband. physical examination on presentation: physical examination revealed a well-appearing elderly woman. heart rate was 54, blood pressure was 130/72, respiratory rate was 14. there was a loud right cervical bruit. the chest was clear. the heart was regular in rate and rhythm. the abdomen was soft and nontender. no aneurysm or bruit palpated. her right femoral pulse was nonpalpable. a very faint palpable pulse in the left groin. all distal pulses were absent. there was a rubor of the right foot with elevational pallor. there was a 3-mm shallow ulcer on the plantar surface of the right heel and an even smaller ulcer in the lateral aspect of her right fifth toe. radiology/imaging: the patient had an arteriogram done in which showed extensive aortoiliac atherosclerosis with critical stenosis in the right common iliac and extensive high-grade stenosis throughout both external iliac arteries. the common femoral arteries were somewhat diseased. both superficial femoral arteries were occluded. there were good-looking profundi bilaterally. there was also significant stenosis in the origin of both renal arteries and possibly an superior mesenteric artery stenosis as well. hospital course: the patient had a magnetic resonance angiography done that showed similar findings as the angiogram with high-grade left renal artery stenosis, moderate right renal artery stenosis, moderate-to-severe proximal superior mesenteric artery stenosis, diffuse atheromatous plaques in the abdominal aorta, suprarenal, infrarenal aneurysmal dilatation of the abdominal aorta. on the right, severe proximal common iliac artery stenosis with severe distal external iliac artery stenosis on the right. an occluded superficial femoral artery on the right. the profunda femoris artery which supplies collaterals that reconstitute above the knee, the popliteal artery on the right. on the left, there is moderate stenosis of the left common iliac artery, and an occluded superficial femoral artery graft. the profundus femoris artery supplies collaterals. it also reconstitutes the popliteal artery on that side. the patient received cardiac clearance preoperatively, and the surgical options were discussed. it was decided to perform and aortobifemoral profunda bypass graft. the patient agreed and was taken to the operating room on with aortobifemoral profundus bypass graft was performed by dr. . estimated blood loss was 600 cc. urine output during the case was 450 cc. the patient received one unit of packed red blood cells and 5.6 liters of crystalloid. the patient was taken to the postanesthesia care unit in stable condition with good affect. postoperatively, the patient had warm extremities, with a dopplerable dorsalis pedis pulse on the right and a dopplerable posterior tibialis pulse on the left with good capillary refill. her hematocrit was 27.1 and magnesium was 1.2. the patient was given one unit of blood. over the first night postoperatively, the patient had an increasing volume requirement and an continued increasing oxygen requirement. blood gas in the morning was 7.24/59/169/27 and -3 on 70% oxygen. the patient also had increasing complaints of pain overnight. at that time, the patient was also on a fenoldopam drip at 0.15 mcg/kg per minute to 30. at this time, the patient was on vancomycin and flagyl with no source of infection. the patient was afebrile at that time. on the evening on postoperative day two, the patient had increasing heart rates into the 100s with a narrow complex tachycardia on electrocardiogram. at this time, the patient end-diastolic pressure was around 15, pulmonary artery pressures in the middle 40s, saturating 98% on 3 liters face mask. cardiology was consulted for the tachycardia. the diltiazem drip was continued with rates in the middle 80s. the tachycardia likely secondary to congestive heart failure. with a rising white blood cell count, ischemia needed to be ruled out, and the general surgery team was consulted, and a sigmoidoscopy was performed which just showed diverticulosis of the sigmoid colon with normal mucosa up to 30 cm with no evidence of ischemia to this 30-cm point. on postoperative day four, the patient was continued on the diltiazem drip and lasix for diuresis with a total of four liters out over the past 24 hours. the patient was also continued on beta blockade as well as vancomycin. for pain control, the epidural catheter was discontinued and a dilaudid patient-controlled analgesia was being used with good affect. on postoperative day five, the tachycardia had improved, with pulses in the 80s with a diltiazem drop and lopressor. on postoperative day six, the patient's diet was advanced to clear liquids. the patient was also on oral diltiazem and intravenous lopressor with good rate control in the 70s. the patient was also in good pain control with a dilaudid patient-controlled analgesia. the patient continued to have intermittent episodes of atrial fibrillation. a few of these episodes of paroxysmal atrial fibrillation, but returned to sinus rhythm in a short time with no specific treatment. the rest of the hospital course was fairly uneventful, but with a white blood cell count currently at 11. the patient had an ultrasound of the right upper quadrant which showed an enlarged gallbladder with edema with a normal common bile duct and the suggestion of a dilated intrahepatic duct. the patient did have a sign, and general surgery was asked to evaluate the patient for cholecystitis. the patient's symptoms actually significantly improved. her abdominal pain completely dissipated. her liver function tests revealed ast was 16, alt was 24, alkaline phosphatase was 200, total bilirubin was 0.6, direct bilirubin was 0.5, amylase was 31, and lipase was 56. the patient was seen by dr. . at that time, no intervention was deemed necessary considering her remarkable clinical improvement. a hida scan had been done on the same day as the ultrasound and was consistent with acute cholecystitis; however, the patient continued to improve with antibiotics. the general surgery consultation physician (dr. felt conservative management at this time was appropriate. no further episodes of abdominal pain. discharge disposition/condition: the patient was in stable condition and in sinus rhythm. the incisions were intact. the incision of the left groin continued to drain some serous fluid. there was no erythema, and no evidence of infection. medications on discharge: (she was discharged on the following medications) 1. coumadin 5 mg p.o. q.o.d. and 2.5 mg p.o. q.o.d. 2. flagyl 500 mg t.i.d. (for a 10-day course). 3. levofloxacin 500 mg q.d. (for a 10-day course). 4. lopressor 50 mg p.o. b.i.d. 5. aspirin 81 mg p.o. q.d. 6. captopril 25 mg p.o. t.i.d. 7. diltiazem 60 mg p.o. q.i.d. 8. ipratropium inhaler. 9. albuterol inhaler. 10. nexium. discharge instructions/followup: the patient was to follow up with the dr. in two weeks. , m.d. dictated by: medquist36 procedure: aorta-iliac-femoral bypass rigid proctosigmoidoscopy diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation acute cholecystitis atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot 

Answer: The patient is high likely exposed to