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: aspirin / reglan / quinine sulfate / codeine / augmentin / clindamycin attending: chief complaint: nonhealing foot ulcer major surgical or invasive procedure: foot debridement angiogram history of present illness: 61 yo woman with complicated pmh dominated by cad, multifactorial paraplegia, dm, recurrent vte, pvd, reactive airways disease and other issues listed below admitted for left lower extremity foot ulceration. she was seen in podiatry clinic today and was admitted for iv antibiotics and vascular evaluation. currently she has no complaints and no pain in the left lower extremity. she was switched over to lower dose of nph for last 48 hrs and has had better control of her blood glucose, this am was 102 per what she tells me. she was also placed empirically on keflex 2 days ago for presumed right lower extremity cellulitis. she denies any chest pain, dyspnea, doe, pnd, abdominal pain, diarrhea, increased edema. past medical history: pmh: reviewed with patient history of recurrent dvts --first dvt in , given coumadin for 6 months, unknown why she had dvt --second dvt in , given coumadin then plavix --third dvt in , now on coumadin and plavix ms diagnosed in , wheelchair bound since s/p 2 stents placed s/p cva in h/o spinal cord compression s/p c3-7 and t2-11 laminectomies and fusion, with residual paraparesis and absent sensation in bilateral le. no sensation below t10 seizure disorder, with staring spells due to ms t2dm hypertension hypercholesterolemia sarcoidosis uterine/cervix cancer s/p radical hysterectomy asthma cardiac arrest after delivery of her 1st child at 36 yo copd osa no bipap use c section at 36 yo social history: social history: lives in , wheelchair bound, lives with daughter (24 yo), but is able to cook own meals and clean around the house; former alcoholic, sober since y/o when pregnant, 70 pack-year tobacco quit at 36yo; no hx of drug use; retired rn at . she is single. family history: family history: multiple relatives with dm, cad, htn, asthma, and cancers (at least two with brain cancers). mother died age 50 brain cancer had dmii and "mild ", father died age 48 mi and had dmii. no fh of ms, or dvt/pe. brother deceased 53yo had 3 bypass surgery. physical exam: general: alert, oriented x 3, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: obese, soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: bilaterally feet are wrapped pertinent results: 03:50pm glucose-202* urea n-27* creat-1.0 sodium-132* potassium-4.4 chloride-94* total co2-30 anion gap-12 03:50pm calcium-8.7 phosphate-3.9 magnesium-2.1 03:50pm wbc-9.6 rbc-4.09* hgb-11.9* hct-35.4* mcv-87 mch-29.1 mchc-33.6 rdw-14.7 03:50pm neuts-75.2* lymphs-19.4 monos-3.3 eos-1.8 basos-0.3 03:50pm plt count-271 03:50pm pt-15.6* ptt-25.9 inr(pt)-1.4* right and left foot xrays left foot: a soft tissue defect is seen along the medial aspect of the first mtp joint. there is no evidence of underlying periosteal reaction, osteopenia or cortical destruction to suggest osteomyelitis. degenerative changes are seen throughout the dip joints and great toe ip joint as well as the intertarsal joints. note is made of both plantar and dorsal calcaneal spurs. degenerative changes are also seen at the tibiotalar joint. right foot: no soft tissue abnormalities appreciated on this right foot x-ray. no evidence of subcutaneous gas. no evidence of periosteal reaction, osteopenia or cortical destruction to suggest osteomyelitis. arterial calcifications are visualized. degenerative changes are seen throughout the ip joints, intertarsal joints and tibiotalar joint. plantar and dorsal calcaneal spurs are also seen in the right foot. --------------- cxr - bibasilar atelectasis. no acute cardiopulmonary abnormality. ---------------- right le us - - limited study. no evidence of deep venous thrombosis in the right common femoral vein, proximal superficial femoral vein, popliteal or calf veins. evaluation of the right mid and distal superficial femoral vein was limited, and deep venous thrombosis cannot be excluded secondary to limitations -------------- labs on discharge: 05:30am blood wbc-8.9 rbc-3.46* hgb-10.3* hct-31.2* mcv-90 mch-29.9 mchc-33.1 rdw-15.6* plt ct-340 05:30am blood glucose-183* urean-23* creat-1.1 na-139 k-5.0 cl-104 hco3-29 angap-11 05:30am blood alt-38 ast-26 alkphos-42 totbili-0.1 05:30am blood lipase-76* 09:40am blood tsh-2.0 05:50am blood carbamz-5.7 09:40am blood carbamz-7.5 micro: blood cx: negative urine cx: negative brief hospital course: 1. foot ulcers she was initially admitted to the podiatry service on for debridement of left foot wound. she was evaluated by vascular surgery who performed right side angiography, revealing significant sfa and popliteal disease which was not intervened upon. she was covered with cipro/flagyl/vanco (day 1 = ), and remained afebrile without leukocytosis throughout her hospital course. she was then transitioned to bactrim to complete a 2 week course of outpatient therapy, last day . she will be following up in 1 week with dr. . she will have home vna for assistance with daily dressing changes. 2. seizures she was to be discharged to home with tmp/smx and then follow-up with podiatry in one week. on the morning of likely discharge while eating breakfast, she asked to be transferred to the comode to pass a bm. on the comode she describes acute onset of nausea and weakness. she then was witnessed to have multiple, recurrent brief episodes of "staring spells" during which she was unresponsive. in between these episodes she responded appropriately to voice. based on concern for seizures, she was given ativan 1mg x 2 without response. neurology consult was obtained who described persistant complex partial status, and recommended ativan 2mg x 1 with subsequent dilantin loading. the pt remained in status for ~30-45 min. by report, during the episode, her o2 sats dropped to 79%ra, but bp was stable. post event, transfer note indicates vs 98.8 109/68 92 14 98%3l. immediately after her the seizures, pt was with the above vital signs, sitting up in bed, somnolent, responsive to voice. her somnolence intermittently resolved, notably upon the arrival of her pcp whom she recognized and spoke with. micu transfer was requested in the setting of persistent complex partial status for closer airway monitoring and for evaluation of potential contribution by patient's multiple medical conditions. etiology of her seizures was thought likely related to poorly controlled seizures, further triggered by infection and decreased seizure threshold in the setting of quinolone therapy. on the floor, she remained seizure free. she refused eeg as recommended by neuro. she was started on zonegram per neuro in addition to her home carbamazepine. iv dilantin was discontinued. ct head was negative for bleed. she was resumed on her home coumadin. pt has an appt scheduled with neuro for follow-up with dr. , given limited availability of appts with dr. . she was given the number to call to check for cancellations with dr. . . #. h/o dvt pt had been transitioned off coumadin in anticipation of wound debridgement/surgical intervention. she was resumed on coumadin with lovenox bridge after ct head negative for bleed. she was discharged home on her home coumadin dose (no lovenox bridge, with hx of remote and fully treated dvt), with inr to be checked and followed by the clinic. . # transaminitis. new on am labs (but no lfts done prior in admission). etiology unclear - ?new drug effect. seems soon for dilantin (within ~1 hour). cipro a rare cause; should not be flagyl or vanco related. no rash or other evidence of drug reaction. could also possibly be related to anesthesia meds during angiography. atorvastatin was held and will be re-evaluated for resumption as outpatient. on day of discharge transaminitis had resolved. further etiology will be evaluated as outpatient. . # elevated lipase: unclear etiology. appears to have remained chronically elevated over past few years. pt otherwise asymptomatic. will be followed up further as outpatient. . # deconditioning: pt with difficulty transferring from bed to commode/wheelchair, which improved during her stay. #. dm: stable, with sugars occasionally elevated in the pm. continue ssi and fixed dose, with further adjustment at pcp . . #. coronary artery disease: stable, continue beta blocker, acei, plavix, nitrate. atorvastatin held given new transaminitis. consider resuming this as outpatient. not on aspirin due to allergy. . # abnormal ua- trace leuks, large blood. asymptomatic with negative urine culture. most likely foley trauma. was removed with incident, and no hematuria resulting. . # fen: diabetic (though refuses, switched to regular), replete electrolytes prn # prophylaxis: anticoagulated with coumadin # access: peripherals # code: full code medications on admission: home medications: 1. albuterol nebs prn 2. atorvastatin 80mg po daily 3. carbamazepine 200mg po qid 4. cephalexin 500mg po qid (day 1 - , 10 day course) 5. clopidogrel 75mg po bid 6. fluticasone 4400mcg puffs 7. vicodon tab qid 8. imdur 90mg po daily 9. lisinopril 5mg po daily 10. metoprolol succinate 200mg po daily 11. nitroglycerin prn 12. ranitidine 150mg daily 13. tramadol 50mg po qid 14. warfarin 5mg po daily 15. acetaminophen 650mg po q6-8h prn headache 16. regular insulin 15 units q am / 10 units q pm 17. nph 70 units q am / 40 units q pm discharge medications: 1. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 2. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). 3. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). 4. tramadol 50 mg tablet sig: one (1) tablet po qid (4 times a day). 5. carbamazepine 200 mg tablet sig: one (1) tablet po qid (4 times a day). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 7. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. zonisamide 100 mg capsule sig: three (3) capsule po qhs (once a day (at bedtime)). disp:*30 capsule(s)* refills:*1* 9. insulin lispro 100 unit/ml solution sig: as directed subcutaneous asdir (as directed): see sliding scale. 10. insulin nph human recomb 100 unit/ml suspension sig: seventy (70) units subcutaneous qam. 11. insulin nph human recomb 100 unit/ml suspension sig: forty (40) mg subcutaneous qpm. 12. insulin regular human 300 unit/3 ml insulin pen sig: ten (10) units subcutaneous qam. 13. insulin regular human 300 unit/3 ml insulin pen sig: ten (10) units subcutaneous qpm. 14. albuterol sulfate 0.63 mg/3 ml solution for nebulization sig: one (1) ampule inhalation every six (6) hours. 15. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. 16. fluticasone 220 mcg/actuation aerosol sig: two (2) puffs inhalation twice a day. 17. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet sublingual every 5 mins as needed for chest pain. 18. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever. 19. clopidogrel 75 mg tablet sig: one (1) tablet po twice a day. 20. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day): last day . disp:*17 tablet(s)* refills:*0* 21. warfarin 5 mg tablet sig: two (2) tablet po once daily at 4 pm. discharge disposition: home with service facility: homecare discharge diagnosis: primary: l foot ulcer infection status epilepticus secondary: partial complex seizure disorder coronary artery disease multiple sclerosis sarcoidosis diabetes mellitus hypertension history of deep vein thrombosis/pulmonary embolism hx of cerebrovascular disease and transient ischemic attacks discharge condition: good, hemodynamically stable, seizure-free on day of discharge discharge instructions: you were admitted for management of your l foot ulcer. you were seen by podiatry and started on iv antibiotics. your ulcer was also debrided. you will be finishing a course of po antibiotics. . you experienced persistent seizures while here, and were briefly in the micu for further management. you were seen by neuro, and will be going home with a new anti-seizure medication in addition to your current meds. . please have your inr checked wednesday, with results faxed to dr. office fax:(. continue your home dose of warfarin 10mg po daily. the clinic will be in contact with you regarding further inr checks and dose changes. . the following changes were made to your medications: - decrease morning regular insulin to 10 units - stop cephalexin antibiotic - zonegran 300mg po every night for seizures - bactrim ds 1 tab po twice daily for foot ulcer x 2 weeks, last day - stop atorvastatin for now given elevated liver enzymes if you experience any new weakness, numbness, confusion, nausea, vomiting, increased drainage/pain/redness near your ulcers, fevers, chills, increase in or change in type of seizures, or followup instructions: please attend your follow-up appointments below: appointment #1 md: dr. specialty: internal medicine date and time: tuesday at1:10 pm location: , ma phone number: ( appointment #2 md: dr. specialty: neurology date and time: monday at 10:00 location building phone number: ( special instructions if applicable: please make sure a referral is in place for this appointment. call dr. office for this referral prior to the appointment. dr. was booked far into the late year, so you can call the number above to check for cancellations. provider: , dpm phone: date/time: 1:20 provider: , dpm phone: date/time: 1:00 provider: rm 3 -preadmission testing date/time: 9:30 md, procedure: venous catheterization, not elsewhere classified arteriography of femoral and other lower extremity arteries aortography diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension polyneuropathy in diabetes sarcoidosis percutaneous transluminal coronary angioplasty status personal history of malignant neoplasm of other parts of uterus ulcer of other part of foot long-term (current) use of insulin long-term (current) use of anticoagulants personal history of venous thrombosis and embolism unspecified accident personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits chronic obstructive asthma, unspecified injury to bladder and urethra, without mention of open wound into cavity multiple sclerosis hematuria, unspecified paraplegia localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy background diabetic retinopathy atherosclerosis of native arteries of the extremities with ulceration cellulitis and abscess of foot, except toes acquired absence of both cervix and uterus arthrodesis status diabetes with neurological manifestations, type ii or unspecified type, uncontrolled peripheral angiopathy in diseases classified elsewhere personal history of sudden cardiac arrest personal history, urinary (tract) infection diabetes with peripheral circulatory disorders, type ii or unspecified type, uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled carpal tunnel syndrome wheelchair dependence other acute postoperative pain 

Answer: The patient is high likely exposed to