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: the patient is a 79 year old female with chronic renal failure, diabetes mellitus, hypertension, remote tobacco use, who was in her usual state of health until , where she presented to an outside hospital with non st elevation myocardial infarction with peaked ck of 1500. the patient was treated medically with lovenox, integrilin, aspirin, dopamine, nitroglycerin, and aspirin. on , she had recurrent angina and was transferred to for cardiac catheterization which showed three vessel disease with elevated left and right filling pressures. an iavp was placed and dobutamine and nitroglycerin drips were started and intravenous lasix was given. the patient was then transferred to the ccu in stable condition. past medical history: 1. coronary artery disease with catheterization. 2. diabetes mellitus. 3. hypertension. 4. atrial fibrillation. 5. remote small cerebrovascular accident allergies: no known drug allergies. medications on admission: 1. fluoxetine. 2. guaifenesin. 3. nifedipine. 4. glyburide. 5. toprol xl. 6. lovastatin. 7. lisinopril. 8. protonix. 9. isosorbide dinitrate. 10. metformin. 11. potassium chloride. 12. hydrochlorothiazide. physical examination: on admission, the patient was afebrile, blood pressure 110/69, heart rate 91, respiratory rate 18, oxygen saturation 96% on two liters nasal cannula. in general, the patient is an elderly female in no apparent distress. head, eyes, ears, nose and throat - dry mucous membranes. chest is clear to auscultation bilaterally. cardiovascular is irregularly irregular, no rubs or gallops. iavp sounds. the abdomen is soft, nontender, nondistended, positive bowel sounds. extremities - palpable pulses. laboratory data: on admission, ck was 626, ck mb 24.0, troponin t 6.4. otherwise chem7 and complete blood count were stable. hospital course: 1. cardiovascular - the patient assessed non st elevation myocardial infarction with three vessel disease and need for coronary artery bypass graft in the future. the patient's catheterization on admission showed three vessel disease with elevated left and right filling pressures. in the ccu, the patient was taken off iavp and pressors were slowly weaned as tolerated and medications were optimized throughout hospitalization for better blood pressure control and control of her cardiac risk factors. please see updated list of discharge medications. cardiothoracic surgery was also consulted for surgery for coronary artery bypass graft and because of complicating mental status changes and rising creatinine, it was recommended to follow-up with cardiothoracic surgery as an outpatient for an elective coronary artery bypass graft. the patient also has a history of atrial fibrillation and was placed on a diltiazem drip while being npo. once able to take p.o., the patient's rate was well controlled with p.o. diltiazem which was titrated to keep her heart rate less than 100, and the patient was kept on a heparin drip and converted to p.o. warfarin with goal inr of 2.0 to 3.0. the patient will need frequent inr checks at rehabilitation to titrate coumadin dose. the patient also had a few episodes of nonsustained ventricular tachycardia during this hospitalization and her toprol xl was titrated upwards for this. 2. diabetes mellitus type 2 - the patient was well controlled throughout hospitalization with a regular insulin sliding scale and p.o. glyburide. 3. psychiatry - the patient had intensive care unit psychosis for a short period of time while on haldol and ativan. once all her antianxiety medications were held, her mental status began to clear and the patient remained awake, alert and oriented times three times 48 hours before discharge. psychiatry was also consulted and agreed with her mental status being back to baseline 48 hours before discharge. 4. infectious disease - the patient had increasing white blood cell count during hospitalization and was found to be clostridium difficile positive. the patient also had a chest ct for concern of a lung process but was found to have congestive heart failure, mediastinal lymphadenopathy which needs to be followed up with a chest ct in three months, and an indeterminate adrenal mass will need to be followed up with a magnetic resonance scan in three months. the patient was also started on flagyl for a ten day course for clostridium difficile. condition on discharge: stable. discharge status: the patient was discharged to rehabilitation. discharge diagnoses: 1. acute myocardial infarction, subendocardial, initial episode. 2. hypertension, benign and essential. 3. coronary artery disease, native. medications on discharge: 1. tylenol one to two tablets p.o. q4-6hours p.r.n. 2. multivitamin one tablet p.o. once daily. 3. atorvastatin 40 mg p.o. once daily. 4. fluoxetine 20 mg p.o. once daily. 5. folic acid 1 mg p.o. once daily. 6. cyanocobalamin 50 mcg p.o. once daily. 7. thiamine hcl 100 mg p.o. once daily. 8. regular insulin sliding scale. 9. docusate 100 mg p.o. twice a day. 10. albuterol ipratropium one to two puffs inhaled q4hours p.r.n. 11. albuterol nebulizer one nebulizer inhaled q4hours p.r.n. 12. ipratropium bromide one nebulizer inhaled q6hours p.r.n. 13. aspirin 325 mg once daily. 14. lisinopril 5 mg p.o. once daily. 15. glyburide 5 mg p.o. twice a day. 16. diltiazem 60 mg p.o. four times a day. 17. metoprolol xl 100 mg p.o. once daily. 18. warfarin 2 mg p.o. q.h.s. follow-up: the patient is to follow-up with dr. , cardiothoracic surgery, , at 1:30 p.m. the patient is to follow-up with primary care physician, . in one to two weeks. the patient will also need a follow-up chest ct in three months with a follow-up magnetic resonance scan in three months for adrenal mass. condition on discharge: stable. discharge status: the patient was discharged to home. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor implant of pulsation balloon angiocardiography of right heart structures diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified acute kidney failure, unspecified atrial fibrillation paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiogenic shock intestinal infection due to clostridium difficile 

Answer: The patient is high likely exposed to