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 76-year-old female with a history of coronary artery disease who presented initially to hospital with approximately one week of "heartburn-like" symptoms that started on the left side of her chest and radiated across to the right. she denied associated shortness of breath, diaphoresis, nausea or vomiting. she came to the emergency department when she had three hours of unrelenting pain at rest, for which she took indigestion medications but failed to gain relief. at hospital, she ruled in for an acute myocardial infarction with positive troponin, initially 1.4, then 15.7 and then coming down to 8.4. her cks were negative. past medical history: 1. coronary artery disease, status post non-q myocardial infarction and percutaneous transluminal coronary angioplasties times two. 2. osteoarthritis. 3. hypertension. 4. hypercholesterolemia. 5. chronic bronchitis. 6. obesity. 7. seizure disorder of unclear etiology: the patient had one episode approximately ten years ago and had been taking dilantin since then until about one month prior to admission when the patient self-discontinued her medications. 8. anemia. 9. gastroesophageal reflux disease. 10. status post left knee arthroscopy. medications on transfer: lisinopril 20 mg p.o. q.d. mylanta. milk of magnesia. zantac 150 mg p.o. b.i.d. colace. nitroglycerin patch 1" every six hours. lovenox 60 mg subcutaneously b.i.d. aspirin. atenolol 12.5 mg p.o. b.i.d. allergies: the patient had no known drug allergies. family history: the patient's parents both died at very young ages. she had a sister with coronary artery disease. social history: the patient lived alone in , but her daughter lived in the same building. she denied tobacco or alcohol abuse. she had four children. physical examination: on admission, the patient had a temperature of 99.6??????f, a pulse of 53, a respiratory rate of 24, a blood pressure of 164/86 and an oxygen saturation of 96% on room air. the patient was alert and oriented times three. she was comfortable and in no apparent distress. the oropharynx was clear. the mucous membranes were moist. there was no jugular venous distention, no lymphadenopathy and no thyromegaly. the patient had good inspiratory effort without crackles or wheezes bilaterally. her heart was a regular rate and rhythm. s1 and s2 were normal with a holosystolic murmur at the left lower sternal border and right upper sternal border with radiation to the axilla. the abdomen was obese, soft, nontender and nondistended with normal active bowel sounds and no guarding or rebound. in the extremities, the patient had trace pedal edema with 2+ dorsalis pedis and posterior tibial pulses bilaterally. the skin was warm and dry with no rashes. on neurological examination, the patient was alert and oriented times three without any focal neurologic deficits. laboratory data on admission: the patient had a white blood cell count of 4,000, hematocrit of 42, mcv of 88 and platelet count of 293,000. coagulation studies were within normal limits. bun and creatinine were 14 and 1.0. liver function tests were within normal limits. troponin i from the morning of admission was 1.4. radiology: a chest x-ray was within normal limits. hospital course: 1. cardiac: the patient was taken for a cardiac catheterization. she had successful three vessel intervention to the left anterior descending artery, the first diagonal artery and the left circumflex coronary artery. her medical regimen was optimized with aspirin, plavix (which she will take for one month), lipid control with lipitor and titration of beta blocker and ace inhibitor. after returning to the floor from cardiac catheterization, the patient did have some transient but prolonged episodes of bradycardia and hypotension, most likely secondary to a vagal response. she was transferred for close observation to the cardiac care unit and responded well to intravenous fluid bolus. the patient did not require pressor support. the electrocardiograms and serial enzymes showed no evidence of in-stent restenosis or active ischemia. the patient eventually stabilized on her own and was transferred back to the floor. subsequently, the patient did have two sustained but self-terminating runs of asymptomatic tachycardia with stable blood pressures that, on analyzing the rhythm strips, most likely represented atrioventricular nodal reentrant tachycardia. with upper titration of her beta blocker, she did not have recurrent episodes of this rhythm. given the asymptomatic nature of these, it was not deemed necessary to further evaluate them. 2. neurological: in the setting of the patient's previously mentioned hypotensive episodes, she developed some question of seizure activity. a head ct scan was performed emergently and showed no acute intracranial process. the patient's symptoms resolved with return of normal blood pressure. she was loaded on phenytoin at that time and started on a standing oral dose because of her previous but uncertain history of seizure activity. prior to discharge, the phenytoin level was checked and was therapeutic at 15. 3. gastrointestinal bleed: per the patient's family, the patient had a history of gastrointestinal bleeds in the past with negative endoscopies, but we were not sure at which time. the patient developed some bright red blood per rectum after her cardiac catheterization while on integrelin and her hematocrit dropped from 40 to the low 30s; this was stable after discontinuation of integrelin. given the fact that she was hemodynamically stable and bleeding stopped with discontinuation of integrelin, it was not deemed that she would need an emergent endoscopy. however, the patient should get outpatient follow up. she was started on a high dose of prilosec 40 mg p.o. q.d., which will be continued indefinitely. 4. infectious disease: the patient was transiently febrile while in the intensive care unit in the setting of a possibly contaminated line placement. the line tip subsequently grew out mixed flora. a blood culture showed coagulase negative staphylococcus in one out of four bottles, which was most likely a skin contaminant. the patient had a urine culture that showed less than 10,000 enterococcus. the patient's clinical picture was stable. the fevers resolved on their own and there was no clinical evidence of active infection, so we did not treat her with antibiotics. condition on discharge: stable. discharge status: to transitional care unit. discharge medications: zestril 5 mg p.o. q.d. lopressor 75 mg p.o. b.i.d. plavix 75 mg p.o. q.d. for 30 days. phenytoin 300 mg p.o. q.d. enteric coated aspirin 325 mg p.o. q.d. prilosec 40 mg p.o. q.d. lipitor 10 mg p.o. q.d. compazine 25 mg p.r. every 12 hours p.r.n. discharge diagnoses: coronary artery disease, status post stent placement. , md dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension other convulsions osteoarthrosis, unspecified whether generalized or localized, site unspecified obesity, unspecified 

Answer: The patient is high likely exposed to