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 55-year-old woman with a history of coronary artery disease status post left anterior descending artery stent after a st elevation myocardial infarction with congestive heart failure and ejection fraction of approximately 40%, hypertension, hypercholesterolemia, who was transferred from an outside hospital secondary to an acute myocardial infarction. by report, she had a negative stress echocardiogram approximately two months prior to admission. over the evening prior to her admission, she developed substernal chest pain, shortness of breath, and diaphoresis for which she presented to the outside hospital, where the pain was relieved by nitroglycerin and morphine. by report, the initial electrocardiograms were without st changes. however, at 2 am, the patient had an electrocardiogram with st elevations approximately 1 mm, which she was transferred here for catheterization. a catheterization showed normal left main, left anterior descending artery with approximately 50%. left circumflex was normal. rca was tortuous with plv totally occluded stent. the procedure was complicated by dissection, which were stented and had additional dissections requiring a total of four stents. there was a distal residual dissection, which could not be intervened upon. the patient was started on heparin, integrilin prior to transfer. initially, the patient was pain free upon arrival to the ccu, but developed approximately 10 pm nausea, vomiting, burning chest pain radiating to bilateral upper extremities, heart rate in the 70's pulse and blood pressures 130-140, morphine, lopressor 5 mg x2. electrocardiogram, however, was without changes. however, given the complexity of the first catheterization, the patient was taken back to the catheterization laboratory. at the catheterization laboratory, the patient had no new lesions. her stents were open and patent. precath electrocardiogram showed sinus rhythm at 71 beats per minute. stable anterior t-wave inversions, inferior st elevations approximately 1 mm. catheterization #1 showed the left main coronary artery mild diseased, left anterior diffusely diseased, widely patent, left circumflex widely open. right coronary artery was tortuous with total occlusion of a right branch. this was complicated by proximal spiral dissection requiring four stents, approximately 8.9 cm of stent were placed with timi-3 flow. catheterization #2: rca widely patent. grade d dissection of distal to stent in mid rca. grade a dissection in pl with normal flow, small tortuous pda, and slow flow with probable thrombus distal aspect, no evidence of proximal dissection in the rca. past medical history: 1. coronary artery disease in . she had a st elevation myocardial infarction, ami. she failed lysis. she went to catheterization. she was found to have an ejection fraction of 40%, 100% p-lad stent complicated by distal dissection, complicated by pseudoaneurysm. 2. hypertension. 3. hypercholesterolemia. 4. history of atypical collagenous colitis. 5. osteoporosis. allergies: she has no known drug allergies. family history: she has no family history of early coronary artery disease. social history: she lives with her husband. she smoked one pack per day for many years. she drinks alcoholic drinks per night. medications: 1. vioxx 25 q day. 2. aspirin 325 q day. 3. asacol 1200 tid. 4. toprol 100 q day. 5. proton-pump inhibitor. 6. fosamax 70 q week. 7. lipitor 20 q day. 8. multivitamins. 10. serax. her old catheterization in : lmca okay, 100% left anterior descending artery, occluded thrombosed distally, left circumflex rca no significant disease, left ventricular ejection fraction 40% with anterior-inferior lateral and inferior hk, ra 13, pa 29/11, wedge 18. that is the catheterization from . physical examination: on exam on this admission, heart rate 67, blood pressure 117/64, afebrile, and 97% on 2 liters nasal cannula. not in any acute distress. resting comfortably status post ativan. extraocular movements are intact. anicteric. jugular venous pressure approximately 10. clear to auscultation anteriorly. regular, rate, and rhythm s1, s2, no murmurs, rubs, or gallops. catheter in the right groin, dorsalis pedis. normal femoral pulses on the left. drips running integrilin x48 hours, heparin x48 hours. laboratories: on at 9 am, white count is 7.6, hematocrit 32, platelets 202, ptt 142, inr 1.4. sodium 139, potassium 3.6, chloride 104, bicarb 24, bun 10, creatinine 0.5. ck 390, mb index is 11.3, the mb total was 47. calcium 8.5, phosphorus 3.7, magnesium 1.5. hospital course: this is a 55-year-old woman with past medical history of hypertension, hyperlipidemia, coronary artery disease status post ami during intervention on the lad, who now presents at with nst elevation myocardial infarction status post interventions, pl branch was the likely culprit of this initial myocardial infarction. the patient's course was complicated by spiral dissection and the rca stented multiple times x4 now on heparin and integrilin drip x48 hours. the patient then complained of chest pain, nausea, vomiting relieved with nitroglycerin, lopressor, morphine sulfate. she went back to the cath laboratory for relook. no electrocardiogram changes from initial presentation changes with normal flow in stents, but possible distal embolization/distal dissection resulting in the chest pain. her ck shot up to 1,021 on 4 am on the 9th, and the next level was 887, 870, 790, and 196 on the reflecting the combination of .................... initial process as well as from .................... that complicated the catheterization. 1. cardiology: coronary artery disease. the patient had nst elevation myocardial infarction, but the pl branch could not be intervened upon with dissection, spiral dissection of the rca, and multiple stents. she was on integrilin and heparin x48 hours, aspirin, plavix, and had a beta blocker started. she was discharged on 150 of metoprolol succinate po q day. discharged on 325 of aspirin, 75 of plavix. the patient was started on a statin and 20 of lipitor q day. started on a low dose of an ace 6.25 and attempted to be titrated up to 12.5 tid. however, the patient's heart rate is high 84-100 requiring titration up with a beta blocker and due to low blood pressure, we were unable to have both the ace inhibitor and the lopressor at the same time. patient's blood pressure would get as low as 70's and 80's, and the patient would be asymptomatic and comfortable. however, what pressure we had, we had to utilize for titration up with a beta blocker and control the heart rate. an ace inhibitor will be started as an outpatient when the patient follows up through regular cardiologist. as stated multiple times earlier, the integrilin and heparin had been on for 48 hours and were discontinued. following the initial night, the patient was chest pain free for the remainder of her stay. congestive heart failure: had an echocardiogram to evaluate for her congestive heart failure. her ejection fraction was estimated to be 35-40%. there were moderate left ventricular regional systolic dysfunction, mid anterior ak, mid anteroseptal ak, mid inferolateral hk, mid anterolateral ak, anteroseptal ak, septal apex ak, inferior apex ak, lateral apex ak, was felt that these left ventricular abnormalities were secondary to her old myocardial infarction with distribution of the left anterior descending artery not the small branch off the rca. it showed normal right ventricular function, 2+ mitral regurgitation, and impaired relaxation, 1+ tr. the pericardium had anterior fat pad versus loculated pericardial effusion likely an anterior fat pad. patient denied any symptoms consistent with congestive heart failure. hemodynamics: as stated earlier, patient had low blood pressure. at times, her blood pressure ranged from being in the 140s/80s to systolic pressure of only mid 70's. during this time, the patient was asymptomatic with good urine output and normal mentation despite the low blood pressure. rhythm: the patient had a negative single average electrocardiogram prior to discharge, and the patient had a small stable groin hematoma. hematocrit was stable. it was 29.7 at discharge. gi: for her collagenous colitis, she was continued on her asacol and mercaptopurine as per her outpatient regimen. she initially received zofran and reglan prn for nausea. the initial night when she had been having the pain status post her first catheterization and intervention prophylaxis, had been on pneumoboots and heparin. when she was off her drip, she was able to ambulate, and she was on her proton-pump inhibitor for gi prophylaxis. on the 11th, the patient spiked a temperature to 101. blood cultures were drawn. urine and cultures were drawn. a chest x-ray was done. patient denied any localizing symptoms consistent with source of infection. cultures drawn back on the 11th came back with gram-positive cocci in clusters and pairs. this later was identified as coag-negative staph. she was initially started on vancomycin 1 gram q12h. the organism is sensitive to oxacillin. the patient had four bottles redrawn on the 12th. on the 13th, these were still negative. on the 13th, the patient's blood pressure was averaging 100/60. the heart rate was high 80's-90. patient was ambulating, eating without problems, ambulating without problems, feeling well and afebrile, and patient was very eager to be discharged. patient was discharged to followup with dr. , cardiologist, in 48 hours of being discharged from the hospital. instructed to return to the emergency department with any chest pain, shortness of breath, or palpitations. she was instructed not to drive for at least one week. discharge condition: good. discharge diagnoses: 1. coronary artery disease status post myocardial infarction and right coronary artery stent complicated by dissection. 2. hypertension. 3. hypercholesterolemia. 4. atypical colitis. 5. osteoporosis. 7. staph epidermidis bacteremia. discharge medications: 1. aspirin 325 q day. 2. plavix 75 q day. 3. toprol xl 150 q day. 4. lipitor 20 q day. 5. folic acid 1 q day. 6. peroxetine hcl 50 q day. 7. cyanocobalamin 50 mcg 0.5 tablet q day. 8. diclox 500 mg q6h x10 days. repeat blood cultures had been done on the 12th. came back the day after discharge as being positive again with coag-negative staph. dr. was called with regards to these results and communicated the fear for possible worrisome for an angio-seal infection. patient was also informed with these results. she said she had been feeling well without problems and was to followup immediately with dr. regarding these results. any questions or comments, please contact dr. . , m.d. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder mitral valve disorders unspecified essential hypertension accidental puncture or laceration during a procedure, not elsewhere classified paroxysmal ventricular tachycardia acute myocardial infarction of other inferior wall, initial episode of care acute myocardial infarction of other anterior wall, subsequent episode of care 

Answer: The patient is high likely exposed to