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: patient is a 69-year-old woman with a history of diabetes, hypertension, and hypercholesterolemia, who was transferred from hospital for cardiac catheterization. she presented there the same morning complaining of three days of shortness of breath, productive cough, and epigastric/chest pain with radiation to her arms, as well as some diaphoresis. she was initially hypoxic to 89% on room air and was placed on a nonrebreather. electrocardiogram shows some lateral st depressions. chest x-ray was consistent with congestive heart failure. she received aspirin, intravenous nitroglycerin, heparin, and was started on an integrilin drip. she reportedly became pain free in the emergency department with intravenous nitroglycerin. she then received a total of 120 mg of intravenous lasix and put out approximately 850 cc of urine. her ck at was 174 with a troponin i of 3.25. she underwent diagnostic catheterization there, which revealed a 95% left circumflex ostial lesion, and an 80% right coronary artery lesion and was subsequently transferred to the . she reportedly received 300 mg of plavix prior to transfer. at , cardiac catheterization showed elevated left and right heart filling pressures, 3+ mitral regurgitation, an ejection fraction of 55%, inferior hypokinesis, a 50% left anterior descending lesion, 95% left circumflex, 90% right coronary artery. she underwent stenting to her left circumflex and her right coronary artery. her pulmonary artery pressure was 50/20 and her wedge pressure was 23. past medical history: 1. diabetes. 2. hypertension. 3. hyperlipidemia. 4. hypothyroidism. 5. depression. 6. possible history of a cva at age 50. 7. history of left patellar fracture. 8. history of total abdominal hysterectomy. 9. history of gastric ulcer in . 10. chronic chest pain with multiple prior persantine thallium studies which were negative. patient refused cardiac catheterization over the past one to two years. 11. chronic headaches. 12. question of peripheral neuropathy. allergies: codeine, macrobid, tetracycline, hydrochlorothiazide, thallium dye, tylenol and statins, later of which reportedly causes shortness of breath. home medications: 1. glyburide 10 mg po q.d. 2. glucophage 1000 g po b.i.d. 3. levoxyl. 4. aspirin. 5. lidoderm patch. 6. actos 15 mg po q.d. 7. question of lisinopril 10 mg po q.d. medications on transfer: 1. aspirin. 2. protonix. 3. glyburide. 4. regular insulin sliding scale. 5. lopressor. 6. colace. 7. ceftriaxone 500 mg intravenously given in the emergency department. 8. integrilin drip. 9. heparin drip. 10. albuterol and atrovent nebulizers. family history: notable for coronary artery disease and hypercholesterolemia. social history: the patient is a retired secretary/bookkeeper. she denies any alcohol or tobacco use. physical examination: vital signs: temperature: afebrile. pulse 74. blood pressure 122/58. pulse oxygen 94% on five liters. general appearance: patient mildly dyspneic in no acute distress. head, eyes, ears, nose and throat: pupils equal, round and reactive to light. extraocular movements intact. sclerae are anicteric. dry mucous membranes. neck: elevated jugular venous pressure. cardiovascular: regular rate and rhythm, normal s1, s2, no murmurs. lungs with crackles at the bases bilaterally. there was some trace anterior wheezes. abdomen was soft, some mild epigastric tenderness. there were active bowel sounds. extremities: no edema, 2+ distal pulses. initial laboratory studies: notable for a white blood cell count of 15.1, creatinine of 1.2, which appears to be baseline. hospital course: by system: 1. cardiovascular: coronary artery disease: patient with stents to her left circumflex and right coronary arteries. her peak ck was 195 with a positive troponin, thus, patient ruled in for non q wave myocardial infarction. she was started on plavix, continued on aspirin and beta-blocker and was initiated on a low dose ace inhibitor during her hospital stay. echocardiogram prior to her transfer to the catheterization laboratory revealed mild dilation of the left atrium with mildly depressed left ventricular systolic function with an ejection fraction of approximately 45%, inferior hypokinesis, 2+ mitral regurgitation, and no flail leaflet. patient was initially noted to be severely volume overloaded and was diuresed with lasix to which she responded minimally. she continued to have an oxygen requirements and crackles at the bases bilaterally which may have been partly related to superimposed pneumonia. after initial diuresis in the coronary care unit, the patient continued to auto diurese with improvement in her oxygen requirement while she was on the floor. on , the patient was saturating 95% on room air, but still had bibasilar crackles and was written for single dose of 20 mg of intravenous lasix with the thought of adding a small dose of standing po lasix at discharge. we hope to initiate a statin post myocardial infarction, but the patient had a well documented history of a statin allergy, which she described as respiratory related. we attempted to get zetia as an inpatient, but were not able too. patient was briefly on gemfibrozil, but did not tolerate secondary to gastrointestinal issues. patient had no recurrence of her chest pain symptoms. 2. infectious disease: the patient spiked several fevers during her hospital stay of approximately 101 to 102. chest x-ray revealed bibasilar infiltrates, left greater than right, with small bilateral pleural effusions. on , the patient was empirically started on levaquin with gradual resolution of her infiltrates. on , patient was noted to have persistent left-sided pleural effusion with resolution of the right-sided effusion. bedside ultrasound revealed that the effusion was only approximately 10-15 cc in size. therefore, not a minimal to tap. lateral decubitus film revealed layering of that fluid. thoracentesis was deferred given the small size and clinical improvement as the patient had no further fevers. she will complete a ten day course of levaquin as an outpatient. 3. renal: patient had a small bump in her creatinine in the setting of efforts to diurese, but had trended back to baseline at the time of discharge. 4. endocrine: patient was maintained on her outpatient diabetes regimen. she was persistently hypoglycemic to the 50s in the early morning in the setting of poor po intake and her glyburide was held for most of her hospitalization. for her hypothyroidism, she was continued on her synthroid. 5. chronic pain issue: patient was continued on nsaids prn. we discussed initiation of a ssri which should be further explored as an outpatient. 6. hematological: patient's hematocrit was noted to trend down from roughly 31 to 32 to 27.8. on , the patient was transfused one unit of packed red blood cells with appropriate response. discharge condition: stable. discharge diagnoses: 1. non q wave myocardial infarction, status post stenting to her right circumflex and right coronary artery. 2. hypoxia and fever, likely pneumonia. 3. diabetes. 4. mild congestive heart failure. 5. anemia. discharge medications: 1. aspirin 325 mg po q.d. 2. plavix 75 mg po q.d. 3. levoxyl 112 mcg po q.d. 4. gabapentin 300 mg po q.h.s. prn. 5. protonix 40 mg po q.d. 6. levofloxacin 250 mg po q.d. for five days. 7. lisinopril 2.5 mg po q.d. 8. metformin 1000 mg po b.i.d. 9. atenolol 25 mg po q.d. 10. glyburide 10 mg po b.i.d. (to be initiated if does not remain persistently hypoglycemic). discharge instructions: patient evaluated by physical therapy and thought appropriate for acute rehabilitation. after discharge from rehabilitation, patient should follow-up with her outpatient cardiologist, dr. , who is located at hospital in . , m.d. dictated by: medquist36 d: t: 15:02 job#: procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor implant of pulsation balloon transfusion of packed cells nonoperative removal of heart assist system insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism systolic heart failure, unspecified surgical or other procedure not carried out because of patient's decision 

Answer: The patient is high likely exposed to