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: sulfa (sulfonamides) attending: chief complaint: angina major surgical or invasive procedure: urgent cabgx2(svg-rca,svg-lcx), trach/peg history of present illness: 88 yo female awakened by angina in the middle of the night on . went to er at . pain subsided in 2 hours with ntg. cardiac cath done there. this showed cx and rca disease. transferred to on . past medical history: cad arf asthma copd htn squamous cell ca lbbb nstemi vision loss left eye endometriosis social history: remote tobacco use lives alone martinis per night family history: son with cad/stents at age 65 physical exam: 5'2" 97 # 159/70 rr 20 skin/heent unremarkable neck supple, full rom ctab rrr, no murmur soft, nt, nd, + bs warm,well-perfused 1+ edema no obvious varicosities neuro grossly intact 2+ bilat. fems.dp/pt/radials no carotid bruits appreciated pertinent results: 04:29am blood wbc-20.1* rbc-3.23* hgb-9.7* hct-31.8* mcv-99* mch-30.0 mchc-30.4* rdw-17.4* plt ct-358 02:11am blood wbc-27.3* rbc-3.27* hgb-9.8* hct-32.5* mcv-99* mch-29.9 mchc-30.1* rdw-17.3* plt ct-425 12:54am blood wbc-31.7*# rbc-3.46* hgb-10.4* hct-33.2* mcv-96 mch-30.2 mchc-31.5 rdw-17.6* plt ct-409 12:54am blood pt-17.6* ptt-33.1 inr(pt)-1.6* 04:07am blood pt-18.8* ptt-78.9* inr(pt)-1.7* 02:17am blood pt-19.0* ptt-78.0* inr(pt)-1.8* 04:29am blood urean-117* creat-3.0* na-142 k-3.4 cl-116* hco3-13* angap-16 02:11am blood glucose-148* urean-104* creat-2.9* na-144 k-3.6 cl-116* hco3-14* angap-18 01:55am blood glucose-124* urean-96* creat-2.7* na-144 k-4.0 cl-117* hco3-14* angap-17 05:37pm blood glucose-117* urean-96* creat-2.8* na-143 k-4.0 cl-115* hco3-15* angap-17 conclusions pre-bypass: 1. the left atrium is mildly dilated. no spontaneous echo contrast is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2.there is mild regional left ventricular systolic dysfunction with antero septal and septal hypokinesis. overall left ventricular systolic function is low normal (lvef 50-55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic root. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and epinephrine and is being av paced. 1. bi ventricular function is preserved. 2. severe mr is seen, some is noted. mr with therapy. 3. aorta is intact post decannulation. 4. other findings are unchanged i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, md, interpreting physician 11:57 final report ct abdomen w/o contrast 1:01 pm ct chest w/o contrast; ct abdomen w/o contrast reason: r/o infection source field of view: 36 medical condition: 88 year old woman with s/p cabg reason for this examination: r/o infection source contraindications for iv contrast: none. ct torso indication: 88-year-old woman status post cabg, rule out infectious source. ct torso without iv contrast technique: multidetector scanning is performed from the thoracic inlet through the symphysis without intravenous contrast. there is no axillary, mediastinal or hilar lymphadenopathy. a tracheostoma is identified. there are bilateral pleural effusions. there is atelectasis in the lower lobes bilaterally. there are ground-glass opacities in the upper lobes bilaterally, left more than right. ct of the abdomen without iv contrast: the contour of the right lobe of the liver is quite lobular. no focal lesions are seen. the spleen is unremarkable. the pancreas is atrophic. the gallbladder contains multiple stones. there is no definite evidence for pericholecystic fat stranding. the adrenal glands are normal. in the right kidney, there is a staghorn calculus in the lower pole. there is no retroperitoneal lymphadenopathy. the small bowel is unremarkable. a g-tube is present. the ascending colon is dilated measuring 5.8 cm. mild dilatation is also noted in the transverse and descending colon. ct of the pelvis without iv contrast: the sigmoid colon is collapsed. there is no evidence for an obstructing lesion. the small bowel is normal. there is no free fluid in the pelvis and no pelvic lymphadenopathy is noted. there is anasarca in the soft tissues. impression: 1. bilateral pleural effusions and ground-glass opacities in the upper lobes bilaterally, left more than right. these findings most likely represent pulmonary edema. however, an infectious process cannot be entirely excluded for the parenchymal opacities and followup after treatment is recommended to ensure resolution. 2. dilated ascending to descending colon likely represents ileus. there is no wall thickening to suggest ischemia. 3. dilated gallbladder with multiple gallstones, however, no pericholecystic fat stranding to suggest cholecystitis. 4. small amount of ascites in the abdomen and anasarca also likely reflecting fluid overload. 5. nodular contour of the liver concerning for cirrhosis. 6. staghorn calculus in the right kidney. no evidence for obstruction. dr. chest port. line placement 2:19 pm chest port. line placement reason: ? infiltrate, check line position medical condition: 88 year old woman s/p cabg, rising wbc count, right subclavian cvl placed reason for this examination: ? infiltrate, check line position chest history: cabg, elevate white blood count cell count subclavian line placement. one supine view. comparison with the previous study of . there is continued evidence of small pleural effusions. there is biapical pleural thickening, as before. the patient is status post median sternotomy, and mediastinal structures are unchanged. a tracheostomy tube and left picc line remain in place. a right- sided central line has been withdrawn. a right subclavian catheter has been introduced and terminates at the level of the cavoatrial junction. there is no other significant interval change. impression: line placement as described. brief hospital course: admitted on . iv ntg continued and iv heaprin started for recurrent angina. dental clearance obtained. carotid u/s showed 40-60%, 60-70%. dnr/dni suspended for consent for sugery/anesthesia. had additional angina on drips on and was taken to the or emergently. she had a cardiac arrest requiring cpr during line placement and an emergency cabg x2 done by dr. . transferred to the cvicu in fair condition. developed afib on treated with amiodarone. remained hypotensive requiring pressors. pancultured for an elevated wbc count. unable to wean from vent.dobhoff tube placed. lasix drip started. mutiple skin tears noted and wound care nurse as well as plastic surgery consulted. renal consult done for acute renal failure. iv heparin restarted on pod #7. thoracic surgery consulted on pod #9 for trach/peg. vit. k given in preparation and trach and peg done by dr. on pod #10. tube feeds started the following day. id consult done . iv flagyl/po vanco started for preseumed colitis and cipro continued for 7 days for serratia in sputum. right thoracentesis for 650 cc done on pod #18. renal followed daily to assess her need for hd. she continued to make urine and her bun/cr remained elevated but stable. : a mild ileus was noted and tf were backed off, trophic continued, and plan to advance with ileus resolution. beta blockers and amiodarone dc'd for bradycardia. abx continued for leukocytosis although cultures and multiple c-diffs remained negative. she was started on cefepime for gnr in sputum. she was seen by general surgery for abdominal pain, and ct abdomen was negative for acute process, was followed by serial exams and started on tpn. she and her son met with renal regarding starting dialysis for subacute uremia, and she decided against it. she was again started on tube feeds and her tpn was discontinued. her bun/cr were continuing to rise however family did not want dialysis and understood risks therin. medications on admission: advair 2 puffs daily singulair 10 mg daily lopressor 12.5 mg asa 81 mg daily trusopt 2% one gtt ou tid albuterol mdi 2 puffs tid atrovent 2 puffs tid lipitor 5 mg daily lisinopril 10 mg daily nephrocaps discharge medications: 1. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). 2. acetaminophen 650 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for temperature >38.0. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. docusate sodium 50 mg/5 ml liquid sig: two (2) po bid (2 times a day). 5. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 6. dorzolamide 2 % drops sig: one (1) drop ophthalmic tid (3 times a day). 7. therapeutic multivitamin liquid sig: five (5) ml po daily (daily). 8. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 9. beclomethasone dipropionate 80 mcg/actuation aerosol sig: one (1) inhalation (2 times a day). 10. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation qid (4 times a day). 11. albuterol 90 mcg/actuation aerosol sig: six (6) puff inhalation q4h (every 4 hours). 12. ranitidine hcl 15 mg/ml syrup sig: ten (10) po daily (daily). 13. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 14. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 15. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 16. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous hs (at bedtime). 17. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 18. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 19. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day). 20. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day). 21. procrit 4,000 unit/ml solution sig: one (1) injection mon, wed,.fri. 22. vancomycin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours): vancomycin oral liquid 250 mg po q6h through . 23. cefepime 1 gram recon soln sig: one (1) recon soln injection q24h (every 24 hours): through . 24. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q8h (every 8 hours): through . 25. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). 26. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. 27. metoclopramide 5 mg iv q6h discharge disposition: extended care facility: - discharge diagnosis: cad s/p cabg x2 post op respiratory failure s/p tracheostomy/peg tube placement post op acute renal failure, acute tubular necrosis cardiac arrest asthma copd htn squamous cell ca lbbb nstemi vision loss left eye endometriosis pna discharge condition: stable discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: see dr. 1-2 weeks after discharge from rehab see dr. 2-3 weeks after discharge from rehab see dr. in 4 weeks after discharge from rehab md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances (aorto)coronary bypass of two coronary arteries intraoperative cardiac pacemaker diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy cardiopulmonary resuscitation, not otherwise specified diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pneumonia due to other gram-negative bacteria acute kidney failure with lesion of tubular necrosis unspecified pleural effusion congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation cardiac arrest intestinal infection due to clostridium difficile old myocardial infarction paralytic ileus chronic ulcer of other specified sites ulcer of ankle body mass index less than 19, adult 

Answer: The patient is high likely exposed to