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: vicodin attending: chief complaint: nonhealing left great toe ulcer major surgical or invasive procedure: pta/stents to rcia and lcia. history of present illness: ms. is a year old woman who was admitted for placement of bilateral common iliac artery stents for peripheral vascular disease for nonhealing toe ulcer on and thrombin injection for left common femoral pseudoaneurysm. she was s/p op day 2 and was to be discharged when she developed the sudden onset of shortness of breath. her bp was 190/90 and o2 sat 68% on 4 l nc she went up to 72%. an arterial blood gas obtained showed 7.28/47/51. she was started on a nitro drip and lasix iv. she had rales all the way up and upon emergent intubation, froth was visualized in et tube. past medical history: cad - s/p ptca () with stenting x2 (lad/rca); ef 25%, global lv hypokinesis htn dm - dx in , a1c 6.1 () hypercholestrolemia - ldl 97 () oa mild ar nonhealing left great toe ulcer shingles social history: lives in independent-living facility in , fairly active, able to do own adls. nursing services available at her living facility. sons living in and , both involved in care. former smoker family history: dm (mother) physical exam: afebrile, bp 126/76, hr 74, gen: pleasant and cooperative heent: mmm, cn ii-xii grossly intact cor: rrr iii/vi systolic murmur heard throughout the precordium pulm: mild crackles bilaterally abd: soft, nt nd + bs ext: wwp, friable skin, trace pitting edema le bilaterally, left toe with 2 x 2 cm ulcer. pedal pulses not palpable but are dopplerable. pertinent results: cxr: the heart size is enlarged compared to the film from the prior day. there is bilateral pleural effusions, left greater than right. there is increased retrocardiac opacity that may be due to effusion/consolidation/atelectasis. there is pulmonary vascular redistribution. compared to the film from the prior day, the effusions are larger, the retrocardiac opacity is greater but the remainder of the lungs have a slightly improved appearance. ekg with increased lateral st segment depressions and tw inversions. tte conclusions: ejection fraction: 40%. the aortic valve leaflets are severely thickened/deformed. there is moderate-to-severe aortic valve stenosis with mild aortic regurgitation. the mitral valve leaflets are moderately thickened. the left ventricular inflow pattern suggests impaired relaxation. there is no pericardial effusion. compared with the findings of the prior study (tape reviewed) of , the mean pressure gradient across the aortic valve is marginally reduced. catheterization with common iliac stenting: 1. retrograde access of bilateral cfa were obtained. 2. diffuse peripheral vascular disease was noted in bilateral lower extremities. the abdominal aorta had mild distal disease. the renal arteries were single without apparent flow-limiting disease. 3. the right lower extremity had proximal disease. the cia had a 70% origin lesion with mild calcification. the eia had mild disease that was no flow-limiting. the cfa was without flow-limiting disease. 4. the left lower extremity had disease througout its course. the cia had a long tubular 80% lesion. the eia had mild diffuse disease. the cfa was without flow-limiting disease. the sfa was totally occluded proximally. the pfa provided robust collaterals to the popliteal. the pt and pa supply run-off to the foot. the at is severely diseased with reconstitution of the dp from pa collaterals. 5. limited hemodynamics revealed a significant lesion in both the rfa and lfa compared to the central aorta with a 15 mmhg gradient noted after administration of ia nitroglycerin. this gradient disappeared after intervention. opening pressures were markedly elevated with blood pressure 210/69 mmhg. 6. successful stenting of bilateral cia with "kissing stents" using a 7.0 x 28 mm omnilink in the right and 7.0 x 38 mm omnilink in the left. postdilation was with 7.0 mm balloons. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow. final diagnosis: 1. bilateral common iliac artery disease. 2. severe diffuse arterial disease in the left lower extremity. 3. severe central hypertension. 4. successful treatment of bilateral cia disease with stenting. cardiac catheterization: comments: 1. selective coronary angiography revealed a right-dominant system with severe 3-vessel coronary disease. the lmca was heavily calcified with a distal 70% stenosis involving the origin of the lad and lcx. the lad had heavy proximal calcification and an ostial 90% stenosis. the prior lad stent was widely patent, and there was mild distal diffuse disease. the lcx had an ostial calcific 80% stenosis. the rca had an ostial 80% stenosis. the previous rca stent was widely patent. there was also a 60% stenosis in the distal rca at the origin of the rpda. 2. resting hemodynamics revealed normal right- and mildly elevated left-sided filling pressures (mean ra 6 mmhg, mean pcw 13 mmhg). the pulmonary artery pressure was moderately elevated (mean pa 34 mmhg). the cardiac output was low-normal at 2.3 l/min/m2. simultaneous measurement of arterial and left ventricular pressures critical aortic stenosis. the peak-peak gradient across the aortic valve was 78 mmhg, the mean gradient was 56 mmhg, and the calculated aortic valve area was 0.48 cm2. post-valvuloplasty (see below), the peak-peak gradient decreased to 32 mmhg, the mean gradient to 28 mmhg, and the calculated valve area increased to 0.69 cm2. 3. successful aortic valvuloplasty with a 22 x 60 mm balloon. final valve calculation demonstrated a valve area of 0.69 cm2. no apparent complications were noted after the procedure (see ptca comments). final diagnosis: 1. severe 3-vessel coronary disease. 2. minimal diastolic dysfunction. 3. critical aortic stenosis. 4. successful aortic baloon valvuloplasty without apparent complications. extremity catheterization: 1. retrograde access was obtained via the right femoral artery to the contralateral tpt. there was mild distal aortic disease. the previously placed right iliac artery stent was without significant stenoses. the prior left iliac artery stent was without significant stenoses. the left common femoral artery was without obstructive disease. the left superficial femoral artery was totally occluded at its origin. the left profunda femoris artery supplied collaterals to the popliteal artery. the trifurcation was without significant disease though the posterior tibial artery was totally occluded proximally. the peroneal and anterior tibial arteries filled the ankle to the foot. 2. limited resting hemodynamics revealed normal central blood pressures of 135/43 mmhg. 3. successful placement of three overlapping self-expanding stents in the previously, chronically, totally occluded left sfa (from proximal to distal 7.0 x 38 mm dynalink, 7.0 x 100 mm dynalink, and 6.0 x 100 mm dynalink) all postdilated with a 5.0 mm balloon. final angiography demonstrated a 10% residual stenosis and normal flow (see ptca comments). 4. successful treatment of popliteal artery with a 5.0 x 40 mm cryoplasty balloon over 5 inflations. final angiography demonstrated a 10% residual stenosis and normal flow (see ptca comments). 5. successful placement of 7.0 x 28 mm genesis stent in the disrupted right common iliac artery stent as well as balloon angioplasty using the stent delivery balloon in the left common iliac artery stent to smooth out the struts due to this difficult procedure. final diagnosis: 1. totally occluded left superficial femoral artery (sfa). 2. totally occluded posterior tibial artery. 3. normal central blood pressure. 4. successful placement of self-expanding stents in left sfa. 5. successful cryoplasty of left sfa into popliteal artery. 6. successful placement of stent in right common iliac artery. 7. successful angioplasty of left common iliac artery stent. 04:30am blood wbc-10.7 rbc-3.70* hgb-10.1* hct-28.9* mcv-78* mch-27.2 mchc-34.9 rdw-14.8 plt ct-206 04:30am blood plt ct-206 04:30am blood glucose-106* urean-32* creat-1.2* na-135 k-3.5 cl-98 hco3-28 angap-13 03:15pm blood ck(cpk)-66 09:15pm blood ck-mb-notdone ctropnt-0.02* 03:31am blood ck-mb-9 ctropnt-0.11* 03:15pm blood ck-mb-notdone ctropnt-0.07* three views left foot: when compared with the prior three views left great toe dated , there is evidence of interval debridement, and bony removal at the base of the first distal left phalanx. there is no significant periosteal reaction or sinus tract to suggest osteomyelitis. the bones are severely mineralized. there are no focal lesions. there is no evidence of fracture or malalignment. there is no effusion. the joint spaces are preserved. the surrounding soft tissues reveal a diffuse vasculopathy. bilateral lower extremity veins ultrasound: grayscale and color doppler images of both common femoral, superficial femoral, and popliteal veins were obtained. normal waveforms, compressibility, and augmentation was demonstrated. no intraluminal thrombus is identified. noted is a small right popliteal fossa cyst. also seen is a small, 2.8 x 1.1 cm hematoma within the subcutaneous tissues of the left groin. impression: 1) no evidence of lower extremity dvt. 2) small right popliteal fossa cyst. 3) small left groin hematoma. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. wound culture (final ): staphylococcus, coagulase negative. sparse growth. anaerobic culture (final ): no anaerobes isolated. ct of the head without contrast. findings: no hydrocephalus, shift of normally midline structures, intracranial mass lesion, or loss of -white differentiation is noted. no intracranial hemorrhage is seen. mild prominence of the ventricles and sulci is probably appropriate for the patient's age. scleral bands are noted in each eye. soft tissues and osseous structures are otherwise unremarkable. impression: no acute intracranial abnormality. brief hospital course: ms. is a year old female who was admitted for elective common iliac stenting and has a pertinent history of aortic stenosis. in terms of her pump function bedside echo showed moderate global hk. a formal tte showed a reduced ef. she then had a cardiac catheterization which showed 3 vessel disease. ct surgery was asked to comment and determined that she is not a candidate for cabg. her medical management was optimized with toprol xl, acei, lasix , atorvastatin, aspirin and isosorbide dinitrate. she was euvolemic at discharge. ms. went into atrial fibrillation with rapid ventricular response, likely precipitating an episode acute pulmonary edema on floor . she did not respond to diuresis and was emergently inubated. she was transferred to the cardiac care unit for mechanical ventilation. she was diuresed overnight and spontaneously converted into nsr. she was extubated the following morning without any complications. once stable, valvuloplasty was performed, increasing her valve area and decreasing pressure differential (the peak-peak gradient decreased to 32 mmhg, the mean gradient to 28 mmhg, and the calculated valve area increased to 0.69 cm2). for her peripheral vascular disease, she had common iliac artery stents and a superior femoral artery stent placed. she was on levofloxacin 250 qd at admission for her nonhealing toe ulcer. she was seen by the podiatry service. they were able to probe to bone, indicating that she has osteomyelitis. cultures showed coag negative staph. she was started on a 6 week course of oxacillin and the levofloxacin was stopped since there were no gram negatives on her swab. her plavix 75 qd was continued. ms. has type ii dm. her pioglitazone was stopped when it was discovered that she has decreased cardiac function and chf. she was controlled with a regular insulin sliding scale. she was started on glipizide prior to discharge. ms. developed some acute renal failure, with a creatinine that went from 1 at admit to 1.2. this was likely from the dye loads she received during her 3 catheterizations, despite efforts to protect her kidneys with acetylcysteine and bicarbonate. it is expected that this will go back to baseline. ms. became anemic following her interventions. her hct dropped from 39 to 25 and she was transfused a unit of blood. her hematocrit was stable at discharge. ms. has a history of dementia. she was continued on aricept and namenda. medications on admission: aricept 10, nemantine 10 , atenolol 75, accupril 30, lipitor 10, detrol 2 , asa 325, levaquin 750 qd since , pioglitazone, discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. donepezil hydrochloride 5 mg tablet sig: two (2) tablet po hs (at bedtime). 4. quinapril hcl 10 mg tablet sig: two (2) tablet po daily (daily). 5. memantine hcl 5 mg tablet sig: two (2) tablet po bid (). 6. detrol la 4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po once a day. 7. toprol xl 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. 8. oxacillin sodium 10 g recon soln sig: one (1) recon soln injection q6h (every 6 hours) for 5 weeks. recon soln(s) 9. amiodarone hcl 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 weeks: then 400 mg qd for 2 weeks, then 200 mg qd, ongoing. 10. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 11. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). 12. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 16. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease peripheral vascular disease with non healing left toe ulcer and osteomyelitis aortic stenosis dementia diabetes mellitus hypertension paroxysmal atrial fibrillation discharge condition: fair discharge instructions: post stent guidelines. take all medications listed on the medication sheet. take plavix as ordered lifelong. call physician for chest pain, hypertension, shortness of breath, fever, chills, nausea, vomitting. you will need to have your inr monitored as she's starting coumadin. her target is inr is , please check in 3 days. she will need 5 weeks of oxacillin for her osteomyelitis. please check lfts in 2 weeks. followup instructions: see pcp: , within 2 weeks. ms. should see her podiatrist in the next 2-3 weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube angioplasty of other non-coronary vessel(s) angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries aortography angiocardiography of right heart structures insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) nonexcisional debridement of wound, infection or burn transfusion of packed cells percutaneous balloon valvuloplasty diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation aortic valve disorders ulcer of other part of foot stricture of artery atherosclerosis of native arteries of the extremities with ulceration unspecified osteomyelitis, ankle and foot aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to