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: mrs. is a 68 year-old woman with a past medical history significant for diabetes mellitus, hypertension and end stage renal disease on peritoneal dialysis presented to the emergency room with chest pressure and shortness of breath times 24 hours. the night prior to admission the patient developed shortness of breath and chest pain with a pressure like sensation that was episodic in nature with no radiation to the neck or arm. no nausea, vomiting, lightheadedness. on the arrival to the emergency room the patient was pain free, but she was noted to have systolic blood pressure from 240 to 250. she was treated with hydralazine and intravenous nitroglycerin. additionally she was noted to have inferolateral st depressions and the troponin one came back at 2.8. therefore she was given lopresor and started on intravenous heparin and nitroglycerin and the decision was made to admit her to the coronary care unit. past medical history: 1. type 2 diabetes mellitus times twenty years requiring insulin. 2. hypercholesterolemia. 3. hypertension. 4. uterine fibroids leading to a total abdominal hysterectomy. 5. end stage renal disease currently on peritoneal dialysis. 6. cerebrovascular accident with slightly residual right arm weakness. 7. seizure disorder. 8. bladder diverticula. 9. multi infarct dementia. 10. fall in leading to a tibial fracture. medications on admission: amlodipine 10 mg q.d., clonidine patch 0.2 mg q week, diltiazem cd 360 mg q day, losartan 50 mg q day, senna tab one q.h.s., nephrocaps one q.h.s., nph insulin 14 units q.a.m., percocet one to two tabs q 4 hours prn and phos-lo one tab t.i.d. allergies: penicillin, which causes pruritus. social history: the patient is retired, formerly worked as an employment counselor. she lives at home and is able to take care of herself. she denies any alcohol or drug use. she has ninety pack year history of smoking, stopped in . physical examination on admission: vital signs, temperature 98.6. heart rate 83. respiratory rate 29. blood pressure 174/64. o2 sat 100% on 2 liters. heent anicteric. neck is supple. no lad. no jvd. chest is clear to auscultation bilaterally. cardiovascular normal s1 and s2 with 3/6 systolic ejection murmur heard at apex. abdomen is soft, nontender with positive bowel sounds. extremities no clubbing, cyanosis or edema. neurological examination is nonfocal. laboratories on admission: white blood cell count 6.1, hematocrit 29.5, platelets 202, pt 12.3, ptt 25, glucose 202, bun 49, sodium 142, potassium 3.3, chloride 99, co2 27, bun 49, creatinine 13.9, ck 222, troponin 2.8. electrocardiogram normal sinus rhythm iwth st depressions and t wave inversions in v4 through 5 as well as 2, 3 and f. the patient continued to have intermittent chest pain. she was therefore brought to the cardiac catheterization laboratory. please see catheterization report for full details. in summary, the catheterization showed 95% left main, 95% right coronary artery, 90% left circumflex, 70% obtuse marginal one. hospital course: an intra-aortic balloon pump was placed and the patient was returned to the coronary care unit. cardiothoracic surgery was consulted at that time. the patient was accepted for cardiac surgery, however, initially refused surgery. it was found post cardiac catheterization that the patient's peritoneal dialysis catheter was no longer functioning. a hemodialysis catheter was placed and the patient was begun on hemodialysis. over the next several days the patient was treated by the medical service and followed by the renal service. she was at that time thought to have peritonitis a one of the cultures from her peritoneal catheter had grown out staph of non aureus species. she was treated with vancomycin and levofloxacin. she did on her third day after admission agree to undergo coronary artery bypass grafting. ct surgery was again consulted and she was scheduled for coronary artery bypass grafting once the peritonitis issue had been resolved. on the patient was brought to the operating room at which time she underwent an off pump coronary artery bypass graft times one. please see the operative report for full details. in summary, she had an off pump coronary artery bypass graft times one with a left internal mammary coronary artery to the left anterior descending coronary artery. she tolerated the surgery well and was transferred from the operating room to the cardiothoracic intensive care unit. the patient was kept intubated and sedated throughout the night of her operative day. her balloon pump was maintained at one to one. during that time she remained hemodynamically stable. on postoperative day one the patient was weaned from the intra-aortic balloon pump and the balloon pump was discontinued late in the afternoon on postoperative day one. also on postoperative day one the patient's sedation was discontinued. she awoke from her sedation and was weaned from the ventilator. however, she remained intubated throughout the remainder of postoperative day one. additionally, the patient's chest tube was discontinued on postoperative day one. on postoperative day two the patient remained intubated in the morning. she underwent dialysis early in the morning and following her dialysis she was extubated. following extubation the patient was noted to be tachypneic. a chest x-ray was done. at that time the patient was noted to have bilateral pleural effusions for which bilateral chest tubes were placed. the patient remained in the cardiothoracic intensive care unit until postoperative day five. at that point she was felt to be stable from a hemodynamic as well as a respiratory point and she was transferred to the floor for continuing postoperative care and cardiac rehabilitation. over the next several days the patient continued to make slow progress with her cardiac rehabilitation. on postoperative day six the patient was returned to the operating room with the transplant surgery service. at that time she underwent removal of her peritoneal dialysis catheter and insertion of a perm-a-cath in the right subclavian vein. this procedure was tolerated well and she was returned to the floor for continuing postoperative care. the patient continued to make slow progress over the next two postoperative days and on postoperative day eight she was deemed stable and ready for transfer to rehabilitation for continuing care. at the time of transfer the patient's physical examination is as follows: vital signs temperature 98.6. heart rate 78 sinus rhythm. blood pressure 150/71. respiratory rate 18. o2 sat 98%. weight preoperatively is 49 kilograms. at discharge is 46.6 kilograms. laboratory data at the time of discharge: white count had been 23,000 the day prior to discharge. red blood cell count 28.2, platelets 101, sodium 139, potassium 4.1, chloride 101, co2 26, bun 32, creatinine 4.2, glucose 60. physical examination, neurological alert and conversant. respiratory clear to auscultation bilaterally. heart sounds regular rate and rhythm with a 3/6 systolic ejection murmur heard best at the left sternal border. sternum is stable. incision with steri-strips open to air clean and dry. abdomen is soft, nondistended. positive bowel sounds. midline tenderness at incision site. abdominal incision with dry sterile dressing. no drainage. lower extremities are warm with no edema. right upper arm has positive edema with a hematoma from the mid forearm to the mid bicep that was noted prior to surgery. this hematoma appears to be slowly resolving and may be the source of her elevated white blood cell count. medications on discharge: norvasc 10 mg q.d., losartan 50 mg q.d., nephrocaps one q.h.s., metoprolol 50 mg b.i.d., enteric coated aspirin 325 mg q.d, plavix 75 mg q.d., colace 100 mg b.i.d., ranitidine 150 mg q.d., catapres patch 0.2 mg q week, levaquin 500 mg q.o.d., vancomycin 500 mg intravenous prn when the trough level is less then 15 to be given during hemodialysis. percocet 5/325 one to two tabs q 4 hours prn, nph insulin 7 units q.a.m., regular insulin sliding scale q.a.c. and h.s. the levaquin and the vancomycin are due to be discontinued on . discharge diagnoses: 1. coronary artery disease status post off pump coronary artery bypass grafting times one with a left internal mammary coronary artery to the left anterior descending coronary artery. 2. diabetes mellitus type 2. 3. hypertension. 4. end stage renal disease status post perm-a-cath placement currently on hemodialysis. 5. hypercholesterolemia. 6. status post cerebrovascular accident with right sided weakness. 7. seizure disorder. 8. multi infarct dementia. 9. bladder diverticula. 10. status post total abdominal hysterectomy. the patient is to be discharged to rehabilitation. she is to have follow up with her primary care physician in two weeks. she is to have follow up with renal. she is due for hemodialysis on and she is to have follow up with dr. in four weeks. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass left heart cardiac catheterization injection or infusion of thrombolytic agent venous catheterization for renal dialysis implant of pulsation balloon incision of peritoneum insertion of totally implantable vascular access device [vad] aspiration of other soft tissue diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified pleural effusion hematoma complicating a procedure hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cellulitis and abscess of upper arm and forearm diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled infection and inflammatory reaction due to peritoneal dialysis catheter 

Answer: The patient is high likely exposed to