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: naproxen attending: chief complaint: left charcot foot hypotension atrial tachycardia major surgical or invasive procedure: left foot reconstruction surgery medical icu with 3 red blood cell transfusions transesophageal echocardiography with cardioversion history of present illness: 75 yo f w/ h/o af (apparantly s/p ablation in at ), lul lobectomy for tuberculosis , type ii dm with charcot neuropathy, initially admitted for a left mid-foot reconstruction . post-surgery, she was transferred to the micu for hypotension, which resolved post fluid resuscitation (ivf and 2 units prbc) and transferred back to podiatry. medicine was consulted yesterday for mild hypoxia and possible dysarthria. pt 91% ra, 98% 2l nc. cxr notable for a mild infiltrate in icu that resolved rapidly, likely pneumonitis rather than true pneumonia. recommended a cta chest with hco3/ivf/mucomyst given cr 1.5 (cri). podiatry got cta (without mucomyst or ivf), which showed only granulomatous disease. . today, patient noted to be tachycardic to the 120s, systolic bp 140s. ecg looked like atrial flutter. patient was transferred to medicine service, she was given 5 mg iv metoprolol, cardiac enzymes were cycled, her beta-blocker was increased, and a 500cc iv bolus was given. . regarding the dysarthria, the patient felt her mouth was just dry, and per medicine consult her neuro exam was pretty benign but, given h/o af, recommended ct head, consideration of mri (unclear if she can get it with an external fixation), and neuro consult - these have not yet been obtained. . ros: negative for fever, chills, nausea, vomiting, diarrhea, dysuria past medical history: dm ii with neuropathy pvd hx hypertension hx dyslipdemia hx atrial fibrillatiion hx tuberculosis s/p lul resection hx diverticulosis/p bowel resection hx osteo arthritis hx arrythmia s/p av node ablation s/p tah, s/p c-section s/p spinal surgery s/p rt. hip surgery s/p rt. eia endartectomy with patch angioplasty w dacron s/p b/l foot surgeries social history: married lives with spouse, denies tobacco use, admits to drinking heavily: 1 bottle of wine to a pint of vodka per day per her and husband. . family history: unknown physical exam: per admitting resident: 96.6 124/45 48 100% on simv 500/12 80%, peep 5 gen: sedated, unresponsive heent: mmm, perrl neck: no masses, no lad, no jvd, no carotid bruit cv: irregular, laterally displaced pmi, loud holosystolic murmur radiating into her axilla chest: cta b/l, no crackles or wheezes. abd: soft, nd, +bs, no organomegaly, nt extr: no cyanosis, no clubbing; 1+ sacral edema, 2+ pulses b/l. pertinent results: 09:50pm type-art po2-354* pco2-42 ph-7.28* total co2-21 base xs--6 09:50pm glucose-95 lactate-0.7 09:50pm freeca-1.10* 09:32pm hct-26.6* 07:57pm glucose-104 urea n-44* creat-1.6* sodium-143 potassium-4.6 chloride-115* total co2-19* anion gap-14 07:57pm estgfr-using this 07:57pm calcium-8.0* phosphate-5.0* magnesium-1.7 07:57pm wbc-7.3 rbc-2.97* hgb-9.9* hct-29.6* mcv-100*# mch-33.2* mchc-33.3 rdw-19.8* 07:57pm plt count-173 06:58pm type-art po2-133* pco2-42 ph-7.29* total co2-21 base xs--5 06:58pm lactate-0.9 06:58pm hgb-10.0* calchct-30 06:58pm freeca-1.12 05:21pm type-art rates-/8 tidal vol-660 o2-36 po2-131* pco2-35 ph-7.34* total co2-20* base xs--5 intubated-intubated vent-controlled 05:21pm glucose-131* lactate-1.2 na+-141 k+-4.4 cl--121* 05:21pm hgb-7.7* calchct-23 05:21pm freeca-1.14 . echo (tee): moderate to severe spontaneous echo contrast in the left atrium in the absence of left atrial/left atrial appendage thrombus. thickened aortic and mitral valves. trivial mitral regurgitation. there appears to be aortic valve stenosis but the severity cannot be determined on this study (may be evaluated with a transthoracic study). complex, non-mobile atherosclerotic plaque in the aortic arch and descending aorta. . ct chest: 1. no evidence of pulmonary embolism. 2. calcified subcarinal nodes and calcified left-sided lung nodule consistent with previous granulomatous infection. 3. extensive vascular calcifications consistent with atherosclerotic disease. . brief hospital course: 75 year old lady with type 2 diabetes and neuropathy s/p left middle foot reconstruction . 1) charcot foot: reconstruction of left foot by podiatry with 1l blood loss. complicated by post-op hypotension. patient was transferred to the intensive care unit where she was transfused a total of 4 red blood cell units (pbrc). also, tachycardia in 120's was noted. the initial impression of dysarthria in the unit could not be confirmed by subsequent exams. after surgery the patient was started by podiatry on vancomycin for prophylaxis. it should be continued for at least two weeks after discharge. the patient is scheduled for follow up with podiatry in 2 weeks. needs weekly vancomycin trough levels, to be faxed to dr. (fax ). surgical sites were well coapted with no signs of infection. . 2) hypotension: possibly due to sedation from anesthesia and component of blood loss . no evidence of infection; echo showed mild-moderate aortic stenosis. her propofol was weaned, 4units rbcs were transfused along with aggressive fluid rescussitation, a central line was placed and she was started on neosynephrine which was quickly weaned. her hematocrit remained stable after that. pressures recovered soon and remained stable during the hospital stay. . 3) atrial tachycardia: noted during the stay in the intensive care unit. hemodynamically stable. tachycardia most likely atrial flutter. not responsive to conservative therapy. the patient underwent transesophageal echocardiography and cardioversion with 100j. was after that in sinus rhythm with ectopies (rate in 70's). needs anticoagulation with warfarin. transition with lovenox until inr therapeutic. patient is scheduled for follow up with cardilogy (dr. on . medications on admission: hctz 25mg zoloft 100mg ambien metorpolol 37.5mg lipitor amlodipine meprobanat discharge medications: 1. prochlorperazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 2. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 5. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 6. metoprolol tartrate 25 mg tablet sig: 2.5 tablets po tid (3 times a day). 7. vancomycin hcl 1000 mg iv q 24h 8. warfarin 2.5 mg tablet sig: one (1) tablet po hs (at bedtime). 9. zoloft 100 mg tablet sig: one (1) tablet po once a day. 10. enoxaparin 80 mg/0.8 ml syringe sig: eighty (80) mg subcutaneous every twelve (12) hours. discharge disposition: extended care facility: discharge diagnosis: primary: charcot neuropathy of left foot with reconstruction surgery hypotension atrial fibrillation/flutter requiring cardioversion . secondary: dm ii with neuropathy pvd hypertension dyslipdemia tuberculosis s/p lul resection osteoarthritis discharge condition: good, left foot in halo, heart rate normal with ectopies discharge instructions: you were admitted for a left foot reconstruction. post-surgery, your blood pressure remained low and you were in the icu for several days until your blood pressure stabilized. while here, you also developed an atrial tachycardia which required cardioversion. you are being discharged on anticoagulation as a result of this procedure. . please continue to take all your medications as prescribed. you have not been given your lipitor or meprobamate as the doses were not clear. please discuss restarting these with your pcp. . please keep all your follow-up appointments. . if you develop any fevers, chills, shortness of breath, difficulty breathing, chest pain, palpitations, dizziness, lightheadedness, foot pain, difficulty urinating or any other worrisome symptoms, please call your pcp or go to the nearest er. followup instructions: please keep the following appointments: 1) provider: , dpm phone: date/time: 8:50 2) provider: , m.d. phone: date/time: 2:00 3) please call dr. , to schedule a follow-up appointment and discuss when to resume some of your home medication md, procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart other electric countershock of heart excision of bone for graft, other bones transfusion of packed cells application of external fixator device, tarsals and metatarsals other change in muscle or tendon length subtalar fusion application of external fixator device, ring system midtarsal fusion limb lengthening procedures, tarsals and metatarsals diagnoses: acidosis other iatrogenic hypotension thrombocytopenia, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified atrial flutter pulmonary collapse other and unspecified hyperlipidemia long-term (current) use of insulin osteoarthrosis, unspecified whether generalized or localized, site unspecified ulcer of heel and midfoot arthropathy associated with neurological disorders 

Answer: The patient is high likely exposed to