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: lotrel / benicar attending: chief complaint: failing right bka major surgical or invasive procedure: right above-knee amputation on history of present illness: ms. is a 62 year old female who presented to vascular clinic from her rehabilitation facility on with nonhealing right bka wound, flexion contracture, and inadequate pain control. past medical history: pvd, cad, htn, hl, cri s/p nephrectomy for renal cancer, anemia, osteoporosis, folate deficiency social history: ppd until approximately 2 years ago drinks on weekends family history: father: diabetes, stroke and mi physical exam: pe on admission: gen: alert, correctly answers orientation questions, but poor short term memory, holding right bka to her chest. heart: regular rate and rhythm. lungs: clear, normal respiratory effort. gastrointestinal: non distended, no masses. extremities: no femoral bruit/thrill, no lle edema, abnormal: right bka wound. pulse exam (p=palpation, d=dopplerable, n=none) rue radial: p. lue radial: p. rle femoral: p. other: right bka. lle femoral: p. dp: d. pt: d. description of wound: right medial leg wound, with distal opening, fibrinous exudate, mild surrounding erythema. right bka stump with black eschar at surgical incision site, surrounding erythema, medial open aspect with fibrinous exudate. pe on discharge: gen: aaox4, pleasant and conversant, in no acute distress cvs: rrr, normal s1 and s2, no m/r/g pulm: clear bilaterally, no w/r/r abd: soft, nontender, nondistended, +bs ext: r aka wound clean, dry, intact with staples. no erythema, no induration, no bleeding, no discharge, no purulence. neuro: cn ii-xii grossly intact pulses: femoral pulses palp b/l; l dp/pt dopplerable (r aka) brief hospital course: ms. was admitted on from rehab after she presented to the vascular clinic with a failing right bka - flexion contracted, poorly healing, with surrounding cellulitis, and poor pain control. she was directly admitted to the vascular surgery floor for further evaluation and treatment. she was started on iv vancomycin, ciprofloxacin, and metronidazole for broad spectrum coverage for her bka wound. physical therapy was consulted, and a soft knee immobilizer was provided. unfortunately, ms. was unable to tolerate the immobilizer and continued to hold her right bka in a flexed position near her chest, despite adequate pain control. she was seen daily by physical therapy, and stretching and range of motion exercises were performed, including reduction of the knee flexion contracture to 26 degrees from horizontal. the knee immobilizer was applied in this position, but ms. was again unable to wear it, and she removed it soon after the team had left her room. several types of knee braces were tried, and she was equally unable to tolerate each. despite daily physical therapy, and several conversations about the importance of having full knee range of motion, ms. was unable to make any progress in the treatment of her right knee contracture. she was continued on iv antibiotics with daily wound care for the poorly healing surgical wound, as well as the medial open wound with minimal improvement. chronic pain consultation was obtained for assistance in the treatment of her stump and phantom limb pain, and her regimen was adjusted accordingly. twice during her pre-operative course, ms. attempted a voiding trial, as she had been transferred from her rehab with a foley catheter. on both occasions, ms. was unable to void independently, with bladder residual volumes over 500cc. as the operative plan was formed, her foley was reinserted and remained in place until she had been stabilized post-op. on , after lengthy discussion between dr. and the vascular surgery team, the patient, and her family, consensus was reached to proceed with above knee amputation. ms. was appropriately prepared, and informed consent was obtained. on , she underwent right above-knee amputation of her failing bka stump. the procedure was uncomplicated, but ms. became hypotensive with systolic blood pressure in the 60's post-operatively, requiring iv neosynephrine. she remained otherwise stable, appropriate and conversant, with good pain control, and good urine output. she was transfused with 2 units of prbcs for a post-operative hematocrit of 23.4 (from 32.3 pre-operatively), and given a 500cc fluid bolus. her pain was controlled with a dilauded pca. she was weaned from neo prior to midnight and her blood pressure remained stable afterwards. on pod#1, her diet was advanced, and she remained on bedrest. her pain was well controlled and her hematocrit remained stable. pod#2, she was allowed oob to chair x2 and was seen by physical therapy for range of motion exercises of the right hip, which she tolerated well. her pain medication were switched to po dilauded and her previous po oxycontin. she continued to tolerate a regular diet. her antibiotics were discontinued. on , she was found to be tolerating her physical therapy, with adequate pain control on po medication, and was deemed stable for discharge to . she will continue on po oxycontin and po dilaudid for pain, and will not require antibiotics or coumadin. she will need outpatient urology follow up for evaluation of a possible neurogenic bladder, which has been communicated to in person and in discharge instructions. ms. understood and agreed with the plan. medications on admission: amlodipine furosemide hydralazine lisinopril lorazepam metoprolol succinate oxycodone phenytoin sodium extended warfarin acetaminophen aspirin calcium carbonate-vitamin d3 docusate sodium discharge medications: 1. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 5. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 6. phenytoin sodium extended 100 mg capsule sig: three (3) capsule po qhs (once a day (at bedtime)). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. pregabalin 25 mg capsule sig: one (1) capsule po bid (2 times a day). 10. hydralazine 50 mg tablet sig: one (1) tablet po q8h (every 8 hours): hold for sbp<110. 11. oxycodone 10 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q12h (every 12 hours). disp:*30 tablet extended release 12 hr(s)* refills:*0* 12. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 5 days. disp:*24 tablet(s)* refills:*0* 13. lorazepam 1 mg tablet sig: one (1) tablet po at bedtime as needed for anxiety. disp:*30 tablet(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: failed right below-knee amputation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: this information is designed as a guideline to assist you in a speedy recovery from your surgery. please follow these guidelines unless your physician has specifically instructed you otherwise. please call our office nurse if you have any questions. dial 911 if you have any medical emergency. . activity: . there are restrictions on activity. on the side of your amputation you are non weight bearing until cleared by your surgeon. you may use the other leg to assist in transferring and pivots. but try not to exert to much pressure on the amputation site when transferring and or pivoting. please keep knee immobilizer on at all times to help keep the amputation site straight. . no driving until cleared by your surgeon. . please call us immediately for any of the following problems: . redness in or drainage from your leg wound(s) . . watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. . exercise: . limit strenuous activity for 6 weeks. . do not drive a car unless cleared by your surgeon. . try to keep leg elevated when able. . bathing/showering: . you may shower immediately upon coming home. no bathing. a dressing may cover you??????re amputation site and this should be left in place for three (3) days. remove it after this time and wash your incision(s) gently with soap and water. you will have sutures, which are usually removed in 4 weeks. this will be done by the surgeon on your follow-up appointment. . wound care: . sutures / staples may be removed before discharge. if they are not, an appointment will be made for you to return for staple removal. . when the sutures are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. . avoid taking a tub bath, swimming, or soaking in a hot tub for four weeks after surgery. . medications: . unless told otherwise you should resume taking all of the medications you were taking before surgery. you will be given a new prescription for pain medication, which can be taken every three (3) to four (4) hours only if necessary. . remember that narcotic pain meds can be constipating and you should increase the fluid and bulk foods in your diet. (check with your physician if you have fluid restrictions.) if you feel that you are constipated, do not strain at the toilet. you may use over the counter metamucil or milk of magnesia. appetite suppression may occur; this will improve with time. eat small balanced meals throughout the day. . cautions: . no smoking! we know you've heard this before, but it really is an important step to your recovery. smoking causes narrowing of your blood vessels which in turn decreases circulation. if you smoke you will need to stop as soon as possible. ask your nurse or doctor for information on smoking cessation. . avoid pressure to your amputation site. . no strenuous activity for 6 weeks after surgery. . diet : . there are no special restrictions on your diet postoperatively. poor appetite is expected for several weeks and small, frequent meals may be preferred. . for people with vascular problems we would recommend a cholesterol lowering diet: follow a diet low in total fat and low in saturated fat and in cholesterol to improve lipid profile in your blood. additionally, some people see a reduction in serum cholesterol by reducing dietary cholesterol. since a reduction in dietary cholesterol is not harmful, we suggest that most people reduce dietary fat, saturated fat and cholesterol to decrease total cholesterol and ldl (low density lipoprotein-the bad cholesterol). exercise will increase your hdl (high density lipoprotein-the good cholesterol) and with your doctor's permission, is typically recommended. you may be self-referred or get a referral from your doctor. . follow-up appointment: . be sure to keep your medical appointments. the key to your improving health will be to keep a tight reign on any of the chronic medical conditions that you have. things like high blood pressure, diabetes, and high cholesterol are major villains to the blood vessels. don't let them go untreated! . please call the office on the first working day after your discharge from the hospital to schedule a follow-up visit. this should be scheduled on the calendar for seven to fourteen days after discharge. normal office hours are 8:30-5:30 monday through friday. . please feel free to call the office with any other concerns or questions that might arise followup instructions: please call to schedule a follow up appointment with dr. in clinic in 3 weeks for staple removal and wound check. follow up with a urologist at as an outpatient. procedure: amputation above knee diagnoses: other iatrogenic hypotension other chronic pain coronary atherosclerosis of native coronary artery hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified peripheral vascular disease, unspecified personal history of tobacco use chronic kidney disease, unspecified other and unspecified hyperlipidemia cellulitis and abscess of leg, except foot osteoporosis, unspecified pressure ulcer, lower back personal history of malignant neoplasm of kidney acquired absence of kidney infection (chronic) of amputation stump other specified retention of urine pressure ulcer, stage i other amputation stump complication neurogenic bladder nos contracture of joint, lower leg folate-deficiency anemia amputation of limb(s) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation phantom limb (syndrome) 

Answer: The patient is high likely exposed to