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: past medical history: 1. hypertension. 2. low back pain. 3. increase cholesterol. 4. history of syncope. 5. nephrolithiasis. 6. ucis. 7. recent cellulitis. 8. acute renal failure, baseline creatinine this year approximately 1.7. 9. history of right shoulder dislocation. medications: 1. nph 25 b.i.d. 2. lipitor 10. 3. aspirin 81. 4. long-acting metoprolol 50 mg q.d. allergies: the patient is allergic to sulfa. social history: the patient lives at home. no tobacco or alcohol. the patient works in insurance. the patient is from . the patient has been in the united state 40 years. english is okay. physical examination: examination revealed the following: vital signs: temperature 99.9, pulse 70, blood pressure 120/70, respiratory 16, oxygen saturation 93% on room air. general: this is an elderly russian female, pleasant, mucous membranes moist. neck was supple. no lymphadenopathy. no jvd. she had bibasilar crackles, regular s1 and s2 systolic ejection murmur. abdomen: soft, nontender, nondistended. extremities: 2+ edema, bilaterally. right shoulder tender. prior to reduction, she could not abduct or extend her right shoulder. pulses intact. neurological: right grip strength was . laboratory data: laboratory data revealed the following: sodium 140, potassium 4.7, chloride 106, bicarbonate 22, bun 38, creatinine 2.0, glucose 98, white count 17.9, hematocrit 30.2, platelet count 256,000; 87 neutrophils, ..................monocytes. urinalysis showed nitrite negative, greater than 300 protein, 3 to 5 white cells, 6 to 10 epithelials, occasional bacteria. x-ray: anterior dislocation of the humerus. repeat x-ray showed reduction of the dislocation. hospital course: (by systems) issue #1. the patient was seen by the department of orthopedic who reduced her dislocated shoulder. she needs to wear her sling for two weeks and followup with dr. of the department of orthopedics in two weeks. issue #2. white count. the patient was noted to have a slightly elevated white count without localizing effect. this was felt to be from the stress and pain of the dislocation. repeat white count was pending at the time of this dictation. issue #3. renal. the patient had a slightly elevated creatinine. however, she has been noted to have some baseline chronic renal insufficiency. since the first of the year, the creatinine was 0.9 in , elevated greater 1.7 since . cardiovascular: the patient is to continue her toprol. this is not felt to be a syncopal episode or a fall related to arrhythmia. discharge status: status is unclear at the time of this dictation, either to rehabilitation or home with . discharge medications: 1. tylenol #3, one to two p.o.q.6h.p.r.n. 2. regular insulin sliding scale, nph 25 b.i.d. 3. toprol xl 50 q.d. 4. aspirin q.d. 5. lipitor 10 q.d. follow-up care: the patient is to followup with dr. in two weeks. dr., 12-988 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified closed reduction of dislocation of shoulder diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified atrial fibrillation intestinal infection due to clostridium difficile infection and inflammatory reaction due to other vascular device, implant, and graft fall from other slipping, tripping, or stumbling other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms closed anterior dislocation of humerus 

Answer: The patient is high likely exposed to