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: this is a 66-year old female with a history of congestive heart failure, diabetes, and peripheral vascular disease who presents with 6 weeks of bilateral medial malleolar ulcerations and bilateral lower extremity cellulitis (right greater than left). this has been complicated by a recent (4.5 weeks ago) medial malleolar fracture. the patient also complains of bilateral foot pain which is worse with a.m. ambulation. ulcer healing has waxed and waned. the patient was referred here for further evaluation and treatment. she denies any shortness of breath, chest pain, weakness, numbness, amaurosis, fevers, chills. does admit to nausea. denies vomiting. allergies: no known drug allergies. medications on admission: include lipitor 10 mg daily, avandia 4 mg b.i.d., aspirin 81 mg daily, zantac 150 mg b.i.d., colace 100 mg b.i.d., senokot tablets 1 b.i.d., allopurinol 100 mg b.i.d., vicodin tablets 1 q.12h. p.r.n., lasix 80 mg daily, compazine 10 mg q.6h. p.r.n., procrit 40,000 units subcutaneously weekly, diovan, hydrochlorothiazide daily. physical examination: vital signs of 98.5, 96, 22, blood pressure of 146/82, oxygen saturation of 95%. general appearance is a very pleasant white female in no acute distress. neurological exam is remarkable for left facial drooping. chest exam reveals lungs are with crackles bilaterally at the bases. heart has a regular rate and rhythm without murmur. heent exam shows bilateral carotid bruits and jvd. abdominal exam is unremarkable. extremity exam with 2+ edema bilaterally with shallow ulcerations on the medial aspect of both ulcerations. pulse exam shows palpable radial's and femoral's bilaterally. dp's are triphasic signals only. pt's are monophasic dopplerable signals on the right and triphasic on the left. hospital course: the patient was admitted to the vascular service. wound cultures were obtained. cardiology medicine was requested to see the patient because of her congestive heart failure on admission chest x-ray. the patient was transferred to the medicine service for further evaluation and treatment of congestive heart failure. the patient an echocardiogram done which showed symmetrical left ventricular hypertrophy with global and regional systolic dysfunction, consistent with multivessel coronary artery disease or other diffuse process. in the absence of systolic hypertension and infiltrative process should be considered. there is moderate pulmonary systolic hypertension, moderate tricuspid regurgitation, right ventricular cavity is enlarged, free wall is hypokinetic. the patient underwent a myocardial perfusion stress which demonstrated a transient dilatation of the left ventricle with stress. the stress perfusion images showed a moderate reduction in tracer distribution involving the mid and distal inferolateral wall. he rest perfusion images demonstrated this defect to be reversible. stress perfusion images additionally demonstrate a moderate defect in the tracer uptake of the apex, and this defect was partially reversible. the stress also demonstrated moderately reversible defects in the mid and distal anteroseptal wall. calculated ejection fraction was 29%. once the patient was compensated for her congestive heart failure and her renal function stabilized, she underwent a cardiac catheterization on with documented 3- vessel disease with markedly elevated and right and left- sided filling pressures. she underwent /diagonal and an angioplasty to the lad with partially successful ptca of the right coronary. this was transected by catheter during the catheterization. the patient was transferred to the ccu for continued monitoring and rule out. troponin levels were 0.59, 0.19, 0.08. the patient remained on the cardiology service. aspirin, plavix, and lopressor were continued. she required a transfusion for a low hematocrit. this was related to her chronic myelodysplasia disorder. a transesophageal echocardiogram was obtained immediately post cardiac catheterization. there was a small pericardial effusion. there was no echocardiographic sign of tamponade. the patient did experience contrast renal failure post cardiac catheterization and required aggressive treatment for hyperkalemia. the peak creatinine was 3.0. the patient finally returned to baseline renal function with a creatinine of 1.9 on . the patient was transferred to the vascular service that same day. the patient was pre hydrated with mucomyst and sodium bicarbonate infusion and underwent a peripheral arteriogram on . the patient tolerated the procedure. she was without hematoma, and her creatinine remained stable. the patient was seen by the orthopaedic service for her ankle fracture. recommendations were bivalved cast with nonweightbearing and that further surgical orthopaedic intervention would be done after her cardiac and peripheral vascular problems were addressed. the patient requested on a desire to be discharged to home during the holiday. dr. was agreeable. the patient has discussed this with family and made arrangements for discharge over the weekend. the patient will return on to be readmitted for elective revascularization of the right lower extremity on . medications on discharge: 1. atorvastatin 80 mg daily. 2. enteric coated aspirin 325 mg daily. 3. plavix 75 mg daily. 4. metoprolol sustained release 50 mg daily. 5. isosorbide mononitrate 30 mg daily. 6. colace 100 mg b.i.d. 7. protonix 40 mg daily. 8. hydrocodone/acetaminophen 5/500-mg tablets 1 to 2 tablets q.6h. p.r.n. (for pain). 9. hydralazine 50 mg q.6h. 10. calcium carbonate 500 mg daily. 11. vitamin d3 400-unit tablet daily. 12. glargine insulin 15 units at bedtime. 13. regular insulin sliding scale before meals and at bedtime as follows: glucose less than 150 use 1 unit, glucose of 151 to 200 use 3 units, glucose of 201 to 250 use 5 units, glucose of 251 to 300 use 7 units, glucose of 301 to 350 use 9 units, glucose of 351 to 400 use 11 patient will be instructed regarding insulin usage and administration prior to discharge. discharge diagnoses: 1. bilateral medial malleolar ischemic ulcerations. 2. type 2 diabetes; uncontrolled. 3. new insulin-dependent diabetic. 4. myelodysplastic anemia; refractory - transfused. 5. congestive heart failure; compensated. 6. chronic renal insufficiency exacerbated by contrast- induced acute tubular necrosis. 7. coronary artery disease with a positive stress test; status post arteriogram with stenting of the left anterior descending/diagonal and angioplasty of the left anterior descending with attempted angioplasty of the right coronary artery with catheter transection resulting in a myocardial infarction. recommended followup: the patient is recommended to be readmitted on for elective revascularization on . major surgical-invasive procedures: 1. arteriogram of pelvic vessels and right leg runoff on . 2. cardiac catheterization with intervention on . condition on discharge: stable. , procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass aortography transfusion of packed cells application of other cast injection or infusion of nesiritide insertion of drug-eluting coronary artery stent(s) diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified accidental puncture or laceration during a procedure, not elsewhere classified unspecified disease of pericardium cellulitis and abscess of leg, except foot long-term (current) use of insulin unspecified accident diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled anticoagulants causing adverse effects in therapeutic use urinary complications, not elsewhere classified atherosclerosis of native arteries of the extremities with ulceration unspecified fracture of ankle, closed ulcer of ankle accidental cut, puncture, perforation or hemorrhage during heart catheterization 

Answer: The patient is high likely exposed to