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 77 year old white female with coronary artery disease, diabetes, hypertension, hypercholesterolemia, chronic renal insufficiency who had been admitted from to with complaint of painful blue toes bilaterally. on workup with magnetic resonance angiography, a 4.2 cm suprarenal abdominal aortic aneurysm was found with multiple large ulcerated plaques throughout the thoracic aorta. the patient was discharged home but was readmitted with the same complaint from to . during admission, the patient complained of persistent nausea and dry heaves. she had elevated liver function tests and amylase that peaked at 609 and a lipase that peaked at 1,691. the patient had a esophagogastroduodenoscopy which showed gastritis. a endoscopic retrograde cholangiopancreatography showed common bile duct dilatation and stricture of the ampulla of vater. a sphincterotomy was done. the patient returned for an elective right axillobifemoral bypass graft. past medical history: 1. coronary artery disease: percutaneous transluminal coronary angioplasty stent in , ejection fraction 55 percent. 2. type 2 diabetes, treated for two years; with neuropathy. 3. hypertension. 4. hypercholesterolemia. 5. gastroesophageal reflux disease/hiatal hernia. 6. chronic renal insufficiency. 7. colon polyps. 8. osteoarthritis. 9. anxiety/panic attacks. 10. breast cancer. 11. suprarenal abdominal aortic aneurysm 4.2 cm. 12. acute pancreatitis, . 13. cirrhosis, seen on magnetic resonance angiography in . past surgical history: 1. left mastectomy for cancer. 2. bilateral trigger finger release. 3. cholecystectomy. family history: unknown, the patient is adopted. social history: the patient lives in senior housing complex. she ambulates with a walker. she stopped smoking cigarettes two years ago. she stopped drinking alcohol eight years ago. allergies: 1. penicillin causes hives. 2. doxycycline causes hives. 3. codeine causes nausea and vomiting. 4. ibuprofen causes nausea and vomiting. 5. nexium causes decreased platelets and decreased white blood count. medications on admission: 1. plavix 75 mg p.o. q.d. 2. aspirin 81 mg p.o. q.d. 3. lopressor 50 mg p.o. b.i.d. 4. amlodipine 10 mg p.o. q.d. 5. triamterene/hydrochlorothiazide 10 p.o. q.d. 6. lipitor 10 mg p.o. q.d. 7. zoloft 25 mg p.o. q.d. 8. protonix 40 mg p.o. q.d. 9. reglan 10 mg p.o. q.i.d. before meals and at bedtime. 10. glargine 18 units subcutaneously q.h.s. 11. humalog 75/25 8 units at breakfast, 6 units at noon, and 4 units at supper. physical examination: vital signs, heart rate 99, blood pressure 192/87, oxygen saturation equals 96 percent on room air. height 5 feet 4 inches, weight 158 pounds. general, alert, cooperative but anxious white female in no acute distress. heart, regular rate and rhythm with a iii/vi systolic ejection murmur. lungs clear bilaterally. laboratory data: admission laboratory data from , white blood count 4.9, hematocrit 33.7, platelets 106,000, pt 13.2, ptt 26.0, inr 1.2. sodium 142, potassium 3.4, chloride 109, bicarbonate 21, bun 21, creatinine 2.0, glucose 164, ast 37, alt 47, alkaline phosphatase 239, amylase 89, calcium 8.9, phosphorus 2.7, magnesium 1.3. hospital course: the patient was admitted to the hospital on , following an uneventful right axillobifemoral bypass graft. at the end of surgery the patient had an equally warm foot with a palpable right dorsalis pedis and dopplerable right posterior tibial and left pedal pulses. the patient was started on intravenous heparin. she was given several doses of clindamycin perioperatively. postoperatively the patient had some hypotension secondary to hypovolemia. she was treated with intravenous fluids and packed red blood cells. her urine output diminished and she was bolused several times with saline. the patient's admission creatinine had been 1.7 and on postoperative day #2 had increased to 2.8. renal service was consulted and thought the patient to be in acute renal failure with possibly progression to acute tubular necrosis. renal ultrasound was done which showed left kidney atrophy. the right kidney was not seen. both kidneys had been seen on magnetic resonance imaging in . the patient's urine output and renal function improved. on , the patient's creatinine was 0.9. the renal service recommended that the patient follow up with the renal service at clinic where she gets her care or with the renal service at . cardiology was consulted regarding the patient's irregular rhythm which was determined to be first degree atrioventricular block with escape beat and a rate from 40 to 110. the patient was asymptomatic. no further treatment of the arrhythmia was recommended. recommendations regarding medications were given. the patient was to continue on plavix until , follow up for nine months following her percutaneous transluminal coronary angioplasty/stent. on postoperative day 2, the patient developed complete heart block. she was transferred to the cardiac care unit where a temporary transvenous pacer was placed. the electrophysiology service placed a dual chamber ddd pacemaker on . the patient was transferred back to 9 on . the patient has developed thrombocytopenia to a low of 52,000 from 90,000 on admission. the patient had a prior experience with nexium which caused thrombocytopenia. the patient's protonix was stopped. the patient's hit antibody was negative. the patient received one unit of platelets prior to placement of the permanent pacemaker. cardiology recommended no platelet transfusion unless platelets were less than 50,000. on postoperative day 6, the patient developed a small amount of drainage from both groin incisions. kefzol was stopped and vancomycin 1gm intravenously q. 24 hours was started. preliminary cultures grew heavy staphylococcus aureus coagulase positive, heavy diphtheroids and moderate growth of probable enterococcus. course of antibiotic therapy will be decided at discharge. anticoagulation with coumadin for the patient's bypass graft was started. most recent inr is 1.2 after two doses of coumadin of 3 mg. plavix was stopped. the patient received 2 units of packed red blood cells for a hematocrit of 28.4 on . post transfusion hematocrit is 32.3. at the time of dictation, the patient's surgical incision in the right upper chest was clean, dry and intact. her groin incisions were intact. there was a small amount of serous drainage bilaterally. her feet were equally warm with minimal mottling. she had dopplerable pedal pulses bilaterally. the patient will follow up with dr. per instructions at time of discharge. she will also follow up with the renal service in the clinic. medications on discharge: 1. vancomycin 1 gm intravenously q. 24 hours, course to be determined at the time of discharge. 2. coumadin 3 mg p.o. q.d., goal inr is 2 to 2.5. 3. aspirin 81 mg p.o. q.d. 4. lopressor 25 mg p.o. b.i.d. 5. lisinopril 2.5 mg p.o. q.d. 6. lipitor 10 mg p.o. q.d. 7. colace 100 mg p.o. b.i.d. 8. lactulose 30 ml p.o. q. 8 hours prn. 9. ambien 5 to 10 mg p.o. q.h.s. prn. 10. saline nasal spray 1 to 2 sprays q.i.d. prn. 11. zoloft 25 mg p.o. q.d. 12. percocet 1 to 2 tablets p.o. q. 4-6 hours prn pain. 13. tylenol 325 to 650 mg p.o. q. 4-6 hours prn. condition on discharge: satisfactory. disposition: short term rehabilitation stay. principal diagnosis: 1. blue toe syndrome secondary to atheroemboli from suprarenal aortic aneurysm with multiple large ulcerated plaques. 2. right axillobifemoral bypass graft on . secondary diagnosis: 1. postoperative acute renal failure, resolved. 2. hypovolemia. 3. complete heart block; dual chamber ddd pacemaker placed on . 4. blood loss anemia, status post transfusions. 5. thrombocytopenia: hit negative, proton pump inhibitor stopped. 6. coronary artery disease: percutaneous transluminal coronary angioplasty/stent in . 7. type 2 diabetes. 8. hypertension. 9. hypercholesterolemia. 10. chronic renal insufficiency. 11. anxiety/panic attacks. 12. status post left mastectomy for cancer. 13. cirrhosis of the liver. , md 2278 procedure: other (peripheral) vascular shunt or bypass initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system other surgical occlusion of vessels, lower limb arteries transfusion of packed cells diagnoses: thrombocytopenia, unspecified acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) cardiac complications, not elsewhere classified personal history of malignant neoplasm of breast diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled atrioventricular block, complete urinary complications, not elsewhere classified atheroembolism of lower extremity 

Answer: The patient is high likely exposed to