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: no known allergies / adverse drug reactions attending: chief complaint: unstable angina major surgical or invasive procedure: coronary artery bypass x4(lima-lad,svg-ri,svg-om@,svg-rca) right & left heart catheterization, coronary angiogram,left ventriculogram history of present illness: this 76 year old female was recently discharged from after a prolonged hospital stay for righ pneumonia complicated by prolonged respiratory failure and sepsis requiring 1 week intubation () complicated by demand ischema with nstemi, hypoglycemia, & icu-related delirium now presents with acute onset of shortness of breath and desaturation into the 80's ast her rehab facility. in ed she was found to have st depression and elevated cardiac enzymes. she had a cardiac catheterization and was found to have coronary artery disease and she is now being referred to cardiac surgery for revascularization. past medical history: /o pneumonia with respiratory failure h/o urosepsis h/o pulmonary edema s/p left common femoral/superficial femoral & popliteal angioplasties peripheral vascul;ar disease insulin dependent diabetes mellitus h/p hemorrhagic pancreatitis mobitz i heart block hypothyroidism depression h/o nonhealing left foot ulcer hypertension social history: lives at home with her husband in . tobacco: quit . etoh: denies. illicit drugs: denies. 3 children, 3 grandchildren, 3 great grandchildren. family history: father- lung ca physical exam: physical exam pulse:72 resp:18 o2 sat:97/2l b/p right:138/52 left:129/45 height:5'6" weight:108.2 kgs general: nad, aaox3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally mild wheezing bilat heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + . extremities: warm , well-perfused edema mild edema varicosities: none neuro: grossly intact pulses: femoral right: palp left: palp dp right: palp left: dop pt : dop left: dop carotid bruit right: dop left: dop pertinent results: 05:55am blood hct-25.6* 04:30am blood wbc-6.9 rbc-2.87* hgb-8.6* hct-25.1* mcv-87 mch-30.0 mchc-34.4 rdw-15.4 plt ct-138*# 10:25am blood neuts-75.3* lymphs-18.0 monos-4.1 eos-0.4 baso-2.2* 04:30am blood plt ct-138*# 05:55am blood urean-29* creat-1.3* na-141 k-4.2 cl-103 03:30pm blood alt-8 ast-20 ck(cpk)-36 alkphos-79 amylase-20 totbili-0.3 dirbili-0.2 indbili-0.1 : pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 50 - 55 %). with anterior septal and apical hypokinesis. there is mild global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is in sr, on no inotropes. unchanged biventricular systolic fxn. trace mr, no ai. aorta intact. 05:28am blood hct-24.9* 04:30am blood wbc-6.9 rbc-2.87* hgb-8.6* hct-25.1* mcv-87 mch-30.0 mchc-34.4 rdw-15.4 plt ct-138*# 05:28am blood glucose-114* urean-31* creat-1.2* na-141 k-4.0 cl-103 hco3-32 angap-10 05:55am blood urean-29* creat-1.3* na-141 k-4.2 cl-103 brief hospital course: the patient was brought to the operating room on where she underwent revascularization(lima-lad, avg-rca, sbg-ramus, svg-om2). she weaned from bypass on vasopressin, neosynephrine,propofol and insulin infusions. please see operative note for further details. post-op tee revealed improved ef of 50% from 40% and she was noted to have bradycardia with a hr in the 40's (jr v's chb). she was seen by ep and started on dopamine (preoperative rhythm wenchebach 2:1 50's). her heart rate improved and she returned to her pre-op rhythm. she was extubted on pod#1 and weaned successfully from pressors and inotropes. she was initially confused and narcotics were minimized. she tranferred to the floor on pod #3. beta blockers were held due to rhythm concerns and diuretic therapy was started. by the time of discharge she was below her preoperative weight. she had a slight bump in her creatinine but this was trending back to baseline. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility and it was decided that because of her continued needs she would need rehab services. the patient is a known diabetic and her blood sugars were elevated in the post-operative period. her lantus and novolog sliding scales were increased and she was well controlled. her blood sugars will need to be monitored while at rehab with goal blood sugars of <150. she did received blood post-operatively, her hematocrit remains low but stable at 25. on pod # 5 she was deemed safe to be discharged to at ponds in . the patient refused to go and stayed one more night. on pod #6 she was agreeable to go to rehab and discharged in good condition with appropriate follow up instructions. medications on admission: - albuterol sulfate 0.83% nebulizers q6h prn wheeze, sob - ipratropium bromide 0.02% q6h prn wheeze, sob - paroxetine 40 mg qd - metprolol 6.25 mg - atorvastatin 80 mg qsd - losartan 100 mg qd - hctz 12.5 mg qsd - flovent 100 mcg - aspirin 325 mg qd - deprol 2 mg qd - sc heparin 5000 units tid until at baseline activity - levothyroxine 50 mcg qd - zinc sulfare 220 mg qd - insulin lispro as directed discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 5. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 7. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 8. tolterodine 2 mg tablet sig: one (1) tablet po bid (2 times a day). 9. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for copd. 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for copd. 13. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 14. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 15. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 16. lantus 100 unit/ml solution sig: twenty eight (28) unita subcutaneous once a day. 17. novolin r 100 unit/ml solution sig: per sliding scale injection four times a day: 120-160:2units ac/0 hs;161-200:4units ac/2units hs;201-240:6units ac/4units hs;241-280:8units ac/6units hs. discharge disposition: extended care facility: at ponds discharge diagnosis: unstable angina h/o pneumonia with respiratory failure h/o urosepsis h/o pulmonary edema s/p coronary artery bypass grafts s/p left common femoral/superficial femoral & popliteal angioplasties peripheral vascul;ar disease insulin dependent diabetes mellitus h/p hemorrhagic pancreatitis mobitz i heart block hypothyroidism depression h/o nonhealing left foot ulcer hypertension discharge condition: alert and oriented x3,nonfocal ambulating, gait unsteady sternal pain managed with oral analgesics sternal wound clean and healing well left leg clean and healing well edema: trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call cardiac surgery if need arises for evaluation or readmission to hospital appointments/follow-up surgeon: dr. () on at 1:15pm cardiology:dr. () on at 3:20 please arrange an appointment with: primary care: dr. () in weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters right heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified acquired hypothyroidism other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes other and unspecified hyperlipidemia atrioventricular block, complete long-term (current) use of insulin acute diastolic heart failure subendocardial infarction, subsequent episode of care atherosclerosis of native arteries of the extremities with ulceration mixed acid-base balance disorder ulcer of ankle other and unspecified escherichia coli [e. coli] 

Answer: The patient is high likely exposed to