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 drug allergy information on file attending: chief complaint: post operative st elevation myocardial infarction major surgical or invasive procedure: intubation history of present illness: 78 year old female with history of hypertension, hypercholesterolemia, coronary artery disease with past angioplasty x2, congestive heart failure, paroxysmal atrial fibrillation, s/p aortic valve replacement and mitral valve repair for rheumatic disease, who presented initially to on for infected artificial knee hardware and sepsis. after undergoing resection arthroplasty the patient was transferred to the icu, where she became hypotensive (sbp 48) with 3mm st elevations seen in inferoseptal leads on ecg. ck was elevated >1600 and troponin t was >50. patient was transferred to for urgent cardiac catheterization. levophed and dopamine infusions were started and the patient was intubated upon arrival. in catheterization, one drug eluting stent was applied to a 80% occluding right coronary artery lesion without residual flow defect. the patient became hypotensive and developed ventricular tachycardia during the procedure requiring addition of a lidocaine infusion, maximal levophed and dopamine delivery, and balloon pump placement. she was transferred to the ccu for further management since her cardiac output was low at 1.8 (ci 1.2 pcwp 18) and she continued to be hypotensive. of note, echocardiogram on showed dilated lv, severe pulm htn 70mmhg, moderate mr, mild tr, lvh, and normally functioning porcine av. ejection fraction was normal and no wall motion abnormalities were seen. past medical history: coronary artery disease with past angioplasty x2, congestive heart failure, paroxysmal atrial fibrillation, s/p aortic valve replacement and mitral valve repair for rheumatic disease, chronic renal insufficiency and acute renal failure, paroxysmal atrial fibrillation (retroperitoneal bleed on coumadin ), chronic anemia, copd, rheumatoid arthritis, lacunar infarct, cortical atrophy, facial droop, peptic ulcer disease nsaids, diverticulosis, short bowel syndrome, neuropathy, recurrent uti/pyelonephritis caused by serratia and klebsiella, s/p colectomy for bowel ischemia, s/p ileostomy for recurrent lower gi bleeding, s/p bilateral total knee replacement c/b recurrent infection of the right knee (s/p incision and drainage for infection with klebsiella, proteus, e.coli), degenerative disc diasease, s/p appendectomy, s/p cholecystectomy, s/p hysterectomy, s/p tracheostomy social history: home health services living with daughter family history: father and brother died of mi physical exam: the patient was unresponsive and found to be breathless, pulseless, and without heart tones, blood pressure, and corneal reflexes. the patient was pronounced dead at 0515 on . the patient's private physician and family were notified. they refused anatomic gifts and autopsy. pertinent results: 10:50pm type-art o2 flow-100 po2-404* pco2-31* ph-7.18* total co2-12* base xs--15 intubated-intubated 10:50pm glucose-100 k+-3.5 10:50pm hgb-12.2 calchct-37 o2 sat-96 12:56am blood wbc-26.7* rbc-3.09* hgb-9.5* hct-28.2* mcv-92 mch-30.7 mchc-33.5 rdw-15.1 plt ct-237 12:56am blood pt-18.7* ptt->150* inr(pt)-2.2 12:56am blood ck(cpk)-1416* 12:56am blood ck-mb-242* mb indx-17.1* ctropnt-20.53* 12:56am blood calcium-7.0* phos-4.1 mg-1.7 03:02am blood type-art po2-180* pco2-38 ph-7.29* calhco3-19* base xs--7 01:03am blood type-art po2-305* pco2-25* ph-7.08* calhco3-8* base xs--21 10:50pm blood type-art o2 flow-100 po2-404* pco2-31* ph-7.18* calhco3-12* base xs--15 intubat-intubated 01:03am blood glucose-110* lactate-7.9* na-134* k-3.8 cl-112 03:02am blood lactate-7.6* 01:03am blood freeca-1.09* brief hospital course: 78 year old female with multiple medical problems who developed an acute myocardial infarction after orthopedic surgery at . . cardiovascular-she had known coronary disease with prior angioplasties as well as atrial fibrillation and valvular disease. at the osh, the patient became hypotensive with signs of inferoseptal myocardial infarction on ecg. at , the patient received one stent that fully opened an 80% lesion in the proximal right coronary artery. no flow limiting disease was seen in in the lcx or lad. however, the patient developed hypotension and required intubation plus pressure support with monitoring in the icu. in spite of aggressive care on levophed, dobutamine, vasopressin, and lidocaine; the patient became increasingly bradycardic and expired approximately 6 hours after admission to . she was given plavix and aggrastat. calcium and electrolytes were repleted. . pulmonary-intubated for airway protection. fentanyl and versed infusions for sedation. she developed lactic acidosis (lactate 7.9) with respiratory compensation. bicarbonate supplementation was given without significant improvement. . renal- at baseline cr 1.4. medications were renally dosed. . musculoskeletal- the patient was status post right knee resection arthroplasty with drain in place for recurrent right knee prosthetic infections. fluid analysis identified many pmns but no organism on gram stain. preliminary cultures grew gram negative rods resembling serratia. it was sensitive to ceftriaxone, ceftazidime, cefepime, ciprofloxacin, gentamicin, imipenem, levoquin, bactrim, and augmentin. resistant to ampicillin, piperacilliin, tetracycline, and cefazolin. infectious disease consultation at the osh had started ceftriaxone 2g iv and vancomycin 650mg iv daily, which was continued at . the patient did not have fever but developed a post mi leukocytosis. . gi-iliostomy care. . fen: npo, albumin at osh 2.9, hypocalcemia cca 7.9/free ca 1.08(ca 9.6->7), hypomagnesemia. repleted ca and mg. supplemented sodium bicarbonate for acidosis. . mrsa and aspiration precautions. . access: femoral line and left portacath in place. left radial arterial line placed at . . code: full . hcp is her daughter, w, who was present at the time of death. medications on admission: home meds: protonix 40', neurontin 300''', lasix 40', lomotil 2.5'''', plavix 75', verapamil 40''', ultram osh added calan, tylenol, vicodin, tigan, phenergan, compazine, senna, mvi, mom, dulcolax, , magnesium all: pcn (swelling), aspirin (pud), egg and swordfish(swelling) discharge medications: expired discharge disposition: expired discharge diagnosis: expired due to hypotension and shock in spite of aggressive care. thought due to acute anteroseptal myocardial infarction after orthopedic surgery at an outside hosptial. secondary: coronary artery disease with past angioplasty x2, congestive heart failure, paroxysmal atrial fibrillation, s/p aortic valve replacement and mitral valve repair for rheumatic disease, chronic renal insufficiency and acute renal failure, paroxysmal atrial fibrillation (retroperitoneal bleed on coumadin ), chronic anemia, copd, rheumatoid arthritis, lacunar infarct, cortical atrophy, facial droop, peptic ulcer disease nsaids, diverticulosis, short bowel syndrome, neuropathy, recurrent uti/pyelonephritis caused by serratia and klebsiella, s/p colectomy for bowel ischemia, s/p ileostomy for recurrent lower gi bleeding, s/p bilateral total knee replacement c/b recurrent infection of the right knee (s/p incision and drainage for infection with klebsiella, proteus, e.coli), degenerative disc diasease, s/p appendectomy, s/p cholecystectomy, s/p hysterectomy, s/p tracheostomy discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using a single catheter insertion of endotracheal tube implant of pulsation balloon angiocardiography of right heart structures right heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation true posterior wall infarction, initial episode of care paroxysmal ventricular tachycardia heart valve replaced by other means cardiogenic shock other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to