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: ms. initially presented with increased urinary frequency over the past couple of years as well as incontinence. on examination, she was noted to have an enlarged mass. the patient had an ultrasound revealing an 18 x 13.6 x 20 cm echoic mass consistent with a large right ovarian mass. she also had a 7 x 8 x 4 x 5.5 cm cystic mass in the left ovary. the uterus appeared normal and had a 4 mm endometrial stripe. the patient has a significant cardiac medical history as well as diabetes mellitus. she was seen preoperatively by her primary care provider as well as her cardiologist and received medical clearance. past medical history: the past medical history revealed myocardial infarction 7/. the patient presented to an outside institution with congestive heart failure and mild chest pain. the patient was noted to be having an acute myocardial infarction by cardiac enzyme and ekg changes. she was then transferred to where she underwent cardiac catheterization. she had a stent placed in the lad. the patient has a history of congestive heart failure, hypertension, pacemaker placed in , type ii diabetes mellitus which is insulin requiring, and sleep apnea. past surgical history: none. medications on admission: lasix 40 mg q. day, atenolol, captopril, asa, nph insulin 40 units q.a.m. and 35 units q.p.m. allergies: none. social history: this patient was initially from and does not speak english. the patient has a very supportive family. the patient denies tobacco, ethanol, or drugs. physical examination on admission: vital signs were stable. in general, the patient was in no acute distress. heent examination revealed nonicteric sclerae. lymph node survey was negative. the lungs were clear to auscultation. the heart revealed a regular rate and rhythm. the abdomen was soft and distended. a large mass was palpated in the midline approximately 4 cm superior to the umbilicus. the mass appeared mobile. pelvic examination revealed a small uterus with a normal appearing cervix. the rectovaginal examination was notable for the large mass. no rectovaginal nodularity was noted. the extremities revealed no cyanosis, clubbing, or edema. laboratory data: preoperative hematocrit was 37.5. summary of hospital course serous cystadenoma: on , the patient was taken to the operating room and underwent an examination under anesthesia, exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, omental biopsy, and aspiration of cyst. greater than 2 liters of serous fluid was aspirated from the right cystadenoma. the patient had a normal uterus and fallopian tubes. the patient received a total of 2,300 cc of intravenous fluids intraoperatively and had 55 cc urine output. the total estimated blood loss was 50 cc. the patient did very well intraoperatively and there were no complications. the patient was extubated and moved to the post anesthesia care unit. immediately upon arrival to the pacu, the patient was noted to have rales and clinically appeared to be in heart failure. cardiac: as previously mentioned, shortly after arrival in the post anesthesia care unit, the patient was noted to clinically be in congestive heart failure. the patient had bilateral crackles halfway. the patient received 40 mg of intravenous lasix with a mild diuresis. several hours later, the patient still appeared clinically to be in congestive heart failure and a chest x-ray confirmed this diagnosis. the patient's breathing became more and more labored and the decision was made to re-intubate and transfer the patient to the intensive care unit. the patient was managed in the intensive care unit from postoperative day #0 until postoperative day #4. the patient was ruled out for myocardial infarction by cardiac enzymes. the cks were in the 200 range and the mb fraction was negative. the patient was started on lasix 40 mg iv b.i.d. and she had a good diuresis. on postoperative day #2, the patient was changed to 40 mg p.o. b.i.d. by postoperative day #2, the patient had diuresed well and her vital signs were stable. in addition to the lasix, the patient received intravenous lopressor, enalapril, aspirin, and nitroglycerin paste. there were no ekg changes. on postoperative day #3, the patient was extubated. on postoperative day #4, the patient was transferred to the floor. the patient's lasix was weaned from 40 mg p.o. b.i.d. to 40 mg p.o. q. day. the patient was continued on her cardiac medications and remained stable. pulmonary: the patient was extubated on postoperative day #3. immediately after extubation, the patient was noted to have expiratory wheezes. respiratory care was involved throughout her hospitalization and the patient was started on atrovent and albuterol nebulizers. once being transferred to the floor, the patient also was on flovent and atrovent metered dose inhalers. the patient's pulmonary examination improved during the hospitalization and her lungs were clear on the day of discharge. infectious disease: early on postoperative day #3, the patient spiked a temperature to 100.8. she had a chest x-ray, a urine culture, and a blood culture sent. blood cultures are still pending at the time of this dictation. the chest x-ray was equivocal but did not show an obvious area of consolidation. the patient was noted to have thick yellow sputum from her endotracheal tube. a gram stain of her sputum showed 4+ gram-positive cocci in pairs and chains. the final respiratory culture was sparse growth. the patient was started on levofloxacin for a seven day course. the patient had no further temperature spikes. endocrine: the patient has a history of type ii diabetes, insulin requiring. on postoperative day #1, the patient was on an insulin drip. by postoperative day #3, the patient was not requiring any further insulin. after the patient started tolerating p.o., the patient was changed to an insulin sliding scale. the patient's blood sugars were between the high 100s and low 300s. once the patient was tolerating a regular diet, the patient was started on nph insulin at her usual regimen of 40 units q.a.m. and 35 units q.p.m. during the hospitalization, she was followed by her primary endocrinologist. fluids, electrolytes, and nutrition: the patient was initially npo and on postoperative day #5 was advanced to clears. the patient was then started on a low sodium, diet. genitourinary: the patient had a foley catheter until postoperative day #5. the foley catheter was removed on postoperative day #5 and the patient had no difficulty voiding spontaneously. hematology: during the intensive care unit stay, the patient's platelets were noted to drop from the 170,000s down to 115,000. of note, the patient was on zantac at this time. there was a question as to whether or not the thrombocytopenia was induced by zantac. the patient's zantac was discontinued on postoperative day #4 and her platelets trended upward after this time. postoperative: the final pathology result returned serous cystadenoma. the omental biopsy was negative. from a postoperative standpoint, the patient did very well. once transferred to the floor, she began ambulating to chair with assistance. discharge diagnoses: bilateral serous cystadenoma; postoperative congestive heart failure. discharge medications: lasix 40 mg p.o. q. day, flovent 4 puffs b.i.d., albuterol 2-4 puffs q. 4 hours p.r.n., levofloxacin 250 mg p.o. x a total of 4 days, digoxin 0.25 mg p.o. q. day, lopressor 25 mg p.o. b.i.d., captopril 12.5 mg p.o. t.i.d., nitroglycerin paste 1 inch q. 6 hours, asa 325 mg p.o. q. day, nph insulin 40 units subq. q.a.m. and 35 units subq. q.p.m. discharge instructions: the patient was discharged to home with followup by dr. in two to four weeks. the patient was also to follow up with her primary care physician. patient's primary care physician, . , was contact and updated throughout the hospitalization. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other removal of both ovaries and tubes at same operative episode excision or destruction of peritoneal tissue aspiration of ovary diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified sleep apnea old myocardial infarction cardiac pacemaker in situ benign neoplasm of ovary cervicitis and endocervicitis 

Answer: The patient is high likely exposed to