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: the patient is an 89-year-old female with a history of coronary artery disease, hypercholesterolemia, and hypertension who presented to hospital on feeling "flushed" and admitting to progressive angina. the patient apparently had been having intermittent chest pain over the past six months which she stated was worse with exertion and was now presenting even at rest. the patient denied any cough, fevers, or chills. during her workup at the hospital, the patient was discovered to have a left bundle-branch block. it was unclear whether this was a new or old finding. the patient was also clinically in congestive heart failure. enzymes done at the outside hospital revealed an elevated troponin of 0.5. the patient was transferred to for cardiac catheterization. the cardiac catheterization demonstrated 3-vessel disease with a 90% stenosis of the right coronary artery, a 40% stenosis of the left anterior descending artery, and the left circumflex artery. the patient's ejection fraction was approximately 40%. the echocardiogram also showed a 2+ mitral valve regurgitation and no aortic stenosis. the patient was referred to cardiothoracic surgery for possible coronary artery bypass graft at that time. past medical history: 1. hypercholesterolemia. 2. hypertension. 3. congestive heart failure (with an ejection fraction of 40%). 4. coronary artery disease. 5. degenerative joint disease. allergies: no known drug allergies. medications on admission: 1. aspirin 325 mg by mouth once per day. 2. captopril 12.5 mg by mouth three times per day. 3. lasix 80 mg by mouth once per day. 4. lopressor 12.5 mg by mouth once per day. 5. potassium. 6. plavix 75 mg by mouth once per day. 7. digoxin 0.125 mg by mouth once per day. 8. ativan as needed. physical examination on presentation: on physical examination the patient was afebrile, her blood pressure was 175/69, her heart rate was 100, her respiratory rate was 18, and her oxygen saturation was 95% on room air. on general examination the patient was pleasant, alert, and oriented. she spoke mostly and a few english words. head, eyes, ears, nose, and throat examination revealed the mucous membranes were moist. neck examination revealed positive jugular venous distention. cardiovascular examination revealed normal first heart sounds and second heart sounds. there was a 2/6 systolic ejection murmur at the left upper sternal border. respiratory examination revealed the lungs were clear to auscultation bilaterally. abdominal examination revealed there were positive bowel sounds. the abdomen was soft, nontender, and nondistended. extremity examination revealed 1+ pitting edema throughout her lower extremities. pertinent laboratory values on presentation: laboratory data obtained from the outside hospital revealed complete blood count with a white blood cell count of 9.5, her hematocrit was 33.2, and her platelets 261. chemistry-7 revealed her sodium was 140, potassium was 3.3, chloride was 98, bicarbonate was 29, blood urea nitrogen was 33, creatinine was 1, and her blood glucose was 88. pertinent radiology/imaging: electrocardiogram done at revealed a sinus rhythm at 84 beats per minute with a left anterior descending artery and left bundle-branch block. the electrocardiogram was also suggestive of ischemia with st wave abnormalities. concise summary of hospital course: the patient was initially admitted to the cardiology medicine service where she was placed on a nitroglycerin drip. the patient was evaluated by the cardiothoracic surgery service for a possible coronary artery bypass graft, and the patient decided to undergo the procedure. on the patient complained of increasing chest pain. an electrocardiogram done at that time revealed lateral st changes. the patient was increased on her nitroglycerin drip, morphine, and beta blockade and her pain resolved. a repeat electrocardiogram revealed resolution of st changes. the patient denied any shortness of breath, lightheadedness, or further chest pain following that episode. due to the patient's known coronary artery disease and increasing unstable angina, the patient decided to undergo the coronary artery bypass grafting on . the patient underwent an aortic valvuloplasty/coronary artery bypass graft times four. the attending surgeon was dr. . for complete details of the operation, please see the operative report dictated on that day. coming out of the operating room, the patient remained intubated and was placed on neo-synephrine drip at 0.8 mcg/kg per minute and a dobutamine drip of 7.5 mcg/kg per minute. the patient was transferred to the cardiothoracic surgery recovery unit for recovery. the patient was maintained on dobutamine, nipride, and nitroglycerin drips titrated to keep her systolic blood pressure approximately 120. her chest tubes drained a small amount of serosanguineous fluid (approximately 2 cc to 3 cc). on postoperative day one, the patient demonstrated extremely labile blood pressures, and her nitroglycerin and nipride were titrated to maintain her systolic blood pressure at 120 to 130. her dobutamine drip was decreased from 7.5 mcg to 5 mcg. an initial continuous positive airway pressure trial was done, but the patient was unable to be weaned. continuing on, on postoperative day one, the patient was noted to have her eyes open only to painful stimuli and a left deviated gaze with nystagmus. the patient was able to move her lower extremities to stimulation with the left greater than the right, and no movement was noted of her upper extremities. the patient was seen and evaluated by the stroke team on postoperative day two as the patient was not waking up off her sedation. it was noted that the patient did not open her eyes to voice or sternal rub. her pupils were noted to be deviated toward the left with a positive doll's eye sign. due to these findings, the patient underwent a computed tomography of her head to evaluate for a possible embolic event. this computed tomography showed multiple embolic hypodensities in the region of the right cerebellum, right occipital lobe, left temporal, and the right/left frontal lobes. the recommendations of the stroke team were to keep the blood pressure up for a systolic blood pressure of 140 to 160, continuation of her aspirin and plavix, and evaluate with a magnetic resonance imaging/magnetic resonance angiography of her head when available. on postoperative day three, the patient continued to remain unresponsive and unable to open her eyes at all. the patient was able to move her legs spontaneously and also with noxious stimuli but had not moved her upper extremities at all. the patient's neo-synephrine drip was weaned down to 1.5 mcg/kg per minute, the dobutamine down to 5 mcg/kg per minute, and the neo-synephrine was titrated to 0.5 mcg/kg per minute. the patient's family was informed of the complications surrounding the surgery. on postoperative day four, the patient demonstrated eye opening to voice and noxious stimulation and also spontaneously moved her left lower extremity. the patient had no other movement and was clinically unchanged. the patient continued to be weaned off her multiple cardiac drips with good results. on postoperative day six, the patient underwent a tracheostomy and percutaneous endoscopic gastrostomy tube placement at the bedside. the patient tolerated these procedures well. on postoperative day seven, the patient was noted to have an increase in the amount of secretions coming from her tracheostomy, and this was sent for culture. the culture eventually grew staphylococcus aureus which was later identified as methicillin-resistant staphylococcus aureus. the patient had been placed on vancomycin for this infection. it was additionally noted that the patient had marooned-colored stools, for which she was placed on flagyl pending a clostridium difficile culture. the patient eventually did grow out clostridium difficile and was continued on the flagyl. with the percutaneous endoscopic gastrostomy tube in place, the patient was started up on tube feeds (probalan) at a rate of 10 cc per hour. the patient continued to be weaned off of her tracheostomy; although, her pulmonary status improved very slowly. neurologically, the patient was unchanged. she would occasionally open her eyes to noxious stimulation at others but with no purposeful movement. the patient was unable to track visually, and she had no response to her eyelashes being touched or cough reflex. there was no movement of the upper extremities and nonpurposeful movement of the lower extremities. on , on postoperative day eight, the patient was weaned off her neo-synephrine and remained only on amiodarone 0.5 mg per minute for a drip. the patient continued to be weaned off her mechanical ventilation. by postoperative day ten, the patient was weaned off her continuous positive airway pressure and just placed on tracheostomy mask with an fio2 of 50%. the patient remained neurologically unchanged with no purposeful movement and no tracking of her eyes. the patient's white blood cell count was noted to increase to 29 on postoperative day ten, and she was pan-cultured. her central lines were removed and sent for culture as well. the patient was continued on vancomycin and flagyl. on postoperative day eleven (on ), it was noted that the patient's urine output had decreased to approximately 15 cc per hour. the patient was evaluated by the renal team for possible renal failure. it was determined that the patient was in mild tubular necrosis and was advised to keep ins-and-outs equal and to avoid active diuresis. these recommendations were followed, and the patient's renal function did improve over the next few days. the patient continued to remain unresponsive with no noticeable change in her mental status. the family had been in many times to see the patient. extensive conversations were made regarding the quality of life of the patient. the daughter stated that she did not want any heroic measures if it was determined that the patient would not be able to return to her baseline quality of life. the daughter did agree to continuation of tube feeds and the use of antibiotics, and she requested the use of morphine to make the patient comfortable. on , it was noted that the patient started to have an increased amount of edema and fluid exudate from all of her old puncture sites. the patient also had an increase in thick/tan copious sputum and coarse breath sounds throughout. the patient was given aggressive pulmonary toilet and continued on her antibiotics. cardiovascularly, the patient's status did not improve and the patient had to be placed on a dopamine drip running at 4 mcg/kg per minute. attempts to wean the patient off of this dopamine was not tolerated for long periods of time before the patient had to be increased back to a baseline of 4 mcg/kg to stabilize her blood pressure. the patient remained in a normal sinus rhythm with no ectopy noted. from a pulmonary standpoint, the patient continued to produce thick amounts of tan sputum but remained at 96% to 100% oxygen saturation with 40% oxygen on her tracheostomy mask. the patient's renal status had stabilized where she would continually make between 15 cc and 30 cc per hour. on , the patient was transferred out of the cardiothoracic surgery recover unit to a bed on the floor. the patient continued to be unchanged as far as her neurologic status; remaining unresponsive and unable to open her eyes spontaneously. the patient was still unable to track. the patient did not make any purposeful movements. cardiovascularly, the patient remained in a normal sinus rhythm with a systolic blood pressure of approximately 110. the patient had been decreased in small increments to the point where the patient was able to maintain her blood pressure without the dopamine drip. the patient remained on a tracheostomy collar with 35% fio2 with her oxygen saturations remaining greater than 93%. the patient continued to have coarse breath sounds bilaterally on auscultation and tan sputum production. from a genitourinary standpoint, the patient continued to have low urine output of approximately 10 cc to 30 cc per hour and a rising blood urea nitrogen and creatinine. the blood urea nitrogen and creatinine on transfer was 63 and 1, respectively. the patient was maintained on an equal amount of fluid in and out. while on the floor, the patient was maintained on her tube feeds in addition to her antibiotics (vancomycin, levofloxacin, and flagyl). the patient remained neurologically unchanged. the patient's family reiterated their desire for her do not resuscitate/do not intubate status with no heroic measures made. on it was noted by the staff that the patient appeared to be in some pain while the patient was turned for basic care. the patient was started up on a morphine drip placed at 3 mg per hour. the patient appeared to be resting more comfortably, showing less symptoms and less agitation. on , the patient continued to be unresponsive and her respiratory status began to decrease. the patient was noted to have agonal breathing on the evening of . also on this day, the patient's urine output dropped from her baseline of 20 cc to 30 cc to zero. the patient was bolused several times with normal saline as well as given lasix in an attempt to elicit a response from her without success. the patient continued to receive nebulizers and oral suctioning to make her breathing easier. the patient was also continued on her morphine drip and appeared to be resting comfortably. on the morning of the patient continued to be lethargic with no response to voice or painful stimulation. the patient continued to have thick yellow sputum coming from her tracheostomy. the patient's blood pressure decreased throughout the night down to 46/21. at approximately 0830, on the morning of the patient expired. the family was notified of this event, and it was decided not to pursue a postmortem. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy transfusion of packed cells open heart valvuloplasty of aortic valve without replacement diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis mitral valve insufficiency and aortic valve insufficiency rheumatic heart failure (congestive) bacteremia intestinal infection due to clostridium difficile infection and inflammatory reaction due to other vascular device, implant, and graft iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to