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: service: medicine the patient is a 66-year-old white female, poor historian with a past medical history significant for alzheimer's dementia, asthma, coronary artery disease, status post myocardial infarction, trigeminal neuralgia, status post recent trigeminal release requiring left craniotomy on of a two day history of short of breath and a cough and a one week history of malaise. in addition she had right arm tenderness and swelling at an old intravenous site. she denied short of breath, cough, chest pain, palpitations, nausea, vomiting, urinary symptoms, diarrhea, constipation or headache. she did complain of a decreased appetite and decreased p.o. intake at home. in the emergency department dropped from 190 to 60 and she was started on dopamine drip and intravenous fluids. initially levaquin and oxacillin were given to cover her for potential urine source and for cellulitis however, this medication was changed to vancomycin in the emergency room for broader coverage. in addition she was found to have electrocardiogram changes with significant st elevation in v1 through v6 of 1 mm and in leads 3 and avf. she had q-waves in lead v2 through v6 with loss of rs in comparison to electrocardiogram on . she was transferred to the intensive care unit for further stabilization. past medical history: 1. chronic obstructive pulmonary disease. 2. asthma. 3. hypertension. 4. coronary artery disease, status post anterior myocardial infarction in . 5. att, mibi in with greater than 55% ejection fraction. small fixed anterior defect. 6. trigeminal neuralgia status post release on . 7. alzheimer's dementia. social history: she lives alone and has supportive daughter. denies alcohol use although the patient has a drinking history. no current tobacco use. the patient with smoking history. medications on admission: 1. albuterol 2 puffs q.i.d. 2. aricept 10 mg p.o. q day. 3. aspirin 81 mg p.o. q day. 4. tums 500 mg p.o. b.i.d. 5. lasix 20 mg p.o. q day. 6. univasc 7.5 mg q day. 7. tegretol 300 mg p.o. b.i.d. 8. theophylline 200 mg p.o. three times a day 9. transinolone 6 puffs b.i.d. 10. vitamin e. allergies: 1. bactrim causes rash. 2. augmentin causes rash. physical examination: vital signs: t-max was 130.1, temperature 100.8, blood pressure 80 to 120's/50 to 70's. heart rate 100 to 110, respirations 22. she was alert and oriented times three in moderate distress. her head was normocephalic, atraumatic. pupils were equally reactive to light and accommodation. her neck was supple. no evidence of jugular venous distention. positive craniotomy site with scar, staples removed. her mucous membranes were moist. her heart was regular rate and rhythm with s1 and s2. she had a 2 to 3/6 systolic ejection murmur. her lungs were clear to auscultation bilaterally without wheezing, rhonchi or rales. abdomen soft, nontender, nondistended. normal active bowel sounds, obese. her right arm was warm and tender to palpation, edematous with erythema surrounding old intravenous site, antecubital and extended proximally over biceps. sensation was intact. pulses intact. no lower extremity edema. labs: white blood count 12.4, left shift with neutrophils 92.3, hematocrit 88.2, platelets 391, sodium 133, potassium 2.1, chloride 89, bicarbonate 28, bun 7, creatinine 4.6. glucose 129, calcium 8.5, magnesium 1.3, phosphorus 2.1, prothrombin time 13.2, ptt 26.8, inr 1.2. urinalysis was clear. no evidence of infection. chest x-ray showed a minimal opacity in her left lower lobe, no evidence of congestive heart failure. electrocardiogram is normal sinus rhythm at 98 beats per minute, left anterior descending, normal intervals, st elevation in 1 mm in v1 through v6 and lead 3 and avf. q-waves in v2 through v6 with loss of r-waves compared to . hospital course: 1. infectious disease. initial blood cultures grew gram positive cocci in clusters 4/4 bottles. she was continued on vancomycin until oxacillin sensitivities were acquired. she continued to spike fevers through , gentamicin was started for synergy. infectious disease was consulted to evaluate the patient, they recommended serial blood cultures as well as right upper extremity ultrasound. ultrasound revealed a right cephalic vein with thrombophlebitis, no evidence of an abscess or fluid collection. repeat blood cultures were negative. she was also evaluated with a transesophageal echocardiogram for endocarditis. she was discharged with a picc line to rehabilitation in order to receive outpatient oxacillin for a total of 4 weeks after the last negative blood culture. 2. cardiac. on she presented to the emergency department with electrocardiogram changes as noted and a troponin of 7.5 consistent with myocardial infarction. serial cardiac enzymes trended downward. an echocardiogram was done which revealed focal hypokinesis of the apical free wall of the right ventricle as well as a mild regional left ventricular systolic dysfunction, left hypokinesis of the distal septum, inferior and apical walls. her ejection fraction was noted to be 40% heparin was not started due to her recent intracranial surgery however, she was placed on a beta-blocker, ace inhibitor and aspirin. after three weeks from her postoperative date the plan is to consider anti-coagulation given the upper extremity clot. 3. pulmonary. the patient has a history of asthma, treated with theophylline and albuterol. she also has a history of chronic obstructive pulmonary disease with an fev 1/fvc ratio of 63% she will continue her theophylline and albuterol and start an atrovent inhaler. 4. fluids, electrolytes and nutrients: on admission she had a decrease k of 2.1, as well as decreased magnesium and phosphate. her electrolytes were repleted. she will need her electrolytes followed as an outpatient as she will be continued on lasix and theophylline. 5. vascular/heme: while in house she was evaluated by the vascular surgery team and they did not feel surgical removal of the septic thrombus would be necessary. they recommended treatment with warm compresses to her right arm and elevation of the arm. she was also worked up for normocytic anemia and iron studies are pending at the time of discharge. according to vascular surgery the cephalic vein clot is not proximal enough to require anticoagulation although this could still be considered. she should have a upper extrmity ultrasound in weeks to evaluate for progression of the clot. discharge status: to rehabilitation. discharge condition: stable. discharge diagnosis: 1. septic thrombophlebitis right cephalic vein. 2. recent myocardial infarction. 3. hypokalemia. 4. asthma discharge medications: 1. lasix 20 mg p.o. q day. 2. metoprolol 12.5 mg p.o. b.i.d. 3. protonix 40 mg p.o. q day. 4. dimazepo 10 mg p.o. q h.s. 5. carbamazepine 300 mg p.o. b.i.d. 6. vitamin e 400 mg units p.o. b.i.d. 7. albuterol inhaler one to two puffs q 6 hours p.r.n. 8. flovent 110 mcg two to four puffs b.i.d. 9. atrovent two puffs b.i.d. to q.i.d p.r.n 10. colace 100 mg p.o. b.i.d. 11. potassium chloride 40 meq p.o. q day. 12. theophylline capsule 200 mg p.o. b.i.d. 13. isosorbide dinitrate sa 40 mg p.o. b.i.d. at 8 am and 2 pm. 14. oxacillin 2 grams intravenous q 4 hours. 15. aspirin 325 mg p.o. q day. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart diagnoses: acidosis subendocardial infarction, initial episode of care chronic airway obstruction, not elsewhere classified hypopotassemia alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance septicemia due to anaerobes other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities 

Answer: The patient is high likely exposed to