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. is a 70-year-old female with a history of diabetes mellitus, hypertension, hospital the night of complaining of generalized fatigue, acute shortness of breath, and recent increased peripheral edema. there she was found to be in congestive heart failure and a blood sugar to be 600. electrocardiogram at the outside hospital showed st depressions in i and avl, and st elevations in v1 and v2. she was treated with insulin, heparin drip, but subsequently beta blocker, aggrastat, and nitrodrip. she was then transferred to on the for cardiac catheterization. over the last evening prior to the catheterization, the patient developed significant epistaxis requiring discontinuation of her 2b3a inhibitor and heparin. subsequently, she became hypotensive in the cardiac catheterization waiting room, and developed new st elevations. she was taken to cardiac catheterization, where she was found to have severe three vessel disease. the right coronary artery was stented. she was also found to have a cold left foot and found to have thrombus of her left iliac artery which was thrombectomized. during the procedure, the patient developed cardiogenic shock and bradycardic at that point, and intra-aortic balloon pump was inserted, and she was started on dopamine drip. upon arrival to the ccu, she was found to have a cold, white right foot, and was taken back to the cardiac catheterization laboratory to rule out ischemia. at that point, balloon pump was switched from her right to her left side, and she was found to have diffuse disease in her right lower extremity. she was then brought back to the ccu for further blood pressure support, hemodynamic monitoring, and respiration ventilation. physical examination: upon arrival in the cardiac intensive care unit, the patient has the following vital signs: temperature 97.8, blood pressure 111/68, heart rate 107 irregular. she was on intra-aortic balloon pump, 1:1 dopamine 7.5 mcg/kg/minute. she was on vent settings of ac 600, 16, and 100% with peep of 5. she was sating 90%. her arterial blood gas was 7.33, 22, and 426. general: she is intubated and sedated and unresponsive. heent: pupils are equal, round, and reactive to light. cardiovascular: regular, rate, and rhythm, intra-aortic balloon pump sounds. lungs: diffuse rhonchi bilaterally, no wheezes or crackles. abdomen: obese, soft, nontender, and nondistended, decreased bowel sounds. extremities: left lower extremity was cool to touch without doppler pulses. there is 1+ pitting edema on the left, and trace on the right. both feet were mottled and cyanotic. laboratory data and studies: patient had first cardiac catheterization: three vessel disease, left anterior descending artery with a 70% proximal lesion, 60% mid vessel lesion, 80% distal lesion, first diag was 60% lesion, left circumflex was occluded and filled with collaterals to left anterior descending artery. the right coronary artery was diffusely diseased with a 90% lesion. there is a large thrombus in the left common iliac vein, and it was thrombectomized and a stent placed to the external common iliac arteries, but the left internal iliac was jailed, and not stented. she had diffuse disease in her left superficial femoral artery and markedly elevated pulmonary capillary wedge pressure. please see catheterization report for full details. on catheterization #2, she had the right intra-aortic balloon pump discontinued and one placed on her left. she was found to have a right common femoral artery with mild disease, a superficial femoral artery on the right with severe disease, and total occlusion at the adductor canal and anterior tibialis a anteriors the sole artery to her foot which did not fill. on her left side, she had a superficial femoral artery severe disease that was diffuse. she also had the anterior tibial which was the principal vessel to the foot, but did not fill either. she had the following laboratory values: her white blood cell count was 15.9, rose to 20 on her return to the ccu. her hematocrit is 28.4, platelets of 210. pt 13.7, ptt 24.4, inr of 1.2. her urinalysis showed large blood, trace protein, traced ketones, and 6 red blood cells. her anion gap is 29. chem-7: sodium 129, potassium 5.3, chloride 94, bicarb 11, bun 71, and creatinine 2.2 with a glucose of 478. her cks went from 299 to 290 to 260 to 437. her ck mb from 6 to 7 to 6 and to 15, and her troponin was 9.3, 7.1, 22.8. of note, her cks continued to trend up. her cks from 437, to 80, 91, to 1145, and mb from 15 to 28 to 21. she had a peak lactate of 3.1, and ck peaked at 229, mb of 42, and troponin of 33.5. she had an albumin of 2.2. she had sputum sample from the 8th with greater than 25 pmn's, less than 10 epi's, and 2+ yeast, but all cultures including urine and blood cultures have been negative. she had a chest x-ray on the 8th, which showed mild congestive heart failure. she had an echocardiogram which showed a mildly dilated left atrium, severe global left ventricular hypokinesis, an ejection fraction of roughly 25%, and 1+ mitral regurgitation. of note, over the course of the subsequent two days, the patient's platelet count went from 117 to 96 to 78 down to 49. she had an alt of 54, an ast of 76. her electrocardiogram showed sinus rhythm at 120, normal axis, and left bundle pattern upon arrival. hospital course: 1. cardiovascular: the patient arrived at the ccu in cardiogenic shock with an elevated pulmonary capillary wedge pressure. she was continued on an intra-aortic balloon pump for roughly 60 hours, and slowly weaned off her pressors. the intra-aortic balloon pump was discontinued on , and the patient defended her blood pressure well off the balloon pump and the pressors were gradually weaned off. initially of interest, the patient was started on dopamine to which she had a correspondence in regards to a low svr and she was switched to neo-synephrine which had a better response in maintaining her blood pressure more adequately. it is noted that she had a non-st elevation myocardial infarction, and had a stent to her right coronary artery. she has three vessel disease, but it did not appear amenable to further percutaneous or surgical revasculariztaion. she is to be treated with plavix, and aspirin, and statin, and beta blocker, and ace inhibitor when her blood pressure is tolerated. 2. peripheral vascular disease: the patient has extensive peripheral vascular disease in both extremities. she had acute thrombosis of the left common iliac artery which per vascular is due to a local reaction from the vessel wall and not embolism of the heart. the thrombus was interjected in the cardiac catheterization laboratory with restoration of flow, however, the patient's lungs remained cool, and only gradually retained appreciable regain of her pulses over the next three or four days. the plan was to have the patient revascularize when she was hemodynamically stable. the vascular surgery team also recommended anticoagulating the patient with heparin and coumadin to preserve blood flow to the lower extremities to prevent further thrombosis. 3. hematologic: the patient was treated with heparin drip while she was on the intra-aortic balloon pump. she subsequently developed drop in her platelets which was initially thought to be due to heparin induced thrombocytopenia, hit antibodies which were negative, and after hematology was consulted, and they suggested it is not heparin induced thrombocytopenia but rather platelet destruction from the intra-aortic balloon pump. however, in the interim, she was changed over to argatroban which she tolerated well for anticoagulation. when the balloon pump was discontinued, the patient was restarted on heparin drip for her peripheral vascular disease in the attempt and plan to transition her to coumadin for anticoagulation for the peripheral vascular disease. per hematology, they would prefer that the patient not be labeled as having heparin induced thrombocytopenia as this is likely not the case of their assessment. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization angioplasty of other non-coronary vessel(s) injection or infusion of other therapeutic or prophylactic substance implant of pulsation balloon insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) injection or infusion of nesiritide diagnoses: acidosis 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 acute kidney failure, unspecified cardiogenic shock acute myocardial infarction of inferolateral wall, initial episode of care atherosclerosis of native arteries of the extremities, unspecified 

Answer: The patient is high likely exposed to