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 a 66 year old white female with a history times six months of a right medial malleolar nonhealing wound. she has had three courses of antibiotics over the last six months, i.e., cephalexin 500 mg, ciprofloxacin plus ampicillin. last course was bactrim ds 800/160. the sulfa course was not tolerated well and it was associated with loose stools and nausea. she cannot recall any specific injury to the site and denies venous stasis disease. pain is with walking but accentuated with climbing stairs described as a heaviness in the hip. no direct hip pain. she denies rest pain. past medical history: 1. sulfa causes nausea and vomiting. 2. no previous medical problems. 3. previous surgeries. medications on admission: she is not on any medications. social history: this is a 66 year old white female, married for fifty years. she lives with her husband. review of systems: remarkable for ten pound weight loss over the last two months, fevers, chills, sweats and adenopathy. she admits to a murmur which is known for years but no myocardial infarction, hypertension, chest pain, congestive heart failure, ankle edema. she denies liver disease, bloody stools, melena, early satiety, abdominal fullness. she denies renolithiasis, hematuria. she denies syncope, seizures, amaurosis, aches, weakness, paresthesias. menopause in late 40s, menarche at age 12. she denies any vaginal symptoms, vaginal bleeding or discharge. physical examination: vital signs revealed blood pressure 82/60, pulse rate 110. general appearance - she is an alert white female, cachectic in appearance. head, eyes, ears, nose and throat examination shows tongue is midline but fissured. the pupils are equal, round, and reactive to light and accommodation, nonicteric. the neck is supple. there is no jugular venous distention or thyromegaly, no lymphadenopathy appreciated. no breast masses. pulse examination - carotids are palpable without bruits. the right brachial and radial are palpable 1+. the left brachial and radial are absent by palpation. the right femoral is dopplerable. the left is palpable 1+. the right popliteal, dorsalis pedis and posterior tibial are absent. on the left, the popliteal is 1+ with dopplerable dorsalis pedis and posterior tibial signals. chest examination - the lungs are clear to auscultation bilaterally. the heart is regular rate and rhythm, but sounds are very distant. there are no murmurs, rubs or gallops. abdominal examination is scaphoid and soft, nontender, nondistended, no bruits, masses. no abdominal aortic aneurysm widening noted. the veins are very prominent on the right lower quadrant, superficial abdominal skin veins. the rectal examination was deferred secondary to just completing an arteriogram. the bone/joint examination shows feet ruborous, cold bilaterally, equal. the right medial malleolar ulcer is clean base with no erythema or exudate. neurological examination is unremarkable. laboratory data: on admission, white blood cell count was 30.2, hematocrit 37.5, platelet count 539,000, differential neutrophils 84, bands 6, lymphocytes 8, monocytes 1, no eosinophils or basophils. blood urea nitrogen was 11 and creatinine 0.5, potassium 3.4 which was repleted. serial cks were obtained which were 136, 121, and 120. ck mb were 8, 6. 6 and 5. troponin remained less than 0.3. tsh was obtained which was 0.69 which is normal. preoperative chest x-ray was remarkable for chronic obstructive pulmonary disease with increased density in the right lung apex. the patient had a p-mibi done on , which showed abnormal myocardial perfusion with severe fixed defect in the inferior wall toward the base with a mild amount of reversibility in the distal anterior wall extending into the apex and inferior apex. global ejection fraction is diminished to 46% with hypokinesis of the inferior wall. preoperative electrocardiogram was sinus tachycardia with ventricular premature depolarizations. anteroseptal myocardial infarction. diffuse nondiagnostic repolarization abnormalities. hospital course: the patient was admitted to the preoperative holding area on . she underwent a right iliofemoral to femoral popliteal bypass with greater saphenous conduit. she tolerated the procedure. she was transferred to the post anesthesia care unit in stable condition. immediately postoperatively, she was hemodynamically stable. her postoperative hematocrit was 37.5. blood urea nitrogen and creatinine were 11 and 0.5, respectively, potassium 4.3 and repleted. initial ck was 136. postoperative day one, there were no overnight events. the patient did have episodes of sinus tachycardia. electrolytes were repleted. cardiology was requested to see the patient because of persistent tachycardia and atrial flutter versus mat versus sinus tachycardia. their recommendation was this was most likely mat and that they would recommend check the postoperative chest x-ray for rule out for any infectious process that might be causing the tachycardia, begin verapamil 40 mg three times a day and titrate to maintain the heart rate less than 60 and a systolic blood pressure greater than 100. postoperative pain control with good pulmonary toiletry and atrovent multidose inhaler as needed. recommended echocardiogram prior to discharge. check tsh to rule out thyroid disease. on postoperative day two, she continued to remain the vascular intensive care unit for continued hemodynamic monitoring and diuresis with heart rates between 80 and 120. electrolytes were repleted. verapamil dosing adjusted to maintain her heart rate less than 100. on postoperative day three, she remained afebrile. her white blood cell count was 20.0, she was defervescing. clinically, she was improved. her pulse examination remained unchanged. she was delined and transferred to the regular nursing floor. the patient continued to show improvement but did develop clostridium difficile which required treatment with flagyl. the patient was evaluated by physical therapy and they felt that she would progress to be safe to be discharged to home. she underwent a p-mibi on postoperative day six which was positive for inferior wall myocardial infarction with some reversibility. she was discharged on , in stable condition to home. she should follow-up with dr. in two weeks time. medications on discharge: 1. metoprolol 12.5 mg twice a day, hold for systolic blood pressure less than 100 and heart rate less than 55. 2. captopril 6.25 mg p.o. three times a day. 3. verapamil 40 mg q8hours. 4. wound care right medial malleolar ulcer with hydrogel to wound base once daily with dry sterile dressing change. follow-up: the patient should follow-up with dr. in one weeks time for skin staple removal. discharge diagnoses: 1. ischemic medial malleolar ulceration, status post right ileofemoral to femoral popliteal bypass with greater saphenous conduit, 2. new unsolved mat, treated. 3. positive persantine mibi. , m.d. dictated by: medquist36 procedure: other (peripheral) vascular shunt or bypass diagnoses: chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified other specified cardiac dysrhythmias atherosclerosis of native arteries of the extremities with ulceration ulcer of ankle 

Answer: The patient is high likely exposed to