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 78-year-old woman with cardiac risk factors of age and family history and rheumatoid arthritis who was admitted to the coronary care unit after transfer from for cardiac catheterization in the setting of acute anterior myocardial infarction. the patient was in her usual state of health until three days ago when she experienced a sharp right-sided chest pain that was worse with inspiration and not associated with any symptoms. the patient then went to her primary care physician's office and was diagnosed with pleurisy. the patient remained pain free until the morning of admission when she awoke at 3 in the morning with a sharp left-sided substernal chest pain. the pain was decided as constant and without radiation. the patient denies any associated nausea, vomiting, or diaphoresis, or shortness of breath. the patient then took an aspirin, called emergency medical service, and went to where electrocardiogram revealed st elevations in her anterior leads. the patient was given sublingual nitroglycerin times three, morphine, and started on a nitroglycerin drip, and a heparin drip. the patient was then transferred to for catheterization, which noted a 99% distal left anterior descending artery thrombus, with timi-i distal flow, a 60% mid left anterior descending artery lesion, a 60% mid left circumflex lesion, and 60% focal proximal right coronary artery lesion. the patient underwent percutaneous transluminal coronary angioplasty for distal left anterior descending artery lesion and was transferred to the coronary care unit. upon arrival to the coronary care unit, the patient was chest pain free and denied any shortness of breath or palpitations. electrocardiogram at this time revealed a new left bundle-branch block. past medical history: 1. rheumatoid arthritis times 20 years. 2. peptic ulcer disease. 3. history of breast cancer; status post lumpectomy and radiation therapy approximately four years ago. 4. status post cholecystectomy. 5. right cataract. 6. iron deficiency anemia. 7. diverticulosis. allergies: no known drug allergies. medications on admission: medications at home included plaquenil, prevacid, multivitamin, calcium. social history: the patient denies any tobacco, or alcohol, or intravenous drug use. the patient reports being a mother living at home with children. family history: family history is appreciable for coronary artery disease; and son who was deceased at four years of age from a myocardial infarction. there is no history of any breast or colon cancer, and no autoimmune diseases. physical examination on presentation: vital signs revealed the patient was afebrile, pulse was 101, blood pressure was 140/60, respiratory rate was 19, oxygen saturation was 96% on 2 liters. in general, awake and alert, in no acute distress. head, eyes, ears, nose, and throat revealed pupils were equal, round, and reactive to light. the oropharynx was clear. mucous membranes were moist. neck was supple. no lymphadenopathy. jugular venous distention not able to be assessed secondary to supine positioning. cardiovascular revealed normal first heart sound and second heart sound, tachycardic. no murmurs, no rubs, and no gallops. chest revealed crackles at the left base anteriorly. the abdomen was soft, nontender, and nondistended. positive bowel sounds in all four quadrants. her groin revealed her dressing was clean, dry, and intact. guaiac-positive per emergency department. extremities revealed there was no clubbing, no cyanosis, no edema. dorsalis pedis and posterior tibialis pulses were 2+ bilaterally. pertinent laboratory data on presentation: laboratories on admission revealed sodium was 140, potassium was 3.8, chloride was 108, bicarbonate was 21, blood urea nitrogen was 6, creatinine was 0.3, blood glucose was 163. white blood cell count was 14, hematocrit was 35.8, platelets were 222, mean cell volume was 48. magnesium was 2.2. creatine kinases trended from 457 to 380. peak creatine kinase at the outside hospital was 645, ck/mb index on presentation was 26. radiology/imaging: electrocardiogram on admission to for a normal sinus rhythm with normal axis, normal intervals, poor r wave progression, t wave inversions diffusely, and t wave inversions in v1 through v6, and st elevations in v3 to v4. electrocardiogram upon admission to the coronary care unit was for a rate of 100 with left axis deviation. intervals were as follows; p-r interval was 158, qrs was 132, a q-t interval was 380, and showing a left bundle-branch block pattern. cardiac catheterization hemodynamics revealed right ventricular pressure was 38/6, pulmonary artery pressure was 37/18, pulmonary capillary wedge pressure was 70, aorta was 115/60. coronary catheterization revealed a right-dominant system with a normal left main artery. the left anterior descending artery had a 60% mid lesion, 99% distal lesion with thrombus and timi-i distal flow, the left circumflex with 50% mid lesion, right coronary artery 60% focal proximal lesion, and a 40% tubular mid region, and a diffuse 50% lesion of the posterior descending artery. as aforementioned, intervention with a percutaneous transluminal coronary angioplasty to the distal anterior descending lesion requiring some nitroglycerin and diltiazem with timi-iii flow. hospital course: 1. cardiovascular: (a) coronary artery disease: upon arrival to the unit, the patient was continued on aspirin, metoprolol, captopril, lipitor, and plavix. on hospital day two, the patient awoke in the morning complaining of jaw pain that was relieved with sublingual nitroglycerin times two. however, 30 minutes later, the patient developed pain under her left breast that was similar to the pain on presentation before her cardiac catheterization. an electrocardiogram at this time again revealed no new electrocardiogram changes; though the patient did have persistent st elevations that were also seen on postoperative electrocardiograms. vital signs at this time were stable. the patient was given another sublingual nitroglycerin without relief, morphine sulfate 2 mg times two without relief, and the patient was started on a nitroglycerin drip. there were no electrocardiogram changes throughout this time. subsequent cardiac enzymes showed no acute increase in creatine kinase, and the patient remained chest pain free throughout the remainder of her hospital course with cardiac medications adjusted as the patient tolerated throughout the remainder of the hospital stay. (b) myocardium: given the patient's lack of previous coronary artery disease, the patient had no history on a baseline echocardiogram. on hospital day five, the patient had a echocardiogram to assess her left ventricular function status post myocardial infarction. echocardiogram at this time revealed a left ventricle with mild regional left ventricular systolic dysfunction with no evidence of mass or thrombi. the left ventricular wall motion showed anteroseptal and apical akinesis, inferoapical hypokinesis, with an estimated ejection fraction of 40%. the echocardiogram was also remarkable for a moderate pericardial effusion with no evidence of tamponade. given the patient's anterior myocardial infarction and akinesis on the echocardiogram, the patient was started prophylactically on anticoagulation therapy for prevention of thrombus. the patient had been started on heparin on presentation and was continued on heparin throughout the remainder of her hospital course. coumadin was started after echocardiogram findings, and the patient was to be continued on coumadin prophylactically as an outpatient. the patient was discharged prior to achieving a goal inr levels; although, the patient was educated on administration of lovenox and was to follow up with her primary care physician to achieve goal inr levels. (c) left bundle-branch block: the patient had a new left bundle-branch block, status post cardiac catheterization. the patient was continued on telemetry throughout the remainder of her hospital stay with no other rhythm disturbances throughout. given that the left bundle-branch block was in the perimyocardial infarction setting, there was no need for further treatment. 2. infectious disease: on hospital day two, the patient spiked a temperature to 101.5. the patient was pan-cultured with cultures revealing only that of a urinary tract infection. the patient received levaquin 250 mg p.o. times three days. a follow-up urinalysis was negative. condition at discharge: condition on discharge was good. discharge diagnoses: 1. anterior myocardial infarction. 2. rheumatoid arthritis. 3. urinary tract infection. medications on discharge: 1. aspirin 325 mg p.o. q.d. 2. plavix 75 mg p.o. q.d. (times 25 days). 3. metoprolol 125 mg p.o. t.i.d. 4. lisinopril 20 mg p.o. q.d. 5. coumadin 5 mg p.o. q.h.s. (with adjustment as per primary care physician). 6. lovenox 80 mg subcutaneous q.12h. (until goal inr levels are reached). the patient was to resume all other outpatient medications. discharge followup: 1. the patient was to follow up with dr. on at 1:45 p.m. 2. the patient was to follow up with dr. (her primary care physician) for inr. 3. the patient was to receive home nursing care for lovenox. 4. the patient was to receive home physical therapy. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified acute myocardial infarction of other anterior wall, initial episode of care personal history of malignant neoplasm of breast other left bundle branch block iron deficiency anemia, unspecified rheumatoid arthritis 

Answer: The patient is high likely exposed to