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: mrs. is a 74-year-old woman who presents with epigastric pain after eating lunch. the pain was achy and gradual in onset. she also had nausea and vomiting x1. the emesis was what she had ate, and there was no blood or bile. the pain woke her up in the middle of the night and was mostly in the right lower quadrant. she also admitted to some fever and chills. past medical history: 1. diabetes type 2. 2. atrial fibrillation on coumadin. 3. congestive heart failure/cardiomyopathy with an ejection fraction of less than 20%, status post a-v junctional ablation, status post pacer placement in . 4. gout. 5. cataracts. 6. glaucoma. 7. macular degeneration. 8. neurofibroma. 9. anemia with heme-positive stools. medications: 1. amaryl 2 mg po q day. 2. atacand 60 mg po q day. 3. digoxin 0.25 po qod. 4. lasix 20 mg po q day. 5. spironolactone 100 mg po q day. 6. coumadin. allergies: valium which causes confusion and captopril which causes a rash. social history: she lives alone, but her daughters are involved. she denies any alcohol, tobacco, or drug use. physical examination on presentation: temperature is 99.6, pulse 70, blood pressure 119/43, respiratory rate 24, oxygen saturation is 97% on room air. general appearance: comfortable, alert. heent: anicteric, moist mucous membranes. neck: no lad, no jugular venous distention. lungs are clear to auscultation bilaterally. heart: regular, rate, and rhythm, there is a 3/6 systolic ejection murmur. abdomen is nondistended, soft, mild epigastric and right lower quadrant tenderness. there is no guarding or rebound tenderness. no sign. rectal is guaiac positive. extremities: no edema. dorsalis pedis are palpable bilaterally. laboratories on admission: complete blood count: white blood cells 10.3, hematocrit 31.6, platelets 163. coags: inr is 4.0, pt 24, ptt 38.9. chem-7 is unremarkable with a bun of 31 and creatinine of 1.0. amylase 67, lipase 29, alt 30, ast 45, alkaline phosphatase 96, and bilirubin 1.0. electrocardiogram showed a-v paced at 70 and no changes from a previous electrocardiogram on . an abdominal ct scan was obtained which revealed lung bases clear. calcified coronaries. liver, spleen, and pancreas were within normal limits. no free air fluid levels. there is a large calcified 2 cm abscess-like structure in the right lower quadrant with stranding, which is consistent with appendicitis. brief hospital course: mrs. is a 74-year-old woman with a history of atrial fibrillation, cardiomyopathy with an ejection fraction of 20%, status post a-v junctional ablation, and pacer placement who presents with abdominal pain and is found to have appendicitis. appendicitis: the patient was admitted with question either right lower quadrant abscess or perforated appendicitis. percutaneous drainage was placed and patient was started on intravenous antibiotics which are ampicillin, ceftriaxone, and flagyl. patient continued to do well and the percutaneous drainage was removed on . patient was initially kept npo. she was then allowed to take clear liquids. her diet was advanced without problems, and she was able to tolerate solids. cultures from the abscess were obtained, and were found to be enterococcus and sensitive, so the iv antibiotics were stopped, and she was switched on levofloxacin and flagyl which are to be continued for three weeks. interventricular pacing during her hospital stay, it became evident that the pacer was not always pacing. ep were consulted. they followed the patient closely throughout the hospital stay. they interrogated the pacer and changed the settings. they found that one of the leads was not appropriately working, however, deemed more appropriate to take the patient back for de-lead revision as outpatient when she will be rehabilitated and will have completed the course of antibiotics. systolic congestive heart failure: during her hospital stay, the patient became dyspneic and developed lower extremity edema. it was found to be due to systolic congestive heart failure. patient was transferred to the sicu. the congestive heart failure team was consulted. she was started on natrecor, and was then transferred to the team. patient was continued on natrecor for four days with excellent diuresis. natrecor was stopped after four days, and she was switched back to her outpatient diuretics which are lasix 20 mg po q day and aldactone 100 mg po q day. at the time of discharge, the patient was at her baseline. her oxygen saturation was 96% on room air and her legs were no longer edematous. gout flare: after diuresis, the patient developed a gout flare in the arch of her right foot. the patient needed to recognize the symptoms of a gout flare. the patient initially complained of pain in the arch of the right foot after one day. the right foot arch was indeed erythematous and swollen, and there was also involvement of the great first toe. the patient was started on colchicine with improvement of the pain, but no change in the erythema or swelling. rheumatology was consulted. disposition: the patient was evaluated by physical therapy, who found her safe to be discharged home. she was discharged to a rehabilitation facility. discharge status: to rehabilitation facility. discharge condition: good. discharge medications: 1. spironolactone 100 mg po q day. 2. furosemide 20 mg po q day. 3. colchicine 0.6 mg po q day. 4. warfarin 0.5 mg every other day estimated to 1.0 mg every other day. 5. flagyl 500 mg po tid. 6. levofloxacin 500 mg po q day. 7. digoxin 0.125 po q day. 8. atacand 60 mg po q day. 9. adderall 2 mg po q day. followup: the patient will follow up with ep on at 1 pm. the patient will need an abdominal ct scan in two weeks, and she will need follow-up appointment with her cardiologist, dr. in two weeks. , m.d. dictated by: medquist36 procedure: injection or infusion of nesiritide accessory-facial anastomosis drainage of appendiceal abscess diagnoses: other primary cardiomyopathies congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified atrial fibrillation long-term (current) use of anticoagulants acute systolic heart failure mechanical complication due to cardiac pacemaker (electrode) acute appendicitis with generalized peritonitis 

Answer: The patient is high likely exposed to