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: allergies: penicillins / sulfa (sulfonamides) attending: chief complaint: cc: major surgical or invasive procedure: cardiac catheterization history of present illness: hpi: 75f with pmh htn admitted to ccu after cath. pt initially transferred to after presenting at hospital on with weakness x 3 days, sudden onset sob. emt found pt to have svt to 180's which spontaneously reverted to sinus in ambulance. at , pt had another episode of svt that broke with 6 mg adenosine. dep in v3-v6. pt ruled on for mi with peak trop 5.67 and peak ck 200. on ekg showed additional twi in ii, iii, and f. pt was started on heparin and integrellin gtts, which were d/c'd vaginal bleed. vaginal us negative. taken to cath at : 3vd occ prox rca which fills by collaterals (appears chronic) lg om1 off lcx new occlus, elongated mid lad occ, increased pa pressure, increased svr, and global hk. milrinone gtt was started. tte : ef 10-20%, rv dilated and hk, severe global hk. transferred to for evaluation by ct for cabg. . ct evaluated pt and felt not appropriate for surgery given new dx cll, recent vaginal bleed, poor lv fn, and cr of 1.4. . taken to cath at for high risk intervention. ra 12, rv 38/6, pa 38/28, w 19, co 2.64, i 1.65 lmca: mild diff dz lad: elongated 70-90% stenosis over middle third of vessel lcx: occ om1 with faint collaterals rca: occ at ostium, filling with l to r collagerals from lad cyper stents to lcx-om and lad. afib developed prior to start of procedure, given lopressor. significant pvd: no angioseal. past medical history: pmh: htn social history: soc hx: married 4 children, lives in fl, +tob, no etoh family history: mother - mi in her 60s sibs - cad physical exam: pe: vs: 98.8 133/64 hr 72 r 12 95% ra gen: nad, lying flat in bed heent: eomi, perrl, mmm, sclera anicteric neck: unable to eval jvp while laying flat chest: scattered wheezes, bibasilar crackles. cv: rrr abd: soft nt nd + bs ext: no edema, 1+ pulse at dp r side, dopplerable dp neuro: no deficits, moves all 4, a and o x 3 pertinent results: admitting labs were significant for a ck of 51, which trended upwards to a peak of 211 on , before trending down to 138 at discharge. creatinine of 1.5, hct of 36.9. ck-mb peaked at 22 on , then trended down to 8 at discharge. troponin was 0.41 at admission, peaking at 0.94 on before decreasing to 0.67 at discharge. hct was 37.4 on admission, and dropped to 33.1 by discharge. creatinine was 1.5 on admission, and gradually fell to 1.2 by discharge. brief hospital course: 75f with hx htn admitted with ant nstemi and found to have 3vd at , transferred for high risk cath: s/p stent to lad and lcx-om1 on . pt was started on metoprolol 25 mg po bid (switched to carvedilol 6.25mg po bid the next morning), asa 325 mg po qd, plavix 75 mg po qd (loaded with 300 mg in cath lab), captopril 6.25 mg po tid (gradually increased to 25mg po tid), and atorvastatin 80mg po qd. given ef of % and global hk, considered anti-coagulation with heparin or coumadin, but did not do so due to bleeding during hospital stay. osh reported vaginal bleeding after starting integrillin. pelvic u/s was normal, and pt refused pelvic exam. since admission to ccu, has been guiac positive on all stools. hct has been stable, and pt was told to f/u with pcp for outpatient colonoscopy. initial and cxr consistent with pulmonary edema with bilateral pleural effusions. ms. experienced episodes of a-fib in cath lab, and continued to flip between sinus and afib in the ccu until converting back to sinus during the evening of . pt was in arf on admission to ccu, with cr 1.4, and 2.2 on transfer from osh. baseline 1.1. she was treated with mucomyst and bicarbonate ivf, and monitored closely. she gradually recovered, with creatinine dropping to 1.2 by discharge. urine cultured alpha strep and lactobacillus at osh, pt admitted on ciprofloxacin. changed to 7 days of levofloxacin 250mg po qd for better alpha strep coverage. ms. pre-existing hypertension continued to be managed with the use of beta blockers and aceis. an atypical cbc differential at osh led to a new diagnosis of cll. heme onc consulted, and reported the following: "impression: the patient may have very early cll. her increased retics, ldh, and bilirubin may indicate the presence of hemolysis. plan includes ordering flow studies on her lymphocytes along with coombs testing. if this is stage zero cll, no treatment is indicated at the present time, although coombs positive hemolytic anemia, if present, may need treatment." flow cytometry supported this dx, with cd519+, cd23+, fmc7-, and cd20dim. medications on admission: milrinone gtt metoprolol 5 iv q 1-2 hours prn mucomyst asa 325 atenolol 25 cipro 500 plavix 75 protonix 40 discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days. disp:*4 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cad chf cll vaginal bleeding discharge condition: stable. discharge instructions: return to the emergency room or call your primary care physician if you have chest pain, shortness of breath or any other symptom that bothers you. take your medications as directed. followup instructions: please call your primary care physician to schedule an appointment within the next week. you need to have your hematocrit checked within one week and you need to have an outpatient colonoscopy to evaluate the trace amounts of blood in your stool. also, please make an appointment to see a gynecologist regarding the vaginal bleeding you have. procedure: combined right and left heart cardiac catheterization coronary arteriography using a single catheter insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation other specified cardiac dysrhythmias nonspecific abnormal findings in stool contents chronic lymphoid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to