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: bactrim / naprosyn / keflex / celebrex / noroxin attending: chief complaint: sob major surgical or invasive procedure: opcabgx3(lima-lad,svg-om,svg-pda) history of present illness: ms. is a 68f with dm, cri, cad, chf (ef 35%) initially admitted to osh with sob who is transferred for cardiac catheterization and stenting of her lad. . four days prior to her presentation at the osh, the patient presented to her pcp with complaints of dysuria and was empirically started on bactrim. she apparently was taking naproxen at home prior to admission for hip pain. the day of admission she woke up, smoked a cigarette, and became acutely short of breath. she did have a nonproductive cough. she denied any associated chest discomfort, nausea, vomiting, or palpitations. she did feel a little sweaty. she apparently had been feeling well the day before, although had noticed increased swelling in her legs and a 20lb weight gain over the previous month for which she had received lasix intermittently. has had pnd, no orthopnea. has been taking her medications with assistance of her daughters, but has not been compliant with low sodium diet. . her sob worsened leading her to call 911. upon ems evaluation she was tachycardic and tachypneic. she was administered nitroglycerin, combivent, 80mg iv lasix, and morphine. she apparently became nonresponsive and was intubated in the field and brought to an osh. . at the osh, vitals on admission to the icu were t 98.2 p 80 bp 156/74 o2 not recorded. ed vitals not included in transfer paperwork. per icu admission note, patient had bp 240/110 at one point but not at all clear when this occured. admission labs notable for abg 7.22/53/466; k 6.5; bun/cr 50/3.1; wbc 21k (decreasing to 11k subsequently) and hct 38.9. initial troponin was 0.02 rising to peak of 0.26 on . ekg done showed st depressions and t wave inversions in anterolateral leads. cxr reportedly c/w pulmonary edema. she was admitted to the icu and extubated on . . she underwent cardiac catheterization on at the osh which was remarkable for 95% stenosis of the lad after d2, 55-60% stenosis of lcx with long tubular stenosis 60% after the large om, diffuse disease of the rca with sequential moderate stenoses with 85% mid rca and 75% at takeoff of plv. no interventions were performed at time of cardiac catheterization. she was loaded with plavix 600mg and transferred to for stenting of her lad. . here at , patient underwent repeat cardiac cath. attempted to access graft from right side was unsuccessful so catheter introduced on left. cath notable for 90% stenosis of the mid lad. the balloon could not be advanced across the lesion. as the patient had cri and had received 160cc of contrast already, decision was made to abort the procedure. . on ros: no history of thrombosis or pe, recent uri/flu, fevers, chills, diarrhea/constipation, hematochezia, melena, or other bleeding, claudication (had prior to vascular bypass surgery). had "small stroke" in past and subsequently underwent cea. past medical history: * cad --told she had a "silent mi" at admission --persantine mibi by report showed fixed defect distal anterolateral wall * chf --tte at osh showed ef 55% with apical akinesis, mild mr and tr * diabetes w/ peripheral neuropathy hba1c 7.1 * aortobifemoral bypass surgery and femoral stents * hypertension * hyperlipidemia * ?copd * cri with baseline creatinine 2.5-3.0, diabetic nephropathy * diverticulitis * s/p spinal fusion, s/p disk removal * s/p carotid endarterectomy * s/p hysterectomy social history: lives alone, smokes ppd, denies etoh use. family history: n/c physical exam: post cath in recovery room vitals t not recorded p 62 bp 150/65 rr 21 o2 100% on 2l general pleasant elderly woman appearing older than her stated age in no acute distress lying flat as sheaths not yet removed heent sclera white, conjunctiva pink, dry mm. neck scar r lateral neck at site of cea, no bruits appreciated, jvp difficult to appreciate habitus, no goiter pulm lungs clear bilaterally on limited supine exam cv regular rate s1 s2 no m/r/g, pmi nondisplaced, no heaves/thrills abd obese, +bowel sounds, nontender without masses or organomegally. midline scar well healed. extrem warm, well perfused, full distal pulses, 1+ bilateral lower extremity pitting edema. neuro alert and interactive pertinent results: 07:25am blood wbc-8.9 rbc-3.31* hgb-9.6* hct-30.1* mcv-91 mch-29.1 mchc-32.0 rdw-14.7 plt ct-543* 05:51pm blood wbc-7.7 rbc-3.71* hgb-10.7* hct-33.6* mcv-91 mch-28.8 mchc-31.8 rdw-14.4 plt ct-415 05:51pm blood neuts-76.3* lymphs-15.9* monos-4.0 eos-3.6 baso-0.2 07:25am blood plt ct-543* 05:36pm blood fibrino-555* 07:00am blood glucose-90 urean-54* creat-2.4* na-144 k-4.3 cl-106 hco3-27 angap-15 05:50am blood glucose-132* urean-42* creat-2.5* na-137 k-5.3* cl-100 hco3-29 angap-13 03:36am blood alt-17 ast-28 alkphos-45 amylase-23 totbili-0.5 07:25am blood mg-2.5 07:50am blood tsh-4.4* 07:50am blood free t4-1.2 radiology final report chest (pa & lat) 4:20 pm chest (pa & lat) reason: r/o inf, eff medical condition: 68 year old woman with reason for this examination: r/o inf, eff examination: pa and lateral chest. indication: shortness of breath. pa and lateral views of the chest are obtained on at 1622 hours and compared with the most recent radiograph of . again is seen diffuse enlargement of the cardiac silhouette consistent with cardiomegaly and/or pericardial effusion. right-sided ij line has been removed. there is a persistent left-sided pleural effusion together with increased retrocardiac density, which allowing for technical changes may have improved since the prior radiograph. there appears to be a tiny right-sided pleural effusion which is improved since the prior study. there is no evidence of pneumothorax. dr. approved: sat 6:23 pm sinus rhythm nonspecific anterolateral t wave changes since previous tracing of , less suggestive of left atrial abnormality and st-t wave changes appear decreased read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 93 146 74 384/441 64 48 89 echocardiography report , (complete) done at 2:29:35 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 68 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. coronary artery disease. left ventricular function. mitral valve disease. valvular heart disease. icd-9 codes: 440.0, 396.9 test information date/time: at 14:29 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw02-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *0.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - systolic dimension: 3.2 cm left ventricle - fractional shortening: 0.36 >= 0.29 left ventricle - ejection fraction: >= 55% >= 55% left ventricle - peak resting lvot gradient: 3 mm hg <= 10 mm hg aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 1.3 m/sec <= 2.0 m/sec aortic valve - peak gradient: 7 mm hg < 20 mm hg aortic valve - valve area: *2.3 cm2 >= 3.0 cm2 findings left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins not identified. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness and cavity size. overall normal lvef (>55%). right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. there are complex atheroma in the descending thoracic aorta and aortic arch. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post off pump bypass: perserved biventricular function. lvef >55%. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeon at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: she was seen by cardiac surgery. she was seen by et for evaluation of thyroid nodules and will need outpatient follow up. her hematacrit dropped and ct scane showed rp hematoma, she was transfused and her hematacrit remained stable. she was taken to the operating room on where she underwent an off-pump cabg x 3. she was transferred to the icu in stable condition. she was extubated on pod #1. her vasoactive drips were weaned to off on pod #2. she was transferred to the floor on pod #3. physical therapy worked with her for strength and mobility. she continued to progress and was ready for discharge home with vna services. she will be staying with her daughter temporarily. medications on admission: home meds cardizem cd 240mg po daily lisinopril 5mg po daily colace 100mg po bid omeprazole 20mg po daily tricor 145mg po daily clonidine 0.1mg daily zetia 10mg po daily celexa 40mg po daily klonapin 0.5mg po bid xanax 1mg po tid insulin 75/25 10units qam albuterol prn vitd 50,000units qtuesday reglan 5mg po qid ultram 100mg po daily neurontin, dose uncertain . medications on transfer plavix 75mg po daily clonidine 0.1mg po bid lopressor 75mg po tid hydralazine 10mg po q6 norvasc 5mg po daily tricor 145mg po daily zocor 80mg po daily asa 325mg po daily colace 100mg po bid atrovent q6 atrovent insulin ss neurontin 300mg po daily oxycodone 10mg po q4 prn for arthritic pain celexa 40mg po daily xanax 1mg po tid klonapin 0.5mg po bid vitamin d protonix 40mg po daily, nicotine patch 14mg daily morphine prn tylenol prn iv nitro @ 20mcg/min, iv heparin @ 1400 units/hr discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). :*60 capsule(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. :*30 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). :*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily) for 2 weeks: follow up with pcp. :*14 patch 24 hr(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. :*90 tablet(s)* refills:*0* 6. norvasc 10 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*0* 7. metoprolol tartrate 100 mg tablet sig: one (1) tablet po three times a day. :*90 tablet(s)* refills:*0* 8. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. :*14 tablet(s)* refills:*0* 9. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). :*30 tablet(s)* refills:*0* 10. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. :*30 capsule, delayed release(e.c.)(s)* refills:*0* 11. citalopram 40 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*0* 12. zetia 10 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*0* 13. clonazepam 0.25 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po once a day. :*30 tablet, rapid dissolve(s)* refills:*0* 14. albuterol 90 mcg/actuation aerosol sig: four (4) puffs inhalation four times a day as needed for shortness of breath or wheezing. :*qs qs* refills:*0* 15. reglan 5 mg tablet sig: one (1) tablet po four times a day. :*120 tablet(s)* refills:*0* 16. gabapentin 300 mg capsule sig: one (1) capsule po q24h (every 24 hours). :*30 capsule(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: cad s/p cabg pvd, htn, cri, dm, diverticulitis, neuropathy, mi, mild mr, aortobifem ', l cea, hysterectomy, 2 back surgeries discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks dr. (ent) for follow up of thyroid nodules. md procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified acute on chronic diastolic heart failure hematoma complicating a procedure diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to