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 74-year-old female with a history of end-stage renal disease (on hemodialysis), insulin-dependent diabetes mellitus, ischemic cardiomyopathy, coronary artery disease, peripheral vascular disease, status post angioplasty and stenting of left subclavian artery in . she was admitted to on for evaluation of left lower extremity pain. she underwent an angiogram which revealed (1) right common iliac artery to common femoral vein arteriovenous fistula; (2) occluded right superficial femoral artery with reconstituted above-knee popliteal, mid popliteal stenosis, and 3-vessel runoff; (3) occluded left common femoral artery to popliteal graft with reconstituted left below-knee popliteal with stenosis of distal left popliteal into peroneal trunk, stenosis of left anterior tibial origin with very small anterior tibial/posterior tibial in left calf. the patient also developed pain in her left arm and hand which subsequently progressed to a pulseless hand two days prior to admission. she was transferred to to further evaluate the left arm. past medical history: 1. coronary artery disease, status post myocardial infarction, percutaneous transluminal coronary angioplasty. 2. congestive heart failure. 3. cerebrovascular accident in . 4. insulin-dependent diabetes mellitus. 5. hypertension. 6. increased cholesterol. 7. left breast carcinoma. 8. chronic renal insufficiency. 9. end-stage renal disease on hemodialysis. past surgical history: 1. left breast lumpectomy with axillary lymph node dissection in . 2. left inguinal hernia repair. 3. left femoropopliteal in , jump graft left femoropopliteal. 4. multiple angioplasties and stent of left superior cerebellar artery. 5. right pseudoaneurysm repair on . allergies: erythromycin. medications on admission: mycotic 80 mg p.o. q.h.s., aspirin 81 mg p.o. q.d., lasix 180 mg p.o. on sunday, monday, wednesday, friday at 8:00 a.m., nph 28 units subcutaneous q.a.m. and 16 units subcutaneous q.p.m., regular insulin 5 units subcutaneous q.a.m. and 5 units subcutaneous q.p.m., renagel 800 mg p.o. t.i.d., nephrocaps 1 p.o. q.d., neurontin 200 mg p.o. t.i.d., zocor 20 mg p.o. q.h.s., atarax 25 mg p.o. q.6h. p.r.n., colace 100 mg p.o. b.i.d., nitro-paste q.6h. physical examination on presentation: vitals on examination revealed a temperature of 100, pulse of 100, blood pressure of 114/69, saturating 98% on 2 liters. general examination revealed lethargic but easily arousable, oriented times three. head, eyes, ears, nose, and throat revealed pupils were equal, round, and reactive to light. extraocular movements were intact. chest revealed decreased breath sounds at the bases. cardiovascular with first heart sound and second heart sound. the abdomen was obese, soft, nondistended, and nontender with healed scar in the right lower quadrant. extremities revealed left upper extremity brachial dopplerable monophasic signal. radial and ulnar were not dopplerable. lower extremity pulse examination revealed left femoral palpable, right dopplerable. popliteals none, left and right. left and right dorsalis pedis were dopplerable. left and right posterior tibialis were dopplerable. hospital course: the patient was admitted to the intensive care unit, and she was hydrated in preparation for an angiogram on the next day. a renal consultation was obtained. she underwent an angiogram which revealed left subclavian artery thrombosis. she was started on tpn heparin. subsequently, it was noted that she reported chest pain and was diaphoretic. an electrocardiogram was performed which showed st elevations. cardiac enzymes revealed a creatine kinase of 315. a cardiology consultation was obtained at this point, and she was started on aspirin, continued the heparin, started on a nitroglycerin infusion. cardiac catheterization was refused. she did undergo hemodialysis on . her chest pain resolved, and after a discussion with the cardiologist and the family, it was decided that no cardiac intervention would be undertaken. there was minimal improvement in perfusion of the left arm. the left arm remained mottled and pulseless. at this time, it was noted that the patient had been made do not resuscitate/do not intubate while at hospital. after a discussion with family it was decided to continue with this status at this point. on , after further discussion with the family, her status was altered to comfort measures only. she subsequently expired on . , m.d. dictated by: medquist36 procedure: injection or infusion of thrombolytic agent arteriography of other specified sites diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified occlusion and stenosis of vertebral artery without mention of cerebral infarction polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other complications due to other vascular device, implant, and graft diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled arterial embolism and thrombosis of upper extremity 

Answer: The patient is high likely exposed to