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: patient is a 79-year-old white female, who is admitted to hospital on with acute chest pain at rest. she has a history of insulin dependent-diabetes mellitus, end-stage renal disease on peritoneal dialysis, coronary artery disease, peripheral vascular disease, hypertension. she had a mi with peak cpks to 120 and troponin 0.5. she was started on aspirin, plavix and was pain free. patient was then transferred to for cardiac catheterization. past medical history: 1. hypertension. 2. insulin dependent-diabetes mellitus. 3. coronary artery disease status post catheterization with stent of the lad. a mi with v-fib arrest at time of ptca in . 4. end-stage renal disease on peritoneal dialysis. 5. hypercholesterolemia. 6. peripheral vascular disease. 7. gout. 8. hypothyroidism. 9. lung nodules. 10. patient has a history of cholecystectomy. 11. tonsillectomy. 12. bilateral cataract surgery. medications: 1. lopressor 25 b.i.d. 2. nephrocaps one tablet p.o. q.d. 3. bumex 2 mg p.o. q.d. 4. lipitor 10 mg p.o. q.d. 5. imdur 60 mg p.o. q.d. 6. lantus insulin 35 units p.o. q.d. 7. tapazole 2.5 mg p.o. q.d. 8. renagel 1600 mg p.o. t.i.d. with meals. allergies: patient's allergies are to aspirin causing indigestion and codeine causing nausea. social history: the patient is a 45 pack year history of smoking. no etoh. lives alone. her daughter lives next door. review of systems: positive for sciatica and history of vertigo. cardiac catheterization showed 70% stenosis of the rca, left main 80% lesion, lad 50% lesion, circumflex proximal 90% lesion. laboratory values: showed a white count of 9.9, hematocrit 30.7, platelet count of 197. sodium of 136, potassium of 3.6, chloride of 97, bicarb of 25, bun of 46, creatinine of 8.2, and a glucose of 111. patient's inr was 1.2. pt was 13.4, ptt was 29.8. physical exam: she is an elderly female well appearing, afebrile with stable vital signs. was normocephalic, atraumatic. pupils are equal, round, and reactive to light. oropharynx was benign. patient had both upper and lower dentures. neck was supple with no lymphadenopathy. heart was regular, rate, and rhythm with a 2/6 systolic ejection murmur. lungs were clear to auscultation bilaterally. patient had 2+ carotid pulses with bilateral bruits left greater than right. abdomen was obese, soft with positive bowel sounds with no masses. extremities were warm and well perfused with minimal edema. pulse exam was palpable throughout. neurologic examination was grossly intact. this 79-year-old white female with 80% left main three-vessel cardiac disease, end-stage renal disease on peritoneal dialysis, insulin dependent-diabetes mellitus, and peripheral vascular disease, and now question for cabg. patient was admitted for carotid duplex and echocardiogram. patient was preoped for catheterization. patient underwent catheterization at . patient's carotid ultrasound showed less than 40% stenosis bilaterally. patient was seen by renal and cardiology. on , the patient was brought to the operating room for cabg x3. patient had lima to lad, saphenous vein graft to om, and saphenous vein graft to rpl. patient was transferred from the pacu in stable condition on a neo-synephrine drip, propofol drip, intubated with chest tubes and wires. on postoperative day one, the patient was continued on neo-synephrine drip. patient was afebrile with stable vital signs. patient was kept intubated overnight. patient's pacer wires were not working. blood pressures were labile. neo-synephrine was titrated. patient was put on a dopamine drip to attempt to increase heart rate. patient's chest tube draining was minimal. patient was also started on insulin drip and peritoneal dialysis was started. patient, on postoperative day one, was weaned to cpap. the patient was complaining of some incisional pain. plan was to remove the patient's chest tubes. on postoperative day two, the patient continued on neo-synephrine drip. patient had temperature spike to 101.3. patient's neo-synephrine continued to be weaned off. patient was seen by physical therapy. on postoperative day three, the patient was continued on neo-synephrine drip. patient had been extubated. was on 2 liters o2 by nasal cannula saturating 97% on room air. patient's hematocrit was stable at 30. patient was continued with dialysis. patient was seen by nutrition. patient continued to require neo-synephrine drip. patient was complaining of nausea and vomiting, and was having dry heaves. patient was otherwise stable. white blood cell count was elevated. on postoperative day four, patient was started on vancomycin. patient, however, only had a t max of 100.9. on postoperative day six, the patient had an episode of hyperglycemia and insulin drip was started. patient was still on neo-synephrine drip at 1.0. patient was afebrile and was in sinus rhythm with some pvcs and was on 2 liters of nasal cannula. patient was started empirically on flagyl 250 t.i.d. empirically for clostridium difficile, question of ....... diflucan. patient was transfused 1 unit of blood. patient continued to complain of nausea. patient's exam felt that her abdomen was distended and tense. patient still required neo-synephrine and packed red blood cell transfusion. patient was on insulin drip. patient had a ct scan of the abdomen. on postoperative day seven, general surgery was consulted for patient's intermittent abdominal pain, increased white blood cell count and nausea. patient had white blood cell count elevation to 24. hematocrit was stable at 30.6. patient was afebrile, but still require neo-synephrine drip. general surgery recommended following with an abdominal ct. patient had an abdominal ct on , which showed pneumatosis of the cecum and right colonic wall. patient was scheduled for exploratory laparotomy and was taken to the operating room on . patient underwent exploratory laparotomy for preoperative diagnosis of acute abdomen with cecal pneumatosis. patient's exploratory laparotomy was negative. patient was transferred in stable condition intubated on neo-synephrine drip to the csru. on postoperative days eight and one, patient was on zosyn and flagyl overnight. continued to require significant pressor requirement. was febrile to 101.3. patient's white count was elevated again to 27.5. hematocrit was stable at 31.6. patient's lactate was 2.1. chest x-ray was checked. lfts were checked. cultures were drawn and were followed. kub was checked and blood cultures were sent. patient was seen by infectious disease, who felt patient would benefit from continued zosyn, flagyl, and fluconazole. patient had additional pressor requirement on postoperative day nine, patient was on levophed and neo-synephrine drip. patient was extubated. was on 2 liters nasal cannula, saturating 100%. patient's t max was 100.6. otherwise, vital signs were stable. patient's white count was trending down to 23.2. lactate was 1.8. patient was seen by inpatient clinical nutrition. on postoperative days 10 and three, patient's neo-synephrine drip was weaned off. patient was on levophed. continuing on fluconazole, flagyl, and zosyn with a t max of 100.8. patient was in sinus rhythm at 94. other vital signs were stable. patient's oxygen was being weaned. patient's levophed continued to be weaned. on postoperative days 11 and four, the patient's fluconazole was removed. patient was continued on zosyn and flagyl. patient's t max was 100.6. was on 3 liters of oxygen by nasal cannula and saturating 97%, but was otherwise stable. patient's white count had dropped to 13.7, hematocrit was 29.9. patient's chemistries were within normal limits. patient was on tpn. patient had hemodialysis. patient continued to be dialyzed with hemodialysis rather than peritoneal dialysis from her ex-lap. on postoperative days 16 and nine, patient was off all drips. patient's white count was 9.7, hematocrit was 33.5, platelet count was 203. patient's chemistries: sodium was 140, potassium 3.5, chloride is 103, bicarb is 24, bun is 47, creatinine of 7.2, and glucose is 93. patient's inr was 1.5. pt was 14.8 and ptt was 28.9. patient was on room air. was afebrile with stable vital signs. patient was transferred to the floor. on postoperative days 17 and 10, patient was continued on flagyl. was off zosyn. patient was off all pressors. patient was rehab screened. patient was continued to be followed by renal and physical therapy. patient was out of bed with physical therapy. patient's flagyl was removed on postoperative days 18 and 11. patient was dialyzed. peritoneal dialysis catheter was flushed. patient was afebrile with stable vital signs. was rehab screened. on postoperative days 19 and 12, the patient was discharged to rehab facility. patient was tolerating a regular diet. was receiving hemodialysis pending resumption of her peritoneal dialysis. patient was afebrile with stable vital signs. was ambulating with physical therapy. patient was discharged to a rehab facility for physical therapy and nutrition and hemodialysis. discharge diagnoses: 1. status post coronary artery bypass times three. 2. status post exploratory laparotomy. 3. hypertension. 4. hypercholesterolemia. 5. coronary artery disease. 6. insulin dependent-diabetes mellitus. 7. end-stage renal disease on hemodialysis. 8. hypothyroidism. 9. peripheral vascular disease. 10. gout. followup: 1. patient will follow up with dr. in weeks. patient will call office for appointment. 2. patient will follow up with dr. in weeks in cardiology clinic. patient will call for an appointment. 3. patient will follow up with dr. . patient will call for an appointment. discharge medications: 1. metoprolol 50 mg tablet half tablet p.o. b.i.d. 2. colace 100 mg tablet one tablet p.o. b.i.d. 3. aspirin 325 tablet one tablet p.o. q.d. 4. tylenol 325 mg tablets two tablets p.o. q.4. as needed for pain. 5. magnesium hydroxide 400 mg/5 ml suspension 30 ml p.o. q.h.s. 6. olopatadine drops one drop each eye b.i.d. 7. protonix 40 mg p.o. q.d. 8. multivitamin q.d. 9. lipitor 10 mg p.o. q.d. 10. methimazole 5 mg tablet half tablet p.o. q.d. 11. timolol ophthalmic drops two drops b.i.d. 12. glargine insulin 25 units subq q.h.s. 13. insulin per insulin-sliding scale. discharge status: patient is discharged to rehab in stable condition, tolerating regular diet. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis exploratory laparotomy peritoneal dialysis diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypotension, unspecified other specified complications of procedures not elsewhere classified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other specified disorders of intestine 

Answer: The patient is high likely exposed to