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: pronestyl / quinidine / clonidine / a.c.e inhibitors / spironolactone / flagyl / levaquin / compazine / keflex attending: chief complaint: decreasing hematocrit, right thigh hematoma and decreased urine output. major surgical or invasive procedure: none history of present illness: pt is an 86 y.o female with h.o cad, systolic chf, as/ar, afib, s/p pacemaker, hl, dm, dementia, s/p cea who was recently admitted on to the then transferred to 3/ service. . at , pt was found to have a hct of 21, 27 2 days ago and and inr of 4.7. pt was given 1u prbcs and 2 units of ffp. pt was also noted to have a k of 5.6 for which she was given 10 units of reg insulin sc, 1 amp bicarb, d50, kayexylate. pt was also noted to have a ck of 529, mb 60, index 11.3, and troponin of 30.18. r.femoral line was placed. vitals noted to be t 97, bp 108/55, finger stick 155. . pt's daughter reports that she felt her mother was more "weak", "pale" and had decreased urine output. pt and daughter deny recent trauma or falls. of note, pt c/o l.hip pain at last admit and plan films were neg for fx. . currently pt denies pain, lh/dizziness, headache, chest pain/palpitations, sob, abd pain/n/v/d/c, joint pain, rash. . on review of symptoms, - stroke, -tia, +deep venous thrombosis/l.arm, -pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: 1. cad - s/p pci with bms 2. chf (lvef 25% 10/06) 3. rheumatic, multivalvular disease (mod as, mod-severe ar) 4. afib 5. chb s/p pacemaker placement 6. iddm 7. hyperlipidemia 8. dementia 9. htn 10. h/o gi bleed 11. hypothyroidism 12. temporal arteritis 13. s/p r cea 14. chronic c. diff colitis 15. ckd - b/l cr. ~1.6 brief hospital course: pt is an 86 year old female with a history of cad, chf, s/p pacemaker implantation, who presented with a left thigh hematoma, hct drop and elevated inr, with acute renal failure. she was admitted to the ccu on . #acute renal failure: the patient had a baseline cr of 1.4-2.0. was 1.4 on . likely etiology is atn (muddy-brown casts). pt's daughter reporting poor urine output at home. there was no suspicion of obstructive physiology. the patient's fluid status was initially unclear. she appeared to be dry and was given fluid however she did not make urine appropriate to the fluid bolus. she became fluid overloaded and diuresis was attempted. she did not respond well to lasix and continued to retain fluid. nephrology was consulted and recommended holding lasix and that the only remaining treatment options for her was dialysis. lasix drip was attempted for fluid removal as family did not want to put patient on dialysis. the patient's creatinine continued to rise and was 4.1 on . . # cad: pt with a h/o mi, s/p stenting to lad. originally report was that pt had a troponin of 30 at . however, trop t on admission was 1.40. elevated enzymes could have been due to a cardiac event but it was felt that the patient was a poor candidate for any intervention. ecg was unchanged and the patient was without cardiac symptoms. cardiac enzymes trended down over admission. . # chf: the patient had a history of systolic hf. last echo with ef 15-20%. the pati net initially received fluid boluses to help determine etiology of renal failure, however she was unable to remove volume and not candidate for dialysis. patient comfort made main goal of therapy. . # a-fib: the patient had a history of afib and was s/p pacemaker placement.she was vpaced (vvi) at the time of admission. her pacer rate increased to attempt to help cardiac output however this did not have an effect on urine output. . # anemia: the patient had a history of anemia. baseline hct 34-38 but was noted to be 22 on admission. likely etiology is from suspected bleed-in the area of the l.thigh, likely spontaneous in the setting of supratherapeutic inr. ct abd/pelvis/l.thigh ruled out rp and rectus sheath bleed, thigh hematoma seen. the patient was not transfused blood as hematocrit stabilized and patient already in heart failure. . #history of c.diff- the patient was initially continued on her suppressive vancomycin therapy, but was stopped with negative c.diff toxins. . # pain/palliation/end of life: a family meeting was held on and the options/goals of care were discussed. it was felt that the patient's renal failure required dialysis and the family was clear that this was not a therapy they wished to pursue. it was agreed that patient would stop medications that were only present because of long term benefit and that patient comfort would be the goal of care. patient moving towards cmo, no oral medications and the patient was started on dilaudid for pain control. she was continued on telemetry for family comfort. over the next 3 days, the patient's mental status declined and she became less responsive. on , the patient was surrounded by her daughters and care givers when she was noted to become asystolic. no intervention was attempted. the patient appeared to die peacefully and without pain. she was pronounced dead at 4:24pm. medications on admission: asa 81 mg daily calcium-cholecalciferol 500 mg (1,250 mg)-400 unit- daily calcitonin 200 u 1 spray once a day carvedilol 6.25 mg coumadin 5 mg daily digoxin .0625 mg daily donepezil 10 mg daily ferrous sulfate 325 mg daily furosemide 60 mg daily insulin nph - 12 units once a day insulin lispro daily before breakfast per ss latanoprost - 0.005 % - 1 drop both eyes at bedtime levothyroxine 112 mcg daily lipitor 10 mg daily losartan 25 mg daily metolazone 2.5 mg daily potassium chloride 70 meq protonix 40 mg daily saccharomyces boulardii - 500 mg sertraline 75 mg qhs vancomycin 250 mg daily (was increased to 250 mg qid) . discharge disposition: expired discharge diagnosis: cardiopulmonary arrest systolic heart failure renal failure discharge condition: expired procedure: venous catheterization, not elsewhere classified transfusion of packed cells transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified other and unspecified hyperlipidemia atrioventricular block, complete chronic systolic heart failure long-term (current) use of anticoagulants multiple involvement of mitral and aortic valves anticoagulants causing adverse effects in therapeutic use hypovolemia fitting and adjustment of cardiac pacemaker other disorders of muscle, ligament, and fascia 

Answer: The patient is high likely exposed to