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: past medical history: 1. cad: non-st elevation mi in . 2. hypertension. 3. hypercholesterolemia. 4. asthma/emphysema, steroid-dependent. 5. peptic ulcer disease. 6. osteoporosis. 7. osteoarthritis. past surgical history: 1. right total knee replacement. 2. laminectomy in . family history: mother had hypertension, arrhythmia, and died of a stroke at the age of 89. father had asthma and died of a stroke at age 69. one sister is living. three brothers are deceased. social history: the patient lives in senior housing. she uses a walker, a wheelchair, or scooter for ambulation. she has a 150 pack year smoking history. she quit tobacco several years ago. she has not used alcohol since . the patient is a psychiatrist. allergies: the patient has no known drug allergies. admission medications: 1. prednisone 5 mg p.o. q. 48 hours. 2. prednisone 6 mg p.o. q. 48 hours. 3. enalapril 5 mg p.o. q.d. 4. estratest 0.625 mg p.o. q.d. 5. prilosec 20 mg p.o. q.d. 6. atrovent. 7. albuterol. 8. niacin 500 mg p.o. b.i.d. physical examination on admission: vital signs: temperature 97.4, pulse 70, respirations 18, blood pressure 176/91, 02 saturation equals 97% on room air. general: alert, cooperative white female in no acute distress. chest: lungs clear bilaterally. heart: regular rate and rhythm without murmur. abdomen: soft, nontender, nondistended. extremities: dorsum of left foot and lower shin cellulitic. no ulcerations. pulse examination: radial, femoral pulses are palpable bilaterally. popliteal pulses are nonpalpable. right pedal pulses-exam not noted. left dorsalis pedis has no doppler signal. left pt pulse has a doppler signal. laboratory/radiologic data: wbc 14.1, hemoglobin 14.8, hematocrit 46.3, platelets 232,000. pt 12.6, ptt 26.6, inr 1.1. sodium 140, potassium 4.4, chloride 100, bicarbonate 32, bun 23, creatinine 1.0, glucose 97. calcium 9.3, phosphorus 3.5, magnesium 1.7. the urinalysis was negative. chest x-ray showed severe upper lobe bullous emphysema and a large hiatal hernia. no acute pulmonary disease. x-ray of the left foot showed no focal destruction, periosteal reaction, or radio-opaque foreign body. no subcutaneous emphysema. ekg showed a normal sinus rhythm at a rate of 79 with premature ventricular contractions and supraventricular extrasystole. right bundle branch block complete since previous tracing and new left anterior fascicular block. hospital course: the patient was admitted to the hospital on . she was started on vancomycin, levofloxacin, and flagyl. cardiology was consulted for preoperative clearance. they recommended a persantine mibi study preoperatively, increasing the patient's enalapril from 5 mg p.o. q.d. to b.i.d., and also starting a statin after lipid profile. the patient underwent a left lower extremity angiogram via a right femoral approach on by dr. . postoperatively, the patient had a right groin hematoma. pressure was held approximately 45 minutes in total and the hematoma resolved. on the following day, while the patient was out of bed to chair, the patient started to bleed from the right groin puncture site again. this was resolved with holding pressure. the patient's persantine mibi study was normal with an ejection fraction of 63%. the cardiology service cleared her for surgery. the patient was reluctant to start a statin without first consulting her local cardiologist, dr. and this was deferred. on , the patient underwent a left femoral to popliteal bypass graft with nonreverse saphenous vein. postoperatively, she had a palpable left anterior tibial pulse. immediately postoperatively, the patient had an episode of hypotension which was treated with an iv fluid bolus. the patient developed some oozing from her left groin incision. her hematocrit was 26 with a ptt of 150. the patient received several units of fresh frozen plasma, packed red blood cells, and lactate ringer's solution. on postoperative day number one, , the patient was brought to the operating room again for evacuation of left thigh hematoma. postoperatively, she was treated with fresh frozen plasma and ddavp (desmopressin), for oozing which was successful. on , the hematology service was consulted regarding the patient's apparent coagulopathy which had been successfully treated with the fresh frozen plasma and ddavp. after reviewing the medical records, it appeared that the patient had an episode of a right groin hematoma following her cardiac catheterization in . after careful review, it appeared that the patient was extremely sensitive to heparin. after stopping all heparin, the patient's coagulations returned to . on , cardiology was reconsulted because the patient had developed extrasystoles which had also occurred preoperatively. cardiology started the patient on diltiazem 30 mg q.i.d. and recommended titration to keep the heart rate less than 100. they also noted that the patient was 9.5 liters up and 8 kilograms up from her preoperative weight. they recommended gentle diuresis with lasix and keeping her hematocrit greater than 30. the patient was again transfused for a hematocrit of 27. post transfusion hematocrit was 34. the patient's diltiazem was titrated to keep the heart rate less than 80 and systolic blood pressure greater than 100 with diltiazem sr 120 mg p.o. q.d. the patient will follow-up with her local cardiologist, dr. ..................... at the time of dictation, the patient's left leg incision is clean, dry, and intact. she has a palpable graft. the cellulitis had improved. she had been ambulating with physical therapy who suggested a rehabilitation stay. the patient will be discharged to rehabilitation on two more weeks of levofloxacin. she will follow-up with dr. in the office for surgical staple removal in two weeks. discharge medications: 1. levofloxacin 500 mg p.o. q.d. times two more weeks. 2. prednisone 5 mg p.o. q. 48 hours. 3. prednisone 6 mg p.o. q. 48 hours. 4. enalapril 5 mg p.o. b.i.d. 5. diltiazem sr 120 mg p.o. q.d., hold for systolic blood pressure less than 110 and heart rate less than 55. 6. aspirin 81 mg p.o. q.d. 7. omeprazole 20 mg p.o. b.i.d. 8. multivitamin one p.o. q.d. 9. niacin sr 500 mg p.o. b.i.d. 10. risedronate 35 mg p.o. q. week. 11. pulmicort .................... three puffs inhalation b.i.d., the patient taking own medications. 12. estratest h.s. one tablet p.o. q.d., patient taking own medication. 13. calcium carbonate 500 mg p.o. b.i.d. 14. albuterol one to two puffs q. six hours p.r.n. 15. ipratropium mdi two puffs q.i.d. 16. percocet one to two tablets p.o. q. four to six hours p.r.n. 17. glycerine suppositories one per rectum p.r.n. 18. miconazole powder 2% one application topically p.r.n. condition on discharge: satisfactory. disposition: to rehabilitation facility. primary diagnosis: 1. ischemic infected right leg. 2. left femoral to popliteal bypass graft with nonreverse saphenous vein on . secondary diagnosis: 1. postoperative left thigh hematoma: evacuation left thigh hematoma on . 2. post angio right groin hematoma, resolved. 3. extreme sensitivity to heparin causing prolonged coagulopathy; treated with fresh frozen plasma and ddavp. 4. blood loss anemia, status post multiple transfusions. 5. steroid-dependent chronic obstructive pulmonary disease. 6. mat: treatment with medication initiated. , m.d. dictated by: medquist36 procedure: other (peripheral) vascular shunt or bypass aortography other incision with drainage of skin and subcutaneous tissue diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia hematoma complicating a procedure cellulitis and abscess of leg, except foot chronic obstructive asthma, unspecified spinal stenosis, unspecified region atherosclerosis of native arteries of the extremities with rest pain cellulitis and abscess of foot, except toes 

Answer: The patient is high likely exposed to