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: patient recorded as having no known allergies to drugs attending: chief complaint: shortness of breath and substernal chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: 57yo female former smoker with a history of htn, hyperlipidemia, rheumatoid arthritis, copd/asthma, hep c admitted to hospital on with a presumed copd exacerbation and transferred to cath lab with presumed nstemi s/p cath admitted to ccu for post-cath retroperitoneal bleed. per patient she has been having progressively worsening asthma symptoms including shortness of breath (worse at night and with lying flat) over the last 2-3 years. she saw dr. last year and he diagnosed her with asthma/copd with possible concomittant restrictive physiology. she has been using her nebulizers at home but has not been taking her other medications including statin and anti-hypertensives. over the last few weeks her shortness of breath has been worsening. she denies worsening orthopnea, pnd, and lower extremity edema, but has had each of these symptoms off and on for the last few years. she went to see her pcp about ten days ago and he put her on prednisone for a presumed copd exacerbation. per the patient this did not help. . last night at about 4pm she experienced acute severe sob at rest associated with 8/10 substernal chest pain and a feeling like she was going to die. she tried using her nebulizers but she did not feel better so she called ems who took her to hospital. there, she was treated for an asthma attack with albuterol nebs and cpap. abg was 7.23/59/395 on cpap. she then received iv solumedrol. she was monitored overnight in the icu where her respiratory status improved very quickly. however, her troponin i climbed from 0.06 on admission to 2.63 on the third set with cks flat but ckmbs rising to mid-20s. she was subsequently diagnosed with an nstemi and treated with aspirin, plavix load, heparin drip. vital signs prior to transfer to cath lab afebrile, bp 107/76 hr 80s rr 16-22 o2 sat 100% on 2l. . in cath lab patient underwent left heart catheterization during which they found no occluded coronaries but anterior wall hypokinesis with preserved ef (50%) on lv gram. attempted access through right side but unable to get adequate access so cath was finished through the left side. patient was then noted to be hypotensive. she recevied pressors, 2 units prbcs, and ivf in the cath lab. vascular surgery was consulted after pt was found to have traumatic stick of right circumflex branch of femoral artery. underwent vascular coiling with good effect angiographically post-procedure. on left side, pressure was applied in cath lab for 45min and left with fem stop in place. right side stopped oozing and now transferred to ccu with femoral pressure holder. . on arrival to ccu patient was breathing comfortably with no complaints of chest pain, palpitations, shortness of breath, orthopnea, leg pain, back pain, nausea. she denied any numbness/tingling/weakness. she was on neosynephrine and initally hypotensive but responded to ivf bolus. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: +dyslipidemia, +hypertension 2. other past medical history: hep c s/p treatment in (unknown med) rheumatoid arthritis s/p humira treatment for 6 months in copd/asthma depression nephrolithiasis social history: lives with her daughter in . -tobacco history: 15 years of ppd smoking quit in -etoh: none -illicit drugs: none family history: father died of lung cancer. mother with . physical exam: vs: t=96.7 bp=105/79 hr=77 rr=16 o2 sat= 97% on ra general: wdwn f in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. neck: supple with jvp three cm above clavicle with patient lying flat. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. sm heard best at apex radiating to axilla. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. fem stop in place on left. right sided hematoma. no right sided femoral bruit. pulses: right: dp 2+ pt 2+ left: dp 2+ pt 2+ pertinent results: labs @ hospital: wbc-7.3, hgb-11.9, hct- 33.1, plat-236, inr- 1.0, bun-13, cr-0.9 , k- 3.5. abg: 7.42/36/120.1 on 3.5 l nc ck: 81->163->176 ck-mb: 2.4->21.8->25.2 troponin i: 0.06->2.31->2.63 cholesterol panel: tgs 47, chol 236, ldl 171, hdl 56 labs @ on admission: 04:10pm hct-27.2*# 06:15pm wbc-18.4* rbc-3.88* hgb-11.4*# hct-34.0* mcv-88 mch-29.5 mchc-33.6 rdw-15.3 06:15pm plt count-278 06:15pm ck(cpk)-106 06:15pm urea n-12 creat-0.6 sodium-139 potassium-4.7 chloride-112* total co2-17* anion gap-15 09:46pm hct-36.6 04:04am blood wbc-15.7* rbc-3.40* hgb-10.0* hct-29.6* mcv-87 mch-29.4 mchc-33.8 rdw-15.9* plt ct-239 07:55am blood hct-29.0* 12:13pm blood hct-29.6* 04:04am blood ck(cpk)-74 04:04am blood ck-mb-notdone ctropnt-0.28* probnp-7255* 04:04am blood triglyc-164* hdl-30 chol/hd-5.5 ldlcalc-101 cardiac catheterization: 1. coronary angiography in this right dominant system revealed no angiographically apparent coronary artery disease. the lmca was widely patent. the lad and lcx were without disease. the rca had no evidence of stenosis. 2. left ventriculography revealed anterolateral wall akinesis-dyskinesis with preserved contractile function of other walls. the lvef was 54%. final diagnosis: 1. coronary arteries are normal. 2. anterolateral wall dyskinesis. echo: the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the mid anterior septum and anterior walls. the remaining segments contract normally (lvef = 50 %). the estimated cardiac index is normal (>=2.5l/min/m2). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen.the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction in an atypical/non-coronary distribution suggesting focal myocarditis or variant of takotsubo cardiomyopathy. increased pcwp. mild aortic regurgitation. ct abdomen/pelvis: impression: moderate right retroperitoneal hematoma, with high attenuation material pooling in the pelvic portion of this collection most consistent with extravasated contrast not yet resorbed. multiple high- attenuation foci in the right groin are compatible with closure device/coils. brief hospital course: 57 year old female with history of copd, dyslipidemia, transferred from outside hospital with nstemi s/p cardiac cath complicated by retroperitoneal bleed s/p coil admitted to ccu for monitoring. . # retroperitoneal bleed: nicking of circumflex femoral artery on right side during cardiac cath procedure. now s/p placement of 3 coils. vascular team aware of patient. s/p hypotension intraoperatively with use of pressors, 2 units prbc and ivf. hematocrit has been stable on day after cath. ct abdomen showed stable retroperitoneal bleed. will hold aspirin and plavix for the time being. received 2 units of packed red blood cells in the cath lab, hematocrit stabiilzed and continued to improve during hospitalization. patient was discharged with stable hematocrit of 27.5. . # coronaries: patient was transferred from hospital with nstemi now s/p cardiac cath that showed no native coronary disease. echo showed mild regional left ventricular systolic dysfunction with hypokinesis of the mid anterior septum and anterior walls in an atypical/non-coronary distribution suggesting focal myocarditis or variant of takotsubo cardiomyopathy. etiology of chest pain, enzyme leak and wall motion abnormality still unclear - possibly lysed clot vs. takotsubo vs. focal myocarditis. aspirin and plavix were held given recent bleed. ace inhibitor and beta blocker were started as well as high dose statin given likelihood of atypical takotsubo cardiomyopathy as the leading diagnosis. . # pump: patient has no history of systolic or diastolic dysfunction but now is nstemi or stress-induced cardiomyopathy. bnp 7255. pt has been euvolemic. she will need a repeat tte within the next week or two to evaluate systolic function and the anterolateral hypokinesis. . # rhythm: patient has been in normal sinus rhythm while monitored on telemetry. . # copd: patient has history of copd with possible additional restrictive physiology. treated by dr. . pt had been on po steroids for ~10days prior to admission. initially this episode was attributed to copd exacerbation with acute respirtory acidosis consistent with copd, however may be chf as patient has hypokinesis of her anterior wall on lv gram. currently patient breathing comfortably on room air and lying flat clinically euvolemic. pt has been receiving nebulizer treatment with standing atrovent and albuterol as well as steroid taper. the patient will continue her steroid taper upon discharge. . # htn: on lisinopril 5 po daily. . # hyperlipidemia: patient has history of hyperlipidemia with ldl at outside hospital 170 and here 101. on lipitor 80 po daily. . # rheumatoid arthritis: currently patient is asymptomatic. . ### patient will need a repeat tte in weeks for follow up ### medications on admission: fometerol 20 mcg one vial every 4-6 hours as needed proair inhaler 90 mcg 1-2 puffs inhaled prn cymbicort 2 puffs aleve 220 mg po bid as needed for ra pain medications on transfer from osh: plavix 300 mg (taken ) then 75mg daily aspirin 325 mg daily heparin gtt at 750 u/hr lisinopril 2.5mg daily albuterol nebs solumedrol 60mg iv daily discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. prednisone 10 mg tablet sig: two (2) tablet po daily (daily) for 5 days. disp:*10 tablet(s)* refills:*0* 3. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 6. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. 8. symbicort 80-4.5 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation twice a day. 9. prednisone 10 mg tablet sig: one (1) tablet po once a day for 5 days: start taking 10 mg a day after you've finished five days of 20 mg a day. disp:*5 tablet(s)* refills:*0* 10. azithromycin 500 mg tablet sig: one (1) tablet po once a day for 2 days: start tomorrow. disp:*2 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagosis: focal myocarditis or variant of takotsubo cardiomyopathy secondary diagnoses: 1. cardiac risk factors: +dyslipidemia, +hypertension 2. other past medical history: hep c s/p treatment in (unknown med) rheumatoid arthritis s/p humira treatment for 6 months in copd/asthma depression nephrolithiasis discharge condition: stable and improved discharge instructions: you were admitted to from hospital to have a cardiac catheterization done. you were initially treated at for a copd attack, and during this time, lab tests showed that your heart may have been damaged. your catheterization was complicated by a small hemorrhage near your right groin, and you were monitored in the icu for a short period of time after the procedure. you received blood transfusions and iv fluids, and did well. the catheterization did not show any blocked arteries, but did show a small amount of weakening in the pumping function in your heart. you have been started on new medication for this. you were transferred out of the icu, continued to do well, and you were discharged on in improved condition. the following changes were made to your medications: these medications have been added: lisinopril 5 mg daily for your heart function metoprolol 12.5 mg twice a day for your heart function simvastatin 80 mg daily for your heart and cholesterol montelukast 10 mg daily for your lungs aspirin 81 mg daily please continue taking your albuterol, symbicort, and prednisone as your have been before coming to the hospital. please discuss these new medication changes with dr. , your pcp, , see below. you will also see dr. , see below. you will have had another ultrasound of your heart at this point to compare to the ultrasound you had during this hospitalization. please call your physician 911 if you develop chest pain/pressue, shortness of breath, lightheadedness/dizziness, fevers, chills, or any other concerning medical symptoms. followup instructions: primary care: , w. phone: date/time: monday at 10:00am. cardiology: dr. phone: (&#8206; date/time: monday at 3:15pm. , upstairs from dr. procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: congestive heart failure, unspecified unspecified essential hypertension chronic hepatitis c without mention of hepatic coma personal history of tobacco use accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia hemorrhage complicating a procedure rheumatoid arthritis chronic obstructive asthma, unspecified diastolic heart failure, unspecified myocarditis, unspecified takotsubo syndrome accidental cut, puncture, perforation or hemorrhage during heart catheterization 

Answer: The patient is high likely exposed to