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: vancomycin / percocet attending: chief complaint: brbpr major surgical or invasive procedure: tandemheart mechanical ventilation central line arterial line history of present illness: 48m with sick social contacts, day history of n/v/d, fever/chills, mylagias, had one episode of brbpr this morning (bright red and mixed with stool) and since that time more lightheaded, fatigued, here for further evaluation. reports chest pain, "non-pleuritic" otherwise denies shortness of breath. . in the ed, initial vs were: 98.3 89 92/52 16 98% ra. exam notable for clear chest, guaiac positive brown stool. cxr, ua unremarkable. sbp's in 70's. ng lavage showed coffee grounds that cleared. given 5mg of vitk for inr of 3.9 given the concern for gi bleed. linezolid, zosyn. serial ekgs taken with the third looking wellinoid. trop came back at 0.44. ed thought it was "demand ischemia". gi and cards were consulted and then the patient bradied down and lost pulse. coded in the ed for 30 minutes. two returns of spont circ. shocked 5 times for "vfib/vtach". received epi, lido, ca, amio, bicarb. given norepi and dobutamine, 5l of ns. bedside us - no effusion. sent to cath lab. . in cath lab patient was in pea arrest. 60 additional minutes of acls ensued with high pressure chest compressions. received several rounds of epi, atropine, 4 u of prbc; also norepi and vasopressin. a balloon pump trialed and replaced with tandem heart. . in the ccu, phone numbers called, no answer. his cellular phone is dead. his pcp was emailed. ultimately, family contact and will come in. family meeting had with partner. . patient was medically unstable on levophed and epi drip. began in sinus brady, received 2mg of atropine, 1 of epi, 7 amp of bicarb. bicarb drip started, dopa added briefly. patient went into vf 3 times and shocked and came out into sinus tach. lidocaine 50 bolus followed by drip. very difficult to ventillate (non-compliant), bag masked throughout this medical-code, and then switched to ecmo. past medical history: - diabetes - dyslipidemia, -cad: early onset cad, s/p cabg , angio in demonstrated vein stump occluded svg to d1, om1, rpda but with patent lima-lad graft. mibi in demonstrated multiple fixed defects and akinesis, no reversible defects. patient has history of silent mi prior to cabg. reported as anterior apical myocardial infarct. -chf: mibi in demonstrated a lvef of 25%. placed for episode of v-tach on day of cabg. h/o chronic systolic hf (ef 30%) -pa hypertension: cardiac cath in demonstrated moderate pulmonary hypertension (45mm hg) and severely elevated left-sided filling pressures. heart failure diagnosis -pvd: s/p recent l toe amputation for gangrene; - left fem- bypass; thrombectomy of femoral-popliteal bypass graft left side and revision with bovine pericardial patch of the distal anastomosis. -dm type ii: on metformin, glipizide, insulin, last a1c 6.9. diagnosed at age 14. -hepatitis: patient reports possible hep a and hep b infections in past, reports that follow-up testing showed no chronic infection -renal insufficiency- began recently. dm-related. followed at . -angiography in showing only patent lima-lad psh: -cabg -l 3rd toe amp -l sfa angioplasty -l 4th toe amp -l sfa angioplasty and stent -l cfa-ak with vein then ptfe -r 4th toe partial amp -thrombectomy of l bpg revision with bovine pericardial patch of the distal anastomosis -angioplasty of common femoral artery and proximal anastomosis. angioplasty of above-knee popliteal artery and distal anastomosis. stenting of above-knee popliteal artery for residual stenosis. -angiojet thrombectomy and rheolytic thrombolysis of the left common femoral artery to above-knee popliteal artery ptfe bypass graft with balloon angioplasty of the left popliteal artery stent -incision and drainage of left leg abscess social history: the patient is a make-up artist in a department store. tob: neg etoh: occasional etoh use drugs: denies ivdu (history when he was in his 20's) family history: cad with mi in father in his 50s and mother in her 60s dm in both parents htn in both parents. sister also has diabetescad with mi in father in his 50s and mother in her 60s dm in both parents htn in both parents. sister also has diabetes. physical exam: ed exam: temp: 98.3 hr: 89 bp: 92/52 resp: 16 o(2)sat: 98 normal constitutional: the patient is awake, alert and oriented. at the time of my examination he is nontoxic in appearance. heent: normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact his neck is supple, no jvd chest: lungs are clear bilaterally cardiovascular: normal s1-s2 abdominal: his belly is soft, nontender, nondistended. he does not have any guarding or rebound. no peritoneal signs rectal: brown stool that is heme positive gu/flank: no cva tenderness extr/back: no lower extremity edema and his legs are warm neuro: speech fluent psych: normal mood, normal mentation heme//: no petechiae . on discharge, the patient was deceased pertinent results: 11:47pm type-art temp-33.6 po2-377* pco2-38 ph-7.30* total co2-19* base xs--6 intubated-intubated comments-tandem hea 11:47pm lactate-11.5* 11:47pm o2 sat-98 11:47pm freeca-1.37* 10:35pm type-art po2-159* pco2-49* ph-7.24* total co2-22 base xs--6 10:35pm lactate-11.1* k+-3.2* 10:35pm hgb-11.6* calchct-35 10:35pm freeca-1.38* 09:57pm type-art po2-164* pco2-45 ph-7.09* total co2-14* base xs--16 09:57pm glucose-268* lactate-10.2* na+-137 k+-5.6* cl--109 tco2-13* 09:57pm hgb-12.1* calchct-36 o2 sat-97 09:57pm freeca-0.80* 09:23pm type-art po2-264* pco2-33* ph-7.17* total co2-13* base xs--15 09:23pm lactate-8.5* 09:23pm freeca-1.05* 09:15pm glucose-239* urea n-46* creat-2.3* sodium-143 potassium-4.6 chloride-111* total co2-12* anion gap-25* 09:15pm alt(sgpt)-1163* ast(sgot)-1439* ck(cpk)-743* alk phos-117 tot bili-2.5* 09:15pm ck-mb-63* mb indx-8.5* ctropnt-2.49* 09:15pm calcium-7.9* phosphate-7.1*# magnesium-1.9 09:15pm wbc-19.1*# rbc-3.54* hgb-10.8* hct-32.5* mcv-92 mch-30.5 mchc-33.2 rdw-15.9* 09:15pm neuts-87.8* lymphs-7.7* monos-4.2 eos-0.2 basos-0.2 09:15pm plt count-175 09:15pm pt-52.7* ptt-78.3* inr(pt)-5.6* 08:30pm glucose-239* urea n-44* creat-2.1* sodium-143 potassium-3.8 chloride-109* total co2-13* anion gap-25* 08:30pm ck(cpk)-373* 08:30pm calcium-6.4* 08:30pm wbc-11.1* rbc-2.84* hgb-8.8* hct-26.8* mcv-95 mch-31.2 mchc-32.9 rdw-15.6* 08:30pm plt count-132* 08:30pm to ptt-unable to inr(pt)-unable to 07:50pm po2-178* pco2-41 ph-7.18* total co2-16* base xs--12 07:50pm lactate-9.7* 07:50pm hgb-9.1* calchct-27 o2 sat-97 07:10pm type-art po2-127* pco2-46* ph-6.95* total co2-11* base xs--23 intubated-intubated 07:10pm lactate-10.8* 07:10pm hgb-8.0* calchct-24 06:41pm type-art po2-165* pco2-37 ph-7.10* total co2-12* base xs--17 intubated-intubated 06:41pm glucose-159* lactate-9.2* na+-137 k+-4.1 cl--115* 06:41pm hgb-8.6* calchct-26 o2 sat-96 carboxyhb-1 met hgb-0 06:41pm freeca-0.88* 05:36pm hgb-10.9* calchct-33 03:50pm urine hours-random 03:50pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 03:50pm urine color-yellow appear-clear sp -1.016 03:50pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:50pm urine rbc-1 wbc-2 bacteria-none yeast-none epi-<1 03:50pm urine granular-4* hyaline-18* 03:50pm urine mucous-rare 01:23pm lactate-1.9 k+-4.0 01:05pm glucose-192* urea n-45* creat-1.9* sodium-131* potassium-3.9 chloride-97 total co2-20* anion gap-18 01:05pm estgfr-using this 01:05pm alt(sgpt)-37 ast(sgot)-35 ld(ldh)-278* ck(cpk)-253 alk phos-84 tot bili-1.0 01:05pm lipase-21 01:05pm ctropnt-0.44* 01:05pm ck-mb-7 01:05pm wbc-11.8*# rbc-3.39* hgb-10.2*# hct-30.0* mcv-89 mch-30.1 mchc-34.0 rdw-15.6* 01:05pm neuts-90.7* lymphs-6.2* monos-2.8 eos-0.1 basos-0.2 01:05pm plt count-135* 01:05pm pt-38.4* ptt-42.5* inr(pt)-3.9* . echo : dilated left ventricle with severe global systolic dysfunction. moderate right ventricular systolic dysfunction in a rather small rv cavity. mild mitral regurgitation. at least mild pulmonary hypertension. compared with the prior study (images reviewed) of , rv size is smaller. the tandemheart catheter now terminates in the right atrium and a small residual asd is seen. if clinically-indicated, would consider reducing the apparent -arterial ecmo flow rate or volume-loading the patient. . cxr: findings: in comparison with the study of and , the monitoring and support devices are all in good position. diffuse bilateral pulmonary opacifications with enlargement of the cardiac silhouette is consistent with pulmonary edema. however, superimposed aspiration, especially in the right upper zone, could certainly reflect aspiration. retrocardiac opacification with silhouetting the hemidiaphragm is consistent with some combination of volume loss in the left lower lobe, pleural effusion, and possible superimposed pneumonia. . 1:05 pm blood culture #1. **final report ** blood culture, routine (final ): beta streptococcus group c. final sensitivities. sensitivity testing performed by sensititre. clindamycin = <= 0.12 mcg/ml. sensitivities: mic expressed in mcg/ml _________________________________________________________ beta streptococcus group c | clindamycin----------- s erythromycin----------<=0.25 s penicillin g----------<=0.06 s vancomycin------------ <=1 s aerobic bottle gram stain (final ): reported to and read back by dr. pager# @ 0500 on . gram positive cocci in pairs and chains. anaerobic bottle gram stain (final ): gram positive cocci in pairs and chains. . 9:04 am swab source: l thigh abscess. **final report ** wound culture (final ): beta streptococcus group c. sparse growth. brief hospital course: mr was a 48 yo m with cad, dmii, ischemic cardiomyopathy s/p cabg (ef25%), disease + mild cri. the pt presented to the ed complaining of day history of n/v/d, fever/chills, mylagias, had one episode of brbpr. he also reported chest pain that was non-pleuritic. in the ed the pt's sbps declined from the 90s to the 70s, and serial ekgs demonstrated sign with a trop of 0.44. the pt became bradycardic and lost his pulse, and was subsequently coded for 30minutes in the ed with two returns of spontaneous circulation receiving 5 shocks for vfib/vtach, as well as epi, lido, ca, amio, bicarb, then norepi, dobutamine, 5l ns. he was sent to the cardiac catheterization lab where he was found to be in pea arrest. 60 additional minutes of acls ensued with high pressure chest compressions. he received several rounds of epi, atropine, 4 u of prbc; also norepi and vasopressin. during chest compressions, a balloon pump was trialed and replaced with tandem heart. . the patient was then transferred to the the ccu, where he was medically unstable on levophed and epi drip. he went into sinus brady, received 2mg of atropine, 1 of epi, 7 amp of bicarb. a bicarb drip was started, and dopamine added briefly. the patient went into vf 3 times resulting in shocks and came out into sinus tach. the pt was then bolused with lidocaine 50mg followed by drip. the pt was very difficult to ventilate (non-compliant lungs), had been bag masked throughout this medical-code, and then switched to ecmo. during this time he was started on cardiac arrest cooling protocol and treated with broad spectrum antibiotics. . over the course of the pt's admission he developed signs of severe multi-organ system failure (dic / coagulopathy, shock liver, arf, cardiogenic and likely distributive shock with group c strep) and had a cxr with evidence of massive acute alveolar filling and ? pleural effusions and ventilator mechanics c/w severely reduced resp system compliance. given the pt's poor prognosis, taking into account his poor chronic baseline, multiorgan system failure, in addition to his minimal cardiac function (ef <10% without being a candidate for heart transplant), the family decided to withdraw care and the pt passed shortly thereafter. medications on admission: 1. warfarin 5 mg tablet sig: one (1) tablet po once a day: please alternate between 6 mg of coumadin on even days and 7 mg of coumadin on odd days as per your physician. 2. atorvastatin 80 mg tablet sig: one (1) tablet po once a day. 3. clopidogrel 75 mg tablet sig: one (1) tablet po once a day. 4. gabapentin 300 mg capsule sig: one (1) capsule po once a day. 5. gabapentin 300 mg capsule sig: one (1) capsule po at bedtime. 6. lantus 100 unit/ml solution sig: twenty five (25) units subcutaneous at bedtime. 7. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po twice a day. 9. ranitidine hcl 150 mg capsule sig: one (1) capsule po twice a day. 10. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 11. furosemide 40 mg tablet sig: one (1) tablet po once a day. discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a discharge condition: deceased discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization insertion of endotracheal tube insertion of temporary transvenous pacemaker system implant of pulsation balloon injection or infusion of oxazolidinone class of antibiotics insertion of percutaneous external heart assist device diagnoses: acidosis subendocardial infarction, initial episode of care congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver acute kidney failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified coronary atherosclerosis of unspecified type of vessel, native or graft peripheral vascular disease, unspecified paroxysmal ventricular tachycardia acute respiratory failure cardiac arrest surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiogenic shock long-term (current) use of insulin other complications due to other cardiac device, implant, and graft ventricular fibrillation automatic implantable cardiac defibrillator in situ hemorrhage of gastrointestinal tract, unspecified acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to