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: hypotension s/p biv-icd placement in or major surgical or invasive procedure: surgical epicardial lead placement of biv pacemaker placement of biv pacemaker. central line placement. history of present illness: 69m with dm, non-ischemic cm (ef 20-25%)s/p bivi/icd placement in or with hypotension/decreased urine output. clean coronaries on cath 4/. attempt at bivi implant in unsuccessful. transfer to for re-attempt. rv lead placed ok but could not place cs lead. to or for epicardial lv lead. tolerated procedure well. post op, sbp down to 80s from baseline 110-120, uop down to 9cc/hr. pt has received 3l ivf since or. past medical history: cm (ef 20-25%) lbbb dm cri enlarged prostate social history: pt traveled from for biv-icd placement. nephew is radiologist here at physical exam: t: 101.8/100.8 p: 100-110 bp:99-110/57-63 rr: 18-27 )2: 98-99% i/o: 4610/1050 (630ccuop, 350 cc ct (dark serosanguinous drainage) ct no longer on wall suction gen: pt sitting up in bed, appears uncomfortable, but nad heent: perrl, sclerae anicteric, mm-dry; no jvp appreciated cardiac: rrr; +sem, ? diastolic murmur lungs: cta ant abd: soft, + distention, no suprapubic pain but diffuse upper epigastric pain on palpation (luq most signficant pain per pt) ext: warm/dry; +dp pulses pertinent results: 10:00am glucose-124* urea n-21* creat-1.2 sodium-140 potassium-4.3 chloride-102 total co2-28 anion gap-14 10:00am calcium-9.9 phosphate-3.5 magnesium-2.0 10:00am wbc-7.7 rbc-5.36 hgb-13.5* hct-42.5 mcv-79* mch-25.1* mchc-31.7 rdw-18.1* 10:00am plt count-280 10:00am pt-11.7 ptt-20.4* inr(pt)-0.9 brief hospital course: mr. is a 69m who is s/p operative biv/icd placement c/b hypotension and decreased urine output. in particular, after placement of biv pacemaker/icd, the patient developed hypotension. he was placed on neosynephrine for a short period of time and responded well with maps >65. initially the differential of the hypotension included sepsis, cardiogenic shock, tamponade, and dehydration. however, 2 echo's did not show evidence of tamponade, and the swan catheter did not support cardiogenic shock. the fever and elevated white count was consistent with sepsis, especially in the setting of presumed pna and lung infiltration. zosyn and vanco were started for presumed nosocomial infection or infection d/t surgery. bb, ace, and lasix, and aldactone were initially held, but losartan waw restarted and titrated up to home dose, and was started and kept at 1/2 home dose. lasix iv was subsequently used when patient demonstrated fluid overload, improving the patient's breathing and clinical status. after pacemaker/icd placement on , the patient was started on vanc per recommendations of csurg. he was atrial-sensed and v-paced. on he was found to be in a-fib and intermittent vt. initially the plan was to wait until for dccv and load the patient with ibutilide and lidocaine and start him on amio on . however, the patient was hypotensive and concern there was concern that was causing this hypotenion. the patient was cardioverted on and returned to sinus rhythm (v paced). in regards to id, the pt spiked a fever to 101.8 post-op. pneumonia was considered as a cause of the fever and hypotension for several reasons, including complicated or course of intubation and adjusting lung volumes as needed for placement of leads of pacemaker, developing a new productive cough, and having infiltrates on cxr. pt was started on vancomycin per protocol of pacemaker placement and given dose of levofloxacin in pacu for fever. however, in the ccu levo was changed to zosyn due to concern for nocosomial infection and to avoid prolongued qt interval, and this was continued until discharge. laboratory data did not definitively confirm the source of infection, as sputum cultures revealed only moderate growth of oropharyngeal flora (, after antibiotics had already begun), urine cultures were negative, and blood cultures did not demonstrate growth. in regards to his chf and cardiac status, digoxin was held d/t dig toxicity (level 1.3), while asa and zocor were continued. as hypotension improved metoprolol was added, as well as losartan and coreg. bp tolerated these medication additions well patient has underlying diabetes and was placed on an insulin sliding scale while in the hospital. he also received sq heparin and protonix as prophylactic measures for dvt and gastric bleed, respectively. the patient remained full code during this hospitalization. medications on admission: losartan 100 lasix 40 aldactone 25 digoxin 0.25 m-f, hold s and sun coreg 12.5 ticlid (held 4d pta) asa 325 (held 2d pta) mvi terazosin 2 protonix 40 amaryl 2 zocor 5 insulin h. actrapid 20-20-0, h. mixtard 0-0-26 discharge medications: 1. simvastatin 10 mg tablet sig: 0.5 tablet po daily (daily). 2. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): please take a total of 400 mg (2 tablets) for 2 days (until ), then take 200 mg (1 tablet) for 7 days, then take 200 mg (1 tablet) qd from then on. disp:*120 tablet(s)* refills:*0* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. losartan potassium 50 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*0* 9. pneumococcal 23-valps vaccine 25 mcg/0.5 ml injectable sig: one (1) ml injection once (once) for 1 doses. 10. please return to your normal insulin regimen. discharge disposition: home discharge diagnosis: non-ischemic cardiomyopathy type 2 diabetes hypertension cardiac arrhythmia discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. fluid restriction: 1.5 liters per day. take your medications as instructed. please follow up with electrophysiology on . followup instructions: device clinic where: cardiac services phone: date/time: 1:30pm. you will have an appointment with dr. after your device clinic appointment. procedure: venous catheterization, not elsewhere classified other electric countershock of heart catheter based invasive electrophysiologic testing implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system implantation or replacement of cardiac resynchronization pacemaker pulse generator only [crt-p] diagnoses: pneumonia, organism unspecified other primary cardiomyopathies mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis atrial fibrillation long-term (current) use of insulin unspecified disorder of kidney and ureter other left bundle branch block other specified hypotension hyperplasia of prostate, unspecified, without urinary obstruction and other lower urinary symptoms (luts) 

Answer: The patient is high likely exposed to