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: non sustained ventricular tachycaredia on holter, lightheadedness, dyspnea on exertion major surgical or invasive procedure: 1. endotracheal intubation 2. placement of icd. history of present illness: mr. is a 62 man w/ hx of cad, htn, hypercholesterolemia, who presented to his cardiologist (dr. yesterday with c/o lightheadedness. he has not been feeling his usual self for the past few months, but cannot completely pinpoint why. for the past month, he has felt intermittent episodes of lightheadedness not particularly associated with any movements or positional changes. he denies vertigo, blurry vision, loc, dimming vision. he reports orthopnea, possible pnd, doe, and worsening fatigue over past few months. he reports occasionally feeling palpitations. he has never had chest pain or syncope. . he had a holter monitor a few weeks ago, which revealed runs of . recent echo report revealed inferior and posterior wall motion abnormalities. ef 40%. he was sent to er for further management and for transfer to for ep study. . in the ed, he was seen by ep, and was admitted with plans for ep study and possible icd placement. past medical history: - cad s/p 5 vessel cabg in with lima->lad, svg->om1->om2, svg-> ramus, svg->rca; s/p ptca s/p vt to ramus pci, s/p lm/cx pci cath : 1. severe native vessel coronary artery disease. 2. svg --> om1 --> om2 is occluded. 3. svg --> ramus with serial stenoses. 4. svg --> rca patent. 5. lima --> lad patent. 6. successful stenting of the svg-ramus cath : occlusion of svg-ramus stent - copd, on intermittent home o2 - leg cramps - chronic back pain s/p mva many yrs ago, s/p many back surgeries including steel rod placement - niddm - hypertension - hyperlipidemia - tia (remote, 15-20 years ago) - gerd - s/p hernia repair social history: retired truck driver, now lives with wife and son. smoking: 1ppd, down from ppd, 30-40 pack-year history. etoh: has not consumed etoh for 15 years although drank a substantial amount before that. no illicit substance use. family history: mother died of mi at 73. father had lung cancer, no known coronary dz. older sister has diabetes. has a daughter and son who are healthy. no known additional fam hx of stroke, mi physical exam: vs: 97.7, 94-126/57-76, 69, 20, 100% ra gen: nad, lying comfortably in bed heent: eomi, mmm, op clear neck: think diameter, jvp and lad no able to assess lungs: diffuse rales and coarse breath sounds bilaterally cv: rrr, nl s1s2, no m/r/g abd: obese, +bs, s/nt/nd ext: + pedal pulses, no edema skin: numerous tatoos and scars from car accident pertinent results: labs on admission: wbc-9.0 rbc-4.46* hgb-14.0 hct-41.2 mcv-92 rdw-15.9* plt ct-291 glucose-333* urean-25* creat-1.2 na-131* k-5.4* cl-93* hco3-29 alt-24 ast-13 ck(cpk)-50 alkphos-80 totbili-0.3 tsh-1.1 . . labs on discharge: 04:28am blood wbc-15.4* rbc-4.09* hgb-13.2* hct-37.4* mcv-92 mch-32.3* mchc-35.3* rdw-15.8* plt ct-173 04:28am blood neuts-77* bands-8* lymphs-8* monos-6 eos-0 baso-0 atyps-0 metas-1* myelos-0 04:28am blood plt ct-173 04:28am blood glucose-205* urean-27* creat-1.0 na-135 k-4.4 cl-99 hco3-26 angap-14 04:28am blood calcium-8.7 phos-3.0# mg-1.5* 02:20pm blood type-art temp-37.2 rates-/16 tidal v-580 peep-5 fio2-40 po2-121* pco2-45 ph-7.38 caltco2-28 base xs-1 intubat-intubated vent-spontaneou 06:11am blood o2 sat-95 . . other pertinent data: ekg: nsr at 69 bpm, nl axis, nl intervals, no st-t changes, no peaked t waves . cxr: mild cephalization present without overt failure on the current examination. . ct chest : 1. no evidence of pleural effusion. 2. left lower lobe consolidation likely representing atelectasis. patchy left lower lobe opacities could represent a component of airspace disease or aspiration. 3. no hematoma observed at the pacemaker placement site. . cxr : there is no evidence for an orogastric line. icd device is present, unchanged in position. no infiltrates are present. some atelectasis of the left base is seen. . tte : moderately dilated la, moderate symmetric lvh, ef 40% 2/2 severe hypokinesis of posterior and lateral walls, moderately dilated aortic root and ascending aorta, trace ar, moderate to severe mr, moderate tr, severe pulmonary artery systolic hypertension. . micro: urine culture (final ): no growth. . 11:29 pm sputum source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram negative rod(s). 2+ (1-5 per 1000x field): gram positive cocci. in pairs. respiratory culture (preliminary): ? oropharyngeal flora. pseudomonas aeruginosa. moderate growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa brief hospital course: cardiac: rhythm: on holter: it was unclear whether was contributing to his sob and lightheadedness. on admission, he was in nsr without any complaints. his tsh was normal. ep study was obtained to further evaluate his lightheadedness as well as risk for sudden cardiac arrest. during the study, they were able to induce vt/vf. post study, it was felt that icd placement was necessary. a dual lead icd was implanted. he was given prophylactic cephalexin. during the hospital course, he was continued on his metoprolol for rate control, and was monitored on telemetry without any events once his bp was stable. he did not complain of any other symptoms post-procedure. pump: based on echo in , ef 40%. cxr on admission revealed cephalization, but no signs of overt chf. follow up cxr did not demonstrate any chf. he remained stable throughout admission. ischemia: no evidence of ischemia on ekg; he had no evidence of ischemia on ekg and had two sets of negative cardiac enzymes. he continued his home doses of asa, metoprolol, lipitor, lisinopril, and plavix. . respiratory: the patient was intubated during icd placement. post procedure, they had difficulty weaning him from the ventilator. a ct of the chest did not show any acute processes other than atelectasis. it was thought likely due to poor reserve secondary to copd vs. atelectasis/plugging. he was sent to the ccu for post-procedure management due to intubation. the patient was usccessfully extubated in the ccu. he did spike a fever to 101 and was pan cultured on prior to extubation. he also had an elevated wbc to 15. however, fearing aspiration and ? pneumonia, he was started on levaquin and clindamycin. sputum/blood/ urine cultures were sent. his prednisone was continued and he was given solumedrol. he did not have any fevers or localizing signs once extubated. on discharge, he was did not have any symptoms. on discharge, he was given levaquin to complete a 7 day course for possible pneumonia pending return of cultures. . htn: during the procedure he briefly required neosynephrine, but was able to be weaned successfully off pressors. his bp then remained stable for the duration of admission and he was restarted on his outpatient regimen. . copd: he had no active issues; however, the house staff did try to encourage smoking cessation. he was treated with a nicotine patch, and continued advair, nebs, and prednisone. once he was extubated, he was put on prednisone 30mg for a 6 day taper to return him to his outpatient dose of prednisone 10mg po qday. . fatigue: unclear etiology, and were thought to be most likely related to cardiac problems. may benefit from further work-up for possible sleep apnea. . chronic back pain: no active issues and continue fentanyl patch, percocet prn . dm: sugars in high 270's-300's during hospital course. his ha1c was found to be 9. he continued his home oral hypoglycemics of glipizide and actos, and was put on a sliding scale. his sugars leveled at 200. metformin was held given risk for chf. . fen: cardiac diabetic diet, electrolytes repleted as needed until mg>2 and k>4. . ppx: he was put on heparin sc, ppi (on pantoprazole at home), and a bowel regimen as needed. . code: he was full code during this admission. . outstanding issues: 1. ? pneumonia: he was discharged on levaquin for a total 7 day course. the medical team thought pneumonia was unlikely given his clinical picture. however, after discharge his sputum cx grew pseudomonas. on writing this note, susceptabilities were pending. if the pseudomonas is not sensitive to levaquin, then the patient will have to be switched accordingly. his blood/urine cultures will also have to be followed up. the patient will be called if a change in his antibiotic is necessary. . 2. icd: the patient has an appointment in the device clinic on . he was instructed to follow up with his cardiologist and pcp 1-2 weeks. . 3. diabetes: his blood sugars were elevated during admission, and his a1c was 9. he will need follow up with his pcp for management. this was stressed to the patient and the patient understood and agreed to follow up. medications on admission: asa 325 qd percocet prn sliding scale insulin protonix 40mg qd metoprolol 50mg nicotine patch glipizide 5mg qd plavix nebs lipitor 80mg qd lisinopril 5mg qd metformin 750mg fentanyl patch prednisone 10mg qd actos 30mg qd lexapro 10mg qd advair 100/50 q puff quinine sulfate 260mg qhs discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 4. fentanyl 75 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 5. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 6. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for sob/wheeze. 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days. disp:*6 tablet(s)* refills:*0* 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. prednisone 10 mg tablet sig: three (3) tablet po daily (daily) for 2 days: . 13. prednisone 10 mg tablet sig: one (1) tablet po daily (daily): start . 14. prednisone 10 mg tablet sig: two (2) tablet po once a day for 2 days: . discharge disposition: home discharge diagnosis: primary: 1. non-sustained ventricular tachycardia inducible on electrophysiology study. . secondary: 2. hypertension 3. diabetes mellitus 4. acid reflux 5. possible pneumonia discharge condition: good. afebrile. hemodynamically stable discharge instructions: please keep all follow up appointments. please take all medications as prescribed. no weight bearing or heavy use with left arm. please do not lift left arm overhead until seen and cleared by cardiologist. please return to the hospital with fevers/chills, chest pain, worsening shortness of breath, palpitations, worsening pain/swelling over insertion site, or any other symptoms that concern you. followup instructions: * provider: clinic phone: date/time: 2:30 * please call ( to make appointment with dr. within a week. * please follow up with your pcp 1-2 weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours catheter based invasive electrophysiologic testing implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: other iatrogenic hypotension esophageal reflux tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension long-term (current) use of steroids diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified aortocoronary bypass status percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease pneumonia due to pseudomonas other postprocedural status backache, unspecified syncope and collapse other malaise and fatigue 

Answer: The patient is high likely exposed to