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: morphine / ace inhibitors / chicken flavor attending: chief complaint: hypothermia major surgical or invasive procedure: none history of present illness: 79 yo woman with diabetes, coronary artery disease, chronic renal failure, hypertension presents to the ed from the with intense diaphoresis and generalized malaise since earlier this evening. at the time her blood glucose was 339 but her temp was 86 f and she was brought to ed. in the ed, patient found to be hypothermic (t 32 c), bradycardic (hr 40s), found to have + ua, and patient began having l-sided chest pain (ekg without ischemic changes). given bear-hugger, levoquin, and albuterol neb. of note, per patient's cardiologist, she has had a number of similar episodes in the past few weeks, all of which have resolved with no clear etiology. early in , she was admitted and ruled out for mi and pe. late in she was admitted for neck pain, nausea, diarrhea and was hypoglycemic. . ros: +chest pain--"pulsating" "pressure" with some sob and nausea, denies diaphoresis. resolved spontaneously in ed, recurred and resolved after 1 sl nitroglycerine. +decreased appetite +increased thirst x 2 months past medical history: congestive heart failure stroke tia's hallucinations hypertension coronary artery disease documented mi in diabetes with nephropathy, retinopathy, neuropathy glaucoma with bilateral blindness chronic renal failure -baseline creat 2.1 anemia asthma type iv rta social history: pt lives at the , hcp is son e etoh abuse quit in her 40's, no smoking family history: mother alive with sister, brother, and daughter with son with cva physical exam: pe: vs 91 44 125/70 25 96% 3l gen - tearful, mildly dyspneic heent - atnc, anicteric, mmdry neck - supple, unable to appreciated jvd given scar tissue heart - bradycardic, distant heart sounds lungs - poor inspiratory effort, use of abdominal musculature, no wheezes appreciated abd - soft, obese, nt/nd, +bs ext - cool, palpalble peripheral pulses skin - diaphoretic, cool, burn scars to neck and upper chest neuro - a&o to person, "home" "" pertinent results: 12:10am urine blood-mod nitrite-pos protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 12:10am urine color-yellow appear-cloudy sp -1.013 12:45am plt count-253 12:45am hypochrom-3+ 12:45am neuts-74.1* lymphs-20.9 monos-4.2 eos-0.5 basos-0.2 12:45am wbc-10.5 rbc-3.55* hgb-9.4* hct-30.7* mcv-86 mch-26.4* mchc-30.6* rdw-15.4 12:45am tsh-1.4 12:45am acetone-negative osmolal-316* 12:45am albumin-3.4 calcium-9.4 phosphate-4.7* magnesium-2.2 12:45am ck-mb-notdone ctropnt-<0.01 12:45am lipase-31 12:45am alt(sgpt)-38 ast(sgot)-32 ck(cpk)-61 alk phos-87 amylase-104* tot bili-0.3 12:45am glucose-160* urea n-46* creat-1.7* sodium-145 potassium-6.3* chloride-115* total co2-23 anion gap-13 01:00am pt-12.5 ptt-81.3* inr(pt)-1.0 01:36am lactate-1.0 k+-6.1* 04:27am type- 04:30am pt-13.9* ptt-29.8 inr(pt)-1.3 04:30am plt smr-normal plt count-220 04:30am hypochrom-3+ 04:30am neuts-74.3* bands-0 lymphs-21.4 monos-3.9 eos-0.3 basos-0.2 04:30am wbc-9.8 rbc-3.26* hgb-8.6* hct-28.1* mcv-86 mch-26.4* mchc-30.6* rdw-15.4 04:30am magnesium-2.0 04:30am ck-mb-notdone ctropnt-<0.01 04:30am ck(cpk)-64 04:30am glucose-135* urea n-42* creat-1.5* sodium-146* potassium-5.1 chloride-114* total co2-25 anion gap-12 05:21am cortisol-24.6* 05:41am cortisol-26.2* 05:41am calcium-8.7 phosphate-4.3 . cxr the heart size and mediastinal contours are unchanged. the pulmonary vasculature appears unchanged, without evidence of pulmonary vascular congestion. no pleural effusion and no pneumothorax. no focal pulmonary parenchymal consolidation. degenerative changes at the shoulder joints bilaterally. impression: stable radiographic appearance of the chest. no evidence of congestive heart failure. . ekg baseline artifact. sinus bradycardia 44. left axis deviation. left bundle-branch block. compared to the previous tracing of no diagnostic change. . ct head no acute hemorrhage or mass effect. no ct evidence of an acute major territorial infarction. . v/q scan low likelihood ratio for pulmonary embolism. . mri neg for stroke or mass . echo the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with hypokinesis of the basal anterior septum and anterior wall, and akinesis of the mid-to-distal anterior wall, anterior septum and inferior wall... no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild to moderate (+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: regional left ventricular systolic dysfunction c/w multivessel cad. mild-moderate mitral regurgitation. brief hospital course: the patient presented hypothermic, bradycardic to the emergency department early morning on . a femoral line was placed, and active external rewarming began. the patient was afebrile but urinalysis was consistent with a urinary tract infection. the patient was admitted to the medical intensive care unit because of concern for sepsis in light of her hypothermia, bradycardia, and infection picture. . the patient was stable in the intensive care unit on 2l oxygen by nasal cannula. she had good urine output (greater than 30cc/hr) in response to a 500cc normal saline bolus. active external rewarming was continued, and both temperature and heart rate rose to normal levels. the patient's primary care provider felt that her hypothermia was due to profuse diaphoresis caused by bethanechol (a cholinergic medication she had taken for urinary retention). plans were made for discharge, but when the patient became febrile, she was transferred to the general medical service. the patient was treated for her urinary tract infection with ceftriaxone, and the infection resolved. . however the morning of she had an episode of chest pain and shortness of breath. troponin t enzymes returned positive, indicating cardiac ischemia. in consultation with cardiology and the patient, it was determined that the benefits of a cardiac catheterization would not outweigh the risks in this 79-year-old woman with a number of co-morbidities. she was managed medically with increased statin and beta blocker. she was also kept on heparin gtt for 48 hours. echo demonstrated and ef of 30% likely her stemi. . the patient continued to have episodes of chest pain every morning with shortness of breath. a cxr demonstrated failure and she was diuresed with lasix. a bnp was 24,000. the patient repsonds well to 40mg iv. her symptoms improved and she will be sent home on 60mg po lasix . this should be titrated up or down based on her respiratory symptoms. please weigh the patient every day. if she gains more than 3 lbs in a day or 6 pounds in a week please call dr. . . also the patient has been having problems with after hir insulin dose was increased. she had a blood glucose of 23 on associated with severe confusion. this resolved with administration of d50. her insulin dose was taken down and her sugars improved. medications on admission: - ranitidine 150 mg po qd - risperidone 0.5 mg po qd - toprol xl 100 mg po bid - aspirin 325 mg po qd - bethanochol 10 mg po qid - amlodipine 5 mg po qd - lantus 10 units sc qhs - nph 4 u sc with breakfast and dinner - riss - lasix 20 mg po qd - lipitor 20 mg po qd - isuprel 30 mg tid . discharge medications: 1. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). 2. albuterol sulfate 0.083 % solution sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 4. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours). 5. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 6. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). 7. lasix 20 mg tablet sig: one (1) tablet po once a day. 8. isosorbide dinitrate 10 mg tablet sig: three (3) tablet po tid (3 times a day). 9. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). 10. ceftriaxone sodium 1 g recon soln sig: one (1) recon soln injection once a day for 3 days. 11. furosemide 20 mg tablet sig: three (3) tablet po once a day. 12. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 13. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 14. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous at bedtime. 15. humalog 100 unit/ml solution sig: as dir units subcutaneous four times a day: see attached insulin sliding scale. 16. risperidone 0.25 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: - discharge diagnosis: hypothermia urinary tract infection nstemi discharge condition: stable discharge instructions: please give medications and make appts as listed in the discharge paperwork. if the patients temp gets > 101 degrees or < 96 degrees please seek medical attention. please seek medical attention if the patient has chest pain, shortness of breath, nausea or vomitting. followup instructions: follow up with dr. , your pcp, one week. patient should follow up with dr in urology in weeks. procedure: arterial catheterization insertion of indwelling urinary catheter diagnoses: hyperpotassemia nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute kidney failure, unspecified asthma, unspecified type, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes unspecified glaucoma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin old myocardial infarction retention of urine, unspecified late effects of cerebrovascular disease, hemiplegia affecting unspecified side diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy profound impairment, both eyes, impairment level not further specified hypothermia neurogenic bladder nos parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics causing adverse effects in therapeutic use primary focal hyperhidrosis 

Answer: The patient is high likely exposed to