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: unstable angina major surgical or invasive procedure: cardiac cath s/p stent to lad history of present illness: 83 yr old male with hx of cad/3vd s/p lad stent in presents to with flu symptoms and crescendo angina. pt states that two days prior to admission, he was in vacationing and went into atrial fibrillation (which he says has happened before). he used his ntg spray three times and eventually converted back into nsr after 15 minutes. one day prior to admission, he started feeling flu-like symptoms such as sneezing, congestion, fevers (measured at 100.5) and non-productive cough. his wife and grand-children are also sick with the same symptoms. last night, pt states that he woke up every three hours with chest pain that went away with one spray of ntg. pt says the chest pain was the same as his typical angina which is described as a substernal chest pressure sometimes assoc with diphoresis. the angina normally occurs with walking and goes away with rest and ntg. he was concerned because last night, the pain awoke him from sleep. pt's last episode of chest pain was at 7am this morning and he has been pain-free since. he denies orthopnea, pnd, lower ext swelling. past medical history: 1. cad - 3vd -said to be inoperable in -cath in : 90% plad, 100% plcx, 100% prca s/p stent to plad 2. echo nl ef 3. hx of tuberculosis in s/p tx 4. : s/p colectomy for cancer 5. : prostate cancer s/p xrt social history: no alcohol, no tobacco, no ivda retired cardiothoracic surgeon lives in with wife physical exam: temp 98.0, bp 109/42, hr 56, rr 20, o2 95% ra, 97% on 2l gen: nad, sound congested heent: perrl, eomi, mmm, anicieric sclera, no sinus tenderness neck: no jvd, no bruits cv: rrr, 2/6 systolic murmur at rusb chest: decreased breath sounds at right base, no crackles abd: +bs, soft, ntnd ext: no edema, 2+ dp neuro: cn 2-12 intact pertinent results: 11:20am wbc-8.2# rbc-3.87* hgb-12.6* hct-36.0* mcv-93 mch-32.6* mchc-35.1* rdw-13.0 11:20am plt count-155 11:20am neuts-89.3* lymphs-5.6* monos-4.9 eos-0 basos-0.1 11:20am pt-13.7* ptt-30.2 inr(pt)-1.2 . 11:20am ck(cpk)-60 ck-mb-notdone ctropnt-0.02* 05:40pm ck(cpk)-60 ck-mb-notdone ctropnt-0.03 . 11:20am glucose-158* urea n-28* creat-1.3* sodium-141 potassium-3.8 chloride-104 total co2-28 anion gap-13. . ekg: sinus brady, nl axis, rbbb, no st-t wave changes . cardiac enzymes after cath: 05:30am blood ck(cpk)-78 ck-mb-notdone ctropnt-0.09* 02:00pm blood ck(cpk)-855*ck-mb-57* mb indx-6.7*ctropnt-3.59* 10:29pm blood ck(cpk)-644*ck-mb-35* mb indx-5.4 ctropnt-4.37* 06:22am blood ck(cpk)-493*ck-mb-21* mb indx-4.3 ctropnt-3.26* 07:15pm blood ck(cpk)-49 ck-mb-notdone ctropnt-1.17* . chest, pa & lateral: there is again elevation of the right hemidiaphragm with some linear atelectasis at the right lung base which does not appear significantly changed when compared with the previous study. the lungs are otherwise clear with some minimal scarring at the left lung base which is unchanged. the aorta is unfolded with wall calcifications. the cardiac size is within normal limits. the osseous structures are unremarkable. . echo: 1. the left atrium is normal in size. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3.right ventricular chamber size is normal. right ventricular systolic function is normal. 4.the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. 5.the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 6.the estimated pulmonary artery systolic pressure is normal. 7.there is no pericardial effusion. . cardiac cath: 1. selective coronary angiography revealed a right-dominant system with three vessel disease. the lmca had a distal 40% lesion. the lad had a patent proximal stent with a 90% ostial d1 and total occlusion distal to that. the distal vessel was supplied with l->l collaterals. the lcx was proximally occluded with the distal vessel filling via collaterals. the rca was proximally occluded with the distal vessel filling via collaterals. 2. left ventriculography was deferred. 3. opening hemodynamics revealed a normal central aortic pressure (systolic 133mmhg). 4. successful rotational atherectomy, ptca/stenting of the lad/diagonal with a 2.5x28mm cypher to 3.0 in the proximal two thirds. final angiography revealed no residual stenosis, no dissection and timi-3 flow (see ptca comments). 5. right femoral arteriotomy site was successfully closed with a 8f angioseal closure device. . chest ct: 1. bilateral diffuse areas of consolidation, more in the upper lobes than the lower lobes. differential diagnosis includes agressive pneumonia, including aspiration pneumonia, ards and pulmonary hemorrhage. . brief hospital course: a/p: 83 yr old male with hx of 3vd s/p stent to lad presents with crescendo angina in the setting of flu-like symptoms: . 1. chest pain: dr. was admitted to on with flu symptoms and crescendo angina that was relieved with nitro spray. ekg showed no changes and he ruled out for mi with three sets of negative cardiac enzymes. given his unstable angina, he was started on a heparin drip and was scheduled for the cath lab. cardiac catheterization revealed 40% lmca, widely patent prox lad stent, 90% ostial large d1 with total occlusion distal to that, 100% prca with distal filing and 100% lcx with distal filling. the lad/diag was stented using a des. on the third hospital day, pt developed sscp that was not relieved with nitro spray in the setting of atrial fibrillation and a rapid ventricular rate. cardiac enzymes were drawn and were dramatically elevated; ekg showed lateral st depressions consistent with demand ischemia in setting of a fib with rvr. enzymes trended down after a troponin peak of 4.37. pt was continued on his atenolol, asa, norvasc, and statin. he was started on plavix. . 2. paroxysmal atrial fibrillation: pt reported a hx of occasional episodes of atrial fibrillation that converted to bigeminy with a spray of nitroglycerine and then converted to nsr with another spray. as above, on the third hospital day, pt had sscp in setting of a fib with rvr into the 120s that was rate controlled with 10mg of iv diltiazem and 10mg iv lopressor. he was then loaded with amiodarone and converted back to nsr. he was started on a heparin drip for anticoagulation but this was discontinued after pt had a gi bleed in the setting of a supratherapeutic ptt. while in the icu, pt was on an amiodarone drip and later switched to po amiodarone. pt complained of severe nausea associated with the amiodarone so it was discontinued once he was transferred to the floor. pt was continued on his atenolol and was discharged home with of hearts monitor to catch undetected episodes of atrial fibrillation. pt is not anticoagulated given his hx of gi bleed and colon cancer but this may need to be readdressed if pt continues to have episodes of atrial fibrillation. . 3. sob: pt was admitted with flu sx such as congestion, fevers and non-productive cough. he ruled out for the flu and likely had a viral upper resp infection. on hd #4, pt became hypoxic with an oxygen saturation of 80% on 4-5l nc which improved to 89% with nonrebreather. a stat cxr was done which revealed bilateral pulm edema/alveolar opacities. he was transferred to the micu at this time for further management of his hypoxia. while in micu, his oxygen saturations remained stable in the high 90s while on a nonrebreather. pulmonary was consulted and it was thought that his hypoxia was ards from viral uri vs aspiration pneumonia during hematemesis and ngt placement vs bacterial pneumonia. he was started on zosyn on for broad coverage. a ct was done which was consistent with ards. during his stay in the micu his resp status improved and he was transitioned off the nonrebreather to 4.5l nc, maintaining his sats in the mid 90s. he was then transferred to the floor and his resp status rapidly improved over the next couple days. he was breathing well on room air two days prior to discharge. zosyn was discontinued and levaquin was started to treat presumed aspriation pneumonia. pt received a total of 14 days of antibiotics. . 4. gi bleed: on hospital day #3, pt had an episode of nausea with subsequent emesis of 10cc of bright red blood that cleared with ng lavage. this was followed by some dizziness and a large melantoic bowel movement. these events were in the setting of supratherapeutic ptt. serial hcts were checked and remained stable between 29 and 31. he was evaluated by gi who recommended iv protonix and endo/colonoscopy. at this point, pt's resp status began to decline so the endo/colonoscopy was delayed until a time when the pt was more stable. pt's hct trended down and five days after the gi bleed, his hct had dropped to 26 so he was transfused one unit. his hct responded appropriately. the pt had no further episodes of gi bleeds while off the heparin and he refused a gi work-up. he was not discharged home on any anticoagulation. . 5. pump: an echocardiogram done after the cardiac cath showed a normal ef. when the pt became hypoxia, it was thought that he had an episode of flash pulmonary edema and he was given several doses of lasix and diuresed almost three liters while in the icu. he remained euvolemic throughout the remainder of his hospital stay. . 6. hearing loss: pt's hearing deteriorated during his hospital stay secondary to a poorly functioning hearing aid. he will follow-up with audiology as an outpt. medications on admission: atenolol 50mg qd norvasc 10mg qd diovan 80mg asa 81 qd lipitor 20mg qd discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 2. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). 3. valsartan 80 mg capsule sig: one (1) capsule po bid (2 times a day). 4. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 5. ecotrin low strength 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 7. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. outpatient physical therapy pt currently independent and safe with all functional mobility but pt complains of lower ext pain and some weakness. please assess. discharge disposition: home discharge diagnosis: primary diagnosis: 1. cad s/p stent to lad 2. paroxysmal atrial fibrillation 3. pneumonia 4. upper gi bleed while on heparin discharge condition: good, breathing well on room air discharge instructions: 1. please take all medications as prescribed. we have started on your plavix; dr. will decide when it can be stopped. you will need to take levaquin for 7 more days to complete a 14 day course for your pneumonia. 2. go to all follow-up appointments. 3. call you physician or go to the ed if you experience any of the following symptoms: chest pain, palpitations, shortness of breath, black or bloody stools, nausea/vomiting, fevers, chills followup instructions: provider: , .d. where: cardiac services phone: date/time: 3:30 . you need to update some information before making an appointment to see dr. . please call his office at to make an appointment to see him within the next 2-3 weeks. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization transfusion of packed cells other irrigation of (naso-)gastric tube insertion of drug-eluting coronary artery stent(s) diagnoses: abnormal coagulation profile coronary atherosclerosis of native coronary artery intermediate coronary syndrome atrial fibrillation acute respiratory failure pneumonitis due to inhalation of food or vomitus acute diastolic heart failure acute gastritis, with hemorrhage acute upper respiratory infections of unspecified site 

Answer: The patient is high likely exposed to