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: history of present illness: the patient is a 72-year-old female who presented to the emergency room with acute onset of shortness of breath. the patient had been at her nursing home prior to this and developed respiratory distress with an oxygen saturation of 73% on room air which improved to 82% on non-rebreather with an elevated blood pressure of 210/120. she was given 40 mg iv lasix and nitroglycerin on transfer with some improvement. the patient is a poor historian because of her chronic schizophrenia and alzheimer's disease, but she apparently denied chest pain and stated that her shortness of breath improved with lasix and diuresis. in the emergency department her chest x-ray was consistent with congestive heart failure. she had a white blood cell count of 19. she had acute renal failure with a creatinine of 3.0. hematocrit had fallen to 25. past medical history: 1. diabetes mellitus. 2. schizophrenia. 3. hypertension. 4. congestive heart failure. 5. coronary artery disease status post myocardial infarction. 6. parkinsonism. 7. anxiety and depression. 8. alzheimer's disease. 9. tardive diskinesia. allergies: allopurinol and macrodantin. social history: she is a nursing home resident. her healthcare proxy is her daughter , phone . she is full code. physical examination: vital signs: pulse 86, blood pressure 182/71, respirations 16, oxygen saturation 100% on 5 l. general: she was alert and oriented to name only. she was in mild respiratory distress. she has severe tardive diskinesia with frequent lip smacking. heent: oropharynx clear. neck: supple. jvp approximately 11 cm. chest: rales approximately half way up with more prominence on the right than on the left. cardiovascular: tachycardiac. regular, rate and rhythm. s1 and s2 normal. no murmurs, rubs or gallops. abdomen: mildly obese. soft, nontender, nondistended. normoactive bowel sounds. extremities: no pedal edema. she had 1+ dorsalis pedis pulses. rectal: heme negative. laboratory data: labs on admission showed a urinalysis with moderate blood, greater than 300 protein, leukocyte esterase positive, 11-20 wbcs. electrocardiogram showed normal sinus rhythm at 88 beats per minute. she had a normal axis with occasional pvcs. she had old significant q-wave in lead iii with poor r-wave progression and t-wave inversions in v6. chest x-ray showed diffuse interstitial infiltrate, right greater than left. hospital course: 1. congestive heart failure: the patient was aggressively diuresed with progressive improvement in her respiratory failure. there was some difficulty controlling her blood pressure initially, but once she had good blood pressure control, her response to treatment was greatly augmented. she was taken off of the ace inhibitor because of acute renal failure and placed on a nitrate hydralazine regimen instead. cardiac echocardiogram was performed and showed diffuse left ventricular hypokinesis and akinesis with an ejection fraction of approximately 25% without significant valvular disease. 2. coronary artery disease: the patient ruled out by enzymes initially. she had exercise mibi test performed which showed large anterior wall with non-reversible perfusion defect, a smaller apical irreversible defect, and a moderate sized inferior wall non-reversible defect again with an ejection fraction of approximately 25%. the extensive nature of her disease was discussed with the family, and given the high risk of coronary catheterization with the risk of ............... to her kidneys and the uncertain benefit the patient would derive from coronary artery bypass procedure, it was decided to treat the patient medically. 2. acute renal failure: the patient appeared to have some component of chronic renal insufficiency at baseline with a baseline creatinine of around 1.9. with diuresis and careful titration of her medications, her creatinine progressively improved during her hospitalization stay after peaking at about 3.4 down to a level of 2.4 on the day prior to discharge. her gfr should be calculated to be approximately 20 ml/min given her age, and all medicine should be dosed appropriately. the patient should be on a renal diet and continue on tums for phosphate binding. she should follow-up with a nephrologist as an outpatient for further management of her renal disease which is most likely secondary to her diabetes and hypertension. 3. diabetes mellitus: her blood sugars were well controlled in the hospital, and the patient should continue on her standing regimen of nph with regular insulin sliding scale supplementation. 4. urinary tract infection: the patient had a urinalysis that appeared to be positive for urinary tract infection; however, urine cultures showed mixed flora consistent with fecal contamination. we will treat the patient empirically with a 10-day course of levofloxacin. 5. anemia: the patient appeared to have chronic anemia with a baseline hematocrit of approximately 25. she was heme negative on numerous analyses. ................... labs were all negative, and iron studies showed adequate levels. she was transfused 2 u of packed red blood cells during her stay and started on erythropoietin, as her anemia is most likely due to her chronic renal insufficiency. discharge medications: k-dur 20 meq p.o. q.d., lasix 80 mg p.o. q.d., epogen 3000 u subcue 2 times per week, amlodipine 2.5 mg p.o. q.d., hydralazine 40 mg p.o. q.i.d., tums 1 g p.o. q.d., isordil 40 mg p.o. t.i.d., digoxin 0.125 mg p.o. every other day, levofloxacin 250 mg p.o. every other day until , dipivefrin 0.1% o.u. b.i.d., propine 0.1% o.u. gtt b.i.d., lopid 600 mg p.o. b.i.d., tylenol 650 mg p.o. q.6 hours p.r.n., colace 100 mg p.o. q.d., nph insulin 32 u subcue in the morning, 8 u subcue in the evening, amiodarone 250 mg p.o. q.d., lopressor 12.5 mg p.o. b.i.d., enteric coated aspirin 325 mg p.o. q.d. diet: renal. the patient had a positive video swallow study for aspiration during her stay, so her diet should be pureed with honey-thick liquids. she should be positioned ................. upright and closely monitored for signs and symptoms of aspiration. condition on discharge: stable. discharge status: to her chronic care facility. discharge follow-up: with her regular primary care physician . ................ who should feel free to set up an outpatient evaluation with a nephrologist of his choice. discharge diagnosis: 1. congestive heart failure with an ejection fraction of 25%. 2. coronary artery disease with fixed defects. 3. diabetes mellitus. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis pulmonary artery wedge monitoring diagnoses: acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified atrial fibrillation other convulsions acute respiratory failure pneumonitis due to inhalation of food or vomitus diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled unspecified schizophrenia, chronic 

Answer: The patient is high likely exposed to