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 46 year old female with no past medical history, who was in her normal state of health until three weeks prior to admission when the patient developed nonproductive cough and a sore throat. she denies any fever, chills, night sweats or rashes. in the past two weeks prior to admission, the patient has developed progressive dyspnea on exertion and lower extremity edema. she had previously had normal exercise tolerance. now she becomes dyspneic with less than one flight of stairs. the patient presented to the clinic for workup. review of systems: she denies any fever, chills or nausea. she complains of nonproductive cough. no rhinitis. dyspnea on exertion as above plus paroxysmal nocturnal dyspnea. she utilizes one pillow at night on left side. she denies any chest pain, palpitations, syncope, no headaches, paresthesias or unilateral weakness. she has no decreased sensitivity to heat or cold. she denies any dysuria, urinary frequency or urgency. she denies abdominal pain. there is no change in bowel habits. she has noted increase in abdominal distention over the past two weeks. at the clinic, her heart rate was found to be in the 150s, respiratory rate 30s, systolic blood pressure 112. she was sent to the emergency department. in the emergency department, she was found to be afebrile, her pulse was 157, blood pressure 134/94, oxygen saturation 96% in room air. electrocardiogram showed that she was in atrial fibrillation with no st changes. chest x-ray revealed bilateral pleural effusions, increased cephalization consistent with congestive heart failure. on physical examination, she had increased jugular venous distention, 4+ pitting edema of the lower extremities and crackles bilaterally on lung examination. the patient was given diltiazem 25 mg intravenously and started on a diltiazem drip for rate control. she was also started on heparin drip for anticoagulation and given lasix for diuresis. she was then admitted to the c-medicine service for further evaluation. physical examination: vital signs reveal blood pressure 140/63, heart rate 106, respiratory rate 30, oxygen saturation 93% on four liters. in general, she was awake and alert, ill appearing young asian woman who was dyspneic. head, eyes, ears, nose and throat examination - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. sclera was anicteric. her oropharynx was clear. the neck revealed that she had jugular venous distention up to the angle of the jaw, no lymphadenopathy, no thyromegaly. cardiovascular - her rate was irregularly irregular, no murmurs, rubs or gallops. lung examination revealed crackles at the right lung one half up from the bases. she had decreased breath sounds over the left lung fields. extremities - she had 3 to 4+ pitting edema of the lower extremities up to her hips and 1+ edema of her hands bilaterally. neurologically, her cranial nerves ii through xii are grossly intact. her muscle strength was in the upper extremities and lower extremities bilaterally. speech was normal. sensation was grossly normal. the abdomen was distended. she had no fluid wave. her liver edge was palpable three fingersbreadth below the costal margin. she had no tenderness on palpation. laboratory data: white count was 8.8, hematocrit 37.0, platelets 285,000. sodium 136, potassium 4.0, chloride 102, bicarbonate 20, blood urea nitrogen 15, creatinine 0.5. glucose 87. alt 34, ast 62, total bilirubin 3.9, alkaline phosphatase 206, amylase 39, lipase 37. cpk mb 2.0, troponin less than 0.3. calcium 9.1, phosphorus 5.0, magnesium 1.7. iron studies were pending. hepatitis serology is pending. pending. hospital course: 1. cardiovascular - the patient was continued on heparin drip for anticoagulation and was continued on diltiazem drip for rate control. she was ruled out for cardiac event by serial cardiac enzymes. an echocardiogram was obtained which revealed left atrium, right atrium and inferior vena cava dilated (greater than 2.5 centimeters). her left ventricular wall thickness and cavity size were normal. her overall left ventricular systolic function was low with a left ventricular ejection fraction estimated to be 50 to 55%. her right ventricular cavity was dilated. her right ventricular systolic function was found to be mildly depressed. there was abnormal diastolic septal motion/position consistent with right ventricular volume/pressure overload. there was moderate 2+ mitral regurgitation and 3 to 4+ tricuspid regurgitation. there was also evidence of severe pulmonary artery systolic hypertension. the patient was then transferred to the ccu for a cardiac catheterization which revealed that her coronary arteries were free of hemodynamically significant stenosis. resting hemodynamics revealed elevated right sided and left sided filling pressures with right greater than left, moderate pulmonary hypertension, low cardiac index with a high systemic and pulmonary vascular resistance. the mean artery pressure was 34 mmhg with vua of 45 mmhg, rvedp 30 mmhg, pulmonary artery pressure was 57/31 mmhg. the mean pulmonary capillary wedge pressure was 27 mmhg and lvedp was 7 mmhg. her cardiac index was calculated to be 1.8 liters per minute per meter squared with a pvr of 88 di-seconds over centimeters raised to the fifth. her oxygen saturation testing did not show any evidence of significant intracardiac left to right shunting. in summary, the catheterization results revealed that her coronary arteries were free of stenoses. she had moderate pulmonary arterial hypertension. she had severe right and moderate left ventricular diastolic dysfunction with suggestion of constrictive physiology. she was aggressively diuresed in the ccu and started on low dose ace inhibitor. her diltiazem drip was able to be weaned to off and the patient was started on p.o. lopressor. she was then transferred from the ccu back to the c-medicine service. of note, her viral panel was positive for cmv igg, but negative for cmv igm. her adenovirus antibody was 8 which is borderline high. 2. respiratory - her chest x-ray revealed freely layering and moderate size of bilateral pleural effusions. right thoracentesis was performed with removal of one liter of serosanguinous fluid which had analysis consistent with that of a transudate. a gram stain and culture were negative for microorganisms. lower extremity doppler revealed no evidence of deep vein thrombosis. cta revealed no evidence of acute pulmonary embolus. after days of aggressive diuresis, her oxygen saturations were 97%. the patient left against medical advice. 3. gastrointestinal - because of her transaminitis, abdominal ultrasound was performed which revealed ascites and pulsatile flow within the portal vein and hepatic veins consistent with cardiac cirrhosis. her hepatitis serologies were negative. her iron studies and ceruloplasmin were all within normal limits. 4. endocrine - she was discovered to be hyperthyroid with a tsh of less than 0.05 and free t4 of greater than 3.0. her thyroid peroxidase antibody was greater than 70 which is extremely high. she was started on ptu with the diagnosis of graves' disease. she is to follow-up with endocrine with dr. and dr. of endocrine as an outpatient on . on the day that she was transferred from the ccu to the c-medicine service, the patient decided to leave against medical advice. she was explained that she was at risk for complications including cardiac arrest and she fully understood such a risk at this time. we explained that we as physicians have a duty to protect herself from harming herself and she agreed that she would take fully responsibility for her health and medical follow-up. she was given the option of returning the next day to the inpatient service if her symptoms were to worsen. the patient refused vna. condition on discharge: guarded. discharge status: signed out against medical advice. medications on discharge: 1. lovenox 1 mg/kg twice a day for ten days. 2. lopressor 50 mg p.o. twice a day. 3. captopril 6.25 mg p.o. three times a day. 4. ptu 150 mg p.o. three times a day. 5. lasix 40 mg p.o. twice a day. 6. aldactone 25 mg p.o. once daily. instructions: return to the hospital in the next day if symptoms do not improve. follow-up: with primary care physician in two days. follow-up with dr. of endocrine on . discharge diagnoses: 1. cardiomyopathy. 2. atrial fibrillation. 3. nonsustained ventricular tachycardia. 4. congestive heart failure. 5. thyrotoxicosis. 6. pulmonary hypertension. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters thoracentesis diagnoses: other primary cardiomyopathies unspecified pleural effusion congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation hematoma complicating a procedure toxic diffuse goiter without mention of thyrotoxic crisis or storm chronic passive congestion of liver nutritional and metabolic cardiomyopathy 

Answer: The patient is high likely exposed to