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: codeine attending: chief complaint: syncope and lsot of consciousness major surgical or invasive procedure: dual chamber pace maker placement intubation history of present illness: 84 y/o m (hard of hearing) with h/o htn, ?cad p/w syncope. he is a school monitor who was at the school. he says that he was watching kids play and he passed out. the next thing he remembers was that he was in the sicu at . per ems, a child intiated rescue breathing at the school. patient had a laceration to the back of the head and was unresponsive. he was then intubated by ems for airway protection and flown to . eventually extubated in the sicu and doing well. . ros: pt has h/o of doe; he says that he can climb one flight of stairs. he had an episode of dizziness last year when he stood up from sitting position. he also has some swelling of feet for the past 2 years which has been waxing and . no h/o of chest pain, palpitations, n/v/diaphoresis. no h/o of any transient loss of vision/blurriness. his bowel and bladder habits are normal. past medical history: pmhx: htn cad: ef 40-45% w/ hypokinesis of post/lat walls w/ moderate decrease in overall systolic fn of left ventricle squamous cell carcinoma s/p ppn, intravesicular mitomycin ' diverticulosis causing rectal bleeding sigmoid polyps hemorhoids shingles melanoma . pshx: hernia repair x2 ear surgeries for melanoma resection anal fissure social history: lives at home in ; has a 15 pack smoking history; occasional drinking. he used to work in navy as a transporter. family history: mother died of kidney disease a violent death physical exam: vitals: 98.6, 124/71, 89, 16, 95%/ra gen: confortable, alert awake, oriented x3 heent: perrla, eomi, anicteric, carotid bruit on left heart: s1/s2, trigeminy, no m/r/g lungs: ctab abd: soft, obese, nt ext: 2+ bilateral edema skin: occipital lac neuro: hard of hearing, no focal deficits pertinent results: echo study date of the left atrium is dilated. the left ventricular cavity size is normal. lv systolic function appears depressed with inferolateral hypokinesis and mild hypokinesis elsewhere (estimated ejection fraction ?40%). the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. * eeg study date of mildly abnormal eeg with some focal slowing noted over the right temporal region intermittently, and further anatomic correlation is recommended. * ct chest/abdomen/pelvis w/contrast 1. numerous ovoid high-attenuation foci in the stomach which could represent swallowed pills. 2. orogastric tube tip in the distal esophagus. 3. bilateral renal cysts. * ct cervial spine no evidence of fracture or subluxation. * ct head left scalp hematoma. no evidence of an acute intracranial hemorrhage. * carotid series complete moderate plaque with a left 40-59% and a right less than 40% carotid stenosis. brief hospital course: # syncope: unclear if pt tripped or had syncopal episode. he was not orthostatic on examination. initially he had bigemies and trigeminies. however eventually he developed afib a few days after admission. echo showed lv sys function depressed with inferolateral hypokinesis with ef of around 40%. ef unchanged from prior echo done few year back at osh. carotid usg shows moderated stenosis in both carotids. the ems ekg tracings showed evidence of pauses. this could have potentially caused him to have a syncope. read below for further management of dysrhythmia. . # afib: per his pcp, had rhythm disturbances in the past but never had afib. during this admission, he developed afib. he was started on metoprolol which was increased to 75 tid. this did not rate control him. he was then given iv bolus of 25 mg dilt for rate control and then started on dilt drip. he was later put on 90 mg dilt po qid and transitioned to long acting dilt 360 mg qd. ep evaluated him and decided to place dual chamber pacer which was placed on . he was also started on coumadin during this admission. he will follow up with the device clinic at . . # uti: initially after admission, he developed uit. he also had a foley placed on admission which was d/c'ed. he was started on ciprofloxacin and completed a 7 day course of it. he was not sent home on ciprofloxacin. . # rising creatinine: on admission, his creatinine was 1.3 which increased to 1.5 as he was on lasix intially. lasix was then discontinued. his creatinine remained stable at 1.5 during the course of this admission. . #doe: had doe at baseline. echo was done which showed ef of 40% with inferolateral hypokinesis. he could also have an element of copd. we recommended outpatient pft's. . # htn: he was continued on atenolol, lisinopril. . # laceration: he had laceration/abrasions on his scalp from his initial syncopal fall. he received wound care for that. discharge medications: 1. keflex 500 mg capsule sig: one (1) capsule po twice a day for 4 doses. disp:*4 capsule(s)* refills:*0* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 5. diltiazem hcl 360 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). disp:*30 capsule, sustained release(s)* refills:*2* 6. erythromycin 5 mg/g ointment sig: one (1) application ophthalmic qid (4 times a day) for 1 weeks. disp:*28 application* refills:*0* 7. outpatient lab work please get your inr, creatinine checked and report it to your primary care physician. discharge disposition: home with service facility: vna discharge diagnosis: syncope atrial fibrillation discharge condition: all vitals are stable. discharge instructions: please take all your medications and follow up with all your appointments. please report to the ed or to your physician if you have any chest pain/discomfort, palpitations, dizziness or any concerns at all. . please get your inr checked on monday in your primary care physician's clinic. please discuss this with your primary care physician and adjust the dose of coumadin. please also get your creatinine checked at the same time. . please take oral antibiotics for 2 days after discharge. . please follow up with the device clinic at for your pacemaker check. followup instructions: you have a follow up appointment in the device clinic at . provider: clinic phone: date/time: 3:00 . please call to schedule with your primary care physician. : , appointment . other appointments that you can make: provider: , . call to schedule appointment procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle closure of skin and subcutaneous tissue of other sites diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation atrial flutter open wound of scalp, without mention of complication sinoatrial node dysfunction occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction syncope and collapse other fall other conjunctivitis open wound of auricle, ear, without mention of complication 

Answer: The patient is high likely exposed to