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: this is an 86-year-old woman with a past medical history of congestive heart failure with diastolic dysfunction, chronic obstructive pulmonary disease, history of lung cancer, status post right upper lobe resection in , who presented to the emergency department after having dyspnea and chest tightness for two days. she was in her usual state of health until two days prior to admission. at baseline the patient is able to walk roughly 100 ft with a cane and uses a motorized wheelchair; however, the patient began to feel dyspnea on exertion after walking 50 ft and had chest tightness. the patient stated that she has had increased pieces of liverwurst and questionable dietary indiscretion. she denied history of cough, abdominal pain, nausea, and vomiting. no fevers or chills. the patient's shortness of breath increased, and the patient used her lifeline. she denied any paroxysmal nocturnal dyspnea but has lower extremity edema at baseline and has some orthopnea at baseline. the patient was found to have a blood pressure of 220/140, pulse between 90s and 140s and breathing at 28-32 by ems. at that time, her oxygen saturation was 96%. the patient was found to have atrial fibrillation up to 140. in the emergency department, the patient was given lasix and lopressor for her rapid atrial fibrillation. also the patient was given bipap and abg in the emergency department where ph was 7.33, co2 5, o2 162. past medical history: 1. congestive heart failure diastolic dysfunction with echocardiogram in . this showed markedly dilated left atrium, mild symmetric left ventricular hypertrophy, +2 mitral regurgitation, +2 tricuspid regurgitation. 2. hypertension. 3. atrial fibrillation. 4. lung cancer status post right upper lobe resection in . no chemotherapy or radiation therapy. 5. status post cerebrovascular accident in with mild residual right-sided weakness. 6. hypercholesterolemia. 7. chronic obstructive pulmonary disease. pfts in showed an fev1 of 42% of predicted, fvc of 48% of predicted, ration 87% of predicted. 8. skin graft of the left lower extremity on after burn. 9. ulnar neuropathy bilaterally. social history: the patient lives alone. she is widowed. she has one son who passed away one year ago. her next of is her niece , . the patient is dnr/dni. the patient has home health aide five days a week to help with bathing. she has meals on wheels five times a weeks. vna comes to her home once a week. the patient has a history of smoking, one-quarter pack per day, for 44 years; she quit initially in . the patient ambulates with a cane. physical examination: vital signs: temperature 98.3??????, pulse 91, blood pressure 163/69, respirations 20, oxygen saturation 100% 4 l nasal cannula. general: the patient was alert and oriented times three. she was in no acute distress. she was speaking in full sentences, grunting. obese. heent: extraocular movements intact. no scleral icterus was noted. neck: supple. the patient had ................... jugular venous distention. cardiovascular: pulses irregularly irregular. she had a 3 out of 6 systolic murmur heard diffusely across the precordium. lungs: she had diffuse expiratory wheezes. there were crackles at the bases bilaterally. abdomen: obese, nontender. positive bowel sounds. extremities: the patient had +1 pitting edema up to the knee. the patient has a small area of ulceration of the left lower extremity secondary to fall. neurological: no focal deficits. cranial nerves ii-xii intact. speech was normal. face was symmetric. laboratory data: on admission white count 5.8, hematocrit 42.7; creatinine 0.9; troponin 0.01; urinalysis showed evidence of urinary tract infection, positive nitrites, many bacteria, 5 white blood cells, no epithelial cells. chest x-ray showed enlarged cardiac silhouette with an opacity in the right upper lobe which has been unchanged from previous chest x-rays. electrocardiogram showed atrial fibrillation, normal axis, old q-waves in leads iii. hospital course: the patient was taken to the intensive care unit. it was thought that the patient was dyspneic secondary to congestive heart failure exacerbation. the most likely etiology of this was her dietary indiscretion and possible medication noncompliance. the patient was aggressively diuresed during her stay at the intensive care unit. the patient was ruled out for myocardial infarction. after one day of diuresis in the intensive care unit, the patient was transferred to the medicine floor. the patient was continued on aggressive diuresis including lasix. the patient's shortness of breath continued to improve. electrocardiogram showed that the patient was in atrial fibrillation. echocardiogram was performed which showed an ejection fraction greater than 55%, dilated left atrium, 2+ tricuspid regurgitation, 2+ mitral regurgitation, mild pulmonary artery hypertension, mild aortic valve stenosis. the patient was also placed on beta-blockers and ace inhibitors. afterload was reduced, and diastolic filling was improved with beta-blockers. the patient had a urinary tract infection. she was treated with levofloxacin for three days with improvement of symptoms and dysuria. the patient complained of neck pain during the hospital course. the patient has a history of c7 fracture after a motor vehicle collision. x-rays of the neck were performed which showed no evidence of fracture; she had significant degenerative changes most likely relating to her pain. the patient also complained of a headache and visual changes. headache was localized to the right temporal area, and visual changes were noted on the right eye. the patient was thought to probably have symptoms of temporal arteritis. the patient had a head ct performed to evaluate for occipital lobe abnormalities. there was evidence of some abnormalities but unchanged compared to prior ct in the occipital area. temporal artery biopsy was performed on the right temporal artery. the patient was started on prednisone 60 mg once a day. the patient's headache and visual change symptoms were resolving a the time of discharge. condition on discharge: good. no longer short of breath. discharge status: to . discharge diagnosis: 1. congestive heart failure exacerbation secondary to medications noncompliance and dietary indiscretion. 2. possible temporal arteritis. 3. urinary tract infection. 4. degenerative bone and disk disease of the neck. discharge medications: fluticasone 110 mcg 4 puffs b.i.d., colace, bacitracin ointment to leg ulcerations, imdur 30 mg once a day, citalopram 10 mg once a day, albuterol nebs p.r.n., ipratropium nebs q.6 hours p.r.n., ipratropium mdis 2 puffs q.i.d., albuterol 2 puffs mdi q.4 hours, salmeterol 50 mcg 1 inhaled q.12 hours, senna 12, heparin 5000 u subcue b.i.d., protonix 40 mg a day, folic acid 20 mg once a day for 16, vitamin b12 250 mcg p.o. q.d., tylenol p.r.n., lisinopril 10 mg p.o. q.d., metoprolol xl 100 mg p.o. q.d., prednisone 60 mg p.o. q.d., insulin sliding scale, aspirin 325 mg once a day, furosemide 160 mg once a day. follow-up: 1. the patient will follow-up with dr. . please check electrolytes, particularly creatinine on the day of transfer to to evaluate for dehydration after aggressive diuresis. 2. follow-up with history of right upper lobe resection and lung cancer with chest ct as an outpatient. 3. please follow-up for artery biopsy. the patient is on prednisone currently. depending on results, the patient may be able to be tapered off. 4. please check blood sugars q.i.d. with insulin sliding scale. the patient has recently started steroids. , m.d. dictated by: medquist36 procedure: biopsy of blood vessel diagnoses: pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation acute on chronic diastolic heart failure diseases of tricuspid valve 

Answer: The patient is high likely exposed to