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: penicillins attending: chief complaint: sob, vt major surgical or invasive procedure: intubation and mechanical ventilation history of present illness: 79f w/chf ef 15% and biv icd, copd, dm presented to osh from w/dyspnea and hypotension. pt was hospitalized for dysphagia workup, at that time diuresed for chf and had episode of vt felt to be provoked by albuterol treatement. exam, cxr c/w ?chf exacerbation, no uop to multiple doses of iv lasix. also tachycardic w/?vt vs svt w/aberrancy hr in 130s. also hyperkalemic to 6.0 at osh. decompensated and developed cardiogenic shock - hypotensive to 80s systolic requiring max dobutamine via cvl but still hypotensive with lactate of 8. got lasix 40mg x2, solumedrol, xanax, nebs and was started on dobutamine prior to transfer. on arrival to er still hypotensive and tachycardic. in ed: ecg showed vt vs afib/svt with aberrancy. given lidocaine bolus/gtt (avoid amio given ?chf exacerbation and beta blockade activity of amiodarone) pt converted to afib with pvcs after electric cardioversion now in biv pacing rhythm. hr went down to 100s-110s and bp up to 90s systolic. pt was started on levophed for continued hypotension, also received 200cc ivf with 100ccs of urine out. triple lumen ij was placed and she was intubated in ed with etomidate, rocuonium, for looking "downhill" after 3 attempts requiring bougie for difficult airway. was able to nswer questions but cold extremities. transferred to ccu on levophed 0.16, dobutamine 4, lido 2.75, midaz 4, fent boluses prn. vent settings: ac 400/18 5/60%. vs prior to transfer - hr:110 o2: 100% bp: 98/73 map 79. past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, hypertension 2. cardiac history: systolic chf with ef 15%, valvular heart disease - unclear specifics - cabg: - percutaneous coronary interventions: - pacing/icd: biv icd episode of vt presumed secondary to albuterol 3. other past medical history: thalassemia minor dysphagia arthritic deformities (mobility issues), right club foot h/o hypothyroidism ?copd social history: - tobacco history: prior but quit 25 yrs ago - etoh: none - illicit drugs: none other : husband died a few years ago lives alone. family history: nc, pt intubated/sedated physical exam: expired pertinent results: 03:41am blood wbc-16.3* rbc-5.47* hgb-11.6* hct-39.4 mcv-72* mch-21.2* mchc-29.4* rdw-17.2* plt ct-277 03:41am blood neuts-90.6* lymphs-6.4* monos-2.2 eos-0.4 baso-0.4 03:41am blood pt-23.6* ptt-29.4 inr(pt)-2.3* 11:57am blood glucose-172* urean-72* creat-1.6* na-125* k-5.6* cl-89* hco3-21* angap-21* 04:10am blood glucose-86 urean-69* creat-1.5* na-127* k-5.9* cl-91* hco3-20* angap-22* 03:41am blood glucose-76 urean-68* creat-1.6* na-125* k-5.7* cl-90* hco3-17* angap-24 03:41am blood ctropnt-0.01 probnp-> 04:10am blood ctropnt-0.02* 04:12am blood type- rates-16/ tidal v-400 peep-5 po2-55* pco2-43 ph-7.32* caltco2-23 base xs--3 -assist/con intubat-intubated 03:46am blood lactate-6.3* echo : the left atrium is moderately dilated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is dilated. there is severe global left ventricular hypokinesis (lvef = 15%). marked left ventricular mechanical dyssynchrony is present. the right ventricular free wall thickness is normal. the right ventricular cavity is dilated with severe global free wall hypokinesis. the aortic valve is not well seen. significant aortic stenosis is present (not quantified). the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. severe (4+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. severe tricuspid regurgitation is seen. there is no pericardial effusion. brief hospital course: in brief, the patient was transferred to for further management of cardiogenic shock. she was intubated in the ed for airway protection. upon arrival to the ccu, she was ventilating well but requiring high doses of dobutamine and levophed for pressor support. echocardiogram demonstrated worsening biventricular dilation and global hypokinesis with wide open mitral and tricuspid regurgitation. cardiac enzymes were relatively flat, suggesting no acute ischemic cause for her cardiogenic shock. her lactate continued to rise, and in the setting of cardiogenic shock requiring high dose pressor support with an echo demonstrating very poor global systolic function with extreme valvular disease, the decision was made in conjunction with the family to make the patient comfort measures only. she passed on at approximately 3am after terminal extubation with weaning of pressor support. medications on admission: allopurinol 100 mg po daily asa 81mg daily atorva 10 mg po daily spironolactone 12.5 mg po daily folic acid 1mg po daily tramadol 25mg po tid flaxseed oil 1 tab daily glipizide 2.5mg daily protonix 20mg daily levothyroxine 75mcg po daily metoprolol 12.5 mg po daily lovenox 30mg sq daily xopenex neb qid prn proair mdi 2 puffs q 2 hours prn bumex 1 mg po daily discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube atrial cardioversion diagnoses: acidosis hyperpotassemia esophageal reflux mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver hyposmolality and/or hyponatremia unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of tobacco use paroxysmal ventricular tachycardia cardiogenic shock automatic implantable cardiac defibrillator in situ acute on chronic systolic heart failure leukocytosis, unspecified tricuspid valve disorders, specified as nonrheumatic dysphagia, unspecified acquired equinovarus deformity thalassemia minor 

Answer: The patient is high likely exposed to