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: patient recorded as having no known allergies to drugs attending: chief complaint: cough, hypotension major surgical or invasive procedure: right ij central line history of present illness: mrs. is a 58 year old female with history of hypertrophic cardiomyopathy with lvot gradient of 89 who presented to osh with cough, fever, and malaise x2 days. two days prior to admission she had began to have subjective fevers, chills, nonproductive cough and myalgias. her son had been sick with similar symptoms the week prior. she also had an episode of chest pain the morning prior to admission which developed while she was getting dressed. it is described as a sharp, stabbing pain in the epigastrium. the pain was associated with post-tussive emesis and shortness of breath. it lasted 10 minutes and was relieved with rest. the pain returned yesterday evening after she climbed a flight of stairs, however this time the discomfort radiated to her left arm. she had associated sob. both the pain and the shortness of breath were relieved with sitting down. her son found her sitting on the floor yesterday evening and called 911. she was taken to ed. . at osh cxr showed question of pna and she was treated with levaquin. patient became hypotensive with systolic bp 70s and was started on dopamine and given 1.2l of ivf. she was transferred to for further management. . in the ed here patient's vital signs were t 100.4, bp 149/61 (went as low as 78/50), hr 94, rr 30, 97% on nrb, cvp 12. cxr was done which showed increasing pulmonary edema, however subsequent ct torso was notable for rul pna. a rij was placed for access and confirmed on cxr. she was treated with ceftriaxone for additional treatment of pna. dopamine was switched to neosynephrine as patient was tachycardic. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, hemoptysis, black stools or red stools. she denies exertional buttock or calf pain. at baseline she is able to ambulate blocks without shortness of breath or chest pain. all of the other review of systems were negative. . cardiac review of systems is notable for chest pain and dyspnea on exertion. negative for paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: hypertrophic cardiomyopathy s/p hysterectomy 13yrs ago. social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse family history: there is no family history of premature coronary artery disease or sudden death. her mother had a history of mi and cabg. no other family members with hcm. physical exam: vs: t 99.4, bp 123/57, hr 59-68, o2 100% on nrb gen: wdwn middle aged female in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. sons are acting as interpreters. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. late systolic ejection murmur, increased with valsalva. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. bibasilar crackles. no wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: 04:55am blood wbc-8.6 rbc-4.38 hgb-12.5 hct-38.0 mcv-87 mch-28.5 mchc-32.8 rdw-13.0 plt ct-223 07:30am blood pt-13.0 ptt-34.3 inr(pt)-1.1 07:30am blood glucose-90 urean-10 creat-0.9 na-144 k-4.8 cl-110* hco3-26 angap-13 04:30am blood alt-10 ast-18 ld(ldh)-229 ck(cpk)-86 alkphos-50 amylase-43 totbili-0.3 04:25am blood ctropnt-<0.01 09:45am blood ck-mb-notdone ctropnt-<0.01 04:30am blood ck-mb-notdone ctropnt-<0.01 04:55am blood albumin-4.2 calcium-8.7 phos-3.7 mg-1.9 05:16am blood lactate-1.1 k-4.1 cta torso: 1. right upper lobe and left perihilar opacities, consistent with pneumonia. 2. cardiomegaly with elevated right heart pressures. 3. no evidence of pulmonary embolism within the main, right, or left pulmonary arteries. 4. no acute intra-abdominal process. 5. mild intrahepatic biliary dilatation. clinical correlation is recommended. ecg: sinus rhythm. voltage criteria for left ventricular hypertrophy. diffuse st-t wave abnormalities most likely related to left ventricular hypertrophy, but cannot rule out underlying myocardial ischemia. clinical correlation is suggested. no previous tracing available for comparison. brief hospital course: hypotension: the patient presented with hypotension, likely a combination of worsened outflow tract obstruction from volume depletion and possible septic physiology. the patient required neosynephrine for approximately 24 hours. she was aggresively resuscitated with ivf and was able to be weened off the neosynephrine. she was also treated for her rul pna with levofloxacin. she was ruled out for acs by negative cardiac enzymes. her beta-blocker was changed to metoprolol and restarted prior to discharge. rul pna: seen on cxr and confirmed on cta. likely community acquired bacterial pneumonia vs. viral. started on 7 day course of levofloxacin. qt was monitored and unchanged in the setting of norpace use. cad/ischemia: st/t wave changes on initial ekg with chest pain with exertion. chest pain is likely demand ischemia with tachycardia and lvh. per her son's report recent negative stress test. ruled out for acs by 3 sets negative cez. restarted on bb prior to discharge. pump: hypertrophic cardiomyopathy with gradient of 89mm hg, worsened in setting of hypovolemia. received 5l ivf to increase preload. continued on norpace and beta-blocker. prophylaxis: subq heparin, ppi, bowel regimen code: full code, confirmed with patient. medications on admission: atenolol 100mg disopyramide 150mg discharge medications: 1. disopyramide 150 mg capsule, sustained release sig: one (1) capsule, sustained release po bid (2 times a day). 2. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. disp:*3 tablet(s)* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 4. compazine 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. disp:*12 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: hypertrophic obstructive cardiomyopathy pneumonia viral gastroenteritis discharge condition: all vitals stable, afebrile, on room air discharge instructions: you were admitted with a pneumonia and a low blood pressure. this was likely because you were dehydrated. you were given iv fluids to rehydrate you and started on antibiotics to continue after you leave. you also showed no signs of a heart attack or heart damage based on labs and your ekg. we have changed and decreased your blood pressure medication while your blood pressure is lower. this may be increased by your primary care physician at later date. please take all your medications as prescribed and make all the recommended follow up appointments. please call your doctor or return to the emergency room if you experience chest pain, worsening shortness of breath, fevers, chills, inability to keep down liquids, or any other symptoms that concern you. followup instructions: please call your primary care physicician to make a follow up appointment in the next 1-2 weeks. procedure: venous catheterization, not elsewhere classified infusion of vasopressor agent diagnoses: pneumonia, organism unspecified unspecified septicemia sepsis volume depletion, unspecified intestinal infection due to other organism, not elsewhere classified 

Answer: The patient is high likely exposed to