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: compazine / codeine / atenolol attending: chief complaint: shortness of breath major surgical or invasive procedure: none history of present illness: a 61 year old gentleman was seen in the ed with after reporting he was having lower extremity swelling, dizziness, and falling down. he feels this was related to an atenolol allergy. in the ed, his vitals were t 100.8, bp 135/72, hr 45, and 94% on ra. he was given lasix 20 mg and aspirin in the ed. he additionally complained of chest pain, dyspnea and diaphoresis though he was unreliable in the ed. per there report, he was responsive to sternal rub and answered limited questions for them. he reports that he was given a prescription for atenolol at but has a history of atenolol allergy. . in the ed, vs: 100.8 135/72 45 16 94%ra. he received aspirin 325mg, albuterol, lasix 20mg po. . upon arrival to the floor, patient was altered and minimally responded to strenal rub. he was given narcan with good effect. he was transiently hypotensive, though became hypertensive without any intervention. he underwent head ct which was negative for bleed. upon arrival to the micu, unable to obtain further history due to patient's altered mental status. past medical history: - h/o anti-social personality disorder - s/p stemi w/ bms in lad in , due to gi bleed stopped plavix cont only aspirin - malignant hypertension: thought to be secondary to medication non-compliance, but had hypotension during recent admission in and bp meds were cut back. (most likely due to clonidine effect: overdose/withdrawal) - pulmonary embolus: recurrent s/p ivc filter, not on coumadin due to noncompliance - heroin abuse: methadone maintenance clinic daily at 7am (most recent daily dose on 135 mg daily. - hepatitis b previous infection, now sag negative - hepatitis c, undetectable hcv rna - chronic obstructive pulmonary disease - gastroesophageal reflux disease - ptsd ( veteran) - anxiety / depression - antisocial personality disorder - microcytic anemia - vitamin b12 deficiency - chronic kidney disease baseline cr 1.5 social history: unable to obtain, reports of homelessness. not currently employed; recieves "money from the government". denies smoking, etoh or recent drug use. family history: father died of myocardial infarction at unknown age. mother died of pancreatic cancer. physical exam: vitals: hr 79, bp 152/75, rr 23, 92% on ???, afebrile gen: moaning in bed, one word answers heent: dilated pupils, equal round and reactive to light cv: rrr, no m/r/g pulm: diffuse wheezes abd: obese, soft, nt, nd, bowel sounds present ext: pitting b/l le edema neuro: moving all extremities exam on discharge: vitals: stable, 95-99% ra, afebrile > 48 hours psych- mood appropriate lungs- cta bilaterally, no wheezes cv- rrr, no m,r,g abd- soft, nt, nd, active bs, decreased superficial venous distention ext- lower extremity chronic venous stasis pertinent results: labs on admission: glucose-126* urea n-33* creat-1.7* sodium-142 potassium-3.6 chloride-107 total co2-22 anion gap-17 alt(sgpt)-18 ast(sgot)-38 ld(ldh)-290* ck(cpk)-166 alk phos-76 tot bili-0.4 albumin-4.1 calcium-8.9 phosphate-3.7 magnesium-1.9 wbc-4.2 rbc-3.19* hgb-8.5* hct-27.3* mcv-86 mch-26.6* mchc-31.1 rdw-15.5 plt count-150 pt-14.7* ptt-31.0 inr(pt)-1.3* pt-15.9* inr(pt)-1.4* type-art po2-249* pco2-36 ph-7.37 total co2-22 base xs--3 o2 sat-99 urine hours-random urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-pos glucose-100 urea n-32* creat-1.7* sodium-143 potassium-4.4 chloride-107 total co2-20* anion gap-20 asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg wbc-6.8 rbc-3.52* hgb-9.8* hct-31.2* mcv-89 mch-28.0 mchc-31.5 rdw-15.3 plt count-150 type-art po2-95 pco2-41 ph-7.37 total co2-25 base xs--1 lactate-0.7 o2 sat-97 urine color-yellow appear-clear sp -1.021 urine color-yellow appear-clear sp -1.021 lactate-1.7 ctropnt-<0.01 ck-mb-4 probnp-8124* albumin-4.4 d-dimer-1008* wbc-5.6# rbc-3.02* hgb-8.3* hct-25.9* mcv-86 mch-27.3 mchc-31.9 rdw-15.7* neuts-76.2* lymphs-16.6* monos-3.9 plt count-170 . impression: no evidence of acute intracranial abnormalities. the study and the report were reviewed by the staff radiologist. head ct- no evidence of acute intracranial abnormalities repeat cxr- rapidly improving right lower lobe opacity favoring aspiration or atelectasis over an infectious pneumonia labs at discharge: wbc rbc hgb hct mcv mch mchc rdw plt ct 3.9* 3.06* 8.4* 26.1* 85 27.3 32.0 16.2* 156 pt ptt inr(pt) 13.5* 31.0 1.2* glucose urean creat na k cl hco3 angap 161* 18 1.3* 139 3.6 102 28 13 brief hospital course: patient is a 61 year old male with coronary artery disease status post myocardial infarction, history of pulmonary embolus status post inferior vena cava filter not on coumadin due to med non-compliance, chronic obstructive pulmonary disease, and history of drug abuse, admitted with dyspnea and altered mental status. 1. altered mental status: the patient presented with altered mental status upon admission to the floor from the emergency department. he was then immediately transferred to the icu for further care, as there was concern for an atenolol overdose, with a heart rate in the 40s. he has a history of overdosing on medications while hospitalized. narcan was given with good response, suggestive of a narcotic overdose. the patient then had an episode of flash pulmonary edema, which was managed well with lasix iv. urine tox screen was positive for methadone and benzodiazepines. the patient's altered mental status improved on , and the patient became alert and oriented x 3. ciwa scale was started after transfer from the icu to the floor, and was discontinued the next day after patient did not score. initially, psychotropic meds were held. as mental status improved, methadone and benzodiazepine therapy were restarted with recommendations from the psyciatry consult service. the patient tolerated this well, and seroquel and duloxetine were also restarted. it was thought that the patient's diminished mental status upon presentation was secondary to mild renal insufficiency in the setting of methadone and benzodiazapine therapy. the patient was evaluated by psychiatry, given his history of anti-social personality disorder, depression/anxiety, and polysubstance abuse in remission. psychiatric evaluation revealed a patient who was not psychotic, and did not have any active, acute psychiatric issues, and was deemed to have capacity. there were no further mental status changes during the remainder of his hospitalization. 2. pulmonary edema: the patient developed acute shortness of breath, tachypnea, and wheezing upon arrival to the icu. plain chest film at this time showed evidence of pulmonary edema and fluid overload. it was likely that the patient developed pulmonary edema, possibly in the setting of hypertension following narcan administration. the patient responded well to lasix iv. patient also experienced brief increased oxygen requirement on the floor, which again improved with lasix and bronchodilator/anti-cholinergic therapy. the patient was discharged on room air with clear lung sounds and no subjective shortness of breath. 3. history of pulmonary embolus status post inferior vena cava filter. he was initially placed on heparin gtt in the icu; however, after a conversation with the patient's pcp, heparin gtt was stopped and the patient's anticoagulation was held. the patient is a poor candidate for coumadin, given his persistent noncompliance. anti-coagulation was held during his hospitalization secondary to medical non-compliance, and the patient was discharged without anti-coagulation. 4. polysubstance abuse in remission. patient has history of substance abuse. he is on methadone maintance at baseline. the methadone clinic was called today, and the patient's current dose is 125 mg daily. he was thus restarted on his methadone after his mental status improved, and was continued on this dose for the duration of his hospital course. 5. uti - the patient began complaining of dysuria and found to have a urine culture postive for pansensitive e. coli. he was started on ciprofloxacin and told to complete a 7 day course 6. cad - he had been discharged previously on metoprolol, but this was not restarted while in the hospital secondary to systolics in the 100s. he is scheduled for follow up and should restart his metoprolol at that time. he was continued on his outpatient dose of aspirin, simvastatin and lisinopril. 7. copd - he was maintained on his nebulizers (albuterol, atrovent). 8. gerd - stable. continuted pantoprazole. all other medical issues remained stable. no other medication changes were made. medications on admission: med list per omr: albuterol clonazepam 2mg po tid duloxetine 30mg po daily fluticasone-salmeterol 1 puff po bid furosemide 40mg po daily methadone 135mg sig unknown nadolol 20mg po daily omeprazole 20mg po bid oxycodone-acetaminophen dose unknwon quetiapine 100mg po daily simvastatin 40mg po qhs spironolactone 25mg po daily tamsulosin 0.4mg po daily tiotropium bromide 18mg inh daily aspirin 325mg po daily docusate sodium 100mg po bid multivitamin 1 tab po daily senna 8.6 mg po bid:prn discharge medications: 1. quetiapine 200 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) for 5 doses. disp:*5 tablet(s)* refills:*0* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily) for 5 doses. disp:*5 capsule, delayed release(e.c.)(s)* refills:*0* 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for shortness of breath, wheezing. disp:*1 mdi* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. clonazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. advair hfa 115-21 mcg/actuation aerosol sig: one (1) inhalation twice a day. disp:*1 disc* refills:*0* 9. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. senna 8.6 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*0* 11. colace 50 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: altered mental status urinary tract infection acute on chronic congestive heart failure secondary diagnoses: - h/o anti-social personality disorder - s/p stemi w/ bms in lad in , due to gi bleed stopped plavix cont only aspirin - hypertension: thought to be secondary to medication non-compliance, but had hypotension during recent admission in and bp meds were cut back. (most likely due to clonidine effect: overdose/withdrawal) - pulmonary embolus: recurrent s/p ivc filter, not on coumadin due to noncompliance - heroin abuse: methadone maintenance clinic daily at 7am (most recent daily dose on 135 mg daily. - hepatitis b previous infection, now sag negative - hepatitis c, undetectable hcv rna - chronic obstructive pulmonary disease - gastroesophageal reflux disease - ptsd ( veteran) - anxiety / depression - chronic kidney disease baseline cr 1.5 discharge condition: stable, at baseline mental status, no longer somnolent, tolerating psychotropic medications. discharge instructions: you were admitted to the hospital with some shortness of breath, chest discomfort, and leg pain. you were also very sleepy. after being admitted, your medical team had difficulty waking you up, and you were transferred to the icu. you received medication to help you wake up and breath better, and you were transferred to the general medical floor. you then continued to get better, and you started receiving your regular medications. you were seen by your psychiatrist in the hospital as well. you had another episode of shortness of breath, which was likely due to mild bronchitis and a small amount of fluid in your lungs. iv medication improved your symptoms. you received some physical therapy, did well, and you were discharged on , and will follow up with your doctors next week. no changes were made to your medications. you will continue to receive your daily methadone from the narcotic clinic methadone services at . please follow up with dr. , on at 11:00 a.m. and please see your pcp on the same day at 3:55 p.m. please call your pcp 911 if you develop shortness of breath, chest pain, difficulty urinating, trouble walking, excessive diarrhea, sleepiness, or any other concerning medical symptoms. followup instructions: please follow up with your psychiatric provider, . , on at 11:00 a.m. appointment with pcp, . , at on at 3:55 pm. you have an appointment with gastroenterology on at procedure: venous catheterization, not elsewhere classified diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified opioid type dependence, continuous dysthymic disorder other specified cardiac dysrhythmias old myocardial infarction automatic implantable cardiac defibrillator in situ acute on chronic systolic heart failure chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta benzodiazepine-based tranquilizers causing adverse effects in therapeutic use methadone causing averse effects in therapeutic use drug-induced psychotic disorder with hallucinations antisocial personality disorder 

Answer: The patient is high likely exposed to