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: naproxen / nsaids / narcotic analgesic & non-salicylate comb attending: chief complaint: altered mental status major surgical or invasive procedure: right shoulder joint tap history of present illness: the patient is a 75 y.o. f resident of with h/o cardiomyopathy, cad, htn, dementia, cri, incontinence who presents with lethargy and rigoring x 3 days. at baseline she is demented but conversational, uses walker to go outside etc. the staff reports that patient has had decreased po intake since sunday. np saw patient today and she was seen to be rigoring and not as interactive as usual. she was going to be sent to lethargy. at she had her clothes on backwards and was drooling. she completed a course of amoxicillin from . in the ed she was given zosyn. blood culture box not checked off prior to administration of abx. she was placed on a sitter in the ed. 1 lns hung in the ed. <br> ros could not be obtained from patient thus spoke with . patient was moved to alf in in when she lost a lot weight- down to 85 lbs, confusing her medications, failure to thrive. she was first admitted to the hospital and then transferred to alf. she appeared to be doing well to alf. she c/o of knee pain which is chronic for her. no worse swelling noted. otherwise no c/o. all other review of systems negative. <br> spoke with who last saw her sunday and she didn't really see anything wrong with her. she often confuses the dates of things eg when was the last time she saw her sons and she can't remember when she last saw people. past medical history: taken from ed resident note as only paper work from alf on admission was the med sheet. <br> cardiomyopathy cad htn hyperlipidemia depression anemia anxiety arthritis cri dementia incontinence social history: resident at alf at gooddard house. ambulates with walker at baseline. first contact: - 1 /cp second contact: son- - email: pcp: . elder service plan/pace/geriatrics <br> at baseline alert. she is independent with dressing, feeding and toileting but wears depends in case she can't make it. she lives in alf where someone comes to help her write her checks. she walks to the corner store. her buys her the "big stuff". family history: she has one son in and the rest out of the country. her son in has medical problems but the nieice couldn't say. no dm or htn in the family. one sister with breast cancer and the other sister with lung ca. her sister died of a heart attack. physical exam: per admitting physician: tm = 99.8 r, p = 82, bp = 149/53, rr = 14, 95%4l current vitals on the floor 97.3, 83, rr = 22, 100% on 3l general: elderly female laying in bed. nad. nourishment: greatly at risk. grooming: ok mentation: somnolent, barely arousable to sternal rub. eyes:nc/at, perrl, eomi without nystagmus, no scleral icterus noted l ear filled with cerumen. ears/nose/mouth/throat: dry mm, poorly fitting dentures neck: supple, prominent jvd to thin habitus but not elevated. respiratory: lungs cta bilaterally without r/r/w cardiovascular: tachycardic, nl. s1s2, no m/r/g noted gastrointestinal: soft, scaphoid, normoactive bowel sounds, rectal: external non-bleeding hemmrhoid. soft stool in vault. not impacted. guaic negative brown stool genitourinary: no supra-pubic tenderness. skin: no rashes or lesions noted. no pressure ulcer extremities: no c/c/e bilaterally, 2+ radial, dp and pt pulses b/l. lymphatics/heme/immun: no cervical, supraclavicular, axillary or inguinal lymphadenopathy noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. -cranial nerves: ? l facial droop. withdraws to pain. could not perform neurologic exam due to somnolence. + foley catheter/ no sacral decubitus psychiatric: could not be assessed secondary to mental status. pertinent results: 136 106 72 --------------< 85 5.4 7 3.9 . wbc: 23 hct: 26 plt: 654 . pt: 17.9 ptt: 40.7 inr: 1.6 . : head ct: 1. no acute hemorrhage or mass effect. 2. bifrontal lobe cerebral atrophy vs bifrontal higromas, follow-up is recommended. 3. old lacunar infarction. . mri abd: 1. full width full thickness tears of the supraspinatus and infraspinatus tendons with tendon retraction and a high-riding humeral head. associated marked muscular atrophy and fatty degeneration. 2. complete tear of the long head of the biceps tendon. 3. large joint effusion extending into the subachromial-subdeltoid bursa and biceps tendon sheath with evidence of synovitis. this could be inflammatory or infectious in etiology. 4. post-surgical changes of the ac joint. 5. extensive degenerative cyst formation about the humeral head. . ct abd: 1. severely limited evaluation due to lack of iv and p.o. contrast. no evidence of dilated loops of bowel. 2. extensive calcification of the aorta and its branches. 3. hypodense lesions in the liver which are too small to characterize. 4. small amount of free fluid within the dependent portions of the abdomen and pelvis. . echo: impression: severe hypokinesis of the distal of the left ventricle. this could be consistent with stress cardiomyopathy (takotsubo syndrome) or multi-vessel coronary artery disease. diastolic dysfunction. moderate mitral regurgitation. moderate to severe tricuspid regurgitation and at least moderate pulmonary artery systolic hypertension. brief hospital course: 75yo woman w hx ? cardiomyopathy, cad, htn cri here metabolic acidosis, ? infection who ultimately died during hospital stay. brief hospital course: . patient presented with metabolic acidosis thought arf vs underlying infection. she received fluid resuscitation in the icu with hco3 and her metabolic acidosis improved. she was seen by renal and id to assist with management. patient was treated broadly for infectious sources and even had right shoulder tap. not clearly c/w septic joint however she remained on broad abx. patient had improvement in mental status and hemodynamics. however, had several episodes of acute pulm edema on the floor and echo c/w takotsubo's syndrome. her sob improved with lasix but given the increased frequency of these episodes she was transferred back to the icu. . in the icu, patient very clearly stated her interest in dnr dni. we also confirmed this with her son, (hcp). we initially tried to manage her acute systolic chf with lasix and nitro gtt but this was complicated by worsening renal dysfunction and hypotension. we were unable to give her ivf given her pulmonary edema. the patient became somewhat delirious at this time. we discussed her very poor clinical picture with her hcp and he asked that we focus on comfort care. the patient was started on morphine and titrated to comfort. at at 10:02am the patient was declared dead. causes of death include: acute systolic chf, arf, and metabolic acidosis. family was at the bedside and declined autopsy. . comm: with two brothers and 1. (son/hcp) -. or 2. () , , . 3. (son) medications on admission: amoxicillin 500 mg tid 5-21-5-30 lasix 10 mg qd glucosamine/chondroitin es lidoderm patch 5% qd lipitor 20 mg qd lisinopril 5 mg qd mvt qd nifedipine 30 er qd oxycodone 5 mg qam oxycodone 2.5 mg salsalate 500 mg tid sertraline 125 mg qd tylenol 1300 mg tid zyprexa 2.5 mg q 8 pm discharge medications: none discharge disposition: expired discharge diagnosis: causes of death: acute systolic chf - hours arf - days metabolic acidosis - days discharge condition: expired discharge instructions: patient came in with profound metabolic acidosis and found to have acute renal failure and elevated wbc. infection suspected so patient was covered broadly. etiology of infection not entirely clear. patient then developed acute systolic chf and worsening renal failure. patient requested dnr dni status. given worsening status, patient's hcp requested focus on comfort. patient expired on at 10:02am. followup instructions: none md procedure: arthrocentesis transfusion of packed cells diagnoses: acidosis anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified 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 atrial fibrillation other chronic pulmonary heart diseases other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified dysthymic disorder other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias encounter for palliative care acute systolic heart failure dehydration diseases of tricuspid valve delirium due to conditions classified elsewhere urinary incontinence, unspecified leukocytosis, unspecified other acute and subacute forms of ischemic heart disease, other pyogenic arthritis, shoulder region takotsubo syndrome disorders of bursae and tendons in shoulder region, unspecified unspecified derangement of joint, shoulder region 

Answer: The patient is high likely exposed to