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: morphine / sulfa (sulfonamides) attending: chief complaint: seizure activity and hypertensive urgency major surgical or invasive procedure: intubation in icu intrajugular vein iv access history of present illness: 83 y.o with medical problems who initially presented to osh with n/v and confusion and was given neurontin and ativan for restless legs. patient also noted to have a wbc of 21.7, temperature of 100f and a positive ua treated with levofloxacin. soon after she had tonic-clonic seizure,given ativan and transferred to . -ed hx: patient agitated and restless on arrival () and noted to be hypertensive to sbp > 200. also, hypoxic and cxr consistent with chf. patient then sedated with ativan and electively intubated for head ct and lp. her dnr/dni code status was reversed after discussion with family for purposes of head ct and lp. patient also received one dose of lasix 80 mg, vanco, levo and 2gm ceftriaxone. while in ew, she ruled in for mi, r inguinal hematoma following femoral line attempt with subsequent hct drop from 34 to 28 in ed. patient sent to micu at 0200 . in micu ct abd/pelvis showed 11x2 cm hematoma, vascular consulted: no surgical intervention, pt recieved total of 3units of prbcstransfused and hct stabilized. patient's head ct showed left occipital density possible c/w infarction but no focal neuro findings; mri r/o??????d cva, ct findings thought hypertensive changes. lp showed no blood and neg csf culture. htn controlled w/ lopressor, nifedipine, clonidine, and isosorbide dinitrate ?????? weaned from nitro drip nstemi was felt to be likely demand ischemia,ekg showed no further ischemic changes. the pt also treated with 3d course of ceftriaxone for presumed uti (culture negative. pt also had fluctuating sensorium in icu which appeared resolved at time of transfer to the floor. no sz activity observed at and no anti-epileptics given here. past medical history: recent adm ( ) for pna, chf excerb, crf (baseline cr 1.4) chf ( echo bidn: mild lvh, nl lvef, 1+ mr) anemia (hct range 3/04 ?????? : 24.0-35.6) cas s/p mi in 64 with normal dobutamine echo () hypercholesterolemia htn dm-2 achalasia hiatal hernia hypothyroidism s/p right mastectomy for breast ca colon ca in depression with psychosis social history: lives in with husband and is an ex nurse. occaisional etoh, stopped smoking 40 years ago. family history: non-contributory physical exam: vitals bp 134/50 hr 79 rr 20 tc 98.7 tmax 98.7 sao2 97%ra fsbg: 130??????s-160??????s gen: a&ox3, nad, pleasant and cooperative with exam heent: perrl, eomi, op clear, mm slightly dry, no lad lungs: ctab heart: rrr, no m/g/r abdomen: soft, ntnd, nabs ext: no cce neuro: 5/5 strength bilat. upper/lower extremities, good grip, cn ii-xii grossly intact psych: goal-oriented speech and thought processes, denies a/v hallucinations, prior delirium resolved pertinent results: heme: 09:00pm blood wbc-12.4* rbc-2.59*# hgb-7.6*# hct-23.3* mcv-90 mch-29.4 mchc-32.7 rdw-17.3* plt ct-217 09:00pm blood neuts-85* bands-0 lymphs-12* monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-0 09:00pm blood pt-14.0* ptt-29.5 inr(pt)-1.2 05:41am blood wbc-10.7 rbc-4.15* hgb-12.5 hct-36.5 mcv-88 mch-30.1 mchc-34.2 rdw-16.4* plt ct-160 iron studies: 03:44am blood caltibc-179* ferritn-353* trf-138* chemistry: 09:00pm blood glucose-155* urean-24* creat-1.5* na-133 k-4.0 cl-103 hco3-22 angap-12 05:41am blood glucose-140* urean-21* creat-1.0 na-137 k-4.1 cl-105 hco3-23 angap-13 cardiac enzymes: 03:14pm blood ld(ldh)-268* ck(cpk)-242* 09:00pm blood ck(cpk)-247* 04:30am blood ck(cpk)-194* 03:14pm blood ck-mb-8 ctropnt-0.13* 09:00pm blood ctropnt-0.09* 04:30am blood ck-mb-5 ctropnt-0.06* endocrine: 04:09am blood tsh-2.8 brief hospital course: pt. was brought to -ed on for seizure activity and sbp 200 at osh. at , pt was intubated and taken to ct scanner; a r. femoral line attempt was complicated by an inguinal hematoma with subsequent hct drop. pt was transfered to micu for dropping hct and continued hypertensive urgency. in micu, blood pressure was controlled w/ nitro drip, lopressor, nifedipine, clonidine, and isosorbide dinitrate. pt was ruled in for nstemi by enzymes. anemia was corrected with 3u prbc and hct stabilized. mental status also fluctuated during micu course. pt was treated with vanco, levo, and ceftriaxone for clinical signs of sepsis and uti (positive ua/negative cultures) prior to adm. pt was transfered to medical floor (far7)once stabile on for monitoring. on far7, pt. remained hemodynamically stable and afebrile, mental status improved to baseline, there was no seizure activity, and pt was discharged to home with services in good condition. problem list: 1. hypertensive emergency - treated with mutliple agents in micu, bp improved and remained stable during course on far7 and was discharaged on po medications only. 2. seziure activity - eeg showed underlying structural abnormalities, no antiepileptics were given at as per neurology recommendations. outpatient mri also recommended. 3. nstemi - probably secondary to demand ischemia during micu course. pt has remained hemodynamically stable during course on far7 with one episode of angina (with no changes in ekg) that pt. describes as typical of her 20yr pre-adm history. 4. chf - patient stabilized with lopressor, diuresis (lasix), and other antihypertensives in micu. no signs/sx of chf during course on far7 5. anemia - pt experienced acute drop in hct during micu course, most likely secondary to r. inguinal hematoma. hct stabilized after 3u prbc given in micu and has remained stable during far7 course. 6. l. occipital lobe cerebral ischemia - findings on ct during micu course ruled out for cva by mri scan. ct findings most likely secondary to hypertensive episode. 7. ams - pt. experienced fluctuating sensorium in micu but was a&ox3 on transfer to far7 and remained so throughout rest of hospital course. 8. uti - treated with 3d course of ceftriaxone completed in micu. pt was asymptomatic on adm to far7 and remained so throughout rest of hospital course. medications on admission: on transfer to far7: insulin sc sliding scale acetaminophen 325-650 mg po q4-6h:prn headache isosorbide dinitrate 50 mg po tid allopurinol 100 mg po daily lansoprazole 30 mg po daily clonidine hcl 0.1 mg po bid levothyroxine sodium 125 mcg po docusate sodium 100 mg po bid metoprolol 150 mg po tid fentanyl patch 75 mcg/hr tp q72h as per home regimen midazolam hcl 1 mg iv q6h:prn agitation not controlled with zyprexa fluoxetine hcl 10 mg po daily miconazole powder 2% 1 appl tp tid:prn nitroglycerin 0.2-1.8 mcg/kg/min iv drip heparin 5000 unit sc bid nifedipine 60 mg po q8h hydralazine hcl 20 mg po q6h olanzapine 2.5 mg po tid:prn hydralazine hcl 20 mg iv once ropinirole hcl 0.25 mg po hs restless legs simvastatin 10 mg po daily discharge medications: 1. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 3. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 4. fluoxetine hcl 10 mg capsule sig: one (1) capsule po daily (daily). disp:*qs capsule(s)* refills:*2* 5. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). disp:*qs * refills:*2* 6. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. disp:*qs * refills:*0* 7. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*qs capsule, delayed release(e.c.)(s)* refills:*2* 8. fentanyl 75 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). disp:*10 patch 72hr(s)* refills:*2* 9. ropinirole hydrochloride 0.25 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for restless legs. disp:*30 tablet(s)* refills:*2* 10. nifedipine 20 mg capsule sig: three (3) capsule po q8h (every 8 hours). disp:*4 capsule(s)* refills:*2* 11. metoprolol tartrate 50 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 12. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for headache. disp:*qs tablet(s)* refills:*0* 13. isosorbide dinitrate 10 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 14. valsartan 80 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 15. clonidine hcl 0.1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: hypertensive urgency complicated by nstemi and anemia seizure hypertension non-st elevation mi congestive heart failure diabetes mellitus discharge condition: good discharge instructions: please take all medications as instructed, please return to ed for unusual chest pain, shortness of breath, seizure, elevated blood pressure or worrisome deterioration of condition. followup instructions: provider: , call to schedule appointment procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism hematoma complicating a procedure other convulsions acute respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation malignant essential hypertension 

Answer: The patient is high likely exposed to