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: refractory ventricular tachycardia major surgical or invasive procedure: ventricular tachycardia with mapping and ablation history of present illness: 81 yo female with mild cardiomyopathy (ef 45-50%), moderate dementia, severe copd presented to an osh with refractory vt. she presented w/ near syncope on , found in vt requiring shock and recurrent vt requiring 2 shocks at 100 joules and lidocaine bolus/gtt. on had recurrent vt resolved with shock. on had another run of vt just prior to transfer to and was given 2 more shocks at 1oo j and added amiodarone gtt and converted to nsr. patient was then transferred to . past medical history: 1) non-obstructive cad (30% prca, 40%lmca, 40%mlad, 25%lcx by cath ). 2) severe copd on home o2 3) cardiomypathy of unclear cause 4) carpal tunnel 5) hernia repairs 6) alzheimer's dementia social history: patient lives on her own at home. has 3 sons who are involved in her care. quit smoking 20 years ago. no alcohol. her son is her health care proxy. status - full code without prolonged resuscitation family history: son who has cardiomyopathy and an icd, followed by dr. physical exam: vit: afebrile 125/61 76 12 95% on 5l nc ht 5'5" wt 48kg gen: cachectic, elderly woman, aox0 heent: jvd not appreciated, perrla, eomi, mm dry pulm: lungs cta b with crackles at the bases l>r cardio: regular rate, nl s1 s2, no mgr abd: soft, nt, nd ext: no edema, good dp pulses bilaterally skin: slight erythema and induration of left forearm, otherwise no skin lesions pertinent results: admit labs: wbc-14.0* rbc-3.80* hgb-12.4 hct-34.8* mcv-92 mch-32.7* mchc-35.8* rdw-13.6 plt ct-218 pt-13.3 ptt-30.5 inr(pt)-1.2 glucose-217* urean-12 creat-0.7 na-136 k-4.4 cl-102 hco3-29 angap-9 alt-19 ast-23 ld(ldh)-254* alkphos-52 totbili-0.8 ck-mb-2 ctropnt-<0.01 calcium-7.6* phos-3.8 mg-1.7 type-art po2-106* pco2-43 ph-7.38 calhco3-26 base xs-0 . echo : the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is an inferobasal left ventricular aneurysm. overall left ventricular systolic function is moderately depressed (ejection fraction 30-40 percent) secondary to akinesis of the inferior free wall; the basal segment of the inferior free wall is mildly dyskinetic and aneurysmal; the other walls of the left ventricle appear mildly hypokinetic. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size is normal. right ventricular systolic function appears depressed. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. . impression: inferior infarct with aneurysmal deformation and mild dyskinesis of the basal segment of the inferior free wall . . vt mapping and ablation: 3 vt foci with lbb and l inferior access morphology originating from rv below the tricuspid valve were ablated. . cxr : 1. right upper lobe soft tissue density with spiculated margins concerning for malignancy. two other possible densities on the left. ct of the chest is recommended for further evaluation. 2. right lower lung pleural effusion. 3. left lower lobe collapse/consolidation. 4. changes consistent with copd. . ct scan chest : 1. multiple enlarged mediastinal nodes and left jugular node with right upper lobe consolidation and bilateral pleural effusions. these may be due to metastasis or lymphoma. other differentials include sarcoidosis and castleman disease. 2. extensive bilateral emphysema with diffuse septal thickening which may be due to pulmonary edema. 3. coronary artery calcifications and atherosclerotic changes in the descending aorta. 4. large 6.7 cm right simple renal cyst. brief hospital course: 81 yo female with milde cardiomyopathy (ef 45-50%), moderate dementia, severe copd who presented with refractory vt . 1) vt: the patient arrived in nsr, but soon after admission converted to vt. throughout the course of that night the patient was given a total of 300 mg amiodarone with an increase in drip to 1mg/min, 200mg of lidocaine with an increase of rate to 2mg/min, and was shocked 4 times. she maintained her bp with supplemental ivf for 45+ minutes of sustained vt at which time she was shocked a final time and returned to sinus rhythm. given high levels of sedatives used for multiple shocks, patient was markedly sedated and needed intubation due to suppressed respiratory rate. patient was shocked with 100j each time given that she was minimally sedated and this level was successful in converting the patient at the osh. a temporary pacing was was inserted that night for potential antitachycardia pacing in the event of future runs of vt. patient had no further episodes that night and had vt mapping and ablation the following day, was quickly extubated after the procedure. she was loaded with amiodarone (200mg tid x 3 days, then 200mg x 3 days, then 400 mg qd until follow appt with dr. in weeks). the patient did not receive a defibrillator given concern for quality of life with multiple shocks and relatively low likelihood of future shocks s/p ablation. . 2) pneumonia: during her hospitalization she had an elevated wbc count, decreased breath sounds, and sputum grew gnr, patient was treated for presumed pnemonia with ceftriaxone for 5 days, converted to cefpodoxime po for 1 day before discharge on levofloxacin for 4 more days. patient's pulmonary status was fair after extubation and continued to improve as she returned to her home regimen of 4l oxygen nc. . 3) cellulitis/superficial thrombophlebitis:patient had an infiltrated iv on her left forearm at the osh which became more erythematous and swollen and was concerning for cellulitis, patient was then started on iv vancomycin. while on vancomycin her left forearm improved, however she developed erythema and swelling on her right forearm which did not improved despite vancomycin. dermatology consult believed this lesion to be a superficial thrombophlebitis, vanco was d/c'd, and lesion improved with warm compresses. . 4) copd: patient did require additional oxygen during hospitalization due to pnemonia and copd exacerbation, however she returned to 4l nc for 2 days prior to discharge. . 5) systolic chf: patient did require lasix intermittently throughout her visit due to congestion. (ef 30%) will continue 20 mg lasix qd as outpatient. . 6) lymphadenopathy: admission cxr with right uppper lobe spiculated nodule concerning for malignancy. ct chest (see results) without mass but concerning for malignancy/infiltrative disease given lymphadenopathy. patient advised to get a follow up ct scan in approximately 1 month after her pneumonia has resolved to reassess the lymphnodes. also advised patient to make an appt with dr. for follow up. . 7) alzheimers dementia: continued aricept while inpatient. . 8) fen: patient was started on calcium carbonate due to low calcium levels, and needed occasional repletion of potassium and magnesium during admission to keep k>4 and mg>2. she was advanced to a heart healthy diet by the time of discharge. . 9) code: no prolonged, futile measures, but full code medications on admission: from osh: fosamax 70 qsun, amiodarone gtt at 0.5, lidocaine gtt at 1, aricept 10, lasix 20, toprol xl 12.5, metered-dose inhalers discharge medications: 1. alendronate 70 mg tablet sig: one (1) tablet po qsun (every sunday). 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 3. venlafaxine 75 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po daily (daily). 4. multivitamin capsule sig: one (1) cap po daily (daily). 5. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q4-6h (every 4 to 6 hours) as needed. 7. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4-6h (every 4 to 6 hours) as needed. 8. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 9. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 10. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 11. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 13. amiodarone 400 mg tablet sig: one (1) tablet po once a day. 14. levofloxacin 250 daily for 3 more days to complete a 10-day course of antibiotics discharge disposition: extended care facility: hospital - discharge diagnosis: ventricular tachycardia systolic heart failure with ef 30% copd alzheimer's dementia discharge condition: stable discharge instructions: dizziness, or shortness of breath. weigh yourself each day, and notify your doctors if more than 3 pounds as this may be a concerning sign of fluid retention in heart failure. adhere to a <2g sodium diet. followup instructions: 1)please follow up with your pcp, . at (, will need repeat ct scan of chest in 1 month. 2)please call dr. at ( regarding abnormal chest ct lymphadenopathy (lung doctor). you will need a follow-up chest ct in 1 month. 3)please follow up with dr. (chairman of cardiology) at ( regarding your heart medications within 1 month. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: pneumonia, organism unspecified other primary cardiomyopathies coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified paroxysmal ventricular tachycardia cellulitis and abscess of leg, except foot osteoporosis, unspecified other emphysema chronic systolic heart failure alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities 

Answer: The patient is high likely exposed to