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: penicillins / prednisone attending: chief complaint: mechanical fall major surgical or invasive procedure: none history of present illness: 86 year old caucasian female with chf, cad, basal artery stenosis, hiatal hernia, esophageal ulcer, mr transferred from . she has history of chf, cad with basal artery insuffiency/?stenosis (since ), balance difficulty (walks with walker), hiatal hernia, esophagel ulcer, mr, who presents s/p mechanical fall oob. patient's grandadaughter went to live w/ her s/p her husband's death a month ago (husband was main health caregiver). she overreached something on table @ 3am and fell out of bed. intially emt called, only slight tenderness in l hip. therefore emt left @ 3am. and pt was back in bed over the course of the morning. pt's lower extremity became extremely . she had xray of pelvis and le, and ct of head which showed no ich, no le fracture. there was no bed @ , she was transferred to instead. at ed, she had mri hip that r/o fracture. she also had some paranoia episode (according to daughter, always have that in hospital, especially since husband's death). patient was also very agitated in the ed. she was also noted to be hypoxic in ed. past medical history: chf cad basal artery stenosis hiatal hernia esophageal ulcer mr social history: lives in own apt. usually taken care by husband when passed away on . now she cared for by her granddaughter, who lives with her and has home aids twice a week. family history: non-contributory physical exam: on admission: t 98.3 bp 100/p?, p 51, r 20, o2 92-95% gen: nad heent: unremarkable, dry mucus membrance cv: rrr, ii/vi sem apex to axilla resp: ctab abd: s, nt/nd +bs ext: dp 1+ b/l, lle calf area ++ bruise, very swollen, large bulla on anterior aspect of le, skin not tense, bruised area very warm, both foot warm to touch. passive and active motion seen ok. ( pt non-cooperative) neuro: moves all ext, cn ii-xii intact, a&0x2 pertinent results: 04:20pm urine color-yellow appear-cloudy sp -1.016 04:20pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-6.5 leuk-neg 06:02pm blood wbc-13.5* rbc-3.27* hgb-8.5* hct-27.4* mcv-84 mch-26.1* mchc-31.2 rdw-16.1* plt ct-170 01:03am blood pt-15.4* ptt-42.1* inr(pt)-1.5 01:03am blood fibrino-224 d-dimer-1056* 04:00am blood glucose-130* urean-20 creat-0.8 na-145 k-4.5 cl-110* hco3-27 angap-13 04:00am blood ck(cpk)-602* 06:02pm blood alt-22 ast-170* ld(ldh)-441* ck(cpk)-847* alkphos-78 totbili-3.5* 04:37am blood alt-11 ast-79* ld(ldh)-371* ck(cpk)-547* alkphos-71 totbili-2.0* 04:00am blood ck-mb-116* mb indx-19.3* ctropnt-1.69* 06:02pm blood ck-mb-172* mb indx-20.3* ctropnt-1.36* 04:37am blood ck-mb-110* mb indx-20.1* ctropnt-0.57* probnp-5350* 04:24am blood type-art fio2-40 po2-146* pco2-35 ph-7.47* calhco3-26 base xs-2 04:53am blood type-art temp-36.1 o2 flow-2 po2-75* pco2-38 ph-7.48* calhco3-29 base xs-4 intubat-not intuba vent-spontaneou ct head: impression: no acute hemorrhage or mass effect. ct leg: impression: large hematoma in the left calf. echo conclusions: the left atrium is dilated. the left ventricular cavity size is normal. resting regional wall motion abnormalities include inferolateral hypokinesis. estimated left ventricular ejection fraction ?45%. right ventricular chamber size is normal. right ventricular systolic function is normal. the aortic valve leaflets (3) are mildly thickened. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded ct chest w/o contrast impression: 1) minimal interstitial pulmonary edema and small bilateral pleural effusions, consistent with mild or resolving congestive heart failure. 2) large posterior diaphragmatic hernia of bochdalek, which accounts for the left-sided lucencies on previous chest radiographs. 3) numerous small shotty mediastinal lymph nodes, probably reactive. . 4) 3-mm nonobstructing stone versus granuloma in the right kidney. multiple calcified liver and spleen granulomas. brief hospital course: a/p 86 year old with cad, chf, basal artery insuffiency came in s/p fall, admitted for further evaluation of leg pain. 1) s/p mechanical fall -ct head neg for intracranial bleed. x-rays of the pelvix and lower extremity were negatve for fracture from osh reports. mri hip was done in the ed at ed which r/o fracture. ct of leg on confirmed the development of a left calf hematoma #psych -give haldol 1-2mg prn for agitation, hold nortryptylline per psych, continue prozac -a psych consult was called on admission due to pateint's history of agitation/confusion and visual/auditory hallucinations s/p recent passing of her husband. pt thought to have delerium +/- depression #cv- overnight from , she had an episode of hypotension (systolic 60-70's) (pt's bp in the ed the day previously was 130/60) and received 1-2 l of fluid boluses with minimal improvement of her hypotension; abg w/ po2 75. this am, hypotensive (map ~low 60's, systolic 70-80's) hypoxic again to sats in hi 70's to lo 80's (abg x2 were likely venous w/ po2 29, 32) which improved with 100% nrb. incidentally her bp improved on the nrb as well. hct this am 24.7 from 28 (at ) without dilution of cbc or completion of blood transfusion. levaquin and vanco were given to cover for possibility of infection. pt was transferred to icu for closer monitoring and managment. cardiac enzymes were sent which ruled in strongly for myocardial infarction. a cxr showed evidence of congestive heart failure and ? lll opacity. a ct chest without contrast was done which showed evidence of pulmonary edema and large posterior diaphragmatic hernia of bochdalek, which accounts for the left-sided lucencies on previous chest radiographs. ct of patient's left leg was done as this showed edema and echhymosis. a large calf hematoma and edema was observed. as pt had evidence of myocardial infarction and chf, an echo was done which showed ef?45%, mod pul art systolic htn, 2+mr, infero-lateral hk. a cardiology consult was obtained for management of nstemi. family was clear that aggressive measures were not to be taken and dnr/dni status was confirmed. medical managment of mi was requested. the cardiology service recommened the following: 1) hct > 30 2) asa 3) plavix once bleeding issue is resolved 4) metoprolol, titrate up as tolerated 5) ace 6) lipitor 7) hold off heparin given bleeding concerns. these recommendation were followed. on , a family meeting occurred and comfort was decided to be the primary goal of the patient's care from that point forward given her critical status and recent deterioration in overall condition. a morphine gtt was started on and the patient expired at 9:13 am on . pt was covered with vanc/levofloacin out of concern for hospital acquired pneumonia +/- sepsis given pt hypoxia and hypotension. blood and urine cultures showed no growth. no further evidence of infection was identified. nstemi accounted for hd changes/ heme- given hematocrit drop leading to demand ischemia. pt was trasfused with prbc's from to . # neuro -known basal artery insuffiency/stenosis -has balance difficulty; usually walks with walker # pt has h/o hiatal hernia and h/o esophageal ulcer. avoided nsaids given bleeding concerns. sucralafate and pepcid continued. #endo-riss for blood sugar control #fen -dat -will give fluid boluses as tachcardia, and decreased bp, poor fluid intake -put on maintenance fluids until po intake satisfacotry -nutirition for poor intake # ppx-continue sucrafate, pepcid #code: dnr/dni (d/w pt's family & hcp) #access- piv. a central line was attempted on but was not successful due to patient intolerance of the procedure. family requested on no further attempts on the night of # communication -hcp -daughter in sf ( -daughter (lives with mom) family is very involved. medications on admission: sulcrafate pepcid 20 nortripline 25 daily prozac 30 daily asa 81 toprol trazodone 25 qhs no nebs at home discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired md procedure: transfusion of packed cells transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure, unspecified atherosclerosis of aorta rheumatic heart failure (congestive) acute and chronic respiratory failure cardiogenic shock other emphysema accidental fall from bed mitral valve stenosis and aortic valve stenosis acute myocardial infarction of other lateral wall, initial episode of care difficulty in walking contusion of lower leg basilar artery syndrome 

Answer: The patient is high likely exposed to