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: syncope major surgical or invasive procedure: temporary pacing wire placed permanent pacemaker placed history of present illness: ms. is an 86 yo woman with a h/o cad s/p cabg, as s/p , htn, dm2, chf, and dementia who p/w syncope and was found to have complete heart block. on , she awoke with nausea, walked to the bathroom, became lightheaded and fell. per the family, she has had several syncopal episodes over the last 6 months and had been feeling general fatigue over the last 2 weeks. denied fevers, wt loss, n/v/d. following this episode and fall, she presented to osh with c/o msk pain, but was found to be becoming less responsive with hr in 30s. ekg showed complete heart block with ventricular escape of 38. she received atropine x1 with transient improvement, then had transcutaneous pacing pads placed. she was transferred to for further evaluation and pacemaker. past medical history: cad s/p 2-vessel cabg rbbb and l posterior fascicular block on ekg in s/p in for as chf htn diabetes on glyburide hypothyroid, non-compliant dementia, mild-moderate social history: a widow, she lives alone and has a home health aide who visits daily; she is unable to complete most iadls. she walks with a walker. supportive daughter. etoh, no smoking family history: n/c physical exam: t97.8 bp149/58 p65 r18 100%2l gen: well-appearing woman in nad, appearing her stated age. heent: nc/at. mmm no erythema/exudate. jvp normal. neck supple w/o lad. edentulous. pulm: clear to auscultation bilaterally. pm site without erythema/exudate cv: regular rate and rhythm, with 3/6 hsm rusb, mechanical s2. abd: soft, non-tender and non-distended. bowel sounds are normoactive. ext: 2+ dorsalis pedis pulses; no edema, clubbing, or cyanosis. neuro: aaox2 (thought it was ). speech fluent with intact comprehension, naming; impaired repetition. recall . serial 7s . cnii-xii grossly intact. pertinent results: notable labs (also see below): chem 7: 135 99 15. 121 3.8 28 0.7 ca: 8.4 mg: 2.0 p: 2.5 wbc: 10.6; hct: 29.6; plt: 188; mcv 80. pt: 15.8 ptt: 123.0 inr: 1.4 . studies: - ekg: sinus rhythm at 64, r axis, 1st degree av block, rbbb, twi iii and avf. - tele: paced at 68 - cxr: the patient has had median sternotomy. cardiac silhouette is moderately enlarged with particular left atrial and pulmonary artery enlargement. mild interstitial edema is present. there is no pleural effusion or pneumothorax. a right transjugular right ventricular temporary pacer lead follows the expected course to the floor of the right ventricle. there is no mediastinal widening. - ct head: no intracranial hemorrhage or mass effect. - ct c-spine: no cervical spinal fractures. mild degenerative anterolisthesis at c3/4 and c5/6 as well as mild posterior degenerative spondylolisthesis at c6/7. prominence of the pulmonary vessels and thickening of the inter- and intra-lobular septa consistent with pulmonary edema. - ct angio chest: 1. no evidence of aortic dissection. 2. dense atherosclerosis involving the coronary arteries, mitral valve, thoracic and abdominal aorta, and proximal mesenteric branches. severe stenosis of the celiac artery at its origin. moderate stenosis of the sma at its origin. 3. loss of height of l1 and t9 - age indeterminate. 4. 5-mm nodule in the left upper lobe. followup in six months' time is recommended to document stability. - echo: mild symmetric left ventricular hypertrophy with hyperdynamic systolic function. bileaflet aortic valve prosthesis with high transvalvular gradients and mild aortic regurgitation. moderate mitral stenosis, likely secondary to extensive mitral annular calcification. mild-to-moderate mitral regurgitation. moderate pulmonary hypertension. moderate tricuspid regurgitation. brief hospital course: a/p: this is an 86 y/o f w/ h/o htn, cad, , p/w syncope, found to have complete heart block. she had a pacemaker placed, complicated by a post-placement hematoma which was evacuated. . # cardiac: a) rhythm: ms presented with complete heart block, likely worsening of long-documented conduction disease (rbbb and l post-hemiblock). she had reverted to sinus rhythm with prolonged av conduction by presentation; a temporary pacing wire was placed and she was eventually taken to the ep lab for permanent pacemaker. this procedure was complicated by a large hematoma (requiring 9 u prbcs) which was also associated with hypotension requiring dopamine. she was sent to the ccu for monitoring; her anticoagulation was not reversed secondary to her mechanical av valve. she was intubated and taken to the ep lab on for hematoma evacuation. she improved and was taken to the floor on for further cares. . b) ischemia: ms. is s/p old imi. she is currently on statin therapy. her aspirin was held throughout her hospital stay given her persistent risk of bleeding. it may need to be restarted as an outpatient, after documentation of stable hct. c) pump: she has a and diastolic chf with pulmonary edema s/p intra-op fluid recussiation. ef 75%. she was maintained on amlodipine and metoprolol. her inr goal of was maintained with coumadin after heparin bridging. d) st jude's valve: goal inr . maintained on coumadin. #) fever. ms. had intermittent fever during her stay. she was given a course of vancomycin to cover concern for hematoma abscess. she was also treated with cipro for a uti. her fevers resolved prior to discharge. #) hematoma. a large hematoma post-operatively required 9 units prbcs and operative evacuation on with resulting hct stabilization. retention sutures were placed. she received a six day course of antibiotics and her arm was kept in a sling for one week. her wound was followed by the surgery wound care rn. #) anemia. gi was consulted for anemia on admission. they have recommended iron supplementation and colonoscopy as an outpatient. #) htn. she has chronic htn and was maintained on lisinopril as discussed above. #) dm2. ms. blood sugars remained in control on standing lantus and sliding scale insulin. she will be returned to her oral medications on discharge. #) hypothyroid. maintained on levothyroxine. #) dementia/social: pt is moderately demented, and we continued lexapro and risperdal. her baseline status does not suggest capability for safe functioning at home at this time and a rehab screen was initiated with the help of occupational and physical therapy. #) dispo: she was screened for rehab and discharged to medications on admission: synthroid 25 metoprolol 12.5 daily norvasc 5 diovan 80mg dialy lasix 20mg daily lipitor 80mg daily glyburide 7.5 lexapro 5mg daily risperdal 0.25 daily prn inhaler "qvar" tylenol #3 coumadin: 2.5 q sun, mon, tues, wed, fri; 5mg thurs and sat discharge disposition: extended care facility: care center discharge diagnosis: complete heart block. congestive heart failure. pacemaker placement. wound hematoma. urinary tract infection. discharge condition: stable. discharge instructions: you were admitted to the hospital for a cardiac condition known as complete heart block. this condition necessitated the placement of a device called a pacemaker to regulate your heartbeat. you were also treated for an exacerbation of congestive heart failure (chf) and had a wound hematoma evacuation that will continue to require daily dressing changes. you should maintain a low sodium, heart healthy diet. if your daily weight fluctuates by more than 3 pounds you should consult your doctor. call your doctor or return to the emergency department if you experience chest pain, worsening shortness of breath, fever > 101.5, discharge or bleeding from your wound, any lightheadedness or dizziness, or any new or concerning symptom. you should keep all of your follow up appointments. you were discharged home on an antibiotic to treat a urinary tract infection. you should take the entire course of this medication. do not stop early, even if you begin to feel better. wound care: -commercial wound cleanser to cleanse left breast and left pacemaker site ulcers. -pat the tissue dry. -apply no sting barrier wipe to the periwound tissue left breast and pacemaker site. air dry. -apply wound gel to open sites, cover with allevyn foam adhesive dressing, change every 3 days. followup instructions: please follow up with your primary care provider, . , at 11:45 am. you have an appointment to follow up with the device clinic on thursday, at 11:30 am. md, procedure: venous catheterization, not elsewhere classified initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system injection of antibiotic transfusion of packed cells transfusion of other serum revision or relocation of cardiac device pocket diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders other postoperative infection urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) unspecified acquired hypothyroidism atrial fibrillation aortocoronary bypass status hematoma complicating a procedure atrial flutter other persistent mental disorders due to conditions classified elsewhere pulmonary collapse heart valve replaced by other means hemorrhage complicating a procedure atrioventricular block, complete long-term (current) use of insulin long-term (current) use of anticoagulants diastolic heart failure, unspecified legal blindness, as defined in u.s.a. inflammatory disease of breast tricuspid valve disorders, specified as nonrheumatic dermatophytosis of groin and perianal area chronic ulcer of other specified sites diabetes with unspecified complication, type ii or unspecified type, uncontrolled dermatophytosis of the body 

Answer: The patient is high likely exposed to