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: no known drug allergies. medications: sotalol 160 mg p.o. b.i.d., toprol, coumadin 5 mg p.o. q.d., nexium one tab p.o. q.d. family history: significant for her father with coronary artery disease, sister and brother with history of unspecified thyroid disorder. social history: no tobacco or alcohol use, lives alone at home, has no children physical examination: vital signs: afebrile, blood pressure 124/55 on dopamine, pulse 68, respirations 20, o2 saturation 96% on 4 liters. in general, an elderly female, lethargic but arousable. heent exam: pupils equal, round and reactive to light and accommodation. mucous membranes dry. neck was supple, no evidence of jugular venous distention. heart: normal s1, s2, no murmurs, rubs or gallops. lungs clear to auscultation bilaterally. abdomen soft, nontender, nondistended, normal active bowel sounds. extremities: trace 1+ edema. extremities cool laboratory data on admission: white blood count 19.3, hematocrit 34.7, platelet count 353,000. neutrophils 89, bands 2, sodium 141, potassium 4.2, chloride 111, bicarb 14, bun 13, creatinine 0.7, glucose 162, calcium 7.3, magnesium 1.8, phosphorus 2.8. inr 2.0, ptt 31.2, alt 73, ast 64, alkaline phosphatase 80, lipase 33, amylase 24, total bilirubin 0.7. urinalysis significant for 6 to 10 white blood cells, small leukocyte esterase. bk (no. 1) was 69, bk (no. 2) 63, troponin less than 0.3 times two. arterial blood gas: ph 7.38, co2 29, o2 74, lactate 2.0. electrocardiogram: atrial fibrillation with a rate of 109, normal axis, q wave in lead 3, no acute st or t wave changes. head ct scan: no mass, no shift or bleed. chest x-ray: cardiomegaly, right internal jugular line in place, increased cephalization, peribronchial cuffing. impression: patient is a 72-year-old female with persistent hypertension admitted with evidence of a pericardial effusion, possibly secondary to pacer placement. hospital course: 1) cardiovascular: patient was volume resuscitated over the course of two days with 8 liters of iv fluids and was also on a dopamine drip, which was gradually weaned over the course of three days. by , her dopamine drip had been stopped. no iv fluids were needed and her pressures were now in the systolic blood pressure range of the 130s. repeat echocardiogram showed no change in the size of her pericardial effusion with no evidence of tamponade. however, there was a note made that there was perforation of the right ventricular free wall with the pacer wire on repeat echocardiogram on . the pericardial effusion was also noted to be significantly smaller in size on that date. patient also had note of increased pulmonary edema and o2 requirements secondary to significant volume resuscitation, was able to diurese on her own with improvement of her hypoxia as well as her lung exam. on , , her pacer leads were repositioned within the right ventricle. there was no evidence of tamponade or increasing pericardial effusion after the procedure was done. the following day, patient had a repeat echocardiogram, which confirmed these findings. at the time of discharge, patient's pressure was normotensive and her o2 saturation was 94 to 95% on room air, including on ambulation. patient will be sent home on sotalol 160 mg b.i.d., is still in atrial fibrillation; however, will likely need to be switched from sotalol to a different medication such as amiodarone in the near future, potentially after her lfts have normalized after the hepatic congestion has cleared. will also start lopressor for rate control and anticoagulation with lovenox and coumadin. 2) infectious diseases: patient was noted to have a urinary tract infection, was treated with levofloxacin for a seven-day course, was also given vancomycin peri-procedure for repositioning of her leads and was sent home on keflex. discharge diagnosis: 1) hemopericardium secondary to pacer lead perforation through right ventricle 2) atrial fibrillation discharge condition: good. patient was once again normotensive and will follow up with dr. in about one month and with the electrophysiology service at in about one week and will follow up with the clinic in three days for adjustment of her coumadin dosing. discharge medications: sotalol 160 mg p.o. b.i.d., lopressor 25 mg p.o. b.i.d., coumadin 5 mg p.o. q.d., enoxaparin 80 mg subcutaneously b.i.d., levofloxacin 500 mg p.o. q.d. times two days, keflex 500 mg p.o. t.i.d. times two days, zantac 150 mg p.o. b.i.d. , 12-269 dictated by: medquist36 procedure: revision of lead [electrode] diagnoses: esophageal reflux unspecified essential hypertension atrial fibrillation mechanical complication due to cardiac pacemaker (electrode) hemopericardium 

Answer: The patient is high likely exposed to