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: codeine / penicillins / iodine; iodine containing / plastic bandage attending: chief complaint: cough, shortness of breath major surgical or invasive procedure: none history of present illness: yo f with a history of severe as, diastolic chf and rectal prolapse admitted with non-productive cough and shortness of breath. the patient was recently discharged from on , with a new diagnosis of rectal prolapse. the patient went to rehab until 1 week prior to admission. she was doing well at home until the evening prior to admission when she noted persistent non-productive cough and shortness of breath. she described unmeasured, subjective fevers associated. the patient denies chest pain, medication noncompliance, new lower extremity edema or orthopnea. she does note a possible sick contact in her roommate at rehab who was noted to be coughing profusely. . in the ed, the patient was saturating 94% ra, 100% on non-rebreather. she was noted to be febrile (rectal temp 100) with a leukocytosis. chest x-ray suggestive of chf, though unchanged from prior admission. she was noted on ekg to be in mat, resolved to normal sinus rhythm with pvcs. she received furosemide 40mg iv x2, vancomycin 1gm iv x1 and levofloxacin 500mg x1. she was successfully weaned to 4l nc prior to admission to the floor. . ros: denies chills, nightsweats, headache, chest pressure, chest tightness, abdominal pain, vomiting, dysuria. she endorses frequent skin irritation, nausea and incontinence of bowel and bladder function at baseline. past medical history: - severe aortic stenosis with valve area <0.8 - chf, ny heart association class 3 - squamous cell carcinoma in situ, left back - rectal prolapse. - right mastectomy with associated right upper extremity lymphedema - left lumpectomy for ductal carcinoma in situ in . - colon cancer status post partial colectomy in . - peptic ulcer disease, history of h pylori positive in - gastroesophageal reflux disease. - transient ischemic attacks and h/o lacunar infarcts. - cervical spondylosis status post neck surgery. - right total hip replacement in . - left total knee replacement. - status post total abdominal hysterectomy. - depression. - hemorrhoids status post hemorrhoidectomy. - history of zoster infection. - contact dermatitis. - urinary incontinence. - hematuria social history: discharged in to extended care facility until one week prior to admission. living with son, no tobacco (ever), no etoh, no drugs. advanced debility and minimal ambulatory activity. family history: non-contributory physical exam: 98.6 97 120/74 30 98% 5l 115.2 lbs. gen: elderly, tachypneic heent: surgical pupils. pink oral mucosa without lesions. cv: as murmur with radiation to the carotids. pulm: scattered wheezes. abd: soft, nontender, nondistended. ext: 2+ edema bilateral lower extremities. neuro: cn's ii-xii intact. strength 5/5 in all extremities. sensation to light touch intact. pertinent results: 01:10pm glucose-157* urea n-45* creat-1.1 sodium-147* potassium-4.2 chloride-108 total co2-32 anion gap-11 01:10pm calcium-9.2 phosphate-5.0* magnesium-2.5 01:10pm wbc-13.1*# rbc-5.02 hgb-16.0 hct-46.8 mcv-93 mch-31.8 mchc-34.1 rdw-15.6* 01:10pm neuts-85.9* lymphs-9.3* monos-4.1 eos-0.2 basos-0.5 01:10pm pt-11.4 ptt-26.3 inr(pt)-1.0 01:10pm ck-mb-notdone ctropnt-0.06* probnp-* 01:10pm ck(cpk)-25* 01:21pm lactate-1.1 01:45pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:45pm urine rbc->50 wbc- bacteria-few yeast-none epi-0-2 trans epi- . urine culture () pending blood culture x2 () pending no prior culture growth at . . portable cxr (): improvement in previously noted chf with persistent moderate left and small right pleural effusions. persistent left retrocardiac opacity likely represents atelectasis and effusion, however again underlying infection cannot be completely excluded. . cxr (): chf with bilateral pleural effusions, left greater than right. persistent left retrocardiac opacity, likely atelectasis and effusion, but underlying infection is not excluded in the appropriate setting. . echo (): the left atrium is elongated. there is moderate symmetric left ventricular hypertrophy with preserved cavity size. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. impression: symmetric left ventricular hypertrophy with preserved global and regional systolic function. severe calcific aortic stenosis. moderate mitral regurgitation. . brief hospital course: yo f with a history of severe as, diastolic chf and rectal prolapse admitted with non-productive cough and shortness of breath. brief hospital course by problem below: . # cough, shortness of breath. differential initially infectious +/- chf. known sick exposure: rehab roommate. febrile in the ed with leukocytosis. serial cxr with increasing l sided pleural effusion. etiology of effusions from chf vs para-pneumonic vs pe. diag/therapeutic thoracentesis - procedure service consulted and 900cc taken off. diuresis was continued with 40mg iv lasix prn with close attention to volume status given pre-load dependence secondary to severe as. captopril 6.25 tid initiated for afterload reduction. albuterol and ipratropium nebs for wheezing on exam and symptomatic improvement. levofloxacin started for possible respiratory tract infection. mi ruled out with 3 sets of cardiac enzymes complete. on hd 3, pt developed tachycardia to 140s, and continued to be tachypneic. abg: 7.16/104/39. pt was transferred to the icu for closer monitoring and possible lasix drip. pt is dnr/dni and refusing bipap. in the icu, pt. continued to have difficulty with respiration and was repeatedly asked about non-invasive ventilation. attempts were made to improve ventilation with diuretics, iv steroids with minimal effect. after discussion with patient's son, decision was made to make patient comfort measures only. patient was taken off antibiotics, diltiazem, and given morpine for respiratory distress. she expired peacefully. . # severe as, valve area <0.8. not a surgical or invasive candidate per recent note by outpatient cardiologist. close bp monitoring with cautious diuresis as above. added low-dose captopril to reduce afterload and improve cardiac function. cardiology consulted and felt that she was not a candidate for balloon aortic valvuloplasty. . # relatively elevated cr. stable. likely secondary to poor forward flow in the setting of chf exacerbation. trended cr. optimized volume status. . # modest troponin leak. likely demand ischemia +/- relative cr elevation and decreased excretion. consistent with recent troponin baseline. completed rule out mi with 3 sets of cardiac enzymes which were negative. . # gi: history of gerd and pud. continued pantoprazole 40mg daily. medications on admission: camphor-menthol 0.5-0.5 % lotion 2 times a day as needed acetaminophen 500 mg tablet q4-6h as needed ibuprofen 400 mg q8h as needed docusate sodium 100 mg 2 times a day bisacodyl 10 mg daily senna 8.6 mg 2 times a day furosemide 20 mg daily hydrocortisone acetate 25 mg suppository rectal daily magnesium hydroxide 30 ml po q6h as needed discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: thoracentesis diagnoses: congestive heart failure, unspecified aortic valve disorders acute respiratory failure hyperosmolality and/or hypernatremia diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to