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: during the first week after her discharge from the hospital, the patient gained 15 pounds at home. her iv lasix dose was increased to 80 mg a day and she was given hydrochlorothiazide 50 mg p.o. b.i.d. in addition to her baseline lasix 80 mg p.o. b.i.d., aldactone 25 mg p.o. q.d., and lisinopril 5 mg q.d. she was seen in clinic on for follow-up and was found to be 207 pounds. at that time, her creatinine had increased to 2.5. she was asked to hold her hydrochlorothiazide and lasix, however, the patient continues to take these medications. repeat laboratory studies later showed a potassium of 6.3 and creatinine 2.7. at that time, her aldactone, hydrochlorothiazide, lasix, and lisinopril were all discontinued and the patient was given a prescription for kayexalate. she said that she was unable to obtain kayexalate from her pharmacy and the next day she presented to the emergency department for further evaluation. in the emergency department, she was found to be hypotensive with a blood pressure of 70s/40s which responded to 4 liters of normal saline. in addition, her inr was supratherapeutic. she also had a positive u/a. she was admitted to the icu for one night and then transferred to the cardiology floor. she was started on a nisiritide drip for diuresis and a dopamine drip to stabilize her blood pressure. her baseline systolic blood pressures are in the high 80s to low 90s. past medical history: 1. coronary artery disease. 2. diastolic heart failure. 3. diabetes complicated by neuropathy and chronic renal insufficiency. 4. obesity. 5. obstructive sleep apnea. 6. pulmonary hypertension. 7. paroxysmal atrial fibrillation with multiple failed dc cardioversions. 8. copd on 2 liters home oxygen at home. 9. chronic venostasis. 10. history of mrsa. 11. hypercholesterolemia. 12. history of pulmonary emboli. 13. history of thyroid cancer, status post thyroidectomy. 14. chronic renal insufficiency with a baseline creatinine of 1.9. 15. anemia, on epogen 4,000 units weekly. 16. history of cholangitis, status post cholecystectomy. family history: noncontributory. social history: lives alone, wheelchair bound. has a home health aid. history of tobacco and alcohol use. allergies: penicillin, tegretol, beef and port insulin, and zaroxolyn (unknown reaction). current medications: 1. tylenol p.r.n. 2. epogen 4,000 units q. monday. 3. regular insulin sliding scale. 4. metoprolol xl 100 once a day. 5. protonix 40 once a day. 6. synthroid 225 mcg once a day. 7. amiodarone 200 once a day. 8. fentanyl patch 25 q. 72 hours. 9. gabapentin 600 three times a day. 10. colace 100 once a day. 11. tums 500 twice a day. 12. buspar 5 mg twice a day. 13. folate. 14. multivitamin. 15. aspirin. 16. levofloxacin 250 once a day. 17. cipro. 18. citalopram 60 mg once a day. 19. olanzapine 5 mg once a day. hospital course: the patient is a 70-year-old female with multiple medical problems admitted to the hospital in acute renal failure and hypotension found to be in rapid atrial fibrillation with an exacerbation of chf and a uti. 1. congestive heart failure: initially, the patient was placed on an nisiritide drip with dopamine to help stabilize her blood pressure. the nisiritide drip was switched to a lasix drip. dopamine remained on for a few days and was slowly tapered off. she responded well to the dopamine taper and lasix was slowly increased with improvement in her blood pressure to the low 100s. an attempt of using zaroxolyn (the patient had an unknown reaction in the past) was done. she diuresed well and did not have any reaction to it. in addition, the patient was successfully cardioverted into normal sinus which was done in the hopes of aiding in her diuresis. she was maintained on a 2 gram sodium diet, with daily weights, strict ins and outs, and a 1.5 liter fluid restriction. 2. atrial fibrillation: the patient was continued on her beta blocker during the hospitalization. electrophysiology was consulted and increased her amiodarone dose to ensure an adequate loading dose for the patient. her coumadin was initially held for supratherapeutic inr. in addition, she received 5 mg of p.o. vitamin k on admission. at the time of this discharge, the inr was within goal of . 3. acute renal failure on chronic renal insufficiency: with diuresis, the patient's creatinine improved. her ace inhibitor was held during her hospitalization. 4. urinary tract infection: the patient had a positive u/a on admission. urine culture demonstrated greater than 100,000 cfus of e. coli that was resistant to levofloxacin. the patient was placed on a two week course of nitrofurantoin. the patient had a urine catheter placed during her hospitalization. 5. hypotension: the patient was admitted with hypotension secondary to overdiuresis at home. she was maintained on a dopamine drip for approximately one week of her hospitalization and this was slowly weaned off successfully. in addition, she received 1 unit of packed red blood cells for volume resuscitation and for hematocrit below 30. 6. coronary artery disease: she was continued on her aspirin, beta blocker, and lipitor. 7. hypothyroidism: the patient was maintained on her home dose of levothyroxine. 8. psychiatry/depression: the patient was extremely depressed during her hospitalization. psychiatry was consulted. her buspar was discontinued. in addition, she was started on remeron which was slowly increased to a dose of 50 mg per day. she did not have any suicidal or homicidal ideations. she remained extremely teary and frustrated with her medical conditions during her hospitalization. 9. chronic leg ulcers: the patient received wound care as needed. further dictation will be done by an addendum. , m.d. dictated by: medquist36 d: 06:13 t: 19:22 job#: procedure: atrial cardioversion transfusion of packed cells injection or infusion of nesiritide diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation acute on chronic diastolic heart failure other chronic pulmonary heart diseases ulcer of lower limb, unspecified 

Answer: The patient is high likely exposed to