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 attending: chief complaint: chest pressure major surgical or invasive procedure: none history of present illness: 38 m with pmh ards , presents with sscp x 2 days. sscp started suddenly on sat (time unknown), , pt holds up clenched fist to describe chest pressure, constant but worse with exertion, no noticed relief with rest, no association with food, radiated to back of l shoulder which ached. pt has had severe fatigue, sore throat, diffuse myalgias. no f/c/n/v/diaphoresis, no sob. sscp was relieved at 1 am on sun am, and pt slept to see if cp would resolve by sun morning. pt woke up on sun am and still had sscp. he went to hospital, where he was found to have ste in anterolateral leads, nsr 92. pt was placed on asa, heparin, integrilin, and was taken to emergent cath. . at cath, pt was found to have 100% proximal lad occlusion, rca generally patent, lcx generally patent. was able to pass wire down lad, but lad took a sharp u-turn anteriorly, and had no flow in lad on contrast injection. stented mid-lad, with minimal flow to lad. wire was maneuvered more distally into lad and contrast injection showed perforation into distal lad, with contrast flowing into ventricle (likely lv). perforation appeared to be into the ventricle, not into the pericardium. balloon was inflated for relatively prolonged periods at 2 sites near perforation, which was successful in diminishing contrast leakage from lad. pt was airlifted to , hemodynamically stable with hr 80s, bp 110-120s, for further management of lad perforation. past medical history: was hospitalized for 2.5 mo with intubation at for ards and a "mold lung infection" in , was in coma for 1 month. otherwise has never been hospitalized. hypercholesterolemia social history: used to be heavy etoh user but last drink few mo ago. 23 pky smoking hx per one person's history, 46 pky smoking hx per another person's history. +marijuana use, last 1.5 weeks ago, never tried cocaine, heroin. lives with father and stepmother. family history: father had mi at 52, quintuple bypass at 66. physical exam: 97.0 / 101/68 / 94 / 16-24 / 100% 2.5l nc gen: sleepy in bed heent: jvd difficult to assess, no lad, dry mm lungs: rales diffuse bl heart: holosystolic blowing murmur heard best at apex, no r/g, regular, tachy abdomen: soft, nd, nt, +bs, mildly obese extr: no c/c/e, 2+ dp bilaterally, minimal bleeding neuro: motor in ue, sensation equal and intact bl skin: no ecchymoses, no rash pertinent results: ekg: ste in anteroseptal leads . cxr: swan ends in pa, mediastinum little wide, focal indentation in trachea around l clavicle area (narrowed trachea 15-20% likely from intubation) . echo: conclusions: the left atrium is elongated. the left ventricular cavity size is normal. lv systolic function appears moderately to severely depressed. resting regional wall motion abnormalities include anteroseptal hypokinesis/akinesis, mid to distal anterior akinesis, apical akinesis/dyskinesis. no definite apical thrombus seen but cannot exclude. right ventricular chamber size is normal. there is focal hypokinesis of the apical free wall of the right ventricle. the aortic root is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no regurgitation. there is no aortic valve stenosis. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. . cath at osh: proximal 100% lad occlusion, poor flow upon opening lad, lad class iii perforation with extravasation of contrast into rv. rca and lcx are patent. . 11:36pm ck(cpk)-137 11:36pm ck-mb-13* mb indx-9.5* ctropnt-2.07* 12:09pm ck(cpk)-142 12:09pm ck-mb-17* mb indx-12.0* ctropnt-2.03* 12:09pm hct-35.1* 09:30am ethanol-neg bnzodzpn-neg barbitrt-neg 09:30am urine hours-random 09:30am urine bnzodzpn-pos barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 09:23am hct-33.8* 06:19am o2 sat-71 05:06am type-art po2-136* pco2-35 ph-7.35 total co2-20* base xs--5 05:06am o2 sat-97 05:06am freeca-1.06* 04:42am glucose-98 urea n-20 creat-1.0 sodium-136 potassium-4.6 chloride-106 total co2-19* anion gap-16 04:42am ck(cpk)-127 04:42am ck-mb-12* mb indx-9.4* ctropnt-2.25* 04:42am calcium-7.2* phosphate-4.8* magnesium-1.6 04:42am wbc-13.7* rbc-3.90* hgb-11.7* hct-34.4* mcv-88 mch-30.1 mchc-34.0 rdw-12.5 04:42am plt count-204 04:42am pt-14.1* ptt-38.9* inr(pt)-1.2* brief hospital course: 38 m with pmh ards , presents with stemi and perforated lad post-stenting, with partial revascularization. . # cardiac: ischemia: subacute anteroseptal stemi upon presentation, likely 3-5 days old. proximal 100% lad occlusion with mid-lad stent, but lad flow was not restored, lad territory likely unable to be recovered. lad was perforated during procedure. post-cath, hemos were co: 5.9, index: 2.76, wedge 17, pap 28/15. on asa, plavix, statin, ace, bb. will follow up for repeat tte to assess ef for possible icd in 1 month. . pump: ef 30% on tte after stemi, wedge 21-22, severe anteroseptal and inferior hypokinesis, small anterior pericardial effusion. pt was discharged on coumadin for 1 month for large anteroseptal infarct with apical hypokinesis. he needs inr checks for goal inr 2.0-3.0, and was discharged on lovenox for bridge to coumadin. immediately post-cath, patient had a murmur on exam, but after 24 hrs, pt did not have a murmur for the remainder of admission. . rhythm: pt was in nsr on tele. . # class iii lad perforation: lad was perforated into lv at the location of distal lad. lad perforation complications include: pericardial tamponade, mi, intramural hematoma, arrhythmia, coronary dissection, cardiogenic shock. treatment is either cabg for emergent revascularization or prolonged inflation with ptca balloon or perfusion catheter or stent. . the ptca balloon was put up for extended period in 2 sites in the lad, to inhibit extravasation of contrast post-lad perforation. perforations are classified into: class i - extraluminal crater without extravasation class ii - pericardial or myocardial blushing class iii - perforation 1 mm in diameter with contrast streaming and cavity spilling . serial pulsus checks were negative. cabg was not recommended to patient because mi likely occurred 3-4 days before presentation (according to presenting cardiac enzymes) so myocardium cannot be reperfused with revascularization. medications on admission: medications on admission: lipitor wellbutrin . all: pcn discharge medications: 1. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime): start taking this medication on . disp:*30 tablet(s)* refills:*2* 7. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. warfarin 7.5 mg tablet sig: one (1) tablet po at bedtime for 3 days: take one tablet on , , and , then start taking warfarin 5 mg by mouth every night instead. disp:*3 tablet(s)* refills:*0* 9. nitroglycerin 0.3 mg tablet, sublingual sig: tablet, sublinguals sublingual prn (as needed) as needed for chest pain. disp:*30 tablet, sublingual(s)* refills:*0* 10. enoxaparin 100 mg/ml syringe sig: ninety (90) mg subcutaneous q12h (every 12 hours). disp:*20 20 syringes ( mg total)* refills:*0* discharge disposition: home discharge diagnosis: large st elevation myocardial infarction lad perforation into left ventricle discharge condition: hemodynamically stable discharge instructions: 1. please eat a low salt diet. no more than 2 mg per day. 2. weigh yourself daily. if you have a weight gain > 3 lbs, please call your doctor. 3. please take all medications as prescribed. always take your aspirin and plavix. 4. please keep all follow-up appointments. you have an appointment for an echocardiogram in 1 month followed by an appointment with an electrophysiology cardiologist, dr. . followup instructions: 1. provider: , m.d. phone: date/time: 2:30. , 7 2. please make a followup appointment with dr. . inr check monday morning in dr. office. procedure: pulmonary artery wedge monitoring diagnoses: tobacco use disorder acute myocardial infarction of other anterior wall, initial episode of care percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified long-term (current) use of anticoagulants family history of ischemic heart disease postmyocardial infarction syndrome other, mixed, or unspecified drug abuse, in remission 

Answer: The patient is high likely exposed to