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: keflex / sulfa (sulfonamides) / ace inhibitors attending: chief complaint: cardiac arrest major surgical or invasive procedure: cardiac catheterization endotracheal intubation history of present illness: 56m who presented for admission for a witnessed vf arrest. he had recent admission in for s/p nstemi --> lad stent. of note, he had been started on anticoagulation due to apical akinesis and risk of thrombus formation. on he initially had a witnessed vf arrest and had presented to . defib, intubated, tx for cath at . cath here which was notable for spotty thrombus in the lad stent, but normal flow. volume overloaded, pa sat 77%. past medical history: past medical history: -coronary artery disease s/p cath : 1. two vessel coronary artery disease. 2. mildly to moderately elevated left sided filling pressures. 3. moderate regional left ventricular dysfunction. 4. stenting of the lad. -history of nstemi in where initially presented to -lbbb discovered on admission to hospital in -htn: apparently intolerant of several beta-blockers and ace-i. controlled on verapamil and diovan. -gerd with ? duodenal ulcer social history: lives in , ma. works as heavy machinery operator and has applied to work with the dot. relatively sedentary. no exercise. supportive wife, brother and daughter. 40 pack-year history (quit in ). etoh < 1/week. family history: brother: dm physical exam: vs: 98.9 103/56 on dopamine 74 100% on ac ventilator; tv=700, rr=16, fio2=100%, peep=5 gen: intubated, sedated heent: perrl, with ett lungs: rhonchorous bs bilaterally, with diffuse crackles cv: distant hs, nl s1/s2, no m/r/g abd: protuberant, soft, nt/nd, nabs extr: no c/c/e, pt dopplerable bilaterally groin: with right groin sheath in place neuro: moving all 4 extremities, not responding to commands pertinent results: 11:15pm glucose-135* urea n-19 creat-1.0 sodium-139 potassium-3.6 chloride-104 total co2-25 anion gap-14 11:15pm calcium-8.7 phosphate-2.3* magnesium-2.0 11:15pm wbc-14.8* rbc-3.73* hgb-12.3* hct-33.0* mcv-88 mch-33.0* mchc-37.4* rdw-12.7 11:15pm pt-15.7* ptt-28.8 inr(pt)-1.6 09:30pm lactate-2.7* cath : preliminary: 1. hemodynamics with markedly elevated filling pressures with preserved cardiac index, moderate v-waves in pcw tracing. 2. left venfriculography: extensive anterolateral, apical and inferoapical akinesis. no mitral regurgitation. lvef 30%. 3. angiography: lmca: 40% proximal. lad: stent pateint with several discrete filling defects suggestive of thrombus, timi 3 flow. lcx: proximal lcx arises from lm and supplies om1 with mild luminal irregularities. patient also has anomalous distal lcx which arises from proximal rca and has tubular 60% proximal/mid stenosis (unchanged from ) rca: 60% ulcerated proximal, immediately beyond lcx origin. tte the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction with akinesis of the inferior wall and distal half of the septum, distal anterior wall, and distal lateral wall. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: extensive regional left ventricular systolic dysfunction c/w multivessel cad. compared with the prior study (tape reviewed) of , the regional lv systolic dysfunction is more extensive brief hospital course: 1. cad: he underwent cardiac catheterization on admission showing 60% proximal rca disease, 60% distal circumflex, and filling defects in lad stents. ptca of the lad stents was performed. his filling pressures (right and left-sided) were markedly elevated as well, but his co/ci were maintained. he was continued on asa, bb, , and his statin. his coreg and valsartan were titrated up as his blood pressure allowed. he was deemed a plavix failure (developed thrombus in his stents while on this medication), so he was continued on ticlid instead while in-house. he was started on heparin gtt for lv aneurysm and severe hypokinesis to prevent potential blood clots. after extubation, he had fleeting episodes of chest pain (no ekg changes although hard to interpret with lbbb) and these subsequently resolved. at the time of discharge he had been chest pain free for several days. a mibi may be considered in the near future if he has recurrence of this chest pain. 2. pump: markedly elevated left-sided filling pressures on catheterization, and tte showed ef=20=25% with multiple wall motion abnormalities. swan insertion was inserted but complicated by complete heart block and torsades, requiring temporary pacing wire and transcutaneous defibrillation. following this, lasix was continued as needed to maintain euvolemia after initial diuresis on admission. he was initially on dobutamine for hemodynamic support but was stable off this prior to extubation. beta blocker and were continued, and he remained euvolemic. he was discharged on lasix 20 daily and will follow up to get labs checked with dr. . 3. rhythm: he presented status post a presumed v-fib arrest with resuscitation at home. after the episode of complete heart block/torsades (complication of attempt at swan placement), he remained in nsr with lbbb. per ep, he received defibrillator when stable and extubated. he was continued on amiodarone. he will follow up with the device clinic as well as dr. . 4. pulmonary: he was intubated on presentation after his v-fib arrest. lung ct was consistent with bilateral pneumonia (vs chf), and he was treated with levo/flagyl/vanco (10 day course). no sputum, blood, or urine cultures were ever positive, and one sputum sample had gpc in pairs and clusters. he also underwent an esophageal manometry procedure, and it was deemed that he required a higher peep given his large chest diameter and lung process. pulmonary was consulted and recommended treating the ?pna, maintaining higher peeps, and cpap at night post-extubation. he was successfully extubated after pneumonia treatment and diuresis, and he was maintained on cpap nocturnally for ?osa. he will need to have a sleep study as an outpatient. the pulmonary department will contact him in the days immediately following discharge to set this up. 5. id/fevers: he was persistently febrile following admission (initially afebrile), and the source was felt to be pulmonary. he was treated with a 10 day course of antibiotics as above for pneumonia with resolution of the fevers. 6. gi: history of gerd with ?duodenal ulcer. he had initial drop in hematocrit on admission (?gi bleeding with oozing around lines), but after initial transfusions, his hematocrit remained stable. he was continued on a protonix regimen. 7. neuro: he was seen by neurology in-house for ?anoxic brain injury given his out of hospital arrest. he was evaluated pre and post extubation and felt to have no deficits. no brain imaging was deemed necessary. medications on admission: asa 325 plavix 75 lipitor 80 valsartan 80 protonix 40 toprol 50 coumadin all: keflex-rash acei-? sulfa-? discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. ticlopidine hcl 250 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. amiodarone hcl 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. carvedilol 12.5 mg tablet sig: four (4) tablet po bid (2 times a day). disp:*240 tablet(s)* refills:*2* 7. beclomethasone diprop monohyd 0.042 % aerosol, spray sig: two (2) spray nasal (2 times a day). disp:*1 bottle* refills:*2* 8. valsartan 80 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 10. clindamycin hcl 300 mg capsule sig: one (1) capsule po four times a day for 6 doses. disp:*6 capsule(s)* refills:*0* 11. outpatient lab work please check hct, inr, chem 7. discharge disposition: home with service facility: discharge diagnosis: vfib arrest cad discharge condition: stable discharge instructions: please follow up as directed below. please look at the medications you have at home and make sure you will be taking all that we have prescribed for you. you may have the prescriptions filled that you need. please do not take plavix any longer. instead you will take ticlopidine. followup instructions: your appointments are as follows: the pulmonary clinic should call you in the next few days to schedule a time for you to come in and get fitted for a cpap machine to have at home. if you do not hear from them in the next few days, please call them and explain your situation at (. provider: clinic where: cardiac services phone: date/time: 11:30 provider: clinic where: cardiac services phone: date/time: 2:30 provider: , m.d. where: cardiac services phone: date/time: 3:00 please also have your blood drawn on , to have your inr and electrolytes checked. please have the results sent to dr. and he will adjust your medications as needed. please follow up with dr. on thursday, at 4:30 p.m. call if you need to change or cancel. please discuss getting into cardiac rehabilitation as well. please also ask dr. to check your thyroid fxn tests every 3 months since you are taking amiodarone. you will also need a chest xray every year while you are on this medication. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor enteral infusion of concentrated nutritional substances other electric countershock of heart non-invasive mechanical ventilation insertion of temporary transvenous pacemaker system implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) severe sepsis cardiac complications, not elsewhere classified acute respiratory failure atrioventricular block, complete pneumonitis due to inhalation of food or vomitus unspecified sleep apnea other complications due to other cardiac device, implant, and graft ventricular fibrillation subendocardial infarction, subsequent episode of care 

Answer: The patient is high likely exposed to