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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: artic sun protocol history of present illness: ms. is a 79 year old female with past medical history of systolic congestive heart failure, atrial fibrillation on warfarin, diabetes mellitus, copd, known aortic aneurysm, and coronary artery disease who presented with dyspnea to the ed. . per referral notes, she was reported to have shortness of breath with use of accessory muscles. referral note recorded full code. . in the ed per report and review of records, she was noted to have a rapid heart rate to 150's-160's, consistent with atrial fibrillation. due to respiratory distress, she was intubated with 120 mg of succinyl choline, and initiated on phenylephirine for blood pressure support--initially she was hypertensive with systolic to 180. a central line was placed she also received 2 grams of cefepime, 750 mg of levofloxacin, 125 mg of solumedrol, 325 mg aspirin, and 150 mg of iv amiodarone. en route, it was reported that she had bradycardia with heart rate to 20-30, without hypotension. . upon arrival to ed, once cardiac monitor was attached, no pulse was noted. at that time--10 am, and chest compressions were initiated. she received epinephrine three times and atropine once, as well as 1 gram of calcium. at 10:12 am, ventricular tachycardia was noted, and patient was shocked with 200 joules. levophed was initiated and she was resuscitated with intravenous fluids, per report 4 liters prior to transfer. she also received 1 gram of vancomycin and 4.5 grams of piperacillin-tazobactam. she was also initiated on amiodarone drip to help improve control of her heart rate, which was 140-160's after return of circulation. . imaging of the ct chest/abdomen/pelvis revealed thrombosed aorta below the renal arteries. vascular surgery was consulted and felt that the occlusion was chronic, given the degree of collaterals noted in the iliacs. there was also noted to be a question of gall bladder edema, possibly consistent with cholecysitis. general surgery was consulted, and hida scan was recommended to rule out acute cholecystitis. . cardiology was also consulted, given history of coronary artery disease, af, and systolic heart failure. it was recommended that amiodarone continue for her tachycardia, along with levophed for blood pressure. . at time of transfer to icu, her vitals were reported to be heart rate 126, blood pressure of 120/60 on 0.75 mg/kg/min of levophed, with oxygen saturation of 95% on ventilator. her brother was reported to be at the bedside as well. . of note, she was evaluated at on , per documentation, for possible cva. at that time, an abg ws 7.22/85/60/34.8, with lactate of 4.0. inr was >10.0, and bnp was 16,677. her alt was 709, and ast 901, with normal alk phos and total bilirubin. a head ct was negative for acute process. she was transferred to , where she was admitted until . she was treated for a chf exacerbation as well as copd exacerbation, with non-invasive ventilation ceftriaxone, levofloxacin, and steroid taper. lft abnormalities were attributed to hepatic congestion from chf. it appeared that she may have had a thoracentesis, as pleural fluid was reported as negative for malignancy. . she was admitted to with respiratory failure (hypercarbic) and cardiogenic shock with hypotension. she was intubated, and then diuresed and extubated. during that admission a right apical spiculated mass was seen on chest ct as well as descending thoracic aaa. . on the floor, she is intubated and not making any purposeful movements. . after her family arrives, they clarify several points--she was admitted to as noted above. after that, she was transferred to a skilled nursing facility, where she has been on oxygen during the day and bipap at night. she was feeling very well last week, though her family reports that over the weekend she appeared more tired and somnolent. her nephew reports that she did not wear the bipap over the last nights as she thought the mask did not fit well. otherwise said she did not report any cough, shortness of breath, gi complaints, or known sick contacts--she has been eating well recently. they do report she was private and did not always share details about her health. . review of systems: (+) per hpi (-) unable to obtain in detail. past medical history: - congestive heart failure, ef 15% - atrial fibrillation on warfarin - copd - diabetes mellitus - aaa: described as 4.7 cm x 4.8 cm in descending thoracic aorta - adrenal hyperplasia - right-sided breast cancer status-post lumpectomy on arimidex - tobacco use - coronary artery disease status-post mi - hyperlipidemia - right apical 1.8 cm spiculated mass noted during admission --per family, this was diagnosed as lung cancer (details unknown), status-post either lobectomy or segmentectomy at , followed by dr. . pulmonologist is dr. . - status-post left cea social history: she lives at nursing home/rehabilitation. her healthcare proxy is her brother, , phone number , cell phone. home phone . she is a smoker, smokes 2 packs per day. history of alcohol use. no illicit drug use. family history: significant for coronary artery disease. brother died of an mi at age 52. brother, , has had multiple mis in the past. physical exam: vitals: t: afebrile bp: 180/100 systolic p: 130-160, irregular, oxygen saturation 100% on fio2 100% general: unresponsive to verbal or tactile stumli, occasional myoclonic jerks heent: sclera anicteric, mmm, oropharynx clear with ett in place. pupils minimally responsive bilaterally, no scleral icterus or conjunctival pallor neck: supple, jvp difficult to assess but does not appear to be elevated, no lad. right ij site appears c/d/i, no erythema lungs: no wheezes, decreased bs right apex and right base, also decreased lower left base, few rales over right base, left clear cv: tachycardic, irregular, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, cooling pads in place gu: foley in place with clear yellow urine ext: cool, slightly mottled, pt is dopplerable, dp is not, femoral is doperable, no clubbing, cyanosis. no significant edema. neuro: no purposeful response to stimuli. moving extremities spontaneously at times pertinent results: 10:30am blood wbc-11.3* rbc-4.09* hgb-11.3* hct-37.4 mcv-91 mch-27.7 mchc-30.3* rdw-14.5 plt ct-121* 04:38am blood wbc-11.4* rbc-3.81* hgb-10.6* hct-31.8* mcv-84 mch-27.7 mchc-33.2 rdw-15.6* plt ct-184 04:38am blood neuts-92.3* lymphs-3.9* monos-2.4 eos-1.3 baso-0.1 10:30am blood plt ct-121* 10:30am blood pt-43.5* ptt-44.4* inr(pt)-4.6* 11:05am blood pt-54.1* ptt-37.4* inr(pt)-6.0* 04:38am blood pt-15.3* ptt-23.6 inr(pt)-1.3* 10:30am blood glucose-178* urean-12 creat-0.6 na-135 k-4.5 cl-99 hco3-19* angap-22* 04:38am blood glucose-275* urean-30* creat-0.9 na-129* k-4.5 cl-97 hco3-22 angap-15 10:30am blood alt-490* ast-669* ck(cpk)-35 alkphos-44 totbili-0.5 04:15pm blood alt-1310* ast-1900* ld(ldh)-2202* ck(cpk)-184 alkphos-63 totbili-0.9 03:29am blood alt-1190* ast-1610* ld(ldh)-1209* ck(cpk)-621* alkphos-60 totbili-0.6 04:38am blood alt-630* ast-224* alkphos-53 totbili-0.3 10:30am blood ctropnt-0.02* 10:30am blood probnp-* 07:00am blood ck-mb-13* ctropnt-0.02* 10:30am blood calcium-10.2 phos-6.2* mg-1.8 04:38am blood albumin-2.8* calcium-7.9* phos-4.2 mg-2.1 07:00am blood vanco-14.9 10:30am blood digoxin-0.2* 07:08pm blood phenyto-14.3 04:38am blood phenyto-13.0 10:41am blood po2-443* pco2-52* ph-7.19* caltco2-21 base xs--8 intubat-intubated 02:16pm blood type-art po2-117* pco2-40 ph-7.45 caltco2-29 base xs-4 10:41am blood glucose-180* lactate-10.3* na-133* k-4.9 cl-97* 04:25pm blood glucose-386* lactate-6.9* na-131* k-4.3 cl-91* 02:09pm blood lactate-2.0 10:41am blood hgb-12.2 calchct-37 02:09pm blood o2 sat-77 10:41am blood freeca-1.43* 07:16am blood freeca-1.17 brief hospital course: assessment and plan: ms. is a 79 year old female with past medical history of systolic congestive heart failure, coronary artery disease, and copd who presented with dyspnea, was intubated, and had an arrest, now transferred to micu for further management. micu course- patient presented with dyspnea. on arrival to ed, she cardiac arrested and underwent 13 minutes of resuscitation. she was intubated and started on pressors and then admitted to the micu for further managment. while in the micu, she underwent the artic sun cooling protocol. concern was for septic shock given imaging finding consistent with acute cholecystitis. she was started on broad spectrum antibiotics (vanc/cefepime/levofloxacin) and then switched to vanc/zosyn/levo. general surgery consulted and recommended hida scan and possible ir-guided percutaneous gallbladder drain. echo: severe global left ventricular hypokinesis (lvef = 20-25 %)with inferior akinesis the aortic valve leaflets (3) are mildly thickened. mild ar, mild mr. she was warmed on . hida scan showed normal filling but no emptying consistent with possible cbd stone. ir-team did not see any sign of acute cholecystitis and, therefore, did not see an indication for drain placement. after being warmed her eeg demonstrated status epilepticus. she was started on fosphenytoin (loading and maintenance) but continued to be in status epilepticus. family followed hospital course closely. given the eeg findings and the poor prognostic situation, the patient was made cmo by her hcp (brother- on . she was extubated and all pressors were discontinued. she passed away at 15:55 on . medications on admission: - warfarin 4 mg - nph insulin 10 units qam, 4-8 units qpm - aspirin 81 mg - calcium carbonate 1500 mg - digoxin 0.125 mg monday, wednesday, friday - diltiazem er 240 mg - docusate 100 mg - lisinopril 2.5 mg - metoprolol succinate 75 mg--per notes, has not received this month - metoprolol 37.5 mg - spiriva 18 mcg daily - arimidex 1 mg at 9am - multivitamin daily - omeprazole 20 mg - nicotine patch 14 mg - vitamin d 1000 units daily - crestor 1 tablet daily--on hold at present due to abnormal lfts - novolog sliding scale - acetaminophen prn - milk of magnesia prn - bisacodyl prn - fleets enema prn - xopenex inhaler prn discharge medications: n/a discharge disposition: expired discharge diagnosis: primary: sepsis, respiratory distress discharge condition: expired discharge instructions: patient admitted with dyspnea. cardiac arrested in ed and underwent 13 minutes of rescuitation and admitted to the micu. while in the micu, she was cool under the artic sun protocol. found to be in status epilepticus on warming. required pressors while here. given poor prognosis, patient was made cmo on . extubated and passed within 1 hour. followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified arterial catheterization cardiopulmonary resuscitation, not otherwise specified video and radio-telemetered electroencephalographic monitoring diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation sepsis paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute respiratory failure cardiac arrest malignant neoplasm of upper lobe, bronchus or lung cardiogenic shock long-term (current) use of insulin old myocardial infarction grand mal status long-term (current) use of anticoagulants ventricular fibrillation encounter for palliative care abdominal aneurysm without mention of rupture acute on chronic systolic heart failure calculus of bile duct without mention of cholecystitis, without mention of obstruction nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] other specified disorders of adrenal glands 

Answer: The patient is high likely exposed to