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: morphine sulfate attending: chief complaint: hypotension major surgical or invasive procedure: central line placement orotracheal intubation, <12 hours for hypotension/confusion history of present illness: 71 yo female with pmh iddm, htn, aortic stenosis presented with presyncope at hair salon today, while sitting on chair with head hyperextended in sink. ems found pt conscious in salon. pt c/o feeling very sleepy and diaphoretic. initial ems vitals were bp 64/40, p54 (junctional), rr16, 100% ra, bs 242. given atropine. pt denied loc, cp, sob, n/v. pt stated large amt epistaxis this am. . on presentation to the , pt was hypotensive and unresponsive with bp 60/palp. r fem line and r radial art line placed. pt given ivf, maxed out on dopamine, persistently hypotensive and started on levophed. initial ekg in junctional rhythm, given atropine. evaluated by cardiology. stat bedside echo was negative for wall motion abnl or significant as; hyperdynamic ef 70%, trivial pericardial effusion. given broad spectrum abx. head, chest, and abd ct negative. bp now normalized and dopa weaned off; levo being weaned off. . in the ed, given atropine 1mg, vanco, levofloxacin 500mg, flagyl 500mg, dexamethasone 10mg x1, fentayl, versed, vecuronium, albumin 25gm iv x1. past medical history: no known cad s/p diskectomy s/p tah/bso aortic stenosis iddm hyperlipidemia htn physical exam: vs: t96.0, p115 (60-115), 155/76 (60-150s/palp-76), rr18, 100% ac 550/14/5/1. i/o: 8l/ gen: sedated, intubated heent:anicteric cvs: rrr, nl s1s2, hsm @ lusb lungs:ctab anteriorly abd:obese, soft, nt, decr bs,guiac negative (per ed resident exam). ext:trace edema bilaterally pertinent results: ua: 500 protein, 100 glucose, o/w negative . ekg: 1. junctional rhythm @60, retrograde p waves, normal axis/intervals, q in v1, twfin 1,v1-6, twi l 2. (post intubation) sinus tachy @ 114, nl axis, pr prolongation, qs in v1-2. . cxr: ngt and ett in place. increased interstitial markings on the right, probably representing edema. patchy left lower lobe opacity, which can represent atelectasis or early pneumonia. . head ct: negative . cta chest/abdomen: impression: 1. fat stranding and fluid about the pancreas suggestive of possible pancreatitis. 2. no evidence for abdominal aortic aneurysm. 3. no pe . echo: there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is small. left ventricular systolic function is hyperdynamic (ef 80%). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. there are no echocardiographic signs of tamponade. carotid series complete impression: minimal plaque with a left less than 40% carotid stenosis. on the right, there is no evidence of carotid stenosis brief hospital course: assessment and plan: 71 yo female with pmh as, dm, htn presents with presyncope and hypotension. . 1. presyncope: in setting of refractory hypotension, decreased cerebral perfusion, and confusion, the patient was intubated in the ed and extubated 12 hours afterwards and did well. the patient did not have any presyncopal symptoms in the micu or on the medical floor. . 2. hypotension: unclear etiology. pt may have developed hypotension during hyperextension of neck secondary to vagal outflow in setting of carotid sinus sensitivity (likely had smock around her neck) or vasovagal. this is supported by the fact that she was noted to be bradycardic in a junctional rhythm and had sx of fatigue, diaphoresis. given pt's hx of dm, she likely has autonomic dysfunction and was unable to quickly autoregulate to normal bp. cardiogenic and septic shock were less likely given normal wbc and afebrile on presentation and normal ef and stable as. the patient was off pressors in the micu and was hypertensive requiring bb and acei. cortstim was appropriate. carotid u/s performed as noted above and tilt table as outpatient. . # leukocytosis: the patient received levo, flagyl, and vanc for possible sepsis in the ed and also received steroids for possible anaphylaxis. since the patient remained afebrile without localizing sx/si, leukocytosis was thought to be likely stress rxn and steroid induced and abx were discontinued. repeat cxr after extubation was negative for infiltrates. . # non-gap acidosis: most likely dilutional in setting of rapid infusion of bicarb free ivf. bicarb improved. -follow electrolytes . #. elevated tn: demand cardiac ischemia or nstemi in setting of hypotension. serial ecg was negative for st elevation/depression or t wave inversion. the patient was started on a bb, acei, and aspirin and continued on statin. cards followed the patient and did not feel that iv heparin was necessary. with resolution of hypotension, her cardiac biomarkers trended down. the patient will need a cath/stress/mibi and she has decided to have these performed with her outpatient cardiologist at . . #. dm: covered with insulin drip initially while intubated and restarted on home regimen insulin once extubated and po tolerated. . #. hyperlipidemia: continued lipitor . #. ppx: heparin sc, ppi, bowel regimen medications on admission: quinipril 40mg qd lipitor 40mg qd desiprimine 25mg tid (tca) verapamil sr 120mg qd ?asa insulin - humalog discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. desipramine 25 mg tablet sig: one (1) tablet po tid (3 times a day). 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 5. quinapril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: hypotension, resolved discharge condition: stable discharge instructions: you have had an episode of hypotension that has since resolved, it is unclear exactly what caused this event and you will need close follow up with your cardiologist. take medications as perscribed some of your pressure medications have changed since admission. call your doctor or go to the closest emergency room if you feel dizzy, pass out, develop chest pain or have any other concerns. followup instructions: follow up with your cardiologist and with your primary care doctor pressure checks and medication titration with in one week. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: subendocardial infarction, initial episode of care unspecified essential hypertension aortic valve disorders diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias hypotension, unspecified peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to