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: acute coronary syndrome with v-fib arrest major surgical or invasive procedure: cardiac catheterization with placement of bare metal stents to the right coronary artery - history of present illness: **history obtained from medical record/pt's wife 51-year-old man with a past medical history of hypertension and hyperlipidemia who was brought by ems to the ed at on the evening prior to admission with vfib arrest. he complained of feeling "poorly" all day on the day prior to admission, with back pain, nausea, and profound weakness (though he did go towork). he took tylenol with codeine for back pain and tums for symptoms of indigestion. he went to bed at midnight. as soon as his wife shut the lights off, she felt him shaking, turned on the lights and he was "having a seizure" and did not respond to her. 911 was called; ems arrived within 5 minutes. found the patient nonresponsive. placed aed-->v-fib arrest--> defibrillated him x 1. he developed sinus brady, transient afib and then sinus tach. lidocaine gtt started. sbp low at 80, dopamine gtt started. unable to intubate, bagged him successfully. given narcan due to pinpoint pupils with no response. he was transported to . . osh course: gcs on arrival to ed= 5. he was intubated, ngt and foley placed. head ct negative for bleed, chest ct negative for pe. his cardiac enzymes were positive (trop 712, cpk 466, mbi 6.5, alt 271, alt 195, abg: 7.37/36/231). initial ekg with afib at 98, lateral st depressions, inferior q waves; then converted to sinus rhythm 117, lateral st depression, inferior q waves. bp increased to 210/140, dopamine and lidocaine discontinued. given ns 1.5l, asa 325, plavix 300, heparin and integrillin gtts, metoprolol 5 mg iv, ativan 2 mg. admitted to osh icu overnight. cardiac cath performed on the day of transfer; found to have 100% occluded rca with collaterals, left main: 20% at ostium, lad: clean, d1 50% ostial stenosis, lcx: 30% stenosis. v gram: ef 40%, inferior wall hypo/akinesis, normal mitral valve, normal aortic root. started on integrillin, transferred to for revascularization. vitals at osh: hr in 60's afebrile, sbp 9o's. . past medical history: hypertension hyperlipidemia remote h/o tobacco use . cardiac risk factors: - diabetes, + dyslipidemia, + hypertension social history: social history is significant for the absence of current tobacco use; he is a former smoker (stopped in , has 15 pk yr hx). there is no history of alcohol abuse, currently drinks less than 1 glass of wine/day. exercises regularly. family history: there is no family history of premature coronary artery disease or sudden death. mother died of mi at 63, also had dm, depression. father: died at 70 copd, etoh. he has 1 sister and 4 brothers, one had cabg in 50s. works as architect, married x 25 years, has 2 sons. physical exam: vs: t 101 , bp 98/55, hr 82, rr 22, o2 100% vent: ac 500x18, 40% o2, peep= 5. gen: wdwn middle aged male, intubated/sedated. ngt in place, draining coffee grounds. neuro: sedated/nonresponsive. +gag, +corneal reflexes, withdraws rue, rle, lle in response to pain, babinski upgoing b/l. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple cv: pmi located in 5th intercostal space, midclavicular line. heart sounds distant, rr, normal s1, s2. no s4, no s3. no murmur. chest: no chest wall deformities, scoliosis or kyphosis. no crackles, wheeze, rhonchi on anterior exam. abd: obese, soft, nd, no hsm or tenderness. no abdominial bruits. ngt with guaic + drainage. ext: no c/c/e. no femoral bruits. r fem arterial sheath in place skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 1+ pt, dopperalble dp left: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp, 1+ pt pertinent results: ekg demonstrated nsr at 79, nl axis, nl intervals, q's in 2,3,avf, twi 3, avf, 1 pvc. . telemetry demonstrated: nsr at 85 . 02:28pm wbc-7.4 rbc-3.60* hgb-11.7* hct-32.7* mcv-91 mch-32.7* mchc-36.0* rdw-12.6 02:28pm neuts-86.5* bands-0 lymphs-8.6* monos-4.2 eos-0.5 basos-0.2 02:28pm ck-mb-97* ctropnt-5.19* 02:28pm glucose-159* urea n-28* creat-1.1 sodium-140 potassium-4.4 chloride-111* total co2-17* anion gap-16 03:55pm ck-mb-88* mb indx-5.2 ctropnt-5.91* . cath: 1. limited coronary angiography demonstrated single (1) vessel coronary artery disease. the right coronary artery demonstrated a totally occluded proximal rca with a large thrombus burden. the left system was not engaged - outside hospital angiography demonstrated no severe stenosis with the distal left supplying collaterals to the right. 2. successful thrombectomy, ptca and stenting of the proximal - mid rca with a vision (3x28mm) bare metal stent postdilated with a 4.0 mm balloon in the proximal portion of the stent. final angiography demonstrated no angiographically apparent dissection, no residual stenosis and timi iii flow (see ptca comments). final diagnosis: 1. one vessel coronary artery disease. 2. acute inferior myocardial infarction, managed by thrombectomy, ptca and stenting of the proximal-mid rca with a bare metal stent. . tte : the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with inferior akinesis and basal inferolateral hypokinesis. the remaining segments contract normally (lvef = 45%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction, c/w cad. brief hospital course: assessment and plan pt. is a 51y.o. m with a pmh of htn and hyperlipidemia transferred from osh after vfib arrest and diagnostic cath demonstrated to of rca. . # cad/ischemia: pt presented with late sx of ischemia after suffering vfib arrest at home. per records ems defibrillated w/in 5minutes of call. diagnostic cath at osh demonstrated no stenosis of lad, 50% ostial d1, mild stenosis of mid lcx and prox occlusion of rca. lvgram ef 40%. pt underwent pci upon transfer with bms to rca. pt hd stable. peak ck 1700. patient was maintained on aspirin, plavix, metoprolol, high-dose statin, and lisinopril 10mg daily, and was discharged on these medications. . # pump: lv gram as osh demonstrated ef of 40%. echo showed ef of 45% with akinesis of inferior wall and no rv involvement. patient to be continued on metoprolol and lisinopril as an outpatient, and should also have an echocardiogram done within 2 months time to assess his heart function. . # rhythm: pt currently nsr. history of vfib arrest, most likely secondary to ischemic event. his qt-interval have been monitored on morning ecgs and are not concerning. he was monitored on telemetry while hospitalized and did not have any further arrhythmias. . # altered mental status - pt was bagged in the field by ems and intubated on arrival at osh. per records, the pt was resuscitated quickly following arrest. unclear length of time the patient was anoxic. per report ct head negative for evidence of cva. patient has been improving since extubation. per behavioral neurology consult, this is likely anoxic brain injury, and will improve with time, no need for mri at this time. will need outpatient rehabilitation. psychiatry was consulted to see patient for agitation, confusion, and paranoia, and suggested using haldol and redirection rather than antipsychotics or sedatives. his mental status has since greatly improved, and his short term memory continues to improve as well. he is being discharged on haldol 1mg at bedtime as needed, given this improvement. he will need further neuro-rehabilitation. . # pna - patient has been febrile since admission. pa and lateral cxr with rul opacity, and sputum culture positive for heavy growth of mssa. blood cultures ngtd and patient will need to finish a 10-day course of doxycycline. etiology unclear but etiologies include aspiration during myocardial infarction, or introduction of organisms during intubation. he will complete his course of antibiotics on . . # gi bleed - on admission, pt with coffee ground emesis on ng tube suctioning - heme positive. no evidence of active bleeding with ng lavage. bleed most likely related to trauma of ng tube placement with anticoagulation. hematocrit has remained stable with no further evidence of bleed. patient was maintained and discharged on a ppi. . # elevated lfts - at osh ast 271, alt 197. elevation most likely related to mi, continued to improve during hospitalization. . medications on admission: medications at home: (per osh records) lisinopril 40 daily atenolol 25 daily . medications on transfer: lipitor 80 heparin gtt integrillin gtt propofol gtt aspirin 325 plavix 300 mg then 75 daily protonix 40 discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. pantoprazole 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* 5. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. toprol xl 25 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*2* 7. doxycycline hyclate 100 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 7 days. disp:*15 capsule(s)* refills:*0* 8. haloperidol 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for agitation. disp:*30 tablet(s)* refills:*0* discharge disposition: extended care facility: discharge diagnosis: primary diagnoses: 1. myocardial infarction with vfib arrest 2. mssa pneumonia 3. anoxic brain injury . secondary diagnoses: hypertension hyperlipidemia remote h/o tobacco use discharge condition: afebrile, stable vital signs, tolerating pos, ambulating without assistance, mental status improving. discharge instructions: you were admitted to the hospital as you had a heart attack and an abnormal heart rhythm called ventricular fibrillation. you were defibrillated, or shocked, by the emts in the ambulance, and were brought to . you had a cardiac catheterization and with removal of a clot and subsequent placement of a bare metal stent in your right coronary artery. given the amount of time that elapsed from the beginning of your symptoms you may have suffered some anoxic brain injury. you were agitated initially, and you were seen by psychiatry and behavioral neurology, who recommended a medication at bedtime called haldol, which you should continue to take at night as needed. you continued to improve greatly, but you will need further rehabilitation after discharge. . 1. please take all medication as prescribed. 2. please make all medical appointments. 3. please return to the emergency room immediately if you have any concerning symptoms. followup instructions: you should follow-up with your primary care provider, . , on tuesday, , at 2:30pm. phone: . you should follow-up with your cardiologist within 2 weeks following discharge. if you do not have one and would like to be followed at , please call the dept of cardiology at to schedule an appointment. . you should also follow-up with behavioral neurology, dr. , on thursday, , at 9:30am, on , at the . phone: . procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of tobacco use other and unspecified hyperlipidemia anoxic brain damage family history of psychiatric condition acute myocardial infarction of other inferior wall, initial episode of care family history of ischemic heart disease family history of diabetes mellitus nonspecific abnormal results of function study of liver 

Answer: The patient is high likely exposed to