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: ciprofloxacin / ambien attending: chief complaint: shortness of breath major surgical or invasive procedure: endotracheal intubation dc cardioversion arterial line placement central venous line placement history of present illness: 84f with hx cad, chf (dd) who was discharged from the chf/ service on , called ems the evening of discharge with sob and doe and was found to be in vtach, bp was stable, she was started on iv amio, spontaneously converted to afib, then dropped bp. pt was intubated en route to hospital. intermittently in and out of vtach/afib. in , pt bp dropped during afib with rate 150bpm, dccv with conversion to sinus at 70 bpm. bp remained at 80 systolic, levophed started. post-cardioversion ekg showed depressions in i, ii, iii, f, v4, 5, and 6, believed to be result of cardioversion and not representing new ischemia. pt received 100 mg iv lasix en route to hospital. cxr showed florid pulmonary edema. . transferred to ccu. pt was reintubated on arrival to ccu because of air leak around et tube, and anesthesiology noted difficult intubation. tlc placed in rij, and a-line placed in l radial artery. was sent to ccu on integrillin gtt, which was d/c'ed due to low suspicion of ami. past medical history: 1. atrial fibrillation status post dccv on and again on (still in af) - chronically on coumadin. successfully cardioverted . being bridged with hep and coumadin at rehab. 2. hypercholesterolemia/htn 3. uti: klebsiella in past (pansensitive) 4. diastolic congestive heart failure. hemodynamic evaluation revealed moderately to severely elevated right-sided pressures (mean ra was 17 and rvedp was 22 mmhg), severely elevated left-sided pressures (mean pcw was 29 and lvedp was 31), and severely elevated pulmonary pressures (pa was 67/33 mmhg). there were prominent v waves on the pa tracing up to 50 mmhg, 2+mr. 5. cad: s/p pci of the proximal lad on , then had nstemi and in-stent restenosis treated with ptca and ptca of mid-lad 70% lesion (cypher stents x2) 6. gout. 7. obesity. 8. obstructive sleep apnea on cpap (setting of 12). 9. status post cholecystectomy. 10. history of spinal stenosis social history: very functional, lives alone. just discharged from rehab last friday. she is able to shop, drive, all adls. widowed 24 years ago. has three children. denies tobacco, alcohol, or recreational drug use. her daughter is her health care proxy. family history: f - mi at 60y/o no strokes physical exam: pe: t 99.5 hr 75 bp 97/63 r 18 99% on ac 18 x 500 fio2 100%, peep 5 gen: intubated and sedated heent: eomi, perrl neck: brawny, unable to assess jvd chest: crackles throughout cv: rrr, s1 s2 abd: obese, soft + bs ext: no edema, dopplerable pulsed at dp bilaterally neuro: moves all four pertinent results: 10:15pm glucose-398* urea n-35* creat-1.5* sodium-137 potassium-4.8 chloride-99 total co2-24 anion gap-19 10:15pm alt(sgpt)-23 ast(sgot)-24 ld(ldh)-263* ck(cpk)-110 alk phos-93 amylase-67 tot bili-0.4 10:15pm lipase-26 10:15pm ctropnt-0.01 10:15pm albumin-3.9 calcium-9.2 phosphate-5.2* magnesium-1.9 10:15pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:15pm neuts-76.0* lymphs-19.1 monos-2.1 eos-2.2 basos-0.5 10:15pm pt-15.2* ptt-23.1 inr(pt)-1.5 05:10am magnesium-2.0 05:10am plt count-214 05:10am pt-15.0* ptt-23.6 inr(pt)-1.5 06:10am glucose-126* urea n-32* creat-1.1 sodium-141 potassium-3.7 chloride-103 total co2-28 anion gap-14 06:10am wbc-7.6 rbc-3.37* hgb-9.6* hct-29.3* mcv-87 mch-28.6 mchc-32.9 rdw-17.9* 06:10am pt-14.3* ptt-23.3 inr(pt)-1.4 echo study date of ef 70-80% mild to moderate (+) mr. prolonged (>250ms) transmitral e-wave decel time. mild as. the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. left ventricular systolic function is hyperdynamic (ef 70-80%). there is an abnormal systolic flow contour at rest, but no left ventricular outflow obstruction. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. labs at discharge: 05:15pm blood hct-34.6* 05:15pm blood glucose-165* urean-59* creat-1.4* na-138 k-3.8 cl-95* hco3-32 angap-15 12:30pm blood pt-21.9* ptt-27.8 inr(pt)-3.2 brief hospital course: 82f with cad, chf (dd) and afib, admitted after developing "flash" pulmonary edema due to vt/afib. afib/vt: pt had been on po amio 200mg po bid at admission, but reloaded with iv amio. was changed to 400mg po bid on . remained in nsr throughout admission. intervals were monitored. on discharge patient was given 400 mg amiodarone po for a two week period, which is to be followed by 200 mg po amiodarone qd. ep followed the patient and did not recommend pacer/icd therapy. chf: secondary to diastolic dysfxn. pulmonary edema on admission was a consequence of afib/vtach, not due to volume overloaded state. levophed was quickly weaned after arrival to ccu. echo done on showed: ef 70-80%, mild symmetric lvh, abnormal systolic flow contour at rest, but not lvot obstruction. mild as (av valve area 1.7cm2, pk gradient 46, mean gradient 27), + mr, mild pa systolic htn. no significant changes from previous echo. bps initially labile, with most readings in 160s/100s, but with unexpected drops down to 90s/50s, always asymptomatic during these episodes. upon discharge, metoprolol was titrated up to 50mg po tid, and patient started on valsartan 80mg po bid for afterload reduction. anxiety likley played a huge component of patient symptoms, with panic attacks associated with tachycardia and acute pulmonary edema due to severe diastolic dysfucntion. patient does not tolerate benzodizepines per report. started celexa low dose near end of hospitalization. cad: initial ck: 110 and trended down. troponin rose to 0.31 morning after admission. continued asa, plavix, lipitor, and metoprolol, and restarted valsartan on . no evidence of ischemia during this hospitalization. dyspnea: patient admitted with dyspnea and was likely from "flash" pulmonary edema secondary to vtach/afib. episodic dyspnea continued during stay. etiology thought to be multifactorial. has h/o osa on home bipap. pulmonary edema from admission resolved over first two days of admission. initial cxr showed retrocardiac infiltrate suggesting of pna, and pt spiked occasional fevers to 101.5 f during admission. also had an element of reactive airway disease responsive to albuterol/ipratropium nebs. added vancomycin 1gm q48 to ceftriaxone being given for uti due to h/o mrsa. sputum and blood cx's ngtd. uti: pansensitive e. coli from ucx. patient had reported allergy to fluoroquinolones & concerned about , started 7-day course ctx. new ucx and bcx sent, brief course of zosyn which was completed at time of discharge. arf: cr 1.5 on admission, possible effective prerenal state secondary to hypotension. cr slowly dropped to 1.2, which is her baseline. fen: patient had good po intake. her electrolytes were monitored and repleted prn. patient was discharged on to rehabilitation facility. the patient will need followup of her guaiac positive stool, possible outpatient colonoscopy in future. hematocrit stable during hospital stay. she will also need monitoring of inr on coumadin. medications on admission: 1. allopurinol 100 mg po daily 2. aspirin 325 mg po daily 3. isosorbide mononitrate 30 mg po daily 4. amiodarone 200 mg po daily 5. simvastatin 80 mg po daily 6. clopidogrel 75 mg po daily 7. multivitamin capsule (1) cap po daily 8. albuterol-ipratropium mdi q 4 prn 9. docusate sodium 100 mg po qd 10. lansoprazole 30 mg po daily 11. senna 8.6 mg po bid prn 12. valsartan 40 mg po qd 13. warfarin 5 mg po hs 14. toprol xl 25 mg po once a day. 15. furosemide 60 mg po daily 16. aldactone 25 mg po qd 17. bactrim ds discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po once a day. 5. senna 8.6 mg capsule sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. furosemide 40 mg tablet sig: 1.5 tablets po daily (daily). 8. codeine-guaifenesin 10-100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. disp:*qs one month* refills:*0* 9. valsartan 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. amiodarone 400 mg tablet sig: one (1) tablet po once a day for 2 weeks: please take 400 mg qd for two weeks followed by 200 mg qd. disp:*14 tablet(s)* refills:*0* 11. amiodarone 200 mg tablet sig: one (1) tablet po once a day: please start taking 200 qd after finishing 2 weeks of 400 mg qd. disp:*30 tablet(s)* refills:*2* 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 13. multivitamin capsule sig: one (1) capsule po once a day. 14. warfarin sodium 4 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* 15. combivent 103-18 mcg/actuation aerosol sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*qs one month* refills:*1* 16. citalopram hydrobromide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* discharge disposition: extended care facility: for the aged - acute rehab discharge diagnosis: 1. atrial fibrillation 2. diastolic congestive heart failure 3. pneumonia discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet please call your doctor or go the er if you have symptoms of increased shortness of breath, chest pain, palpitations or dizziness. followup instructions: 1. please schedule a follow-up appointment with your cardiologist dr. at ( withing the next month. 2. your inr was 3.2 today. please have your inr re-checked on thursday or friday. the number to the coumadin clinic is (. 3. please follow-up with , m.d. where: phone: date/time: 11:00 4.provider: , m.d. where: center phone: date/time: 9:30 5. provider: , dpm where: ba ( complex) podiatry phone: date/time: 10:10 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube other electric countershock of heart arterial catheterization transfusion of packed cells diagnoses: pneumonia, organism unspecified anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified gout, unspecified atrial fibrillation asthma, unspecified type, unspecified atrial flutter percutaneous transluminal coronary angioplasty status acute respiratory failure hypotension, unspecified other diseases of pharynx, not elsewhere classified unspecified sleep apnea old myocardial infarction other complications due to other vascular device, implant, and graft long-term (current) use of anticoagulants obesity, unspecified nonspecific abnormal findings in stool contents diastolic heart failure, unspecified panic disorder without agoraphobia 

Answer: The patient is high likely exposed to