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: sustained vt major surgical or invasive procedure: icd generator changed ventricular tachycardia ablation history of present illness: 59 y/o f with history of copd, cad s/p angioplasty in ', afib, vt s/p icd placement in ', admitted to on because of recurrent vt and icd firing, now admitted to the ccu for recurrent sustained vt and multiple icd firing. pt was in usoh until the night pta, when she was woken from sleep by several icd firings. her icd fired 3x at home with shocks preceded by lightheadedness but no other sx. when ep evaluated the pt in the ed, she was in nsr with pvcs and interrogation revealed appropriate icd firings for vt. pt was admitted to the floor, toprol was increased to 50mg po and a lidocaine drip was started for recurrent sustained vt. on the floor, the pt continued to have icd firings for vt. at 3pm the pt was noted to be in afib with rvr that progressed to vt at 240bpm and a code was called. the pt was sedated and intubated because of multiple icd firings (17 in total) and was then bolused with amiodarone and started on amiodarone drip at 1mg/min with cessation of vtach. the pt's bp remained stable throughout and on arrival in the ccu, the pt's vitals were stable and ekg was in nsr with pvcs. of note, in advance of umbilical hernia repair, pt dc'd asa on and coumadin on . past medical history: cardiac: - coronary artery disease status post imi + angioplasty percutaneoustransluminal coronary angioplasty as above. - s/p defibrillator implantation for susteined vt. ef at that time 50% eps with multiple inducible vt's not ablated. gem icd placed. - a flutter 2. gastroesophageal reflux disease. 3. chronic obstructive pulmonary disease. 4. claudication. 5. depression. 6.status post cesarean section. 7. status post tonsillectomy. 8. carpal tunnel syndrome. social history: married, one children. lives on her own. 60 pack year smoking history (quit in ). no alcohol or ivdu. family history: mother died 9/199 v father died brother died v tachy physical exam: vitals: t-98.8 hr-64 bp-114/55 rr-18 o2-98%ra gen: obese middle aged woman. neck: jvp not appreciated due to large neck cv: pmi not palpable. rrr, nl s1, s2. no murmurs, quiet hs chest: ctab, no resp distress. abd: obese, soft, ntnd. ext: warm, 2+ dps, no edema skin: no stasis dermatitis, ulcers. neuro: alert and oriented x 3, moving all extremities, answers questions and follows directions appropriately. pertinent results: 05:20am blood wbc-13.4* rbc-4.24 hgb-13.3 hct-38.2 mcv-90 mch-31.2 mchc-34.7 rdw-15.0 plt ct-297 07:00am blood wbc-7.7 rbc-4.56 hgb-14.3 hct-41.1 mcv-90 mch-31.4 mchc-34.9 rdw-15.1 plt ct-270 05:20am blood neuts-76.2* lymphs-15.3* monos-6.0 eos-1.9 baso-0.7 05:20am blood pt-23.8* ptt-44.2* inr(pt)-2.3* 05:20am blood glucose-90 urean-21* creat-0.8 na-138 k-4.2 cl-98 hco3-30 angap-14 07:00am blood alt-25 ast-18 ck(cpk)-139 alkphos-91 totbili-0.3 07:00am blood ck-mb-4 07:00am blood ctropnt-<0.01 05:38am blood calcium-9.1 phos-3.9 mg-1.8 05:15am blood tsh-0.67 02:48pm blood lactate-0.8 02:07am urine color-yellow appear-hazy sp -1.015 02:07am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-lg 02:07am urine rbc-3* wbc-54* bacteri-many yeast-none epi-1 urine culture : escherichia coli. >100,000 organisms/ml. | ampicillin------------ =>32 r ampicillin/sulbactam-- 8 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 16 i ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- =>16 r bcx : ngtd cardiac cath : 1. one vessel coronary artery disease. 2. severe lv diastolic dysfunction. echo : suboptimal image quality. mild symmetric left ventricular hypertrophy with dilated left ventricle and focal regional systolic dysfunction consistent with coronary artery disease. mildly dilated right ventricle with mild hypokinesis. brief hospital course: 59 yo woman with copd, cad s/p angioplasty, vt s/p icd, admitted to ccu for sustained vtach. #. rhythm: on presentation to ccu, pt was in normal sinus rhythm on po amiodarone and lopressor with improving pvcs. pt had pacer pads placed as icd battery had been used up by the multiple firings, but did not require any external shocking. pt underwent cardiac cath and echo (see results below) and then ablation of left ventricular source. following ablation, no arrythmias were inducible. pt underwent icd change without complications, however after had a recurrent run of ventricular tachycardia afterwards. she was shocked by her icd and restarted on amiodarone drip (in addition to po) as well as started on mexilitine. prior to discharge she was free of vt for several days and was transitioned to po amiodarone and mexilitine. she is to have one more week of amiodarone then to transition to once daily. pt had normal tfts and lfts, but will need pfts done as an outpt for baseline on amiodarone. will require twice annual tfts and lfts, and an annual chest xray, pfts, and eye exam. reviewed in detail potential amiodarone toxicities and importance of f/u testing. pt understands. these tests will be deferred to pt's pcp and primary cardiologist. #. cad: pt was continued on lopressor, asa, pravastatin, lisinopril, isosorbide mononitrate and lasix. she did not have any ekg changes or cardiac enzyme elevations throughout her hospitalization. echo showed "suboptimal image quality. mild symmetric left ventricular hypertrophy with dilated left ventricle and focal regional systolic dysfunction consistent with coronary artery disease. mildly dilated right ventricle with mild hypokinesis." cardiac cath on showed one vessel coronary artery disease (not stented) and severe lv diastolic dysfunction. # id: pt developed an e coli uti, initially treated with bactrim ds. she was found to be resistent to bactrim and switched to keflex to cover both the uti and the icd prophylaxis. on day of discharge pt had developed some superficial cellulitis at sites of blood draw and had an increasing wbc. she was restarted on bactrim to cover for possible mrsa (although earlier mrsa screen was negative). at time of discharge pt was on day 6 of 7 of keflex and on day 2 of 10 of bactrim. blood cultures were neg on and were resent on and were pending at time of discharge. # respiratory: pt was initially intubated due to multiple icd firings. she was extubated without complications. given history of copd and copious secretions likely due to airway irritation, pt was continued on atrovent and albuterol as needed and o2 was weened to room air. medications on admission: metoprolol succinate 25mg daily diltiazem hcl 360 mg daily warfarin - recently held aspirin 325 mg daily- recently held lisinopril 10mg daily furosemide 20 mg daily isosorbide mononitrate 30 mg daily nitroglycerin 0.4mg prn pravastatin 40 mg daily ranitidine hcl 300 mg daily albuterol 90 mcg aerosol fluticasone-salmeterol 1 puff daily tiotropium bromide 18 mcg capsule, w/inhalation device daily prednisone 10mg daily, prn mvi daily omega-3 fatty acids 1,000 mg capsule discharge medications: 1. metoprolol succinate 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. disp:*45 tablet sustained release 24 hr(s)* refills:*2* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 5. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. mexiletine 150 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*2* 7. spiriva with handihaler 18 mcg capsule, w/inhalation device sig: one (1) capsule inhalation once a day. 8. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation 1 puff (). 9. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed for shortness of breath, wheezing. 10. fish oil 1,000 mg capsule sig: one (1) capsule po twice a day. 11. pravastatin 80 mg tablet sig: one (1) tablet po once a day. 12. ranitidine hcl 150 mg tablet sig: two (2) tablet po daily (daily). 13. multivitamin tablet sig: one (1) tablet po daily (daily). 14. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 15. warfarin 1 mg tablet sig: one (1) tablet po once a day. 16. outpatient lab work please check inr, cbc on . call results to covering . cephalexin 500 mg capsule sig: one (1) capsule po q8h (every 8 hours) as needed for icd gen. change, uti for 2 days: last day . 18. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: two (2) tablet po bid (2 times a day): last day for total 10 day course. 19. amiodarone 400 mg tablet sig: one (1) tablet po twice a day: for total 7 days until , then decrease dose to once daily. 20. amiodarone 400 mg tablet sig: one (1) tablet po once a day: to start . 21. toprol xl 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. 22. lorazepam 1 mg tablet sig: one (1) tablet po four times a day as needed for anxiety. discharge disposition: extended care facility: health care discharge diagnosis: primary: ventricular tachycardia urinary tract infection bilateral arm cellulitis from iv sites secondary: atrial fibrillation coronary artery disease chronic obstructive pulmonary disease discharge condition: stable wbc 11.4 hct 37 na 138 k 3.9 bun 14 creat 0.8 discharge instructions: you were admitted to the hospital because you had frequent firing of your debrillator. you were started on 2 medications to help control your abnormal heart rhythm. in addition, the generator of your current icd was changed and a catheterization of your coronary arteries showed multiple small blockages. we have started you on clopodigrel to prevent blood clots. you had a urinary tract infection and infections on both arms from iv sites, you have been started on bactrim and keflex antibiotics to treat these infections. please keep both your arms elevated on pillows when you are in bed or in a chair. . there were changes made to your medications: new: toprol increased to 75mg daily amidarone started with load and tapering dose mexilitine started: this is a generic drug and might be expensive. lorazepam: similar to valium, may be taken as needed for anxiety on a short term basis. changed: discontinue taking diltiazem . you will need to follow up in device clinic as scheduled below. . congratulations on quitting smoking. information was given to you on admission regarding smoking cessation and preventing relapses. followup instructions: provider: clinic phone: date/time: 1:00 . primary care: , md , phone: ( please make an appt to see him when you get out of rehabilitation. . cardiology: , md , phone: ( date/time: at 10:30am. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube excision or destruction of other lesion or tissue of heart, endovascular approach angiocardiography of right heart structures cardiac mapping replacement of automatic cardioverter/defibrillator pulse generator only diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation acute on chronic diastolic heart failure depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia cellulitis and abscess of upper arm and forearm infection and inflammatory reaction due to other vascular device, implant, and graft fitting and adjustment of automatic implantable cardiac defibrillator 

Answer: The patient is high likely exposed to