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: iodine / penicillins attending: chief complaint: nstemi major surgical or invasive procedure: cardiac catheterization history of present illness: this is an 84 year-old woman with a history of chf and afib transferred from after being found unresponsive with acute desaturation this afternoon. she was originally admitted to the hospital on the previous morning after she awoke at 0300 short of breath. she self-administered an albuterol treatment without relief and then called lifeline. her daughters report a 10-day history of cough and worsening shortness of breath prior to the hospitalization. her cough was productive with yellow sputum and accompanied by decreased spo2 in the low 90's on ra. she completed a 5-day course of levofloxacin prescribed by her pcp prior to admission. her daughters deny any fevers, cp, n/v, or palpitations. upon admission she was treated for a cap and received a dose of iv levofloxacin which gave her a rash, and then subsequently was changed to antibiotic coverage with iv azithromycin. on the day of transfer around 3pm she became unresponsive and had an acute desaturation to 84% on a few liters. she was subsequently intubated and noted to have st depressions on her ekg and her trop bumped from 0.8 to 25 and ck mb was found to be 124. transferred to for further management. in our emergency room, cxray confirmed et tube placement, head ct demonstrated only old infarcts, no new cns event. on arrival to floor, intubated, sedated, no history obtainable from patient, spiked fever. past medical history: a-fib htn chf venous stasis ulcer lle, requiring debridement q tuesday h/o brca s/p r radical rastectomy x 18 years ago diverticulitis s/p left hemicolectomy w/ colostomy h/o vre s/p tah depression social history: no smoking, no alcohol, no drug use. lives alone in , performs adl's. has 4 children. exposed to heavy second-hand smoke. family history: mother died of cva complications; sons and daughter with htn. physical exam: vs: temp:101 bp: 113 /45 hr:58 vent: 500x14, fio2 40%, peep of 5 98% o2sat general: intubated, sedated, thin elderly wf heent: perrla, anicteric, dry mm, op without lesions, no carotid bruits lungs: coarse breath sounds anteriorly; unable to auscultate posteriorly heart: irregularly irregular, 3/6 sem, no rubs or gallops appreciated abdomen: nd, +b/s, soft, no masses or hepatosplenomegaly; left colostomy bag in place extremities: +1 edema; rle venous stasis ulcer with dressing in place 2+ radial & dp pulses, some upper extermity edema skin: no jaundice neuro: sedated, responsive to noxious stimuli pertinent results: 09:45pm ck(cpk)-376* 04:01am ck(cpk)-231* 04:41am ck(cpk)-89 09:45pm ck-mb-42* mb indx-11.2* ctropnt-2.97* 04:01am ck-mb-21* mb indx-9.1* ctropnt-2.12* probnp-* 04:41am ck-mb-6 ctropnt-1.95* 09:45pm blood digoxin-1.5 06:10am blood wbc-7.4 rbc-3.66* hgb-11.9* hct-35.7* mcv-98 mch-32.4* mchc-33.2 rdw-15.7* plt ct-207 06:10am blood plt ct-207 06:10am blood glucose-90 urean-23* creat-1.0 na-138 k-5.4* cl-99 hco3-32 angap-12 06:10am blood mg-2.3 cardiac catheterization: 1. selective coronary angiography of this right dominant system did not reveal any obstructive coronary artery disease. the left main coronary artery was without angiographic evidence of obstructive coronary artery disease. the left anterior descending artery was without angiographic evidence of obstructive coronary artery disease. the lad was a tortuous vessel consistent with the patient's history of hypertension. the left circumflex coronary artery was without angiographic evidence of obstructive coronary artery disease. the right coronary artery was the dominant vessel and was without angiographic evidence of obstructive coronary artery disease. 2. left heart catheterization revealed elevated left ventricular filling pressure, (lvedp = 21 mmhg). there was evidence of moderate aortic stenosis. mean aortic valve gradient was 20 mmhg, calculated aortic valve area = 1.0 cm2. 3. right heart catheterization revealed moderate to severe pulmonary hypertension (60/20mm hg). the cardiac output and cardiac index were normal. 4. left ventriculography revealed mildly depressed left ventricular systolic function. contrast calculated lvef = 50%. there was apical akinesis. there was no evidence of mitral regurgitation. 5. a 6 french angioseal closure device was used on the right femoral arteriotomy site. . echocardiogram: the left atrium is elongated. the right atrium is moderately dilated. the inferior vena cava is dilated (>2.5 cm). there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is mildly to moderately depressed with inferior and infero-lateral hypokinesis. tissue velocity imaging e/e' is elevated (>15) suggesting increased left ventricular filling pressure (pcwp>18mmhg). there is mild global right ventricular free wall hypokinesis. the aortic root is moderately dilated. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is at least moderate aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. the mitral valve shows characteristic rheumatic deformity. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. the pulmonic valve leaflets are thickened. there is no pericardial effusion. brief hospital course: this is an 84 year-old woman with a history of afib and chf transferred to from after admission there for cough, respiratory complaints on night who developed altered mental status and suffered nstemi requiring intubation on , was extubated on and underwent cath on . 1)cv: a)perfusion: nstemi: in setting of likely chf and possible pneumonia, st depressions noted and ck at osh in 500's with mb 125, trop i 0.8-->25 earlier . known history of chf and afib, unsure of ef in past. as per docs at was having chest pain. no obstruction found on cath. no pci performed. she was continued on asa 81 mg po qd. her warfarin was restarted for her atrial fibrillation and heparin was d/c'ed after her catheterization revealed no occlusions. it was noted that after she received her metoprolol, she became hypotensive and bradycardic, so this medication was discontinued. we continued her enalapril and checked her lipid profile. lipids normal. does not need statins. b)pump: pt had known cardiomyopathy per outside records. cath revealed diastolic dysfunction and echo revealed mildly depressed lvef. she was started on her home dose of furosemide (40 mg po qd) prior to discharge. we had difficulty weaning her off of o2, and this was thought to be secondary to a pulmonary issue. she reported that during one of her prior hospitalizations this was the case as well. was told to follow up with her pcp regarding any pulmonary issues. c)rhythm: afib: warfarin was stopped on admission, and the pt was anticoagulated with heparin iv. once cath revealed no obstructive coronary dz, the heparin was d/c'ed and the pt's outpt regimen of warfarin was restarted. on the day of discharge, her inr was 2.1, and this should be followed closely. we also continued her on her dose of digoxin. 2)respiratory: was intubated on admission. extubated . h/o cough with yellow sputum production. cxr not c/w pna. however, cxr shows ill-defined nodular opacity on rt side. ?probable pneumonia. afebrile, mild course bibasilar crackles. levofloxacin was continued for a full course, and she was told to follow-up on her cxr findings as an outpt. she will likely need a pulmonary w/u regarding her recent increasing shortness of breath and o2 requirements. 3)id: a)fevers: likely from pneumonia, sent blood,urinw cultures. broad spectrum antibiotics given. cultures were unrevealing. she received a full course of levofloxacin. 4)mental status change: likely secondary to primary cardiac event. she has cleared completely and is now a+ox3. 5)hypothyroidism: synthroid was continued 6)venous stasis ulcer: weekly debridements at as per family. medications on admission: lasix 40 mg qday synthroid 112 mcg qday coreg 6.25 mg enalapril 10 mg digoxin 0.25 qod, 0.125 mg qod asa 81 mg colace 100 mg qday mvi os-cal tid warfarin 4 mg x 4 days/wk, 3 mg x 3 days/wk discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 2. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 3. coreg 6.25 mg tablet sig: one (1) tablet po twice a day. 4. enalapril maleate 10 mg tablet sig: one (1) tablet po bid (2 times a day). 5. digoxin 125 mcg tablet sig: one (1) tablet po every other day (every other day). 6. digoxin 250 mcg tablet sig: one (1) tablet po every other day (every other day). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 9. multivitamin capsule sig: one (1) capsule po once a day. 10. os-cal 500 mg tablet sig: one (1) tablet po three times a day. 11. warfarin 2 mg tablet sig: two (2) tablet po 4x/week (,tu,th,sa). 12. warfarin 1 mg tablet sig: three (3) tablet po 3x/week (mo,we,fr). 13. ipratropium bromide 0.02 % solution sig: one (1) inhalation q8h (every 8 hours). disp:*2 * refills:*2* 14. fluticasone 110 mcg/actuation aerosol sig: 1-2 puffs inhalation (2 times a day). disp:*2 * refills:*2* 15. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: non st elevation myocardial infarction congestive heart failure atrial fibrillation pulmonary hypertension discharge condition: stable discharge instructions: please take all the medications as prescribed if you have chest pain, shortness of breath, dizziness, cough, fever, difficulty swallowing, abdominal pain please contact the physician on call. please check inr, as you are on coumadin , every week followup instructions: 1. please note that you had a lung nodule found on chest x-ray. you will need to have this followed up as an outpatient by dr. . . 2. please make an appointment to see your primary care physician, . within 3 weeks. phone: . 3. please call your cardiologist, dr. to make a follow-up appointment within 4-6 weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases personal history of malignant neoplasm of breast depressive disorder, not elsewhere classified venous (peripheral) insufficiency, unspecified ulcer of ankle 

Answer: The patient is high likely exposed to