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: history of present illness: patient is a 76-year-old male with increasing shortness of breath and pnd for a week, who was in outside hospital until a month ago, where he noted increasing shortness of breath. patient also noted some irregular heartbeat. the patient reports increasing pnd over the past week, increasing shortness of breath and increasing pedal edema without any chest pain. patient was seen by his pcp and dr. and was admitted from home for heparin, transesophageal echocardiogram, and cardioversion on monday. past medical history: 1. new onset afib. 2. hypertension. 3. cad status post cabg in '. 4. cri. 5. chf with an ejection fraction of 30%. 6. gout. 7. aicd with -v pacing. 8. hypercholesterolemia. 9. status post left cea, status post left renal stent. allergies: no known drug allergies. medications: 1. terazosin 4 a day. 2. cozaar 50 a day. 3. coreg 12.5 b.i.d. 4. allopurinol 100 a day. 5. aspirin 81 q.d. 6. lasix 80 b.i.d. 7. lipitor 40 q.d. 8. isosorbide 60 a.m. and 30 p.m. 9. senna 6 q.h.s. social history: patient 25 year two packs per day smoking history, occasional alcohol, and no iv drug abuse. physical examination: vital signs: 110/80, 66, 20, and 95% on room air. general: obese male sitting in bed in no apparent distress. neck: 12 cm jvd at 90 degrees. heart: irregularly, irregular, no murmurs or gallops. lungs are clear to auscultation bilaterally, no rales. abdomen: obese, positive bowel sounds, distended. extremities: 2+ pedal edema bilaterally. pertinent laboratories: echocardiogram on showed left ventricular ejection fraction of 30%, 2+ mr, which maybe underestimated with a -v pacemaker. ekg and chest x-ray are pending. concise summary of hospital course: 1. cardiovascular: coronary wise, the patient has coronary artery disease status post cabg in ' with occluded svg and rca. patient was continued on aspirin and lipitor. patient initially was hypotensive and his beta blocker was held until his blood pressure continued to rise. the patient was ruled out for mi with three negative cardiac enzymes, and was on a heparin drip at that time. 2. pump: chf with an ejection fraction of 30%. transesophageal echocardiogram showed an ejection fraction of 15% with mr and left bundle branch block. -v pacer with icd was placed. for the decompensated chf, the patient was kept on dopamine and dobutamine, and all other blood pressure medications were held, and patient was diuresed effectively with the combination of dopamine and dobutamine, and lasix. patient was fully weaned off the dopamine and dobutamine on , which the patient was then transferred to . patient continued to diurese with decreasing o2 requirements. however, patient was transferred back to the ccu on at which point, patient creatinine had rise from 2.5 to 3.2, and patient also had mental status changes with increasing shortness of breath. patient was again started on a dopamine and dobutamine combination with lasix. patient then fell into cardiogenic shock, and in addition, the patient went into septic shock. additionally to this regimen, digoxin was added. patient, however, was not able to tolerate his ongoing cardiogenic shock and septic shock and passed away on which patient had no spontaneous respirations. cause of death is cardiogenic and combined septic shock. 2. renal: patient had chronic renal insufficiency with bilateral renal artery stenosis. his creatinine had risen from 2.5 to 3.5. again, renal was consulted at this time, however, due to cardiac issues, patient had further renal insult with the lasix, dopamine, and dobutamine combination, patient however, passed away before his renal issues resolved. 3. id: patient went into septic shock with wbcs increasing to 45 and temperature up to 102 when transferred back to the ccu. patient was started on levaquin and flagyl for aspiration community acquired pneumonia. patient, however, passed away secondary to cardiogenic and septic shock before this issue resolved. 4. gi: patient while on the service had colonic pseudo-obstruction, which was resolving. a rectal tube was placed temporarily to help the colonic pseudo-obstruction. however, patient remained pseudo-obstructed when the patient passed away. 5. pulmonary: please see cardiac note. discharge status: patient again passed away and no autopsy was done. cause of death: likely cardiogenic and septic shock. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart other electric countershock of heart insertion of rectal tube irrigation of other indwelling urinary catheter injection or infusion of nesiritide diagnoses: mitral valve disorders acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified septicemia atrial fibrillation other specified intestinal obstruction septic shock 

Answer: The patient is high likely exposed to