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: ace inhibitors / captopril / penicillins attending: chief complaint: found unresponsive by daughter major surgical or invasive procedure: intubation history of present illness: 86 yom with largely unknown past medical history, found down on kitchen floor by daughter . ems activated, per records found patient unresponsive with no pulse, wct ?vt noted. patient was given defibrillation x1, noted "sinus tachycardia" 120 bpm post cardioversion. recorded sbp 86/p. in er, patient subsequently urgently intubated secondary to respiratory distress. er concern for sepsis given hypotension, leukocytosis, and possible pneumonia, so "code sepsis" activated with placement of central venous lines, obtainment of cultures, and administration of antibiotic (vanc/levo/zosyn). patient given total 8 l ivf in er, map ~65, started on norepinephrine vasopressor for hemodynamic support. transferred to for further therapy, arriving intubated and sedated. per family, patient complained of "cold-like" symptoms for 5 days prior to admission. last contact 2 days before being found down. meds (in er): vancomycin 1g, zosyn, levofloxacin, decadron 6 mg iv. past medical history: largely unknown. per er, patient living alone, no current medical issues. social history: lives alone, fully functional, family in area. family history: non contributory physical exam: pe: t 99.7, bp 124/82, p96, r14 gen: sedated, cv: s1 s2 with no mrg lungs: rare wheezes bilateral anterior fields abd: soft, nt/nd ext: 1+ bilateral pitting edema neuro: moves all extremities, reacts to painful stimuli. no signs of trauma. pertinent results: cxr: endotracheal tube is terminating approximately 5 cm above the carina. nasogastric tube is coursing down below the left hemidiaphragm, and terminating in right upper quadrant. cardiac and mediastinal contours are within normal limits for age, given the positioning. right costophrenic angle is not included. patchy opacities are seen in bilateral lower lobes, which may represent atelectasis versus aspiration. impression: tubes and lines as described above. bibasilar patchy opacities, representing atelectasis or aspiration. . head ct: impression: 1. no evidence of hemorrhage. 2. there is white matter hypodensity near the trigone of the left lateral ventricle without extension to the matter that may represent sequela from chronic small vessel disease. 3. left thalamic and caudate lacunar infarcts. . repeat cxr: findings: the cardiomediastinal silhouette is stable. again seen are bilateral basilar parenchymal opacities, which demonstrate no significant change compared to prior examinations. there are likely small bilateral pleural effusions. impression: 1. slight improvement in bilateral basilar pulmonary opacities, right more prominent than left with differential diagnosis including aspiration versus pneumonia. . clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. blood cultures: negative urine cultures: negative . c1 esterase inhibitory assay: pending at time of discharge 08:00pm blood wbc-14.7* rbc-4.51* hgb-14.6 hct-43.2 mcv-96 mch-32.5* mchc-33.9 rdw-13.6 plt ct-272 05:36am blood wbc-23.0*# rbc-4.37* hgb-14.3 hct-40.8 mcv-93 mch-32.6* mchc-35.0 rdw-14.3 plt ct-514* 07:40am blood wbc-18.8* rbc-4.36* hgb-14.6 hct-40.9 mcv-94 mch-33.4* mchc-35.7* rdw-14.5 plt ct-644* 07:40am blood neuts-82* bands-1 lymphs-12* monos-1* eos-1 baso-0 atyps-0 metas-0 myelos-3* 05:25am blood ret aut-0.6* 07:40am blood glucose-145* urean-33* creat-1.0 na-142 k-4.0 cl-104 hco3-29 angap-13 05:05am blood alt-30 ast-54* alkphos-52 totbili-0.5 02:12am blood alt-29 ast-104* ld(ldh)-363* alkphos-50 totbili-1.3 08:00pm blood ctropnt-0.35* 06:06am blood ck-mb-124* mb indx-9.5* ctropnt-3.36* 02:07pm blood ck-mb-110* mb indx-8.8* ctropnt-3.37* 05:25am blood caltibc-156* vitb12-406 folate-5.0 hapto-357* ferritn-1171* trf-120* 05:36am blood triglyc-213* hdl-20 chol/hd-8.9 ldlcalc-115 06:06am blood tsh-5.4* 04:33am blood c4-34 08:00pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 08:12pm blood glucose-376* lactate-5.3* na-141 k-4.1 cl-101 calhco3-21 05:28am blood lactate-2.6* 02:24am blood freeca-1.03* brief hospital course: 86 yom with unknown past medical history presents after being found unresponsive by family member. had prodrome of cold-like symptoms per report. it is unclear what was the precipitant of the profound weakness / loss of consciousness, but concern exists for cardiac etiology in addition to infection / sepsis. the patient was not "down" for long (likely << 24h) given absence of profound volume depletion, minimal ck elevation. no evidence of trauma. he was initially transferred to the icu for treatment. hospital course is discussed by problem. . id - blood cultures were drawn, negative for growth. given the patient's low grade temperature elevation and leukocytosis, as well as the history of "cold-like" symptoms experienced by patient, pneumonia was thought to be the most likely source of infection. an initial cxr demonstrated an early pna consistent with aspiration, so he was started on empiric coverage with vancomycin/levofloxacin/flagyl. the patient went into respiratory distress secondary to sepsis/pneumonia, and the patient required intubation. he was later successfully extubated. the patient rapidly improved and his lactate normalized. his antibiotic coverage was narrowed to levofloxacin only and finished a seven day course prior to discharge. . cv - possible arrhythmic impetus (vt, less likely vf given period on floor) in setting of unknown history of vascular disease. an ekg demonstrates lbbb, which could be chronic and indicate significant cad. given his nstemi, with troponin up to >3.0 and an index of 8, cardiology was consulted for further recommendations. given that the patient was shocked, hypotensive, and septic; this may have all contributed to the troponin elevation. he underwent an echocardiogram with report as follows: 1. the left atrium is mildly dilated. 2. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is difficult to assess but is probably moderately depressed. overall left ventricular systolic function cannot be reliably assessed. 3. the aortic root is mildly dilated. 4. the aortic valve leaflets are severely thickened/deformed. there is probably mild to moderate aortic valve stenosis. 5. the mitral valve leaflets are mildly thickened. there is moderate thickening of the mitral valve chordae. at least mild (1+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric. he was started on a beta-blocker, aspirin, high dose statin, and an ace inhibitor for medical management. in addition, a heparin drip was administered for 48 hours. however, a few hours after the second dose of captopril, the patient developed severe angioedema with lip and tongue swelling. the patient was given epi, benadryl, iv steroids and ranitidine immediately, and anesthesia was consulted for possible intubation, as well as the icu team. the patient was transferred back to the icu for airway monitoring, but was able to be medically managed without intubation. allergy service was consulted, and felt that this was consistent with an ace-i allergy rather than a c-1 deficiency. the c-1 assay was sent to rule out deficiency, with the results still pending at the time of discharge. the patient's pcp was , and a follow-up appointment with an outside cardiologist was arranged prior to discharge. he was also started on norvasc to help optimize his blood pressure control. . renal- he was initially in acute renal failure, with a creatinine of 1.8 on admission. although his baseline was unknown, it resolved to 1.1. his foley was discontinued, and he urinated without difficulty. a microalbumin was sent, which was negative, therefore initiating was deferred by now. according to the allergy service, there is some risk of allergy with , although very low. . endocrine- given that he had a history of "borderline" diabetes, he was monitored with fs qid and covered with an iss, particularly in the setting of steroids for angioedema. a free t4 was normal, and a urine for microalbumin shows alb/creatinine ratio 27.6. . heme- he was found to have anemia, normocytic, hct since admission 33-38, then improved to 40. he was guaiac negative, and iron studies were consistent with anemia of chronic disease. . he was evaluated by pt and was cleared for a home discharge with services. his pcp was prior to discharge, and the patient was scheduled for a follow-up appointment within one week of discharge. medications on admission: excedrin discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 4. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna carenetwork discharge diagnosis: principal: 1. multilobar pneumonia. 2. septic shock. 3. wide complex tachycardia nos. 4. non st elevation myocardial infarction. 5. acute ace-i angioedema with airway compromise. 6. acute renal failure. 7. left thalamic and caudate lacunar infarcts - chronic. secondary: 1. diabetes mellitus type ii. 2. chronic kidney disease stage i. 3. hypercholesterolemia. 4. hypertension. 5. psoriasis. discharge condition: good discharge instructions: we have started you on four new medications for your heart. please continue to take these and all of your medications as instructed. please call your doctor or return to the hospital if you develop chest pain, difficulty breathing, fevers or chills. you develop a severe allergic reaction called angioedema when you take a medication called ace inhibitors. please refrain from ever taking this type of medication. followup instructions: 1. you have a scheduled appointment with dr. at medical associates on monday at 14:15. it is important that you go to this appointment. 2. you will also need follow-up with a cardiologist. we have scheduled an appointment with dr. (cardiologist) at medical associates (his office is next to dr. office) on at 09:15 in the morning. please call his office at if you have any questions. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: acidosis anemia of other chronic disease subendocardial infarction, initial episode of care pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus septic shock angioneurotic edema, not elsewhere classified diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled other psoriasis chronic kidney disease, stage ii (mild) other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to