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: gluten / gentamicin attending: chief complaint: shortness of breath major surgical or invasive procedure: ep study with vt ablation history of present illness: 75 year old male with a past medical history of hypertension, cad status post cabg in , diabetes presenting with acute onset of shortness of breath at 2pm yesterday. preceded by carrying 5 heavy bags up multiple flights of stairs. also reports associated palpitations. shortness of breath started suddenly, then was continuous over approximatelv 30 hours. no exacerbating or relieving factors. . associated symptoms: no fevers or chills, no headache, no neck pain, no presyncope, no chest pain or cough, no abdominal pain, no nausea vomiting or diarrhea, no focal numbness tingling or weakness, no dysuria. the patient has no history of arrhythmias. the patient is not on any anticoagulation. also denies any new medications or recent changes to medications, denies any dietary inconsistencies. . in the ed, ekg showed evidence of svt with abberancy based on brugada criteria. the patient was given asa 325 mg, adenosine 6 mg, repeated again at 12 mg, and then again at 18 mg with no changes in rhythm. the patient was then bolused with amiodarone and drip was started. however, amiodarone was then stopped and patient was started on procainamide drip 20mg/min, total of 1g. . on transfer to the floor, the patient was asymptomatic with hr 120-150s, systolic bps in the 90s. denies any current symptoms, reports feeling a little anxious. past medical history: 1. cardiac risk factors: +diabetes, +dyslipidemia, +hypertension 2. cardiac history: - cabg: cad s/p cabg in - percutaneous coronary interventions: - pacing/icd: 3. other past medical history: -dlbc lymphoma s/p 5 x r-chop and 1xrcvp (completed in ) -mds -diabetes type 2 -hypertension -zoster esophagitis -vestibular nerve damage secondary to gentamicin -bph status post laser surgery -spinal stenosis status post laminectomy in -celiac disease -elevated psa -small bowel perforation with cmv inclusion bodies on the bowel biopsy after two cycles of r-chop in -left uveitis status post biopsy of the left vitreous body in -s/p intrathecal ara-c on -> febrile reaction social history: he is retired with three grown children and eight grandchildren. he is married. he used to be a manager at a pharmaceutical company. wife being treated for cardiac amyloid, stable oveall but some progression. - tobacco history: denies. - etoh: very rare. - illicit drugs: denies. family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. - son was diagnosed with thyroid cancer at age 40, doing well now. brother with prostate cancer. no other known cancers in the family. mother died of an mi. father also had diabetes. physical exam: admission physical examination: general: pleasant gentleman, nad, laying comfortably in bed. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, no jvp appreciated cardiac: pmi located in 5th intercostal space, midclavicular line. tachycardic, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: +bs, soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: wwp, no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ . discharge physical exam: general: pleasant gentleman, nad, laying comfortably in bed. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, no jvp appreciated cardiac: pmi located in 5th intercostal space, midclavicular line. tachycardic, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: +bs, soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: wwp, no c/c/e. no femoral bruits, moderate, soft left groin hematoma that appears to be resolving. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: admission labs: . 08:10pm blood wbc-7.6# rbc-4.34* hgb-14.4 hct-41.7 mcv-96 mch-33.3* mchc-34.6 rdw-14.0 plt ct-118* 08:10pm blood neuts-54.4 lymphs-38.7 monos-5.8 eos-1.0 baso-0.2 08:10pm blood glucose-155* urean-27* creat-1.2 na-141 k-4.5 cl-106 hco3-23 angap-17 08:10pm blood calcium-9.7 phos-3.2 mg-1.8 . pertinent labs: . 08:10pm blood ctropnt-0.07* 04:49am blood ck-mb-5 ctropnt-0.07* 08:10pm blood tsh-3.2 . discharge labs: . 06:00am blood wbc-4.3 rbc-3.60* hgb-11.7* hct-34.9* mcv-97 mch-32.6* mchc-33.6 rdw-13.5 plt ct-89* 06:00am blood glucose-111* urean-16 creat-1.0 na-143 k-3.6 cl-108 hco3-27 angap-12 06:00am blood calcium-8.5 phos-2.6* mg-1.7 . micro/path: . mrsa screen (final ): no mrsa isolated. . imaging/studies: . ecg : wide complex tachycardia with right bundle-branch block and marked right axis deviation. atrial activity is not seen on the current tracing. compared to the previous tracing of the rhythm, rate and intraventricular conduction delay with right bundle-branch block pattern and marked right axis deviation are all new. . cxr : impression: hiatal hernia, otherwise unremarkable study. . ep study : conclusions: 1. clinical vt (rbbb, right superior axis) induced with triple extrastimuli. a second, non-clinical vt was also induced with triple extra-stimuli (rbbb, right inferior axis). 2. lv voltage mapping demonstrated a small dense scar on the basal posterolateral wall. 3. pace mapping identified a fair pace match to the clinical vt along the lateral aspect of the scar. 4. successful substrate ablation of the posterolateral scar. brief hospital course: 75m with hx of dlbc lymphoma in remission, hypertension, cad status post mi and cabg in , and diabetes presenting with acute onset of shortness of breath found to have wide complex tachycardia consistent with ventricular tachycardia emanating from site of old cardiac scar now s/p vt ablation. . active diagnoses: . # symptomatic ventricular tachycardia from old ischemic scar: mr. has a history of cad s/p cabg and is now presenting with symptomatic wide complex tachycardia diagnosed as ventricular tachycardia. he was treated with procainamide in the ed with good success and transferred to the ccu for further care and monitoring. tsh was wnl's and he did not have ekg findings or cardiac enzymes concerning for acute ischemia. he underwent an ep study and vt substrate ablation (for full details please see ep study report) complicated by moderate left groin hematoma which was treated with local pressure and did not progress in size or cause a drop in blood counts or symptoms for the patient. following the procedure, he had frequent pvc's and occasional runs of trigeminy on telemetry but no frank runs of nsvt or vt and no symptoms. he was discharged home with follow-up in clinic and was given strict instruction to seek urgent medical cafe if he experienced similar symptoms going forward. . chronic diagnoses: . # hx diffuse large b-cell lymphoma in remission: stable. he was instructed to continue his regular outpatient follow-up. . # cad s/p remote cabg: stable. he was continued on his home statin. . # zoster esophagitis: con't acyclovir 400 mg . # niddm type 2: stable. his home oral hypoglycemics were held in place of hiss while in-house but were continued on discharge. . # celiac sprue: stable. continued on home gluten-free diet. . # chronic pain: stable. continued on home oxycontin and oxycodone. . transitional issues: -he will follow-up with dr. in clinic in weeks and will need an echocardiogram prior (already ordered in omr) medications on admission: -acyclovir 400 mg tablet by mouth twice a day -glipizide 2.5 mg tablet extended rel 24 hr daily -nr oxycodone 10 mg tablet extended release 12 hr -nr oxycodone 5 mg tablet 1 to 2 tablet(s) by mouth q6h prn pain -ranitidine hcl 150 mg tablet by mouth twice daily -simvastatin 20 mg tablet by mouth daily -cholecalciferol (vitamin d3) 1,000 unit tablet by mouth daily -cyanocobalamin (vitamin b-12) 500mcg daily discharge medications: 1. acyclovir 400 mg tablet sig: one (1) tablet po bid (2 times a day). 2. glipizide 2.5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*30 tablet(s)* refills:*0* 4. ranitidine hcl 150 mg capsule sig: one (1) capsule po twice a day. 5. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 6. vitamin d-3 1,000 unit tablet, chewable sig: one (1) tablet, chewable po once a day. 7. vitamin b-12 500 mcg tablet sig: one (1) tablet po once a day. 8. oxycodone 10 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po twice a day. 9. oxycodone 5 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. 10. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*0* 11. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*60 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: ventricular tachycardia s/p ep ablation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you. you were admitted to for evaluation and treatment of shortness of breath. you were found to have an abnormal heart rhythm called ventricular tachycardia or vt likely related to a scar in your heart from your old heart attack. you underwent an ep study in which the area of the heart that is thought to be responsible for this abnormal rhythm was ablated with the hope that this rhythm would not return. following the study, you have not had any abnormal heart rhythms on our cardiac monitors. if you feel shortness of breath without good cause, light-headedness, chest pain, or palpitations, please seek medical attention urgently as there is a chance this rhythm could come back. as a result of the procedure, you have a moderately sized hematoma (blood collection under the skin) in your left groin which has been decreasing in size. the skin on your groin or thigh may develop a discoloration (red, purple, yellow, or blue) which should not concern you unless you have a significant amount of pain in your groin or leg. the following changes have been made to your medications: -start metoprolol succinate 50mg by mouth once daily -start colace 100mg by mouth twice daily -start senna 1 tab by mouth twice daily as needed for constipation -continue taking your other home medications as directed. . please follow-up with the appointments below. we are scheduling you for an echocardiogram as an outpatient in the near future. followup instructions: dr. secretary will call you to arrange follow-up. if you do not hear from her within a few days, please call the cardiology department to arrange a follow-up appointment with dr. in two weeks. . department: hematology/oncology when: wednesday at 1 pm with: , md building: campus: east best parking: garage department: hematology/ when: wednesday at 1 pm with: , np building: sc clinical ctr campus: east best parking: garage procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: other chronic pain unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status paroxysmal ventricular tachycardia myelodysplastic syndrome, unspecified other malignant lymphomas, unspecified site, extranodal and solid organ sites old myocardial infarction celiac disease herpes zoster with other specified complications other esophagitis 

Answer: The patient is high likely exposed to