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: aspirin / penicillins attending: chief complaint: monomorphic vt major surgical or invasive procedure: none history of present illness: is a year old spanish speaking nursing home male with pmhx significant for cad with prior mi s/p stent to lad in early , pacemaker for sick sinus, mr, copd, pud, asthma, gout, diverticultitis, a fib, chf ef 35%, and a recent hospitalization at the osh from for pna requiring intubation and mechanical ventilation who presents as a transfer from an osh with monomorphic vt. he initially presented to the osh from his nursing home on with sob x48 hours and feeling weak, also complained of sharp pains in his stomach. in the ed he was hypotensive with sbp in the 70s and he was started on levophed and broad spectrum abx. the patient remained a-febrile and id recomended stoping abx as his cxr was unchanged from his past hospitalization. he was weaned off levophed in the ed with stable bps in the 110s. he had a v/q scan that showed intermediate prob of pe, u/s negative for dvt. he was placed on heparin drip. he was sent to the floor. at 3pm on he developed vt to 200-250s. he was mentating well at this time but he was dc cardioverted and given amiodarone. he converted to his baseline ekg and per report there were no ekg changes. 30 min later he again went into vt, and cardioverted again without conversion. 2grams mg and 150mg amio. 50mcg lidocaine and started on lidocaine drip. converted back to a-fib. no change in his bp during these events. transfered to the ccu where he became hypotensive to sbps 60s. he was started on lidocaine, amio, dopa and devolped wide complex tachy with rates 150 sometime after 7pm. they increased his lidocaine to 2mg and he converted to a fib with rates in 60s, 50% pacer dependent. he was changed to neo drip, off dopamine, still on amio and lido at time of trasfer. also of note per report, pacer working properly. he also had an episode of vomiting, followed by bp decreased requiring the above start of dopamine and then switched to neo. per the family, vomitus was dark red, concerning for blood. at the osh his labs were notable for troponin of 1.2 that trended to 0.6, a positive d-dimer. vitals on transfer were not given. per report the patients sbp was in the 90s. . on arrival to the floor, patient was minimally responsive. he was very cool to the touch and it was difficult to obtain an accurate bp, o2 sat or temperature. his urine output since 7pm was noted to be only 31 cc. past medical history: 1. cardiac risk factors: - diabetes, + dyslipidemia, + hypertension 2. cardiac history: -cabg: -percutaneous coronary interventions: -pacing/icd: pacemaker for sick sinus ( pacemaker) 3. other past medical history: a-fib cad with prior mi chf with ef 35% copd htn pud asthma diverticulosis gout moderate mr social history: lives with his wife family history: non-contributory physical exam: vs: t=99.4 bp=83/50 hr=50 (v-paced) rr=35 o2 sat= unable to obtain general: elderly man, laying in bed, tachpnic, uncomfortable. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple. cardiac: rr, brady cardic, distant heart sounds. normal s1, s2. possible faint systolic murmer left sternal boarder, no r/g. no s3 or s4. lungs: tachpnic, +use of accessory muscles, expitory ronchi bilaterally in all lung fields. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: cool in all 4 extermities. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp dopplerable pt dopplerable left: carotid 2+ dp dopplerable pt dopplerable pertinent results: 02:39am blood wbc-10.8 rbc-3.16* hgb-10.7* hct-34.2* mcv-108* mch-34.0* mchc-31.4 rdw-14.3 plt ct-287 02:39am blood plt ct-287 02:39am blood pt-14.5* ptt-150* inr(pt)-1.4* 02:39am blood glucose-231* urean-27* creat-1.8* na-137 k-3.2* cl-112* hco3-12* angap-16 02:39am blood alt-pnd ast-pnd ld(ldh)-pnd ck(cpk)-38* alkphos-pnd totbili-pnd 02:39am blood albumin-pnd calcium-5.8* phos-3.9 mg-1.9 06:35am blood type-art po2-70* pco2-60* ph-7.07* caltco2-18* base xs--13 05:11am blood type-art po2-309* pco2-26* ph-7.31* caltco2-14* base xs--11 06:35am blood glucose-182* lactate-5.8* na-132* k-4.7 cl-111* 05:11am blood lactate-3.8* 06:35am blood freeca-1.48* 06:35am blood o2 sat-85 brief hospital course: mr is a yo male with pmhx significant for cad with prior mi s/p stent to lad in early , pacemaker for sick sinus, mr, copd, pud, asthma, gout, diverticultitis, a fib, chf ef 35%, and a recent hospitalization at the osh from for pna requiring intubation and mechanical ventilation who presents as a transfer from an osh with hypotension and monomorphic vt. he required increasing pressor support. he entered pea arrest at 06:10 and was coded until 06:45. he had intermitant return of circulation and finally entered asystole that was non-responsive to medication. he was pronounced dead at 06:45. medications on admission: preadmissions medications listed are incomplete and require futher investigation. information was obtained from family/caregiver outside hospital transfer note. 1. clopidogrel 75 mg po daily 2. famotidine 20 mg po bid 3. simvastatin 40 mg po daily 4. carvedilol 6.25 mg po bid 5. ferrous sulfate 325 mg po daily 6. allopurinol 300 mg po daily *ast approval required* 7. tiotropium bromide 1 cap ih daily 8. acetaminophen 650 mg po q6h:prn pain *ast approval required* 9. furosemide 20 mg po daily 10. quetiapine fumarate 12.5 mg po hs 11. albuterol inhaler puff ih q6h:prn sob 12. symbicort *nf* (budesonide-formoterol) 160-4.5 mcg/actuation inhalation 13. lisinopril 2.5 mg po daily 14. famvir *nf* (famciclovir) 500 mg oral q8hours discharge medications: deceased discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased discharge instructions: deceased followup instructions: deceased procedure: insertion of endotracheal tube arterial catheterization cardiopulmonary resuscitation, not otherwise specified diagnoses: pneumonia, organism unspecified abdominal pain, unspecified site coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified gout, unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia pneumonitis due to inhalation of food or vomitus cardiac arrest old myocardial infarction cardiac pacemaker in situ chronic obstructive asthma, unspecified diverticulosis of colon (without mention of hemorrhage) peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction shock, unspecified 

Answer: The patient is high likely exposed to