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: codeine attending: chief complaint: transfer from osh for complete heart block major surgical or invasive procedure: temporary pacer wire placement under fluoroscopy () . permanent pacemaker placement () history of present illness: patient is an 85 y/o f patient with pmhx of dm, cad, htn, hypothyroidism who presents from osh with acute pulmonary edema in the setting of complete heart block. patient was transferred from nh to osh 1 day pta for symptoms of weakness and was found to be bradycardic 20s-40s. ekg showed initially first degree heart block with occasional complete heart block (by report). also at osh patient was in acute renal failure and was given fluids overnight. patient was transferred to for consideration of temp pacemaker. . when patient arrived to her rhythm strip and 12 lead confirmed complete heart block with junctional escape rhythm in the 30-40s. patient was short of breath on arrival with o2sat in the 80s. she was given 40 iv lasix, started on nitro gtt and put on non-invasive ventilation. decision made to place temp. pacer wire. past medical history: dm2 htn cad; ? silent mi in 20-50 years ago, was medically managed hypothyroidism hyperlipidemia b/l cea x 2 ras dementia social history: nursing home resident no tobacco use no etoh use family history: no history of cad or early/sudden cardiac death physical exam: t 97.9 hr 30 rr 22 o2sat 84% -> 100% on bipap gen: patient pale, gasping for air, able to talk heent: perrl, eomi, op clear, mmm neck: no carotid bruits cv: rrr s1/s2 grade iii/vi sem pulm: diffuse crackles 1/2 up lungs abd: soft nt nabs extr: +1 edema b/l; + erythema at shin b/l neuro: aaox2 pertinent results: 05:17pm blood glucose-127* urean-69* creat-2.0*# na-140 k-4.6 cl-102 hco3-30 angap-13 05:17pm blood wbc-10.8# rbc-3.81* hgb-12.2 hct-35.0* mcv-92 mch-31.9 mchc-34.7 rdw-14.2 plt ct-230 05:17pm blood pt-11.3 ptt-25.7 inr(pt)-1.0 05:17pm blood ck-mb-3 ctropnt-0.07* . ecg (): complete heart block with junctional escape rhythm @ 30; nl axis . tte (): the left atrium is elongated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. left ventricular systolic function is hyperdynamic (ef>75%). there is a moderate (42mmhg peak) resting left ventricular outflow tract obstruction. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is severe mitral annular calcification leading to mild functional mitral stenosis (area 1.7cm2). mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be quantified. there is a very small inferolateral pericardial effusion. brief hospital course: ms. was initially admitted to the ccu and found on admission to be severely hypertensive (sbp>200), hypoxic (o2sat in mid-80%s on non-rebreather mask), and in complete heart block with a junctional rhythm. her bp was controlled with a nitroglycerin drip and she was given iv lasix with good brisk diuresis. she was also put on bipap while diuresing and was quickly weaned to 6l nasal cannula. due to her instability, ep place temporary pacer wires under fluoroscopy shortly after admission. with the pacer wires in place, she remained stable over the course of the weekend and had a permanent pacemaker placed on and will follow up in device clinic one week later. . also of note, she was found to be in acute-on-chronic renal failure upon admission, thought to be secondary to decreased renal perfusion in the setting of her complete heart block. her acei was intially held for this reason. once she was paced, her creatinine improved back to its baseline (1.3-1.5) and her acei was resumed and titrated up. . for the pacer placement, she was started intially on iv ancef which was then switched to vancomycin post-procedure. this was switched to keflex and she completed a course of antibiotics through . on chest x-ray, she was also noted to have a possibility of a community acquired pneumonia and was started empirically on po levofloxacin on ; she will complete a 10-day course of this (three more days). . she was evaluated by physical therapy who found her to be deconditioned and unsteady/unsafe on her feet; however she was not a candidate for acute rehab and will be discharged to skilled nursing facility with physical therapy. . she was found on physical examination to have a cardiac murmur which had not been documented on prior exams in our system. she had a tte which showed mild mr and as as well as outflow obstruction from lv hypertrophy. she will follow up in device clinic one week after pacer placement and will see dr. for further cardiology follow up next month. . her blood pressure was noted to be high, she was controlled on the following medications: amlodipine, toprol xl, hydralazine, lisinopril, isosorbide mononitrate, and hydrochlorothiazide. medications on admission: novolog sliding scale insulin aspirin 325mg daily colace 100mg daily senna 2 tabs daily travatan gtt daily acular 0.5% gtt ou senna 2 tabs daily tenex 3mg daily imdur 60mg daily lisinopril 20mg daily mvi daily norvasc 10mg daily zoloft 25mg daily toprol xl 100mg daily heparin sc tid synthroid 100mcg daily atorvastatin 40mg daily discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed for wheezing. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. amlodipine 10 mg tablet sig: one (1) tablet po once a day: hold for sbp<100. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 7. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). 8. sertraline 50 mg tablet sig: 0.5 tablet po daily (daily). 9. novolog 100 unit/ml cartridge sig: units subcutaneous qachs: per patient's outpatient sliding scale. 10. travoprost 0.004 % drops sig: 1-2 drops ophthalmic daily (): to left eye. 11. hexavitamin tablet sig: one (1) cap po daily (daily). 12. levofloxacin 250 mg tablet sig: one (1) tablet po once a day for 3 days: to complete a ten day course (day 1 = ). 13. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection three times a day: inject sc tid. 14. lisinopril 40 mg tablet sig: two (2) tablet po once a day. 15. hydralazine 50 mg tablet sig: one (1) tablet po three times a day. 16. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 17. toprol xl 100 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. 18. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: extended care facility: nursing center - discharge diagnosis: primary diagnosis: complete heart block secondary diagnoses: type 2 diabetes mellitus, hypertension, diastolic heart failure discharge condition: stable discharge instructions: you were admitted to the hospital with a disturbance in the conduction system of your heart known as a "complete heart block". for this, you had a pacemaker implanted and you will complete a 5 day course of prophylactic antibiotics (keflex). you also were found to have a small pneumonia and will complete a ten day course of antibiotics (levofloxacin) for this. please take all medications as prescribed and attend all follow up appointments. if you experience chest pain, shortness of breath, loss of consciousness, high fevers, or other concerning symptoms, then you need to seek medical attention. followup instructions: provider: clinic phone: date/time: 11:00 provider: . phone: date/time: 1:00 procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism hematoma complicating a procedure chronic kidney disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia atrioventricular block, complete cellulitis and abscess of leg, except foot surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to