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: patient recorded as having no known allergies to drugs attending: chief complaint: hypotension major surgical or invasive procedure: none history of present illness: is a 69 yo female with a history of cardiomyopathy, atrial fibrillation, diabetes and heart failure who is being transferred from osh for management of suspected cholecystitis with gallstone in cbd, being transferred for emergent ercp. she was admitted to osh on with abdominal pain, and quickly became hypotensive. she underwent an ultrasound exam which showed thickened gallbladder wall and sludge and stones in the gb. the surgical teams strongly suspected acute cholecystitis. the patient also had a recent hida scan which was suggestive of a distal common bile duct obstruction. she was treated with levaquin and flagyl. blood cultures from osh are ngtd. cardiology consult at osh did not feel that the patient having an acute mi. her anxiety and pain at osh were difficult to manage requiring narcotics for pain control and one point required narcan for somnolence; she was also given presedex for pain. she was treated with dobutamine and lasix gtt, but lasix was stopped due to hypotension. the patient was transferred from osh on vasopressin and dobutamine. on arrival, her sbp was 60, hr 80 and patient was arousable, but not mentating well. she was not oriented and unable to answer questions regarding history. review of sytems: unable to obtain secondary to mental status. past medical history: # cad s/p stenting in # systolic congestive heart failure, either ischemic versus viral cardiomyopathy, per notes. osh reported ef 20-25%. h/o admissions for chf. # tricuspid regurgitation # atrial fibrillation # sick sinus syndrome - s/p aicd in # diabetes, type ii # depression # history of breast cancer, history of double mastecomy, on arimidex # copd # sacral decubitus ulcer noted at osh # chronic kidney disease - basline 1.2-1.3 # obesity # hypertension # diverticulosis # anemia social history: patient has been living home alone and question of patient's ability to care for herself. she has one son who lives in ( ), who she is estranged from. history tobacco use - quit 20 years ago. 30 py history family history: father died of lung cancer and mother died age of 85 after a fall. 2 brothers physical exam: on admission to : general: somnolent but arousable, unable to answer questions. heent: sclera anicteric, dry mm neck: supple, jvp elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: distant heart sounds, normal rate, irregular rhythm, normal s1 + s2, + systolic murmur, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, + hepatomegaly back: sacral decub ext: cool, 1+ distal pulses, no clubbing, cyanosis or 2+ pitting le edema . pertinent results: pertinent osh labs: trend from -> wbc 11.4 -->8.6 na 129 bun 76 cr 2.19 k 5.0 lactate 1.9 hgb 8.7 hct 32 ast 50-> 39 alt 54 -> 42 ap 110-> 80 tuberculosis 1.8 -> 1.8 db 0.9 -> 1.1 am cortisol 35.3 . osh images: ct head - no actue intracranial process. age related volume loss and small vessel ischemic disease . ruq u/s - gallbladder with layering sludge and small shadowing calculi. markedly thickened gallbladder wall measuring 8 mm maximal thickness. positive son sign. impression: finidings most compatable with acute cholecystitis. no e/o aneurysm. pancreatic atrophy. no intra or extrahepatic biliary ductal dilatation. . hida - "minimal activity in the proximal common bile duct with no distal common duct or duodenal activity over the course of 7 hours. the findings are non-specific but most consistent with chronic cholecystitis or partial distal common bile duct obstruction." . ekg: afib hr 105 lad, q waves inferio-lateral leads. . labs: 05:38pm blood wbc-7.3 rbc-3.82* hgb-8.6* hct-29.6* mcv-78* mch-22.4*# mchc-28.9* rdw-17.0* plt ct-155# 02:36am blood neuts-90* bands-0 lymphs-3* monos-7 eos-0 baso-0 atyps-0 metas-0 myelos-0 nrbc-11* 05:38pm blood pt-21.7* ptt-36.2* inr(pt)-2.0* 05:38pm blood glucose-198* urean-77* creat-2.6*# na-129* k-5.0 cl-95* hco3-21* angap-18 05:38pm blood alt-41* ast-39 ld(ldh)-287* alkphos-79 totbili-1.7* 02:36am blood ck-mb-4 ctropnt-0.06* 03:00pm blood ck-mb-4 ctropnt-0.06* 02:25am blood ck-mb-4 ctropnt-0.06* 02:36am blood tsh-5.5* 02:36am blood free t4-0.71* brief hospital course: micu course: 69 yo female with a history of cardiomyopathy, atrial fibrillation, diabetes and heart failure transferred from osh in shock. shock felt to be mixed cardiac and distributive. for distributive shock the patient reviewed intravenous fluids with improvement in urine output, unasyn for biliary pathology, and a surgical consult to evaluated the need for intevention given decompressed gallbladder with sludge. surgery felt no need to decompress gallbladder and recommended non-contrast ct. the ct showed no evidence of bowel edema. the patient's abdominal pain improved with conservative management including antibiotics, and she was weaned off vasopressin and levophed. for cardiogenic shock, the patient was placed on dobutamine with improvement in blood pressure and urine output. given the resolution of her distributive shock, she was transferred to the ccu for ongoing management of her cardiomyopathy and optimization for of her cardiac status. the patient developed acute kidney injury with cr 2.4-2.7, and baseline cr 1.2-1.3, which was felt to be atn due to hypotension noted upon arrival to the intensive care unit. the patient's coumadin and digoxin were held on admission due to renal failure and possible procedures. the creatinine stabilized with volume and pressors. the patient also had hyponatremia that improved with fluid hydration and was likely due to intravascular volume depletion. ==== ccu course: pt was transferred from the micu to ccu on for diuresis with ionotropic support. in the micu, she was placed on dobutamine and sustained 20 beat run of nsvt prior to transfer. at this point, dobutamine was weaned and discontinued on arrival to ccu. levophed and milrinone were initiated for pressor and ionotropic support, respectively. patient was most likely in cardiogenic shock which may have been precipitated by aggressive fluid resuscitation which was initiated at osh for treatment of probably septic shock. at ccu presentation, pt did not appear septic, was afebrile and labs/imaging were not consistent with an infectious etiology, so antibiotics were discontinued. she was grossly anasarcic in the setting of fluid resuscitation and poor forward flow, as ef 15% on tte , with severe 4+ tr. pt was started on a lasix drip for diuresis, which was uptitrated accordingly, up to the maximum dose of 20mg/hour. pt initially had poor urine output even to maximum doses of lasix, so po metolazone (alternating with iv diuril when no taking po )was added. milrinone was also necessary. she did diurese off about 11 liters, with no improvement in her clinical status. when milrinone stopped, patient unable to maintain urine output with only metolazone/diuril and lasix gtt. patient also with poor nutrition, intermittently hypotensive. eventually patient's icd was turned off and she was moved to comfort-focused care. patient died on at 11:24am due to respiratory compromise secondary to congestive heart failure. other antecedent cause was renal failure. attending, pcp, , and hospice program were notified. medications on admission: medications (on transfer)l: # precedex infusion for anxiety -- d/c'ed on transfer hypotension # morphine sulfate prn # lasix drip # vasopresing 0.04 units per kg/hr # insulin sliding scale # heparin 5000 units sq tid # aspirin 81 mg po daily # coreg 6.25mg po bid # effexor 225mg po daily # oxycodone 5mg po q 4hrs prn --> pt became unresponsive after receiving one dose and subsequently received narcan # arimidex 1 mg po daily # fluoxetine 20mg p o daily # ambien 5mg po daily home medications that have been held at osh: # spironolactone 50mg po bid # lantus insulin --> unknown dose # coumadin -- unknown dose # lisinopril 5mg po daily # fluticasone nose spray # digoxin pills # neurontin 300mg po tid # lipitor -- unknown dose discharge medications: none discharge disposition: expired discharge diagnosis: respiratory compromise secondary to congestive heart failure discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified diagnoses: acidosis hyperpotassemia other chronic pain anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia hyposmolality and/or hyponatremia severe sepsis chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of breast personal history of tobacco use percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease dysthymic disorder acute respiratory failure cardiogenic shock pressure ulcer, lower back automatic implantable cardiac defibrillator in situ sinoatrial node dysfunction acute on chronic systolic heart failure diverticulosis of colon (without mention of hemorrhage) acute gouty arthropathy tricuspid valve disorders, specified as nonrheumatic pressure ulcer, stage ii personal history of peptic ulcer disease acquired absence of breast and nipple calculus of gallbladder and bile duct with acute and chronic cholecystitis, with obstruction 

Answer: The patient is high likely exposed to