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: vancomycin analogues / histamine / ciprofloxacin / penicillins / cephalosporins / atorvastatin / rosuvastatin / morphine / sulfa (sulfonamide antibiotics) / mushrooms, all types attending: chief complaint: peri-procedure major surgical or invasive procedure: atrial tachycardia ablation left knee tap and injection pulmonary intubation history of present illness: mr. is a 62 year old man with ischemic cardiomyopathy, pulmonary hypertension, cabg/mvr , laa clot on warfarin who is admitted after ep ablation for symptomatic atrial tachycardia. . mr. primary problem has been chronic atrial tachycardia since , resulting in fatigue, lightheadedness, palpitations, doe, and chest pain with exertion. today, , a catheter ablation procedure was performed. this revealed two discreet macroreentrant atrial tachycardias: one was mapped to the left atrial septum, and the second was typical flutter around the tricuspid annulus. with ablation of the second focus, the patient converted to sinus rhythm. the procedure was tolerated well under general anesthesia until the period after restoration of sinus rhythm, when he became hypotensive. it was suspected that his hypotension was secondary to blood loss after his hematocrit dropped from 43 to 38 to 32 to 29 during the procedure. intracardiac echo and transthoracic echo revealed no pericardial effusion. all vascular access was via the femoral veins; there was no arterial puncture for the procedure. the patient was sent to ct scan from the ep lab before arriving in the ccu. . on arrival to the ccu, the patient was intubated and sedated on dopamine gtt, phenylephrine gtt, epinephrine gtt. . ros: unable to perform secondary to inutbation/sedation past medical history: past medical history (per omr) - ischemic cardiomyopathy with chronic systolic congestive heart failure - s/p mvr and cabg (lima-lad, svg-am and drca) - type 2 diabetes mellitus - hyperlipidemia - hypertension - atrial tachycardia causing cardiogenic in - severe pulmonary hypertension - pfo - cva in with residual l sided facial droop - ckd with baseline cr 1.6-1.8 - osteoarthritis - depression - h/o hodgkin's disease s/p surgical excision and ctx at age 18 . non-cardiac past surgical history: 1. appendectomy. 2. hernia repair. 3. back surgery after falling from 36 feet. 4. multiple operations on his left knee and his right knee. 5. multiple abdominal surgeries, first to remove small bowel polyps and then followed by surgeries to fix complications of previous surgeries. 6. lymph node removal from the groin that was infected social history: -he lives with his sister and her family. he has 3 children. -tobacco history: neversmoker -etoh: remote use -illicit drugs: denies family history: - father had his first heart attack at 35 then died of mi at 45. - mom had diabetes and died of aaa rupture. physical exam: admission: gen: intubated, sedated heart: tachycardic, regular rhythm pulm: clear anteriorly abd: multiple abdominal scars. not tense, not distended ext: warm, well perfused pulses: 2+ left; not present on right (manual pressure being applied to femoral artery) discharge: vs- tmax/tcurrent; 97.9/97.6 hr 74-86 rr: 18 bp: 106-132/69-73 o2 sat 100% ra gen: appears comfortable lying flat in bed. heart: irregularly irregular, s3 gone, jvp flat pulm: ctab post. abd: multiple abdominal/thoracal scars. not distended, no tenderness. pos bs. ext: no c/c, 1+ edema b/l, warm, slightly pallor, no changes in pulses. left knee is swollen on ant and medial aspect, no redness, no tenderness. right groin: mild bruising, no palpable hematoma. skin: no stasis dermatitis, ulcers. pertinent results: admission- 07:10am blood wbc-11.1*# rbc-5.00 hgb-13.9*# hct-43.4# mcv-87 mch-27.8 mchc-32.0 rdw-15.9* plt ct-167 07:10am blood neuts-78.0* lymphs-14.5* monos-4.3 eos-2.4 baso-0.8 07:10am blood glucose-153* urean-47* creat-1.8* na-138 k-3.7 cl-100 hco3-29 angap-13 07:11pm blood calcium-8.5 phos-3.6 mg-1.8 07:10am blood pt-30.1* inr(pt)-2.9* discharge- 07:00am blood wbc-14.3* rbc-4.05* hgb-11.5* hct-36.8* mcv-91 mch-28.3 mchc-31.2 rdw-15.9* plt ct-262 07:00am blood pt-22.5* inr(pt)-2.1* 07:00am blood glucose-290* urean-53* creat-1.3* na-137 k-4.8 cl-101 hco3-25 angap-16 ct abd & pelvis w/o contrast () 1. large retroperitoneal hematoma extending from the right anterior pararenal space down into the extraperitoneal space of retzius as well as into the subperitoneal pelvis bilaterally, greater on the right than the left. there is no evidence of intraperitoneal hemorrhage. 2. right lower lobe opacities likely representative of developing pneumonia, possibly due to aspiration. otherwise, there is no evidence of hemorrhage in the thorax. 3. stable right renal hemorrhagic cyst. brief hospital course: 62 year old man with ischemic cardiomyopathy, pulmonary hypertension, cabg/mvr , laa clot on warfarin who was admitted to the ccu for hypovolemic after ep ablation for symptomatic atrial tachycardia, found to have a retroperitoneal bleed. acute # hypovolemic : he was found to be hypotensive toward the end of his ep ablation procedure. he was sent directly to the ct scanner, where he was found to have a large retroperitoneal hematoma. on arrival to the ccu, the patient was already intubated and sedated on dopamine gtt, phenylephrine gtt, epinephrine gtt. he was transfused 6 units of prbcs over the course of his first 2 days in the ccu. given his coagulopathy from warfarin, this was reversed with a total of 6 units ffp. dopamine and epi were quickly discontinued, and phenylephrine was weaned over the first couple days. he remained hemodynamically stable without further evidence of bleeding. # ischemic cardiomyopathy / chronic systolic chf / cad: his most recent ef is 25%. he was monitored very closely for heart failure given the large amount of blood products and fluids that were given. intubation was continued given his high risk for pulmonary edema. diuretics and anti-hypertensives were held, as well as aspirin given his bleed. when stable his sildenafil, spironolactone, torsemide and digoxin were restarted. as renal function improves, consider starting low dose ace inhibitor. # intubation: this was performed electively pre-procedure. he remained intubated for the first day in the ccu, then was quickly extubated. # gout he was found to have swelling and tenderness in his left knee on . this was tapped, which showed 17k wbcs and monosodium urate crystals, consistent with gout. he has no history of gout. he was started on colchicine and rheumatology was consulted to perform a steroid injection in his knee. this improved his pain significantly. chronic # chronic kidney disease: baseline creatinine of 1.8 which was stable. # atrial tachycardia: ablation was performed by ep, with subsequent resultant sinus rhythm. inr initially reversed, then warfarin was restarted when stable. he rermained in nsr for the duration of the hospitalization. # pulmonary hypertension: holding home sildenafil in setting of . restarted when stable. # dm, type ii, insulin dependent: sliding scale humalong. restarted home lantus when tolerating po # hyperlipidemia: continued statin when tolerating po transitional -- consider starting allopurinol for maintenance prevention of gout flares. -- monitor warfarin and inr given left atrial appendage clot. -- consider starting acei as renal function improves. medications on admission: albuterol sulfate 90 mcg hfa aerosol inhaler 2 hfa(s) inhaled every 4-6 hours digoxin -125 mcg tablet 1 tablet(s) by mouth every other day folic acid - 1 mg tablet by mouth daily insulin glargine - 100 unit/ml solution - 20u at bedtime insulin lispro - slilng scale as needed tid metoprolol succinate - 25 mg 1 tablet(s) by mouth daily oxycodone-acetaminophen - 5 mg-325 mg tablet; 1 tablet(s) by mouth every six (6) hours as needed for pain- has narcotics contract potassium chloride - 20 meq tablet, er particles/crystals - 1 tablet(s) by mouth once a day sildenafil - 20 mg tablet - 2 tablet(s) by mouth tid simvastatin - 20 mg tablet - 1 tablet(s) by mouth once a day spironolactone - 25 mg tablet - 1 tablet(s) by mouth daily torsemide - 20 mg tablet - 4 tablet(s) by mouth daily (daily) warfarin - 5 mg tablet - one tablet(s) by mouth daily zolpidem - 5 mg tablet - 1 tablet(s) by mouth at bedtime aspirin - 81 mg tablet, delayed release (e.c.) - 1 tablet daily discharge medications: 1. sildenafil 20 mg tablet sig: two (2) tablet po tid (3 times a day). 2. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 3. digoxin 125 mcg tablet sig: one (1) tablet po every other day (every other day). 4. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day: hold hr <60, sbp< 100. 5. insulin glargine 100 unit/ml solution sig: fourteen (14) units subcutaneous at bedtime: pt was on 20 units at bedtime at home. 6. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po four times a day as needed for pain. 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 9. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day. 10. spironolactone 25 mg tablet sig: one (1) tablet po once a day. 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. torsemide 20 mg tablet sig: four (4) tablet po daily (daily). 13. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. 14. polyethylene glycol 3350 17 gram powder in packet sig: one (1) powder in packet po daily (daily). 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: newbridge on the - discharge diagnosis: atrial tachycardia acute blood loss anemia hypovolemic left knee gout chronic systolic congestive heart failure discharge condition: mental status: confused - always. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted for an atrial tachycardia ablation. two areas in your heart were ablated and the procedure seems to have worked well. you developed some bleeding after the procedure in your groin and back area requiring blood infusions and medicine to keep your blood pressure up. you were on a ventilator for a few days because you were so sick. you are now back on your previous home medicines and your labs are stable. you developed an acute gout flare in your left knee and needed a cortisone injection to treat the pain. weigh yourself every morning, call np if weight goes up more than 3 lbs in 1 day or 5 pounds in 3 days. you weight at discharge is 198 pounds. . we made the following changes to your medicines: 1.increase the metoprolol to 100 mg daily 2. start miralax and senna to prevent constipation followup instructions: department: cardiac services when: thursday at 3:40 pm with: , md building: sc clinical ctr campus: east best parking: garage department: cardiac services when: tuesday at 3:00 pm with: , np building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours injection of steroid excision or destruction of other lesion or tissue of heart, endovascular approach arthrocentesis cardiac mapping injection of therapeutic substance into joint or ligament intracardiac echocardiography diagnoses: other primary cardiomyopathies congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status other chronic pulmonary heart diseases atrial flutter chronic kidney disease, unspecified other and unspecified hyperlipidemia hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of insulin chronic systolic heart failure personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits acute gouty arthropathy personal history of hodgkin's disease physical restraints status family history of sudden cardiac death (scd) postoperative shock, other 

Answer: The patient is high likely exposed to