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: anterior stemi major surgical or invasive procedure: coronary catheterization history of present illness: 63 m with cad s/p mi 2 years ago with rca stent. presented to center in on with acute respiratory distress and hypotension. an ecg showed sinus tach with rbbb and qs in ii, iii, and avf with ste v1-v5. cxr showed pulmonary edema. he was taken to the cath lab where he found to have 3vd with left main disease. an iabp was placed. he was seen by cardiac surgery emergently and admitted to the icu. . labs notable for peak ck 8591, with ck-mb of 436 and trop i 359 (nl 0-0.03; >0.5 mi) on at 22:08. also of note, wbc 24 and glucose 400, but without acidosis or an elevated anion gap. he was started on zosyn and insulin gtt. past medical history: dm2 cad, s/p mi 2 yr ago with rca stent social history: lives with girlfriend of 25 years. active smoker, packs/week. no known etoh. family history: nc physical exam: vs: t 100.3, bp 69/49, hr 93, o2 100% on ac 450x14/0.5/5.0 gen: asian male, intubated & sedated. heent: ncat. sclera anicteric. perrl. ett in place. neck: supple. left subclav sheath w/ swann cathether. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. coarse ventilated breath sounds. abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: bilat feet cool, but without edema. right femoral sheath intact with iabp. bilat dp & pt pulses dopplerable. pertinent results: cardiac catheterization: 1. initial angiography revealed a 70% proximal rca in-stent restenosis and a 90% focal rca stenosis. right dominant circulation. the lm had a 50% tubular lesion. the ostial and proximal lad had an 80% stenosis before tapering down to a small diffusely diseased vessel. the lcx was a very small but free of significant disease. 2. limited hemodynamics revealed a central aortic prssure of 100/60 with 1:1 iabp support and dopamine as the patient entered the lab in cardiogenic shock. 3. successful ptca and stenting of the proximal rca with a 3x18mm vision stent and of the mid rca with a 3x30mm driver stent which were post dilated to 3.0mm. successful ptca and stenting of the proximal lad with a 2.25x18mm mini vision stent. final diagnosis: 1. two vessel coronary artery disease. . . echocardiogram the left atrium is normal in size. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with anteroseptal/apical akinesis and inferoseptal hypokinesis. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. the aortic valve is not well seen. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). the tricuspid valve leaflets are mildly thickened. there is a very small pericardial effusion. there are no echocardiographic signs of tamponade. . . brief hospital course: this is a 63 year old gentleman who was transferred to the after sustaining a large anterior stemi. he underwent cardiac catheterization on during which three stents were successfully placed. his hospital course was complicated by cardiogenic shock requiring an intra-aortic balloon pump and a dopamine drip; and respiratory failure of unknown etiology for which the patient was intubated on transfer. he was successfully weaned off of the iabp and dopamine drip, and extubated on . over the next 2 days he developed significant pulmonary edema requiring cpap, lasix drip, and pressor support with dobutamine and milrinone. on , he went into pulseless ventricular tachycardia for which a code blue was called. the patient was coded for 29 minutes without resuscitation, and was pronounced dead at 7:49 pm on . . . active issues during his hospitalization were as follows: 1. cad/ischemia: past medical history of known cad with a prior mi s/p rca stent. on this admission, he presented with a large anterior stemi and two-vessel disease on cardiac catheterization where mid rca 90% lesion, proximal rca in-stent % re-stenosis, and 80% proximal lad lesion were stented. the patient was treated with a high-dose statin, aspirin, plavix, and a heparin gtt. his heparin gtt was discontinued on as he was guaiac positive and on multiple blood thinners. we were holding captopril and beta blocker for low bp . 2. cardiogenic shock: his hospital course was complicated by cardiogenic shock, requiring iabp and dopamine gtt for pressure support. echocardiogram on showing ef 35% with anteroseptal and apical akinesis and inferoseptal hypokinesis. he was weaned off of pressors and iabp on , but developed new pulmonary edema requiring high flow mask with fio2 of 1.00 on . we treated him with a lasix drip and cpap, and attempted to improve forward flow with dobutamine and milrinone. just prior to his death, we prepared to re-insert his pa catheter to further delineate his shock profile. . 3. atrial fibrillation: the patient had atrial fibrillation with intermittent rvr, which initially responded well to an amiodarone load. he was transitioned to a po regimen of amiodarone 400mg po qday and monitored on telemetry. . 4. dm: managed with insulin gtt . 5. fever & leukocytosis: unclear source. was being treated for presumed pna at osh, though cxr did not clearly show an infiltrate here, though difficult to visualize in setting of pulmonary edema. aspiration pna was also on the differential as the patient is not fully able to protect his airway and was s/p extubation. his ua was positive and urine cultures were pending. blood and sputum cultures were negative. line infection unlikely as he had fever and white count on presentation. his pa catheter was pulled and the tip cultured. his stool was sent for c. diff toxin. we continued with vancomycin and zosyn for broad coverage as his clinical status was tenuous. . 6. respiratory failure: s/p extubation on , since then with a respiratory alkalosis and hypoxemia on abg, which as responded to high flow oxygen mask initially, and then required cpap. his cxr was c/w pulmonary edema. we attempted to treat this with cpap, lasix gtt, and dobutamine/milrinone to improve forward flow. . 7. thrombocytopenia: improved with removal of iabp, likely caused by shearing effect. hit work-up sent, but with low suspicion. blood smear wnl. . medications on admission: zosyn 3.375 q6h dopamine gtt heparin gtt insulin gtt nitro gtt propofol gtt lasix gtt levophed gtt atrovent q6h albuterol a6h colace 100 tylenol prn discharge medications: patient deceased discharge disposition: expired discharge diagnosis: patient deceased discharge condition: patient deceased discharge instructions: patient deceased followup instructions: patient deceased procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters insertion of endotracheal tube enteral infusion of concentrated nutritional substances nonoperative removal of heart assist system infusion of vasopressor agent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] insertion of three vascular stents procedure on two vessels diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care atrial fibrillation paroxysmal ventricular tachycardia acute respiratory failure pneumonitis due to inhalation of food or vomitus cardiogenic shock old myocardial infarction other complications due to other cardiac device, implant, and graft ventricular fibrillation surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to