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: penicillins attending: chief complaint: mobitz av block w/ lbbb major surgical or invasive procedure: placment of temporary pacemaker placement of permanent pacemaker history of present illness: 73 yo woman with hx of htn, ? afib (never on anticoagulation) and ? cva was transferred from hospital after being found to have mobitz type ii av block w/ lbbb. she presented to the osh this am c/o of dizziness since midnight, however says she actually noted feeling "woozy" with standing for about 1 week. she tolerated this until mn last night when she got out of bed to use the bathroom and noted she was very dizzy. denied any sob, cp, n/v; she did have some diarrhea yesterday, but denied any fever or chills, and no urinary symptoms. . the pt presented to osh where she was found to be in 3rd degree av block on ecg. she had transcut pacer pads placed, received asa 325mg x 1 and was medflighted to . . here her ecg demonstrated morbitz type ii with lbbb. she had a temporary wire placed at bedside in r ij position w/o any complications past medical history: htn social history: married. 2 sons, 4 a day for 40 years quit. takes 2 drinks with dinner. no ivdu. lives in . family history: no cad, cva, dm, or thyroid disease physical exam: admission: vs: 98.6, 80 v paced, 150/50, 100% on 2l gen: nad heent: no jvd, mmm cvs: ireg hr, nl s1 and s2, no m/g/r lungs: ctabl abd: soft, nt/nd ext: no edema, 2+ dp pertinent results: admission labs: . 05:56am blood wbc-14.6* rbc-4.39 hgb-14.0 hct-40.5 mcv-92 mch-31.9 mchc-34.5 rdw-13.4 plt ct-258 05:56am blood plt ct-258 05:56am blood glucose-138* urean-12 creat-0.6 na-140 k-3.7 cl-103 hco3-28 angap-13 05:56am blood calcium-8.9 phos-3.0 mg-2.1 . radiology: cxr (): there is a right ij line with tip projecting over the right ventricle. the lungs are clear without infiltrate or effusion. there is no pneumothorax. cxr (): standard position of right pacemaker leads with no evidence of discontinuation. no pneumothorax. left small pleural effusion grossly unchanged. no evidence of congestive heart failure. . other labs: 09:29am urine color-yellow appear-clear sp -1.015 09:29am urine blood-lge nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-sm 09:29am urine mucous-rare urine cx ()- 4000/ml gram negative rods (discussed with microbiology lab corresponding to 4000 colonies which was insignificant) lyme serology () - pending discharge labs: . 06:20am blood wbc-11.3* rbc-3.74* hgb-12.7 hct-34.6* mcv-93 mch-34.0* mchc-36.7* rdw-13.3 plt ct-194 06:20am blood plt ct-194 brief hospital course: the patient is a 73 yo f w/ ? h/o afib, ? h/o cva, htn p/w mobitz av block w/ lbbb. her hospital course for this admission is as follows: . 1. morbitz type ii av block : temporary pacer placed when patient first presented with morbitz type ii block as bridge to permanent pacemaker. held bb for pre-permanent pacer placment; permanent pacer placement on . metoprol was restarted initially at 25mg po bid, titrated up to 50mg po bid (her home dose); lyme titer was drawn to search for potential causes of her av block which was still pending at the time of discharge. will follow up with her lyme titer after discharge . 2. htn: initially, we held bb as we don't want to supress any escape foci shd her temp wire fail prior to her permanent pacemaker placement, but continued outpt amlodipine 10mg po qday. once her permanent pacer was placed on , we restarted her metoprolol, and continued her amlodipine. . 3. ? afib: pt does not have any recollection of this. not on aspirin or coumadin. she was told to follow up with her pcp for follow up. . 4. ? h/o cva; pt doesn't have any recollection of this. will follow up with her pcp within week for further workup with imaging. patient remained alert and oriented throughout her stay with normal neuro exam. . 5. ? urine cx - her initial ua showed 32 rbc, 0 wbc, occ bacteria from her cath, and subsequent urine cx grew 4000 colonies/ml of gram negative rods. patient remained afebrile throughout her stay, and had no urinary symptoms. discussed with the microbiology lab (insignificant growth most likely from contamination of cath) and infectious disease fellow on call ( ). recommended no treatment if patient have no symptoms and afebrile. . 6. ppx: colace . 7. code: full medications on admission: metoprolol 50mg po bid amlodipine 10qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily): hold for sbp<100. 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp<100 and hr<60. 4. clindamycin hcl 300 mg capsule sig: one (1) capsule po four times a day for 5 doses: please take one dose tonight and four doses tomorrow. disp:*5 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis morbitz type ii av block secondary diagnosis htn discharge condition: stable in good condition, no fever, chest pain, sob, nausea or vomiting. discharge instructions: if you experience chest pain, shortness of breath or fevers, or any other serious medical conditions, please return to the emergency room immediately . you should follow a cardiac healthy diet. . please take all your medications as prescribed . please follow up with your appointments followup instructions: please follow up with your pcp, . next monday 11:30am, in adddition to the following appointments provider: clinic phone: date/time: 3:30 md, procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: other iatrogenic hypotension unspecified essential hypertension atrial fibrillation personal history of tobacco use other left bundle branch block unspecified late effects of cerebrovascular disease mobitz (type) ii atrioventricular block other diuretics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to