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: history of present illness: the patient is a 66-year-old male with a past medical history of prostate cancer who is admitted to the for a st-elevation myocardial infarction. the patient reported chest discomfort on the evening prior to admission. he subsequently ate dinner and went outside to shovel snow. at that time, he developed substernal chest pain that was nonradiating. he denied any shortness of breath, nausea, or vomiting. he denied diaphoresis. the patient was taken to an outside hospital where an electrocardiogram showed st elevations in the inferior leads. at the outside hospital, the patient was given aspirin, heparin, and morphine. the patient underwent thrombolysis with tnk. he substernal chest pain persisted, and he was transferred to for rescue cardiac catheterization. in the catheterization laboratory, the patient was found to have a totally occluded distal right coronary artery and diffuse left anterior descending artery disease. stenting of the right coronary artery led to timi-ii flow from the midvessel. the patient was randomized to the cool myocardial infarction protocol. a transvenous pacer was placed in the setting of wenckebach and bradycardia to the 30s with hypotension. the patient was then transferred to the coronary care unit with an intra-aortic balloon pump and on dopamine. past medical history: prostate cancer; status post prostatectomy in . medications on admission: none. allergies: no known drug allergies. social history: the patient is married. he quit smoking five months prior to admission. family history: family history was unremarkable. review of systems: no shortness of breath, diabetes, or strokes. physical examination on presentation: physical examination on admission revealed temperature was 97.8 degrees fahrenheit, heart rate was 74, blood pressure was 110/68, respiratory rate was 16, and oxygen saturation was 99% with an fio2 of 40%. the patient was on a dopamine and with an intra-aortic balloon pump. in general, the patient was alert by not oriented. his pupils were dilated. the mucous membranes were moist. there was no lymphadenopathy in the head or neck. the sclerae were anicteric. there were no bruits. the heart sounds revealed normal first heart sounds and second heart sounds. the rate was regular. the chest was clear to auscultation anteriorly. the abdomen was nontender and nondistended. bowel sounds were present. the extremities revealed no clubbing, cyanosis, or edema. the right groin had an intra-aortic balloon pump. the left groin had a pacer wire with a small hematoma. pertinent laboratory values on presentation: laboratories revealed white blood cell count was 13.5, hematocrit was 39.7, and platelets were 345. inr was 1.2 and partial thromboplastin time was 26. sodium was 138, potassium was 3.8, chloride was 103, bicarbonate was 29, blood urea nitrogen was 15, creatinine was 1.2, and blood glucose was 132. creatine kinase was 1244. mb was 128. alt was 23, ast was 122, amylase was 196, and alkaline phosphatase was 62. troponin was greater than 50. albumin was 3.1. pertinent radiology/imaging: arterial blood gas showed 7.21/41/82 with a lactate of 54. electrocardiogram revealed a sinus rhythm at a rate of 70. there was mobitz type i block. there were persistent st elevations of 2 mm in leads ii, iii, and avf. there were st depressions of 1 mm in v1 through v5, i, and avl. hospital course by issue/system: 1. cardiovascular system: the patient was admitted to the coronary care unit after cardiac catheterization for an acute inferior st-elevation myocardial infarction. he returned from the catheterization laboratory on a dopamine drip with an intra-aortic balloon pump. the patient was initially maintained on aspirin. beta blockers and ace inhibitors were initially held as the patient was requiring pressors on the balloon pump. a lipid profile was checked, and the patient was initially started lipitor. on the evening of his admission to the coronary care unit, it was noted that his pacer wire was not sensing or pacing. it was subsequently discontinued. the patient's dopamine was weaned off. the patient was then started on a low-dose ace inhibitor as well as plavix. a beta blocker was not started as the patient was noted to have a wenckebach heart block. the patient's intra-aortic balloon pump was weaned from 1:1 to 1:2. the patient underwent an echocardiogram on which revealed an ejection fraction of 25% with severe global left ventricular hypokinesis. there was akinesis in the inferior, inferolateral, and inferoseptal areas with relative sparing of the apex and anterior walls. the patient was noted to volume overloaded on and was diuresed with a dose of lasix. on the evening of , the patient complained of left shoulder pain which was sharp in nature and radiated to the anterior chest wall. the pain was worse with coughing. the patient denied any nausea, vomiting, or shortness of breath at that time. he stated that the pain was different from his pain when he had his myocardial infarction. a stat echocardiogram was obtained which showed no change from the echocardiogram the day before. a rub was heard at this time. it was felt that the patient was suffering from post myocardial infarction pericarditis. nonsteroidal antiinflammatory drugs were avoided to treat this given the risk after myocardial infarction. the patient was started on tylenol. at this time, the patient was also noted to be in atrial fibrillation, and he was started on a heparin drip. the patient was given morphine for his pain at this time and subsequently developed hypotension with a systolic blood pressure of 80. he transiently required dopamine to maintain his blood pressure; however, this was quickly weaned off. the intra-aortic balloon pump was discontinued on . it was felt that the patient would eventually require a coronary artery bypass graft. the cardiothoracic surgery service was consulted on . at that time, the patient had developed a cough and a likely pneumonia. therefore, the surgery service felt that it would be best to delay a coronary artery bypass graft until that had resolved. on , the patient was noted to be in atrial flutter with some episodes of wenckebach and pauses up to four seconds. the patient was maintained on heparin and was eventually transitioned to coumadin. he remained relatively stable from a cardiovascular point of view and was transferred to the cardiology floor on . the patient's pain from his pericarditis resolved on the standing tylenol regimen. the patient was monitored on telemetry and his pauses resolved. on , the patient was started on a beta blocker. it was felt that the patient should be risk stratified, and an electrophysiology consultation was obtained. the patient was to follow up with the electrophysiology service for risk stratification as an outpatient. the patient underwent a repeat echocardiogram on which showed an ejection fraction of 30%, with 1+ mitral regurgitation, and inferior hypokinesis. the patient was felt to be safe for discharge home on . he was to follow up with the cardiothoracic surgery service for coronary artery bypass graft after resolution of his pneumonia. he was also to follow up with the electrophysiology service for risk stratification. 2. renal issues: upon admission, the patient was noted to have an anion gap acidosis with an elevated lactate which was felt to be secondary to poor perfusion. the patient improved with improved perfusion with the intra-aortic balloon pump. repeat arterial blood gases study were normal. 3. infectious disease issues: on , the patient was noted to have a cough. he was initially started on azithromycin. a chest x-ray was checked which showed a likely pneumonia, and the patient was then started on levofloxacin. the patient subsequently developed a right-sided pleural effusion associated with his pneumonia which was noted on . the patient underwent a thoracentesis on . analysis of the pleural fluid revealed a white blood cell count of 490, red blood cells of , neutrophils of 46, lymphocytes of 18, monocytes of 14, with a protein ratio of less than 0.5, and an ldh ratio of less than 0.6. the ph was 7.55. given the ldh in the fluid, it was sent for cytology to rule out malignancy. at the time of discharge, this was still pending. after his thoracentesis, the patient's respiratory status improved and he was felt to be safe for discharge on . he was to complete a 14-day course of levaquin. the patient was to return for coronary artery bypass graft after resolution of his pneumonia. 4. hematologic issues: the patient was noted to have a drop in his hematocrit to 28 from 34 after his cardiac catheterization. he was transfused 2 units of packed red blood cells on . medications on discharge: 1. aspirin 325 mg p.o. once per day. 2. plavix 75 mg p.o. once per day. 3. pravastatin. 4. captopril 12.5 mg p.o. three times per day. 5. lopressor 12.5 mg p.o. twice per day. 6. levofloxacin 500 mg p.o. every day (for a 14-day course). 7. coumadin 5 mg p.o. once per day. discharge diagnoses: 1. status post acute st-elevation myocardial infarction (involving the inferior area). 2. cardiogenic shock. 3. ejection fraction of 30%. 4. post myocardial infarction pericarditis. 5. atrial flutter. 6. pneumonia; complicated by peripneumonic effusion. 7. lactic acidosis. 8. prostate cancer; status post prostatectomy in . discharge status: the patient was discharged to home. discharge instructions/followup: the patient was to complete his course of levofloxacin for his pneumonia and was then to follow up with the cardiothoracic surgery team for coronary artery bypass graft in approximately one month's time. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) left heart cardiac catheterization coronary arteriography using a single catheter injection or infusion of thrombolytic agent thoracentesis insertion of temporary transvenous pacemaker system implant of pulsation balloon diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery atrial fibrillation acute myocardial infarction of other inferior wall, initial episode of care postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to