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: dyspnea major surgical or invasive procedure: none history of present illness: mr. is a 80yo male with pmh significant for htn, systolic dysfunction, atrial fibrillation, and hypothyroidism. he presented to the ed with increasing sob on . per notes, his dyspnea was acute in onset (~1 day). he also admits to having a productive cough over the past few months. in the ed he was found to be in afib w/rvr, hypotensive, and febrile to 102.6. given hypotension he was thought to be in cardiogenic shock and then started on dobutamine. he was given lasix/nitro spray with improvement in lung exam. he was initially started on ceftriaxone/azithromycin which was changed to levofloxacin prior to being transferred to the floor. past medical history: 1)hypertension 2)hypertrophic cm with severe lv dysfunction: tte with ef 35% 3)mr: 2+ on 4)tr: 2+ on 5)atrial fibrillation and aflutter s/p ablation 6)sick sinus with pacer placed 7)gerd 8)hypothyroidism 9)depression social history: he is a retired sales man with no smoking history. + etoh 2 drinks/week. denies any use of illicit drugs. he lives with his wife in . family history: nc physical exam: vitals t 98.6 bp 141/73 ar 77 rr o2 sat gen: pleasant male, nad, lying in bed heent: mmm heart: distant heart sounds lungs: diffuse rhonchi, scattered crackles abdomen: soft, nt/nd, +bs extremities: 1+ bilateral edema, 2+ dp/pt pulses bilaterally pertinent results: laboratory results: 09:10am blood wbc-7.9 rbc-4.65 hgb-14.3 hct-42.5 mcv-91 mch-30.8 mchc-33.8 rdw-15.3 plt ct-202 07:45am blood wbc-4.9 rbc-4.08* hgb-12.5* hct-37.2* mcv-91 mch-30.7 mchc-33.6 rdw-15.1 plt ct-147* 07:45am blood pt-18.2* ptt-31.8 inr(pt)-1.7* 09:10am blood glucose-166* urean-17 creat-1.5* na-144 k-3.8 cl-108 hco3-23 angap-17 11:00am blood alt-13 ast-22 alkphos-77 amylase-33 totbili-0.5 09:10am blood ck-mb-notdone probnp-* 09:10am blood ctropnt-<0.01 11:00am blood calcium-7.9* phos-3.0 mg-2.0 relevant imaging: 1)cxray (): right pulmonary edema and small increased bilateral pleural effusions. 2)echo (): overall left ventricular systolic function is moderately depressed. ef~35%. 3)le doppler (): no evidence of dvt. brief hospital course: mr. is a 80yo male with pmh as listed above presents with acute dyspnea. 1)respiratory distress: patient presented with acute onset dyspnea. combination of new onset afib w/rvr likely causing him to flash and productive cough suggestive of an underlying pneumonia. also has component of chf w/ef~35%. he was initally started on ceftriaxone and azithromycin for presumed pneumonia but was changed to levofloxacin which he should continue for the next 10 days. he also received prn nebulizer treatments with rapid improvement in his respiratory status. he was continued on home regimen of lasix 20mg po with appropriate diuresis. patient may require 1-2l supplemental oxygen. 2)chf: patient has history of systolic chf with depressed ef~35%. likely contributed to acute respiratory decompensation. he was seen by cardiology on admission and recommended diuresis. close to euvolemic at time of discharge and diuresing appropriately on current regimen of lasix with close monitoring of his i/o's. he was continued on lasix, beta-blocker, and ace-inhibitor. 3)atrial fibrillation: patient has history of aflutter s/p ablation. on admission found to be in af w/rvr but converted back to nsr but now back in af. likely caused him to flash resulting in his acute respiratory distress. coumadin was initially held given supratherapeutic inr but then restarted at time of discharge. inr on discharge is 1.7. patient discharged on coumadin 4mg and titrated up if necessary to keep inr between . he was also continued on amiodarone 200mg . 4)hypertension: patient on lisinopril and metoprolol at home which was continued during this hospital admission. 5)gerd: continue pantoprazole 6)hypothyroidism: continue levothyroxine medications on admission: medications on transfer: levofloxacin 750mg iv q48h, day 2 albuterol neb prn ipratropium neb prn lisinopril 10mg po daily amiodarone 200mg po daily metoprolol 25mg po bid warfarin 2mg po qhs furosemide 20mg daily levothyroxine 75mcg daily vitamin d 400 unit daily citalopram 10mg daily pantoprazole 40mg daily discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) treatment inhalation q6h (every 6 hours). 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 3. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 4. albuterol sulfate 0.083 % solution sig: one (1) treatment inhalation q4h (every 4 hours). 5. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 7. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 10. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 11. coumadin 4 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: bostonian - discharge diagnosis: primary diagnoses: 1)dyspnea 2)congestive heart failure 3)atrial fibrillation secondary diagnoses: 1)hypertension 2)hypothyroidism 3)gerd 4)depression discharge condition: stable discharge instructions: 1)weigh yourself every morning, md if weight > 3 lbs. 2)please take all medications as listed in the discharge instructions. 3)please schedule follow-up with your primary care physician within the next 1-2 weeks after being discharged from the hospital. 4)you are being discharged on coumadin. your inr on discharge is 1.7. you will need close monitoring of your inr which should be between . 5)if you experience any fevers, chills, chest pain, sob, dizziness or any other concerning symptoms please return to the emergency room. followup instructions: 1)provider: call phone: date/time: 9:00 2)provider: clinic phone: date/time: 8:30 3)provider: , md phone: date/time: 9:00 procedure: infusion of vasopressor agent diagnoses: pneumonia, organism unspecified esophageal reflux mitral valve disorders congestive heart failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified cardiac pacemaker in situ sinoatrial node dysfunction diseases of tricuspid valve acute on chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to