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: morphine / darvocet-n 100 attending: chief complaint: s/p epicardial lead placement major surgical or invasive procedure: s/p epicardial lead placed via thoracotomy history of present illness: ms. is a 46 yo w w/ a history of a non-ischemic cardiomyopathy and dm ii admitted for elective placement of -v pacer/icd. the patient initially presented with complaints of dyspnea on exertion. cardiac catheterization revealed no significant coronary disease with an ef of 15-20%. . the patient's biv pacer/icd placement was complicated by failure of lv lead placemend. ct surgery successfully placed epicardial lv lead subpectoral by thoracotomy om . on cardiac review of symptoms, the patient has severe sob with climbing flight of stairs. she is able to walk on flat surfaces. she denies sob, cp, dysuria, abd pain, diarrhea, brbpr, melana. she does c/o pain where ct inserts and nausea. . past medical history: non-ischemic cardiomyopathy, diagnosed in dm ii tick bite on , treated with abx. not confirmed by serology yet. s/p benign breast lumpectomy s/p tubal ligation social history: married with 3 children. patient works as a secretary family history: mother died of sudden cardiac death at age 61. 5 siblings, 1 sister with svt, 1 sister aged 36 s/p 2-vessel cabg physical exam: 96.6, 89/55, 70, 16, 100% genl: mild pain from l ct heent: jvt about 8cm cv: rrr +systolic murmur heard diffusely lungs: cta anteriorly abd: soft, nt, nd, +bs ext: no edema, 2+ pedal pulses pertinent results: studies: echo (): ef 20-25% 1. la is moderately dilated. no asd. 2. lv severely dilated. moderate to severe global lv hypokinesis. overall left ventricular systolic function is severely depressed. moderate global rv free wall hypokinesis. 3 av leaflets. av leaflets are mildly thickened. no ar. 5. mv leaflets are mildly thickened. + mr. 6. no pericardial effusion. . ekg post-lead placement : normal sinus rhythm. left axis deviation and lbbb morphology. no acute st or t wave abnormalities. . cxr, post procedure day 0: no pneumothorax. the two leads appear in correct position based on this single frontal projection. . cxr, post procedure day 2: incease in l sided ptx, previous ptx in apex not visualized. . cxr, : 1. improvement of the left apical pneumothorax and subcutaneous emphysema. 2. new developed mild congestive heart failure. 05:10pm wbc-9.1 rbc-3.95* hgb-12.6 hct-35.8* mcv-91 mch-31.8 mchc-35.1* rdw-14.3 05:10pm neuts-80.7* lymphs-14.0* monos-3.4 eos-1.7 basos-0.1 05:10pm plt count-136* 05:10pm pt-14.3* ptt-32.6 inr(pt)-1.3* brief hospital course: ms. is a 46-year-old woman with a history of non-ischemic cardiomyopathy and dm ii s/p -v pacer/icd placement complicated by failure of lv lead placement. this required subsequent ct surgery placement of subpectoral epicardial lv lead via thoracotomy. her brief hospital course by active problem is as follows: . 1. non-ischemic cardiomyopathy. she was initially admitted for transvenous placement of a -v pacer/defibrillator. however, the lv lead could not be placed during cath on and therefore it was placed surgically via thoracotomy on . she was treated with antibiotics (cefazolin) for 72 hours after the procedure. she was continued on her other heart failure medications, including coreg, spironolactone, asa, mavik, digoxin. she was scheduled to follow up with dr. on . she did have a small pneumothorax that was treated with a chest tube; this was pulled on . . 2. dm ii. her glucose was controlled with amaryl and a humalog ss. her metformin was held. . 3. leukocytosis. this was attributed to a stress response from procedure that resolved spontaneously. she remained afebrile with no growth in her cultures. she was treated with cefazolin peri-operatively. . 4. anemia. this was stable. . 5. s/p tick bite. she was given a 10 day course of doxycycline for lyme prophylaxis. . medications on admission: allergies: 1. morphine - nausea/vomiting very certain 2. darvocet-n 100 (propoxyphene/acetaminophen) - nausea/vomiting . admission medication: metformin 1000 amaryl 4 qam carvedilol 6.25 asa 81 qd spironolactone 50 qam digoxin 0.125 qam mavik 1 qam amitriptyline 50 qhs doxycycline (completed course on , day 5 of 5) . transfer medication ketorolac 15 mg im q6h:prn duration: 2 days acetaminophen 650 mg po/pr q4h:prn aspirin ec 81 mg po daily metoclopramide 10 mg iv q6h:prn nausea/vomiting calcium gluconate 2 gm / 100 ml d5w iv prn free cal <1.12 to run over 1 hr docusate sodium 100 mg po bid doxycycline hyclate 100 mg po qpm ranitidine 150 mg po bid hydromorphone 0.5-2 mg sc q3-4h:prn vancomycin hcl 1000 mg iv q12h discharge medications: 1. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. glimepiride 4 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 4. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). 5. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. trandolapril 1 mg tablet sig: one (1) tablet po daily (daily). 7. amitriptyline 50 mg tablet sig: one (1) tablet po at bedtime. 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*11* 9. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 11. acetaminophen-codeine 300-30 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*15 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: primary: 1. nonischemic cardiomyopathy 2. systolic chf 3. s/p biventricular pacer placed surgically (epicardial lv lead) secondary: 1. type ii diabetes discharge condition: condition good, vital signs stable, discharged to home with nursing services. discharge instructions: you have had a -ventricular pacemaker and defibrillator placed. please take all medications as directed and keep all follow-up appointments. . if you should develop chest pain, shortness of breath, dizziness, lightheadedness, severe leg swelling, or any other symptom that is concerning to you, please call your pcp or go to the nearest hospital emergency department. followup instructions: you have an appointment in the ep device clinic with dr. on at 3:30pm. . you should also call your your pcp in one week to have your stitches removed. procedure: insertion of intercostal catheter for drainage removal of other device from thorax implantation of cardiac resynchronization defibrillator, total system [crt-d] noninvasive programmed electrical stimulation [nips] implantation of automatic cardioverter/defibrillator lead(s) only diagnoses: other primary cardiomyopathies anemia, unspecified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iatrogenic pneumothorax leukocytosis, unspecified 

Answer: The patient is high likely exposed to