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: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: this is a 76yo f with no prior medical history who presented with nausea/vomiting/epigastric pain since sunday night. patient states that she had severe pain since and went to the hospital because of dizziness and intractable nausea/vomiting. she tried tylenol at home with 9/10 epigastric pain and took baby . went to at 4:20am with 6mm ste in 2, 3, avf and st depression in 1, l, v1-v3 and ste v5-v6. she was started on , , plavix, zofran, ivntg, lopressor, heparin gtt and 1l ns. she was transferrd here for cardiac catheterization. in cath lab, she was found to have 100% rca proximal lesion which was stented and temporary pacer placed for complete heart block during the procedure. iabp was placed for decreased ci. atropine was given multiple times as well as nitroprusside, diltiazem and adenosine intracoronary. was continued. patient is awake and does not complain of chest pain/n/v/sob upon arrival to ccu. past medical history: 1. hernia repair physical exam: t96.6 p83 bp 125/60 r24 100% gen-tired, alert and oriented heent-anicteric, oral mucosa moist, neck supple cv-rrr, no r/m/g resp-ctab(anterior exam) -active bs, soft, nontender nodistended extremities-small right groin hematoma under pressure, dp dopplerable on the right, dp 1+ on left, no pitting edema, iabp and femoral a-line intact pertinent results: cath : lad-60% proximal, 90% complex mid involving d2 with 90% prox and 70%med d1+60% lcx-90% major om1 rca-100% prox with thrombus successful stenting of the mid and proximal rca with two overlapping bare metal stents (a 3.5x38mm zeta distally and a 3.5x33mm hepacoat proximally which was postdilated to 4.0mm). significant no reflow was treated with very large dosed of ic vasodilators with fair results pcwp28 ra28 co./ci 2.07/1.28 pa 36/25 30 echo: ef25%; left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction with near akinesis of the inferior septum, inferior and inferolateral walls. the remaining segments are mildly hypokinetic. the right ventricular cavity is mildly dilated with moderate global right ventricular free wall hypokinesis (apical function is somewhat better preserved). mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. ekg:lad, , 3, avf(3>2), ste v4r, std 1 and avl, ste v5-v6 with twi, 2nd degree type i kub : portable abdomen: the exam is suboptimal secondary to patient positioning. only the upper abdomen is included within the imaged plane. gas is seen extending throughout multiple loops of small and large bowel. the transverse colon measures upper limits of normal at 4.8. there is no acute evidence of obstruction, with no air-fluid levels identified. the surrounding soft tissues reveal clear lung bases. impression: suboptimal study. transverse colon measures upper limits of normal with no air-fluid levels to indicate acute obstruction. brief hospital course: this is a 76yo f with no prior medical history who presented with st elevation myocardial infarction, inferior mi and rv infarct. during this admission, she was found to have 3 vessel disease with 100% rca occlusion . she underwent cardiac catheterization on and had baremetal stent/hepacoat stents to rca. on arrival to the ccu, she had acute respiratory acidosis probably due to excessive sedation. she was intubated for 2 days and was extubated on without complication. her cvp was kept in the range of 13-15mmhg to maintain her preload given the rv involvement. her cardiac index gradually improved and she was weaned off iabp and pressors on without complication. echocardiogram was done on for concern of vsd given high mixed venous.it was negative for vsd/asd and showed ef of 30%, akinesis of inferior septum and inferior free wall, severe hypokinesis of posterior wall, no as, no ai, 1+mr. as her rv recovers, she no longer needed the high cvp and was diuresed easily with lasix. patient had complete heart block and then 2nd degree type ii block while in the cath lab. temporary pacing wire was placed and was then removed in the ccu. she remained in 1st degree heart block throughout her stay with premature atrial beats occasionally. on , she went into atrial fibrillation and failed metoprolol and calcium channel blocker. she was dc cardioverted back to nsr. amiodarone was started and given that she had an mi and was acutely ill, it was decided that she should be kept on amiodarone for one month. her tsh was normal. while in the ccu, she developed bouts of diarrhea which turned out to be c.diff negative. she also had a lot of gas and belching which caused her to be nauseous. her ekg was unchanged. she became better after being out of bed. kub was done which was negative for perforation. lfts and pancreatic enzymes were normal she also had acute platelet drop while on ballon pump and heparin. her hit antibody was negative. she has guiac positive stool while on anticoagulation in the ccu. her hematocrit remained stable and further work up was deferred to outpatient management. she should have follow up with her pcp for this. of note, she also completed 7 days course of oxacillin for mssa in her sputum while she spiked a fever in the ccu she was continued on aspirin, plavix, lisinorpil, lipitor and toprol. since she has residual disease of her coronaries, she may require cabg in the near future. cardiac surgery was consulted and she will be followed as outpatient in 2 weeks. medications on admission: estrogen discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 4. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 5. lorazepam 0.5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 6. simethicone 80 mg tablet, chewable sig: 0.5-1 tablet, chewable po qid (4 times a day) as needed. 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 8. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 9. amiodarone hcl 200 mg tablet sig: one (1) tablet po daily (daily) for 1 months. 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 11. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). 12. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 13. dolasetron mesylate 12.5 mg/0.625 ml solution sig: 12.5 mg intravenous q8h (every 8 hours) as needed for nausea. 14. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. discharge disposition: extended care facility: hospital - discharge diagnosis: inferior myocardial infarction and right ventricular infarction respiratory failure discharge condition: stable discharge instructions: please take all prescribed medication. do not stop aspirin or plavix under any circumstances unless you have spoken to a cardiologist. please return to the hospital or call your doctor if you have chest pain/intractable nausea/shortness of breath or if there are any concerns at all followup instructions: provider: , cardiac surgery lmob 2a where: cardiac surgery lmob 2a date/time: 11:00 please follow up with your pcp within one month of your discharge. you had small amount of bleeding from your digestive tract in the hospital that needs to be followed up. provider: , .d. where: cardiac services phone: date/time: 3:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube enteral infusion of concentrated nutritional substances other electric countershock of heart non-invasive mechanical ventilation insertion of temporary transvenous pacemaker system atrial cardioversion implant of pulsation balloon transfusion of packed cells right heart cardiac catheterization nonoperative removal of heart assist system diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation paroxysmal ventricular tachycardia atrioventricular block, complete cardiogenic shock cellulitis and abscess of upper arm and forearm 

Answer: The patient is high likely exposed to