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: s/p ventricular fibrillation arrest major surgical or invasive procedure: 1. chest tube placement 2. central venous line placement 3. cardiac catheterization 4. aicd and pacemaker placement history of present illness: the patient is an 82 yo female who was transferred from an osh s/p ventricular fibrillation arrest, and fall down stairs. per report, she was found unresponsive at the scene in vfib. she was shocked, converted to vtach, then asystole, but returned to a rhythm after a lidocane bolus. a combitube was placed after multiple attempts to place an ett and she was brought to the outside hospital, and a left chest tube was placed. she was transferred to the ed via ground critical care, and there was difficulty with her airway en route. a trauma stat was immediately initiated. past medical history: congestive heart failure cardiomyopathy htn cataracts social history: patient is originally from , speaks hatian creole. currently lives with daughter and son-in-law, and has large extended family in area. walks miles/ day, independent in adls. family history: non-contributory physical exam: pe on admission: t: 99.2 f (rectal) p: 67 bp: 139/78 r: 18 sao2: 99% on mask general: intubated, severe distress eyes: pupils 2 mm bl neck: crepitus along left neck chest: crepitus left chest lungs: clear on right, decreased on left abdomen: distended, soft, fast negative gu: pelvis stable extremity: stable le pertinent results: on admission: 09:35pm wbc-12.8* rbc-3.74* hgb-11.6* hct-33.5* mcv-90 mch-31.1 mchc-34.7 rdw-14.4 09:35pm plt count-253 09:35pm pt-12.2 ptt-19.7* inr(pt)-1.0 09:35pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:35pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 09:35pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:35pm ck-mb-7 ctropnt-0.07* 09:39pm lactate-1.9 . pertinent imaging: ct head/cspine (osh): no cspine fx, possible contusion in r temporal lobe and l quadrigeminal plate. ** radiologist felt these were artifact** xray humerus (osh): transverse l humural mid diaphyseal fx ct a/p (osh): small l pneumo, no solid organ injury, subq emphysema in neck, lll nodular density. b/l pulmonary infiltrates w/ likely aspiration. xray tls spine (osh): negative for fx 1/19 l humerus: (post reduction) diaphyseal shaft fracture with some overlapping of fragments, proximal fragment more lateral with respect to the distal fragment. overlying cast material is observed. improving the apposition of fragments may be desirable. ct head: no intracranial hemorrhage xray: subcutaneous air in neck. pneumomediastinum. consolidation in posterior segment of right upper lobe. intrafissural left chest tube. subpulmonic air on the left. question pneumothorax. cxr: (prelim) subpulmonic air bilat, chest tubes in place, r cvl tip in svc - no apical ptx. subcut emphysema in neck. cxr: (post-h2o seal) continued improvement in aeration of lung fields with small residual patchy density at rll field. evidence of apical pneumothorax. peridiaphragmatic air collections stable. cxr: no specific ptx. ? opacity-pleural effusion v. atelectasis cxr: vascular congestion, pleural effusion cxr: area of opacification ? developing upper lobe pneumonia. . echo : lvef= 15-20 %. no tamponade. . cultures: : blood cx: no growth mrsa screen negative urine cx pending blood cx pending - sputum cx - klebsiella and h.flu blood culture coag negative staph blood cultures negative to date . cxr : comparison is made to the prior day. a three- lead pacemaker/aicd device is again demonstrated. the patient has a tracheostomy tube. the heart is again markedly enlarged, and there are linear bibasilar opacities, likely atelectasis, as well as similar small pleural effusions. however, no congestive heart failure, focal consolidation, or pneumothorax is present. . cardiac catheterization: non occlusive coronary artery disease: final report pending. brief hospital course: the patient admitted to the trauma icu, dr. , attending, and was emergently taken to the operating room for a tracheostomy to provide a definitive airway. . airway/breathing: the patient emergently had a tracheostomy to provide a definitive airway, as discussed above. in the ticu, the ventilator was weaned as tolerated. the patient had two chest tubes placed for a left pneumothorax (first placed at osh did not drain well). second chest tube was discontinued on . the patient had daily chest x-rays during the begining of her icu stay. speech and swallow was consulted on regarding a pmv. the patient was initially unable to tolerate the passy-muir valve. due to increased secretions a sputum culture was sent and positive for klebsiella and h-flu. she was treated with a 7 day course of zosyn and vancomycin. on the patient was reevaluated for passy-muir valve and tolerated this well. she was increasingly more alert and able to clear secretions with less and less frequent suctioning. she used the passy-muir valve for the majority of the remainder of her time in the hospital. she was followed by respiratory therapy who felt that she would potentially be ready in the future for decannulation of her trach if she continues to improve. the patient also has a follow-up appointment with dr. in trauma surgery after discharge. . hypotension: a triple lumen was placed in the left subclavian on for central access. she was initally started on neosynephrine, and transitioned to levophed. pressors were discontinued on . she did not require pressors for the remainder of her stay but did have a brief episode of hypotension on after receiving aggressive diuresis. this resolved with a small fluid bolus and no further intervention. . pneumonia: chest x-ray performed on showed increased opacities, suggestive of pneumonia. her temperature spiked to 101.3 f, and she was found to have a white count of 13 on . as above, her sputum culture grew klebsiella and h.flu and she was treated with a one week course of zosyn and vancomycin. she had no focal findings concerning for focal pna on chest x-ray. . ? intracranial hemorrhage: neurosurgery was consulted regarding a possible intracranial hemorrhage seen on ct from osh. a repeat ct was performed. the neurosurgical team did not see any sign of intracranial hemorrhage, or any suggestion for need for neurosurgical management. . left humeral fracture: the patient sustained a transverse midshaft humeral fracture. this injury wanaged by orthopedics. the humerus was reduced and splinted on hd 1. the patient received a brace on , and is scheduled to follow up with dr. in approx 3 weeks after discharge. . cardiovascular: cardiac enzymes were cycled. initial troponin was found to be 0.07, which trended down with cycling. cardiac enzymes are uninterpretable in setting of cardioversion and cpr. an echo was performed on which showed a cardiomyopathy with an ef of 15-20%. diuresis was started with iv lasix then d/c'd on due to hypotension thought secondary to overdiuresis. she underwent cardiac catheterization on to further eval for possible ischemic cardiomyopathy and she was found to have non-obstructive coronary artery disease. on she underwent aicd and biventricular pacemaker placement and tolerated the procedure well. she will require one additional day of prophylactic abx after hardware placement with one day of keflex 500mg po q6h. she has an appointment to follow-up in device clinic in one week for interrogation. she was restarted on a low dose of lasix 20mg po daily. this dose may be titrated as needed as renal function allows. for heart failure medications, the patient was restarted on home dose of valsartan as bp allowed which may be uptitrated as tolerates. also, she should continue on asa 81mg, metoprolol, and atorvastatin. . gi: a dobhoff tube was placed on , she had tubefeeds until when the ng tube was discontinued. she was followed by nutrition and started on pureed diet which she tolerated. an attempt at regular solids was made, however the patient's dentures were found to be ill-fitting. her diet was then adjusted to a soft dysphagia diet with thin liquids (which she tolerated without signs of aspiration). nutrition recommended ensure supplements with meals. . psych: after the trauma and emergent tracheostomy the patient was intermittently agitated requiring haldol (responded well) as well as soft restraints. her mental status cleared slowly throughout the course of her hospitalization. medications on admission: toprol 25 asa 81 diovan 160 discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 2. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain: hold for sedation or rr<12. 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. ferrous sulfate 325 mg (65 mg iron) tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 8. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed for constipation. 12. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day: in addition to 25mg tablet for total of 75mg daily. 13. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day: in addition to 50mg tablet for total of 75mg daily. 14. insulin regular human 100 unit/ml solution sig: one (1) injection injection asdir (as directed): per standard sliding scale - to be adjusted as needed. 15. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day). 16. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 17. valsartan 80 mg tablet sig: one (1) tablet po daily (daily): hold for sbp <100. 18. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 19. keflex 500 mg capsule sig: one (1) capsule po every six (6) hours for 1 days: for a total of 4 doses. discharge disposition: extended care facility: hospital discharge diagnosis: 1. s/p ventricular fibrillation arrest 2. s/p fall 3. transverse left humeral mid diaphyseal fracture 4. pneumothorax 5. hospital acquired pneumonia 6. idiopathic cardiomyopathy discharge condition: stable for discharge to rehab facility discharge instructions: you have been admitted to the after having a cardiac event and falling. you were initially taken care of by the trauma, orthopedics, neurosurgery, and surgical icu teams. you have a broken left arm. please do not bear weight on this arm. also, your heart was found to be weaker than normal. several medications were added to strengthen your heart. you underwent a cardiac catheterization which showed that your coronary arteries had no significant blockages. a device called an aicd and pacemaker were placed to help with your heart rhythm and prevent your heart from staying in a dangerous arrhythmia. . you will be going to a rehabilitation center after discharge to help rebuild your strength. you should continue to wear your left arm brace and will follow-up with dr. as scheduled. . if you experience fever, chills, shortness of breath, chest pain, or lightheadedness or dizziness, or if your condition worsening in any way, seek immediate medical attention. followup instructions: you have the following scheduled appointments: please follow up with orthopedics, dr. on at 1:30pm. . you have a follow-up appointment in the trauma surgery clinic on tuesday, at 2:30 with dr. (). . you have a follow-up appointment on at 11:00am in device clinic on the of the building. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more coronary arteriography using two catheters left heart cardiac catheterization insertion of endotracheal tube temporary tracheostomy application of splint implantation of cardiac resynchronization defibrillator, total system [crt-d] diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension systolic heart failure, unspecified pulmonary collapse hypotension, unspecified pneumonitis due to inhalation of food or vomitus accidental fall on or from other stairs or steps other left bundle branch block ventricular fibrillation other and unspecified special symptoms or syndromes, not elsewhere classified traumatic pneumothorax without mention of open wound into thorax pneumonia due to hemophilus influenzae [h. influenzae] pneumonia due to klebsiella pneumoniae home accidents closed fracture of shaft of humerus interstitial emphysema 

Answer: The patient is high likely exposed to