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: no known allergies / adverse drug reactions attending: chief complaint: low energy, cough major surgical or invasive procedure: expired history of present illness: 79yom with prior mi s/p ptca, vt/vf s/p ablation, schf (last ef 23% in ) presenting with low energy, fatigue, abdominal discomfort. the patient reported progressively worsening fatigue and lethargy for the past 4 months associated with nausea. he also reports a progressive dry cough during that time period, but denies sputum production, fevers, shortness of breath, or sick contacts. does report sinus pressure but denies headaches, rhinorrhea, or sore throat. per ed report, he had endorsed abdominal discomfort with belching but the patient currently denies this history. he also endorses increased significant water intake recently with increased pedal edema. his cardiologist reports increased facial edema as well. of note, the patient has had difficulty with his gait for the past 6 months, which is documented in omr. his primary care physician was concerned for parkinsonian symptoms given his facial expression, gait imbalance, and midl tremor. the patient had declined neurological evaluation per omr notes. on review of systems, the patient denies headache, vision changes, confusion or somnolence, sore throat, sputum production, rhinorrhea, shortness of breath, chest pain, emesis, abdominal pain, diarrhea, dysuria, polyuria, new or unusual myalgias or arthralgias, or rash. he does report he was constipated last week and took an enema with improvement of his symptoms. his last bm was reportedly yesterday, and he denies brbpr or melena. in the ed, initial vs were: 97 127 151/117 20 95% 3l. sodium was discovered to be 115, and the patient was given ns 700cc total. head ct showed no evident cerebral edema. cxr showed l lobe infiltrate with a round area in the center of lucency concerning for possible cavitation, with radiology recommendation of further evaluation w/ ct scan given concern for abscess. he received levofloxacin 750mg, ceftriaxone 1gm, azithromycin 500mg (for legionella coverage). he was noted to be in new onset a fib with rvr, and was given in the diltiazem 10 mg iv x2 and 30 mg p.o. for rate control with good effect. he was admitted to the micu for the degree of hyponatremia. subsequent vs prior to transfer was: 134/116 and subsequently 109/76, 89, 24, 94% 3l . on arrival to the micu, the patient denied symptoms other than fatigue, including chest pain, shortness of breath, confusion, abdominal pain, nausea. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: - vfib/vt s/p radiofrequency ablation with origin at site of scar from previous mi. - inferior mi in s/p ptca; mibi in with severe fixed inferior defect - chf: ef=26% in - htn - anxiety - hyperlipidemia - concern for possible parkinson's disease per pcp note, given gait, tremor and facial expression - vertigo - hiatal hernia - basal cell carcinoma s/p excision from left knee - back pain social history: - tobacco: smoked 3ppd x 20 yrs but quit in - alcohol: 2 beers before dinner daily - illicits: denies former english teacher. lives with his partner, in an independent living facility (forbes building in jp). family history: n/c physical exam: admission physical exam: vitals: t: 95.4 bp: 114/72 p: 103 r: 18 o2: 93% nc (displaced) general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp difficult to assess thick neck and redundant skin cv: irregularly irregular, normal s1/s2, no murmurs, rubs, gallops, soft heart sounds lungs: poor inspiratory effort, crackles and decreased breath sounds at left lung base, minimal scattered inspiratory wheezes throughout abdomen: soft, non-tender, non-distended, bowel sounds present gu: foley in place ext: cool, mildly dusky feet b/l, 2+ pitting edema to knees b/l, 1-2mm round erythematous papules on feet b/l pertinent results: labs: on admission: 04:30am blood wbc-7.5 rbc-4.34* hgb-15.5 hct-42.2 mcv-97 mch-35.7* mchc-36.7* rdw-13.1 plt ct-164 04:30am blood neuts-76.2* lymphs-15.6* monos-7.3 eos-0.7 baso-0.2 04:30am blood glucose-97 urean-12 creat-0.8 na-115* k-3.8 cl-79* hco3-14* angap-26* 04:30am blood alt-34 ast-60* ck(cpk)-156 alkphos-92 totbili-2.6* 04:30am blood lipase-25 ggt-299* 04:30am blood ck-mb-9 04:30am blood ctropnt-0.01 10:45am blood ck-mb-9 ctropnt-0.02* probnp-6386* 04:30am blood albumin-3.5 calcium-8.2* phos-3.5 mg-1.5* 04:30am blood tsh-1.3 imaging: tte: suboptimal image quality. left ventricular cavity enlargement with severe and extensive systolic dysfunction c/w multivessel cad or other diffuse process. severe mitral regurgitation. right ventricular cavity enlargement with free wall hypokinesis. pulmonary artery hypertension. dilated thoracic aorta. ct head: no acute intracranial abnormality. if concern persists for subtle parenchymal edema, mri is the more sensitive modality for evaluation. ct chest: 1. large consolidations involving the left upper lobe without cavitation/lung abscess. 2. moderate bilateral simple pleural effusions with atelectasis of the adjacent lung. 3. moderate to sever cardiomegaly with calcification of papillary muscle, posterior and posteroinferior wall of left ventricle reflecting sequaela of post myocardial infarction. morphology reflecting akinetic left ventricular wall is better correlated with mibg scan dated . 4. enlarged and borderline sized mediastinal lymph nodes. 5. moderate-to-severe coronary artery atherosclerotic calcification. . echo left ventricular wall thicknesses are normal. the left ventricular cavity is dilated. overall left ventricular systolic function is severely depressed (lvef= 15 %) secondary to akinesis of the inferior and posterior walls, and hypokinesis of the rest of he left ventricle. the inferior and posterior walls are thin, fibrotic, and akietic. the right ventricular cavity is dilated with severe global free wall hypokinesis. the mitral valve leaflets are mildly thickened. severe (4+) mitral regurgitation is seen. there is no pericardial effusion. compared with the findings of the prior study (images reviewed) of , severe left and right ventricular contractile dysfunction and severe mitral regurgitation are again seen. . . 04:03am blood wbc-13.4* rbc-4.61 hgb-15.4 hct-46.6 mcv-101* mch-33.5* mchc-33.1 rdw-12.9 plt ct-141* 04:59am blood wbc-13.7* rbc-4.01* hgb-13.7* hct-40.6 mcv-101* mch-34.1* mchc-33.7 rdw-12.7 plt ct-124* 04:03am blood neuts-85.4* lymphs-9.6* monos-3.9 eos-0.9 baso-0.1 04:59am blood neuts-85.8* lymphs-7.3* monos-5.5 eos-1.4 baso-0.1 04:03am blood plt ct-141* 04:03am blood pt-18.5* ptt-75.4* inr(pt)-1.7* 04:14am blood fibrino-367 04:03am blood glucose-124* urean-26* creat-2.7* na-131* k-4.5 cl-93* hco3-21* angap-22* 04:59am blood alt-69* ast-67* ld(ldh)-767* alkphos-138* totbili-2.4* 04:03am blood calcium-8.9 phos-3.1 mg-1.5* 04:31am blood type-art po2-96 pco2-48* ph-7.27* caltco2-23 base xs--4 04:33am blood type- ph-7.28* comment-green top 04:31am blood lactate-2.6* brief hospital course: 79yom with prior mi s/p ptca, vt/vf s/p ablation, schf (last ef 23% in ), presented to ed on with lul pna and hyponatremia. he had ams hyponatremia and was admitted to micu for close monitoring and possible administration of hypertonic saline. he was treated with broad spectrum antibiotics. echo on time of admission showed global systolic dysfunction with 4+ mr of 20%. he was started on iv lasix and subsequently milnorone to enhance co. pt was determined to be in cardiogenic shock and subsequently transferred to the ccu. . in the ccu, pt was started on lasix drip, metolozone and milnorone continued but uop was unresponsive. iabp was placed and uop did not pick up. renal was consulted for cvvh for hypervolemia. pt was started on cvvh and 3-4l/day were removed over the next 4 days. . over course of hospitalization, there was concern for aspiration. s/s was consulted and diet was modified to thin liquids. an ngt was suggested, but pt refused. on hd 5, pt was coughing persistently whenever taking , ngt was finally placed. cxr revealed b/l patchy infiltrates concerning for worsening pulmonary edema vs aspiration pneumonia vs pneumonitis; antibiotics were broadened. pt developed increasing o2 demand and became hypoxic with non-rebreather on, and was subsequently intubated. after intubation, pt's pressures began to drop, so cvvh was held and pt was started on pressors. he continued to clinically decline, and healthcare proxy was and came to the hospital. a goals of care discussion occured and proxy decided to make pt dnr. over the course of the following day, pt's condition worsened despite pressor support, intubation and iabp. hcp decided to make pt and pt ultimately expired cardiopulmonary arrest. medications on admission: - atorvastatin 10mg daily - aspirin 162mg daily - alprazolam 0.5mg tid prn - lisinopril 2.5mg daily - omeprazole 20 mg daily - ntg 0.4 mg sl prn - paxil 20 mg daily - fluticasone 50 mcg/actuation nasal spray 1 spray qday - prn - toprol xl 50 mg daily discharge medications: n/a discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using a single catheter hemodialysis implant of pulsation balloon right heart cardiac catheterization diagnoses: acidosis coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia atrial fibrillation other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus cardiogenic shock old myocardial infarction do not resuscitate status acute on chronic systolic heart failure alcohol abuse, continuous 

Answer: The patient is high likely exposed to