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: doe major surgical or invasive procedure: pacemaker placement history of present illness: 82 year old female with chief compliant doe over several months presenting for pacemaker placement. for the last 6mo pt would have dyspnea climbing 1 flight of stairs, or walking for a distance in her home. denies any associated cp, syncope, lh, dizziness, diaphoresis. pt's dyspnea has not progressed but constant over time. last week saw dr. (cardiology at , )pt had a holter moniter, and returned it on monday. the holter monitor found 2nd degree heart block (mobitz ii), and pt was admitted for pacemaker placement. currently pt is asymptomatic. . upon arrival to the ed, she had temperature 97.7, bp 151/43, hr 35, rr 16, sat 100% on room air. she received 243 mg aspirin (already took 81 mg at home). her heart rate was in the 40s for thr duration of her ed stay without any symptoms; her bp remained normal. . . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias past medical history: - hyperlipidemia (recently self-d/c'ed atorvastatin) - rectal bleeding - scheduled for colonoscopy as outpt later this mo. social history: no hx of smoking,etoh. volunteers currently family history: father had a pacemaker. mother had gastric cancer and diabetes. physical exam: admission: vitals: 97.6, 158/99, 30, 16, 99%2l general: pleasant, nad heent: nc/at, anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: ctab, no wheezes, rales, ronchi cv: rrr, normal s1 + s2, no murmurs, rubs, gallops abdomen: +bs nt/nd, soft ext: no c/c/e, pulses 2+ neuro: aox3, cn ii-xii grossly intact, no focal deficits pertinent results: 04:06pm blood pt-12.9 ptt-25.1 inr(pt)-1.1 04:06pm blood glucose-97 urean-34* creat-1.3* na-141 k-4.6 cl-105 hco3-25 angap-16 04:06pm blood ck-mb-4 04:06pm blood ctropnt-<0.01 05:09am blood ck-mb-notdone ctropnt-<0.01 04:06pm blood ck(cpk)-101 05:09am blood ck(cpk)-73 04:06pm blood calcium-9.7 phos-3.6 mg-2.3 06:20am blood wbc-7.2 rbc-3.98* hgb-11.5* hct-34.4* mcv-87 mch-29.0 mchc-33.5 rdw-13.8 plt ct-256 05:09am blood pt-12.6 ptt-25.0 inr(pt)-1.1 06:20am blood glucose-93 urean-25* creat-0.9 na-143 k-4.4 cl-108 hco3-25 angap-14 07:15pm urine color-straw appear-clear sp -1.005 07:15pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-neg urine culture (final ): <10,000 organisms/ml. ecg: baseline artifact. sinus rhythm at upper limits of normal rate with 3:1 a-v block. left bundle-branch block. left axis deviation. consider inferior myocardial infarction. clinical correlation is suggested. no previous tracing available for comparison. echo: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 70%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. there is an anterior space which most likely represents a fat pad. cxr 6/6/9 compared to the film from the prior day the leads are in similar location. degenerative changes are noted of the spine. the lungs are clear without infiltrate or effusion. brief hospital course: 82yof w/ hx of hl and no other cad hx who p/w doe x6mo and found on holter to be in mobitz ii. . # mobitz ii 2nd degree heart block: the patient reports doe over the last last 6 months. the patient saw her cardiologist and underwent holter monitoring. it revealed 2nd degree heart block (mobitz ii), and the patient was admitted for pacemaker placement. admission ecg showed 3:1 av block. the patient had pacer pad placed and atropine at the bedside. she underwent pacemaker placement on and received pre/post doses of vancomycin. additionally, she was continued on 3 days of keflex. she had a cxr that did not reveal ptx and pacer leads in proper position. the patient underwent echo that did not show effusion and ef of 70%. the patient tolerated the procedure and was discharged with device clinic follow-up in 1 week. # coronaries: the patient with no hx of cad. she was continued on asa 81 for primary prevention. # pump: the patient underwent echo that showed ef 70%. the paitent had no signs of chf and remained euvolemic. # hypertension: the patient with no prior history of htn. she did have several episodes of hypertension with sbp in the 150's. this could be due to pain post-procedure or undiagnosed htn. however, she did also have several measurements with sbp <120. therefore, no medication were initiated. the patient should have outpatient follow-up with her pcp. medications on admission: aspirin 81 mg daily discharge medications: 1. aspirin 81 mg tablet sig: one (1) tablet po once a day. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. 3. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 11 doses: last day . disp:*11 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: heart block, status post pacemaker placement secondary:hyperlipidemia discharge condition: stable discharge instructions: we determined that your heart was going into dangerous rhythms and you had a pacemaker placed. you tolerated the procedure well. you will need to have your pacemaker checked in device clinic on which we have scheduled. no changes were made to your medications. if you experience chest pain, shortness of breath, dizziness, passing out, fevers or chills please contact your cardiologist or come to the emergency department for evaluation. followup instructions: provider: clinic phone: date/time: 9:30 provider: , m.d. phone: date/time: 1:00 provider: , md, phd: date/time: 2:30 procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: other and unspecified hyperlipidemia other specified cardiac dysrhythmias atrioventricular block, complete blood in stool other left bundle branch block 

Answer: The patient is high likely exposed to