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: shortness of breath major surgical or invasive procedure: intubation history of present illness: 68 y/o f with no medical care x years, who called ems tonight c/o shortness of breath. upon their arrival, she was found to be agonal breathing, foaming at the nose/mouth, and an oxygen saturation of 80%. (per report from ed resident, as there are no ems records available.) she was intubated by ems and brought to . at , she was hemodynamically stable (sbp 120s-140s, pulse 100s). she was given versed 2 mg, narcan 2 mg, morphine 4 mg, and ativan 1 mg. per our ed resident, she was also given lasix 40 mg and had 800 cc uop at but this is not in their records. she had an ekg that demonstrated a lbbb, and so she was medflighted to for possible cardiac intervention. she also received vecuronium at some point. . in our ed, her vitals were: 99.4, 115/75, 113. her inital vent settings were not recorded, but her oxygen saturation was between 94 and 98% on 100% fio2. she required a peep of 15. she was noted to have a uti on her ua and was given vanco, levofloxacin, and flagyl. she was also given sedation with versed. she had a bedside echo by the ed resident which reportedly showed a hyperdynamic state. . upon discussion with her daughter, she reports that the pt is a scientist and has not seen a doctor for over 20 years secondary to her religious preferences. her daughter states the pt has been more short of breath lately and has been complaining of weakness and dizziness, as well as insomnia. this has been going on for a matter of months. did not complain of chest pain, nausea, vomiting, abd pain per daughter. daughter saw her yesterday and noted that her mom was able to get around the house, etc. past medical history: unknown as pt has not seen physician in over 20 years. per daughter, she shattered her patella a few years ago and refused surgical intervention at that time. social history: lives by herself. works as science practitioner. used to smoke tobacco, daughter unsure how much, quit 20 years ago. no etoh use. divorced. family history: noncontributory per daughter physical exam: t: 98.0 bp: 109/59 p: 86 ac 600x22 (23) fio2 0.7 peep 15 o2 sat 100% gen: intubated/sedated but opens eyes to voice, follows commands in all four extremities heent: pupils 2 mm and nonreactive bilaterally, dried blood on face neck: jvd difficult to visualize lungs: inspiratory crackles at left base, good air movement, no wheezing cv: tachycardic, distant heart sounds, no murmur abd: soft, nontender, nondistended, +bs. + vaginal prolapse with some skin breakdown. ext: trace to 1+ pitting lower extremity edema bilaterally to knees pertinent results: hct 37.3 on admission, 30.2 currently creatnine 2.2 on admission, baseline unknown 01:55am blood wbc-8.4 rbc-4.20 hgb-10.5* hct-30.2* mcv-72* mch-24.9* mchc-34.6 rdw-15.6* plt ct-257 01:55am blood glucose-106* urean-48* creat-2.2* na-142 k-3.8 cl-106 hco3-24 angap-16 01:55am blood ck(cpk)-76 05:56am blood alt-25 ast-25 ck(cpk)-60 alkphos-118* totbili-0.3 02:30am blood alt-29 ast-41* ck(cpk)-71 alkphos-142* amylase-116* totbili-0.2 02:30am blood ctropnt-<0.01 05:56am blood ck-mb-notdone ctropnt-0.04* 12:30pm blood ck-mb-4 ctropnt-0.03* 06:19pm blood ck-mb-4 ctropnt-0.01 01:55am blood ck-mb-notdone ctropnt-0.01 echo on : conclusions: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is severely depressed with global hypokinesis and akinesis of the septum and apex. the basal half oof the inferiuor wall is akinetic with an inferobasal left ventricular aneurysm. there is no ventricular septal defect. the right ventricular cavity is mildly dilated. there is mild global right ventricular free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. cxr on : impression: 1. high position of the endotracheal tube tip situated at the thoracic inlet. 2. severe interstitial pulmonary edema. leni on : brief hospital course: 68 y/o f w/no medical care who called ems today for respiratory distress. currently requiring large amounts of support from the ventilator. . # hypoxic respiratory failure: given the clinical findings of pulmonary edema on cxr, peripheral edema on physical exam, this is likely due to congestive heart failure. it is unclear if this is flash pulmonary edema (due to myocardial ischemia, valvular dysfunction) vs. worsening of chronic pulmonary edema, as her daughter reports shortness of breath that has been going on x months. also has bnp over 3000 but could be r heart strain in setting of hypoxic resp failure. given clinical hx, the patient was treated as if she was in chf. an echo was pefromed which revealed poor ef. extubated without event, and no longer has oxygen requirement. the patient was able to be weaned off of oxygen and was doing well on room air upon discharge. . # cardiac: lvef = 20%. slightly elevated troponins on admission likely due to chf exacerbation. lbbb is concerning if it's new, but since we have nothing to compare and first set of enzymes are negative, it's likely old. the patient diuresed well on furosemide. she was started aspirin given new left bundle. also noted to have a. fib with rvr while in the micu and started on metoprolol. the patient diuresed well on iv lasix and her lung exam improved. the patient underwent cardiac catheterization which showed non-occlusive disease, no interventions were done. the patient was started on po lasix, toprol xl and lisinopril. . # hypotension: likely due to chf, as appears total body volume overloaded on initial exam. the patient had a normal lactate which is reassuring, and her mental status is also good as she can follow commands, etc. she did not require pressors and was called out of the unit. the patient's hypotension resolved while on the floor and was able to tolerate bp meds for cardiac protection. . # renal failure: unknown baseline. ua has no protein in it, to suggest chronic nephropathy, ? due to diabetes. be due to hypoperfusion from poor forward flow secondary to atn. sediment only showed wbcs, no casts. the patient's creatinine clearance had a nadir of 1.9 upon discharge. this should be her baseline creatinine function . # dm: fs in 300s upon arriving to icu, so has diabetes. the pt was on insulin sliding scale, fs qid but did not require further insulin during her stay. the hgaic was normal. this was likely as stress reponse. . # uti: the patient was treated for a 7 day course of ciprofloxacin. she had no urinary symptoms upon discharge. . # restless legs: the pt received ativan prn for restless leg syndrome. the patient was instructed to follow up with a pcp for further care. medications on admission: none discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ativan 0.5 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: congestive heart failure discharge condition: stable discharge instructions: you were diagnosed with coronary artery disease and congestive heart failure. you were started on a number of medications. please take all medications as prescribed. rest until you feel better * be sure to take any prescribed medications as you were instructed. continue your previously prescribed medications unless you were instructed to do otherwise. warning signs: limit the amount of fluids you drink to about 2 liters. if you gain more than five pounds over two to three days, please call your primary care provider call your doctor or return to the emergency department right away if any of the following problems develop: * you are not getting better in 24 hours, or you are getting worse in any way. * you experience new chest pain, pressure, squeezing or tightness. * you have shaking chills, or a fever greater than 102 degrees (f) * new or worsening cough or wheezing. * abdominal (belly) pain, vomiting, severe headache. * dizziness, confusion or change in behavior. * any serious change in your symptoms, or any new symptoms that concern you. followup instructions: you have been referred to dr for your uterine prolapse. please call to schedule an appointment. they will provide further instructions on where to go and what you need to bring. at 2:15. please follow up in the heart failure clinic in the next 3 weeks. please call for more information about an appointment. you need to establish care with a primary care provider. can call 1- or to get a primary care provider. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation other chronic pulmonary heart diseases acute respiratory failure hypotension, unspecified other left bundle branch block combined systolic and diastolic heart failure, unspecified restless legs syndrome (rls) uterovaginal prolapse, complete 

Answer: The patient is high likely exposed to