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: unresponsiveness major surgical or invasive procedure: pt expired history of present illness: is a f with chf, cad, afib on a/c, copd, parkinson's who was recently admitted to for respiratory distress copd vs chf, found unresponsive today in facility for unknown duration. patient was discharged feeling well other than an intermittent cough. at 6pm evening of admission, she was seen by grandson in normal state of health. at 7pm, she began to watch a movie alone and at 9pm she was found unresponsive in bed. . ems was called. in the field, ecg detected st elevations in ii, iii, and avf. . in the ed, initial vitals were 97.8 120s/80s 80s st elevations in ii, iii with some reciprocal changes fent/versed, intubated . review of systems unable to obtain as patient was intubated and sedated on arrival past medical history: chf: admitted with dyspnea, found to have bnp . tte revealed moderate to severe mr , severe pulmonary htn, and ef 55-60%. symptoms improved with lasix and she was discharged to her facility. torsemide and spironolactone as outpatient. - coronary artery disease/nstemi: s/p 3v cabg in . in her chf hospitalization last month, troponin peak to 0.39 and ekg with evidence of prior inferolateral mi. given h/o severe bradycardia and family's reluctance to place a pacemaker, a beta-blocker was not started. she was started on high dose atorvastatin and continued on asa. - atrial fibrillation w/ second pauses and periods of bradycardia to high 30s. on coumadin. - bacterial pneumonia (s/p hospitalization in ); daughter reports that pt has had many pnas, including legionella, beginning with one debilitating episode of several months before the antibiotic era. - parkinsonism (essential tremor but no cogwheel phenomenon) - diabetes mellitus (currently not requiring treatment) - hypertension (well-controlled with baseline 120s/80s) - hyperlipidemia - acid reflux - s/p tah-bso - s/p cholecystectomy - s/p bilateral cataract surgery - hypothyroidism social history: tobacco: 5 cigarettes per day, quit 40 years ago (~10py) alcohol: denies due to medications. other drugs: denies. no intravenous drugs ever. the patient currently lives alone in springhouse () in where she gets ot, pt, and medication assistance. also gets assistance in shower and while eating. her husband passed away in . she was a nurse at the hospital as a young woman. her daughter is on the board of the hospital and her son-in-law is a pediatrician; they visit her very frequently and keep close track of her health issues. family history: diabetes: patient's mother and father, both late in life. sister living with diabetes. physical exam: vs: t=97.5 bp= 118/60 hr= 73 rr= 14 o2 sat=100% on 70%fio2 general: intubated, sedated heent: ncat. sclera anicteric. anisocoria, l pupil 4mm, r pupil 2mm, both reactive to light conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g appreciated. no thrills, lifts. no s3 or s4. lungs: intubated, ronchi and crackles throughout all lung fields. some blood being aspirated from et tube abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: trace pitting edema in le b/l. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ neuro- sedated, anisocoric, b/l babinski sign, withdraws to deep painful stimuli b/l pertinent results: 09:25pm wbc-14.2* rbc-3.18* hgb-9.1* hct-28.9* mcv-91 mch-28.7 mchc-31.6 rdw-15.8* 09:25pm neuts-75.6* lymphs-19.3 monos-3.6 eos-1.3 basos-0.2 09:25pm glucose-258* urea n-70* creat-2.5* sodium-131* potassium-5.7* chloride-103 total co2-11* anion gap-23* 09:25pm estgfr-using this 09:40pm lactate-10.4* 09:25pm alt(sgpt)-11 ast(sgot)-68* alk phos-100 tot bili-0.9 09:25pm lipase-55 09:25pm probnp-* 09:25pm ctropnt-0.11* 09:25pm albumin-3.8 brief hospital course: assessment and plan #unresponsiveness/respiratory failure patient was unresponsive with agonal breathing for unknown period of time. causes of this episode include cardiac, infectious, and neurologic. given previous hx of cad and cabg with st elevations in ems concerning for large mi. however, the family was refusing cardiac catheterization so no intervention done. as patient was anisocoric upon presentation, along with elevated wbc and lactate that resolved within 24, and given hx of seizures, another hypothesis was that she had a seizure and stroke (one precipated the other). ct head was negative but this could not full rule it out as it could be a small bleed or ischemic event. fatal arrhythmia cannot be ruled out, though patient has no history other than a fib. elevated wbc from baseline with l shift, elevated lactate and possible infiltrate on cxr indicate infectious etiology. likely would be hospital acquired infection as she is s/p hospitalization 3 days ago. the patient was intubated upon arrival to the ccu and empiric antibiotics, iv steroids were initated for broad coverage and blood pressure support (family declined central lines and pressors). mechanical ventilation parameters were good in the morning and the patient was successfully extubated, although had some difficulty with secretions and required face mask ventilation. after discussion with the family the patient was transitioned to comfort measures only. morphine and lasix prn were given for air hunger and shortness of breath. her other medications were withdrawn except for keppra for seizure prophylaxis. the patient expired on . # coronaries: st elevations with recoprocal depressions in ems concerning for stemi. patient has history of cad, s/p 3v cabg in . as mentioned above, no invasive intervention was performed as family did not opt for intervention. she was medically managed with aspirin and statin. #pulmonary infiltrate the initial cxr was read as pulmonary edema. we had initiated broad spectrum antibiotics (vancomycin and zosyn) initially as patient was recently hospitalized and there was concern for hospital acquired pneumonia. the antibiotics were kept on for some time as they were considered symptomatic relief. when patient transitioned to comfort care these medications were withdrawn. # pump- chronic diastolic chf patient has history of heart failure with preserved ejection fraction. while in house previous admission, heart failure was consulted. team felt she was not decmpensated and recommended maintenace of torsemide dose and d/c spironolactone given creatinine and mild hyperkalemia. increase in probnp on this admission to 16,000 from 8000 is concerning for acute fluid overload. because her initial presentation was more concerning for sepsis patient did not receive diuresis (except fo palliative measures only) while in the icu. # rhythm: atrial pt was on coumadin at home. this was held while in house due to supratherapeutic inr. #parkinson's diease we continued home levodopa-carvidopa until cmo. #hypertension we held bp meds as concern for sepsis #?h/o sz: no dx of seizure disorder per record; eeg negative for sz but possibly with epileptogenic focus -we continued keppra while in house. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. albuterol-ipratropium 2 puff ih q6h:prn sob 2. mucinex *nf* (guaifenesin) 600 mg oral 3. symbicort *nf* (budesonide-formoterol) 80-4.5 mcg/actuation inhalation daily 4. torsemide 20 mg po daily 5. amlodipine 10 mg po daily 6. atorvastatin 80 mg po daily 7. aspirin 81 mg po daily 8. warfarin 1 mg po daily16 3 tabs mwf and 2 tabs sat, sun, tues, thurs 9. carbidopa-levodopa (25-100) 1 tab po tid 10. docusate sodium 100 mg po bid hold for loose stool 11. levetiracetam 125 mg po bid 12. levothyroxine sodium 25 mcg po daily 13. ranitidine 150 mg po once duration: 1 doses 14. calcium carbonate 500 mg po tid nutrition 15. vitamin d 400 unit po daily discharge medications: pt expired discharge disposition: expired discharge diagnosis: pt expired discharge condition: pt expired discharge instructions: pt expired followup instructions: pt expired md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other chronic pulmonary heart diseases personal history of tobacco use other and unspecified hyperlipidemia paralysis agitans acute respiratory failure pneumonitis due to inhalation of food or vomitus long-term (current) use of anticoagulants do not resuscitate status chronic diastolic heart failure 

Answer: The patient is high likely exposed to