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: percocet / lisinopril / zetia / / lovastatin / doxepin / boniva / gleevec / ciprofloxacin attending: chief complaint: fall major surgical or invasive procedure: none history of present illness: 88f with hx of cad, af on coumadin, cml, cri, s/p mechanical fall from standing prior to being in the shower today. she was attempting to hang something on the shower rod when she fell and hit her elbow. she denies any dizziness, cp, increased sob (has sob at baseline from copd), heart palpitations, loss of vision, weakness, numbness, tingling anywhere, n/v/f/c. patient has a "life necklace" that she pushed and then ems came and brought her to the ed. . of note, patient reports that she has fallen 3 times (including this one) over the last 2 months. the fall prior to this one was 1 month ago, as she was getting out of bed. she reports no cp, sob, dizziness, weakness or any other associated sx with this fall. she again pushed her "life necklace", but because she didn't hit anything, they did not take her to the ed. in addition, she had another fall 2 months prior that was as she was getting her trash ready to take to the dumpster and she then fell and landed on the floor. again, she didn't hurt anything, so there was no ed visit. . also of note, pt reports a 3 week hx of new urinary incontinence. she is not aware that she has to urinate "but then i'm just going", so she doesn't make it to the bathroom "because i don't know i need to go". she also notes fatigue over the last 3 weeks. . in , pt complained of left elbow pain without numbness or tinlging. initial vs were 98.3, 90, 116/69, 18, 99 % on ra. of note, while in the ed patient got up to go to the br and bp dropped transiently to 70 with recheck in 80's, not symptomatic, responded to 250 cc bolus of ns, re-eval without new symptoms. states bp usually 100/58, and she checks her bp daily. bp returned to 90's on re-evaluation. labs significant for wbc 10.6, hct 34.3, platelets 161, inr 2.6. creatinine 2.0 (from baseline 2.2), ua and ucx was sent. cxr showed mild intravascular engorgement with mild bibasilar atelecatasis. pelvis x-ray showed no definite fx but showed djd in both hips. elbow x-ray showed mildly displaced comminuted lateral epicondyle fracture with 6 mm osseous fragment within the joint space. ct head was negative. splint in place. ortho saw pt in the ed and will follow, no surgery at this time. ekg showed no change from prior.she was given morphine 4mg, zofran 2mg, vicodin 5mg x 2 and got 1 l ns. . upon transfer to the floor, patient was bp 90/47, hr 80, 16, 95% on 2l (was previously 91-92 on ra in ed). has 1 single piv 18g. she was c/o l arm pain and "feeling lousy" overall. other than arm pain, no specific complaints. . ros: patient reports worsened sob when lying flat x 2-3 years, with very mild recent worsening over the last 2-3 weeks. denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, above baseline shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: 1. hypertension / cad / chf ef 35%, iwmi cardiogenic shock. cath: lvef 0.40, inferior akinesis, 1+ mr, lmca, lad and lcx -- no significant disease, rca -- 100% prox. ett modified , 3.5 min, 55% age pred max heart rate, mibi lvef 48%, large inf fixed defect. echocard : mild sym lvh, ef only 30%, 2+ mr. s/p mi , cath one vessel dz rca, lvef 40%; ett fixed defect inf/lat and apical ef 42%, new septal moderate, parially reversible defect 2. type 2 diabetes, diet controlled. 3. atrial fib / flutter and wide complex tachycardia, rx pacemaker / defibrillator , anticoag. 4. cml, stable on gleevec despite side effects incl eye discomfort and occasional gassiness, dry heaves 5. hyperlipidemia, discontinued pravachol due to myalgias which then promptly resolved. had liver problems on , zocor so intolerant to multiple statins. 6. copd, fev1 1.13 . stopped smoking in , pulmonary eval : deconditioning and wt is contributing to dyspnea. 7. depression, 8. eczema / psoriasis, pruritis improved with sarna. 9. gerd, ? asymptomatic. 10. gout, treated. 11. hypothyroidism. 12. mesenteric ischemia, without abdominal sx after eating. positive angiogram 13. osteporosis. stopped fosamax due to heartburn. 14. renal insufficiency, creat 1.4. social history: uses a walker at baseline to get around outside of her apt, she says she "gets by" without it at home. she lives in an apt in senior housing in revers, she has a vna that comes 1x per week and another person who comes "to draw my labs to check my coumadin level", which her pcp . she is a widower with 2 children, both of whom are happy. smoked for 60 years 2ppd, quit in , denies alcohol or illicits. family history: mom died of a stroke at age 70, dad died of colon ca in his 70's. physical exam: admission physical exam: vs - temp 98.3f, bp 90/47, hr 80, r 16, o2-sat 95% on 2l general - elderly female lying in bed with l arm splint in nad heent - perrla, eomi, sclerae anicteric, mm mmildly dry, op clear neck - supple, no thyromegaly, jvp elevated to mandible while laying flat, no carotid bruits lungs - cta bilat anteriorly heart - irregularly, irregular, no mrg abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - bruises on both shins l>r neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout except did not test lue given it is in a sling, sensation grossly intact throughout pertinent results: admission labs: . 01:00pm blood wbc-10.6 rbc-3.31* hgb-11.6* hct-34.4* mcv-104* mch-35.0* mchc-33.6 rdw-15.6* plt ct-161 01:00pm blood neuts-76.7* lymphs-10.6* monos-4.9 eos-6.7* baso-1.0 01:00pm blood pt-27.0* ptt-29.8 inr(pt)-2.6* 01:00pm blood glucose-116* urean-51* creat-2.0* na-141 k-3.9 cl-107 hco3-23 angap-15 01:00pm blood ck-mb-5 ctropnt-0.02* 11:33pm blood ck-mb-4 ctropnt-0.01 06:10am blood ck-mb-4 ctropnt-0.02* . imaging: ct head w/out contrast : impression: no acute intracranial process. . elbow x-ray : impression: mildly displaced comminuted lateral epicondyle fracture with 6 mm osseous fragment within the joint space. . pelvic x-ray : impression: no definite fracture or dislocation. if there is continuedconcern for a hip fracture, dedicated radiographs of the hip are recommended for further evaluation. . cxr : impression: mild pulmonary vascular engorgement and bibasilar atelectasis. . echocardiogram (tte) : the left atrium is moderately dilated. left ventricular wall thicknesses and cavity size are normal. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with inferior and inferolateral. the remaining segments contract normally (lvef = 35%). there is no ventricular septal defect. the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the diameters of aorta at the sinus, ascending and arch levels are normal. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is no pericardial effusion. . impression: moderate regional left ventricular systolic dysfunction, c/w cad. moderate mitral regurgitation. moderate to severe tricuspid regurgitation. severe pulmonary hypertension. . compared with the prior study (images reviewed) of , tricuspid regurgitation is more prominent and pulmonary pressures are higher. left ventricular function and the other findings are similar brief hospital course: ms. is a 88f with hx of cad, af on coumadin, cml, cri who presented s/p fall and found to have uti complicated by hypotension. she subsequently developed pneumonia, complicated by sepsis, afib with rapid ventricular response, and heart failure exacerbation. after several days of worsening respiratory distress, she and her family decided to focus her care on comfort. she died on . . # urinary tract infection, complicate by sepsis: the patient's admission urine culture grew e. coli. she was initially treated ceftriaxone, with was broadened to cefepime and vancomycin on in the setting of hypotension and concern for sepsis. antibiotics were briefly narrowed to just ceftriaxone on when the sensitivities of the e. coli became available, but were broadened to cefepime, vancomycin, and azithromycin the same day, as the patient's clinical condition worsened and it became clear that she also had pneumomia. . # pneumonia: on , the patient developed increased respiratory distress. cxr showed a right perihilar opacity that was concerning for pneumonia. antibiotics were broadened to vancomycin, cefepime, and azithromycin. . # sepsis/hypotension: on , the patient became hypotensive to the 60s. she was treated with a total of 3 liters of iv fluids and her antibiotics were empirically broadened to vancomycin/cefepime. as explained above, antibiotics were subsequently narrowed to just ceftriaxone, but then broadened to vancomycin, cefepime, and azithromycin in the setting of pneumonia. on and , the patient developed worsening heart failure, treated with lasix and morphine. she subsequently developed hypotension to the 70s, which responded to a 250-cc normal saline boluses. blood pressures stabilized without need for pressors. . # hypoxemic respiratory failure: the patient developed increasing respiratory distress, which was initially attributed to heart failure in the setting of fluid resuscitation for hypotension. she was treated with iv lasix, with partial improvement in her respiratory status. on , the patient's dyspnea worsened, and it became clear that she also had pneumonia. antibiotics were broadened as above. the patient developed worsening hypoxia, requiring high-flow masks and eventually non-invasive positive pressure ventillation. the patient went on and off of non-invasive positive pressure ventillation, but by , she found this too uncomfortable, and it was stopped according to her request. she received some additional doses of lasix without significant improvement in her respiratory status. the medical team explained to the patient and her family that the patient would likely not survive without intubation. the patient and her family decided against intubation. as the patient's hypoxemia and dyspnea worsening, the patient and her family decided to focus her care on comfort. on , the patient's daughter arrived. with her family at her bedside, the patient transitioned to comfort care. she died on . . # acute on chronic systolic heart failure: the patient was initially treated with iv fluids for sepsis. she subsequently developed increased work of breathing, which was multifactorial, related to pneumonia and chf. she was diuresed with iv lasix as she endorsed being 10 pounds over her dry weight. (gleevac can also cause some edema). she was also given iv morphine and intermittently required bipap. eventually, on , the patient declined any more bipap. on , she decided to focus her care on comfort, with no further treatment for her worsening respiratory failure. . # wide complex tachycardia: on , the patient a wide-complex tachycardia, which was likely due to afib with aberrency. she was treated with amiodarone 150 mg iv and then subsequently dig loaded. . # atrial fibrillation with rapid ventricular response: on , the patient developed afib, with rvr. this was initially wide-complex, but then became narrow-complex. she was initially treated with amiodarone, then with metoprolol, with improvement in her heart rate from 130-140 to 100-110. she was loaded with digoxin and started on oral doses w/ improvement in her hr90-100s. the patient was supratherapeutic on her coumadin, which was held during the initial part of her hospitalization and gradually restarted. . # acute on chronic kidney injury: she has known ckd with baseline creatintine of 2.0. her creatinine increased to as high as high as 2.6. her acute kidney injury was likely pre-renal and improved with iv fluids. . # s/p fall: patient reports this was a mechanical fall without associated loc or syncope although hypotension may have constributed. her elbow is immobilized by splint but she has maintained good hand grip and strength. her pain was treated with tylenol. ortho aware and opted for non-operative managment. pt consult re: home safety. the patient had a new cast placed on . . # coronary artery disease: most recent echo showed ef of 35%, pt s/p pm and icd placement, most recent cath in showed sizable inferior wall akinesis and rca occlusion. metoprolol was initially held for hypotension. aspirin was continued. . # copd: continued albuterol and ipratropium nebs prn . # cml: continued gleevec. . # hypothyroidism: stable, last tsh in was 0.6. continued synthroid 100mcg qd. . # anemia: her baseline hct is 35, and she is currently 30, with mcv of 106 (baseline in the 100's). her chronic anemia is likely cml and treatment. monitored hct daily. . # goals of care: the patient stated that she wished to be dnr/dni. as the patient's respiratory status worsened, goals of care were again discussed, and the patient and her family again affirmed that the patient would not want to be intubated or resuscitated, even though she would likely die without intubation. the patient was closely monitored in the intensive care unit and treated with broad spectrum antibiotics, diuresis, non-invasive positive pressure ventillation, and other non-invasive measures. on , she decided that did not want non-invasive ventillation either. as her respiratory status worsened, she decided to focus her care on comfort. she wanted to see her daughter first, and once her daughter arrived on , she changed her code status to comfort measures only. cardiology was consulted and recommended placing a magnet over the patient's icd. she died peacefully with her son and daughter at her bedside on . medications on admission: avapro 75 mg qd gleevec 200 mg qd aspirin ec 81 mg qd allopurinol 100 mg qd tylenol extra strength 1000 mg qid prn pain furosemide 40 mg tab qd or increase to 60mg if weight incr. >3lbs amiodarone 100 mg tab qd klor-con m20 20 meq qd nitroglycerin 0.4 mg sl prn angina zolpidem 2.5-5mg qhs prn insomnia(pt reports she rarely takes this) fluocinonide 0.05 % topical cream to itchy rash levothyroxine 100 mcg qd warfarin 2 mg on m, w, fr, sat, and 4mg on tues, thurs, sun metoprolol succinate er 50 mg qd discharge medications: n/a discharge disposition: expired discharge diagnosis: primary: urinary tract infection, complicated by sepsis pneumonia acute on chronic systolic heart failure hypoxemic respiratory failure atrial fibrillation with rapid ventricular response elbow fracture . secondary: chronic kidney disease discharge condition: died discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified application of splint diagnoses: pneumonia, organism unspecified acidosis coronary atherosclerosis of native coronary artery esophageal reflux 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 unspecified septicemia severe sepsis unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other chronic pulmonary heart diseases depressive disorder, not elsewhere classified chronic kidney disease, stage iii (moderate) other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure osteoporosis, unspecified long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ do not resuscitate status other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities acute on chronic systolic heart failure fall from other slipping, tripping, or stumbling other psoriasis leukocytosis, unspecified osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh anemia in neoplastic disease chronic myeloid leukemia, without mention of having achieved remission history of fall contact dermatitis and other eczema, unspecified cause closed fracture of lateral condyle of humerus 

Answer: The patient is high likely exposed to