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: aspirin attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: 52 year old male with h/o cad, depression with , allergy, admitted with substernal cp, mibi showed mod pda and mild lad reversible ischemia. admitted to ccu for desensitization protocol. . pt reports new onset of cp yesterday morning described as substernal pressure that traveled up to his left shoulder. pain has been fairly constant, though now less than at onset. associated with nausea and diapheresis. patient does not know if it is worse with exhursion or not. ems was called with a negative ekg in the field and mild improvement with ntg x3. denies and dyspnea, fevers, chills. has a history of cocaine use, but denies recent use. . in the ed, initial vitals were 98.7; hr68; bp125/80; rr18; 100%ra labs and imaging significant for negative troponins, positive utox for opiates. cxr unremarkable. pt given 4mg iv morphine and pain improved. given plavix 600mg. . of note the patient reports having a baby at age 19 and being rushed to the hospital with difficulty breathing, wheezing, throat swelling and rash. has not taken aspirin since. . of note, pt has had suicidal ideation, requiring a one to one sitter. . on arrival to the floor, patient stable. . on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: bipolar disorder - self reported mi years ago - htn - hypercholesterolemia (diet controlled) - siezure disorder - osteoarthritis - degenerative disc disease medications: - norvasc 20 mg daily - flexeril 10 mg tid - motrin daily - trileptil dose uncertain. social history: social history positive for tobacco, ethanol, and intravenous drug use including heroine and cocaine. . family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. . physical exam: vs: t=96.6 bp=144/84 hr=71 rr=15 o2 sat= 98 general:. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 5 cm. cardiac: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. pmi located in 5th intercostal space, midclavicular line. lungs: ctab, no crackles, wheezes or rhonchi. no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominal bruits. extremities: no c/c/e. 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+ pertinent results: 06:25am blood wbc-6.2 rbc-4.44* hgb-13.6* hct-37.2* mcv-84 mch-30.5 mchc-36.4* rdw-12.4 plt ct-220 11:02pm blood wbc-5.5 rbc-4.26* hgb-13.3* hct-36.1* mcv-85# mch-31.2 mchc-36.8* rdw-13.0 plt ct-221 06:25am blood glucose-120* urean-12 creat-0.8 na-139 k-3.8 cl-100 hco3-35* angap-8 11:02pm blood glucose-127* urean-9 creat-0.9 na-141 k-4.0 cl-102 hco3-31 angap-12 01:37am blood ck(cpk)-45* 01:37am blood ck-mb-2 ctropnt-<0.01 05:12am blood ctropnt-<0.01 11:02pm blood ctropnt-<0.01 01:37am blood calcium-9.6 phos-4.3 mg-2.1 11:02pm blood -neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . cxr : findings: the heart size is normal. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. impression: no acute cardiopulmonary process. . stress mibi : impression: 1. reversible, medium sized, mild perfusion defect involving the pda territory. 2. reversible, small, mild perfusion defect involving the lad territory. . cardiac cath preliminary: comments: 1. selective coronary angiography of this right-dominant system demonstrated no angiographically apparent flow-limiting disease. the lmca, lad, lcx and rca all had no significant stenoses. 2. limited resting hemodynamics revealed normal systemic arterial pressures. final diagnosis: 1. no angiographically apparent flow-limiting disease. 2. normal systemic arterial pressures. brief hospital course: 52 year old male with history of cad admitted with chest pain found to have reversible defect on mibi. has h/o allergy so admitted to ccu for desensitization protocol. . # chest pain: unclear history of mi in past. p mibi showed pda and mild lad reversible ischemia. had intermittant chest pain treated with iv morphine. ecg's unchanged. caridac catheterization performed with no significant cad found. right groin angioseal done. pt states his chest pain is now gone and he feels that it is from the ibuprofen. likely pt has some gastritis from the ibuprofen although the severity and radiation of the pain does not suggest mild gastritis. pantoprazole and oral antacids were started to be taken with the ibuprofen. aspirin desensitization was done without incident. pt should continue aspirin 81 mg which may allow more choice with nsaid pain medications. . # bipolar depression: continued on medications prescribed at . pt admitted to on for suicidal ideation, was admitted to them under section 21. had 1:1 sitter during stay. . # htn: well controlled on norvasc. . # back pain: exibited extreme drug seeking behavior during hospitalization. after multiple conversations, pt agreed to continue ibuprofen with pantoprazole and mylanta along with tylenol. appt made with pain clinic here in 1 month. pt demonstrated anger towards staff regarding lack of narcotics but seems to have legitimate pain needs. he was told to f/u with his pcp after he leaves . medications on admission: - norvasc 10 mg daily - flexeril 10 mg - ibuprofen 800 mg tid - trileptil 150 mg - cortisone cream - trazadone 50 mg at hs discharge medications: 1. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 2. flexeril 10 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 3. oxcarbazepine 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. cortisone 1 % cream sig: one (1) appl topical (2 times a day) as needed for rash. 5. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. 7. ibuprofen 800 mg tablet sig: one (1) tablet po three times a day. 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 9. acetaminophen 650 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. 10. aluminum-magnesium hydroxide 300-150 mg tablet, chewable sig: one (1) ml po qid (4 times a day) as needed for indigestion. discharge disposition: extended care discharge diagnosis: chest pain bipolar disorder depression discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had chest pain and a stress test showed that there may have been a part of your heart that wasn't getting enough blood flow. you did not have a heart attack. a cardiac catheterization was performed that showed you did not have any significant blockages in your arteries. we think the chest pain is from an old injury and is not your heart. you underwent an aspirin desensitization so that you could get aspirin for the procedure. this went well with no signs on an allergic response. you are now being transferred back to for continued psychiatric care. no baths or pools for one week, no lifting more than 10 pounds for one week. . we made the following changes to your medicines: 1. continue ibuprofen with mylanta and pantoprazole to porotect your stomach 2. start taking aspirin daily, do not stop taking this medicine or you may become allergic again. 3. take tylenol 650 mg up to 4 times per day to treat your pain followup instructions: it is recommended you follow up with an orthopedic doctor in the next 2 weeks. please call our department at to book an appointment. if you have any questions or concerns please also call the office. . center: dr. at 8:50am please bring any medical information including films if possible to this appt. you have been put on a cancellation list for an earlier appt if possible. md, procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia depressive disorder, not elsewhere classified epilepsy, unspecified, without mention of intractable epilepsy other chest pain osteoarthrosis, localized, not specified whether primary or secondary, lower leg 

Answer: The patient is high likely exposed to