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: codeine / aspirin attending: chief complaint: bradycardia major surgical or invasive procedure: -right femur repair history of present illness: please see initial h&p for more information. . briefly, ms. is a year-old woman with a history of cervical spondylosis, lumbosacral radiculopathy and spinal stenosis and old rbbb who presented 8 days prior to ccu transfer after a fall at home with hip fracture. in the ed she was hypotensive and had a left femoral cordis placed. she went urgently to the or on day of admission () for an orif. her post op course was complicated by a presumed hospital acquired pneumonia (fevers, question of abnormal cxr, leukocytosis and hypoxia) being treated with vancomycin and levaquin. she was also hyponatremic after her surgery. she developed a fistula and pseudoaneurysm at the site of her cordis, was evaluated by vascular surgery and had a thromin injection on . she had b/l le u/s to evaluate for ? dvt/pe in setting of fevers, hypoxia, was negative on . on at approximately 5pm pt was noted to go into a slow atrial flutter with rates 30-50s. for the first 24-36 hours she was hemodynamically stable with a normal bp. ep was consulted who recommended holding her nodal agents, bb held. today her blood pressures dropped to 80-100s with an associated decrease in urine output for which she triggered, increased 02 requirement to 4l and crackles on exam. she was also noted to go into acute renal failure with an increase in her creatinine from 0.9-1.4. she was given ~750cc ivf with no improvement. she was transferred to the ccu for further management of her hemodynamically unstable bradycardia. . on arrival to ccu, pt persistently bradycardic with hr 30-50s. bp stabilized to low 100s. was alert and oriented. complained of dizziness and difficulty breathing. otherwise denied pain or other complaints. past medical history: # polymyalgia rheumatica # hypertension # breast cancer with chest wall recurrence s/pleft mastectomy # gerd # occipital neuralgia # cervical spondylosis and spinal stenosis # r. knee osteoarthritis- gets r.knee intraarticular injections # s/p left parotid gland excision # hx of rbbb # right cervical myofascial pain syndrome. # hemorrhoids social history: not a smoker. she lives alone, walks with a walker, and has vna several times a week. she does not drink alcohol. no drug use. relatives in area: nephew, niece, who "have heart problems" and are not caregivers. family history: her mother had coronary artery disease and diabetes. her father had throat cancer. her brother had coronary artery disease physical exam: vs: 98.1 52 115/58 (aflutter) 18 96% 6l nc/nrb general: elderly woman. nad. responding to questions/commands, arousable. heent: ncat. sclera anicteric. slight crusting around eyes. neck: supple, jvp 8cm. cardiac: bradycaria. nl s1, s2. lungs: hard irregular nodule l chest wall anteriorly. s/p l mastectomy. rhonchorous. crackles r>l with right sided expiratory wheeze. abdomen: soft, non-tender, minimal distention. +bs extremities: pitting edema to knees bilaterally. s/p cordis l groin with hematoma tracking down posterior aspect to mid-tibia. s/p orif on right, dsg in place c/d/i. pitting edema lue. (s/p axillary ln dissection) pertinent results: labs on admission: 08:20pm wbc-6.6 rbc-2.65* hgb-7.3*# hct-21.0*# mcv-79*# mch-27.7 mchc-35.0 rdw-16.5* 08:20pm neuts-73.7* lymphs-20.9 monos-4.7 eos-0.5 basos-0.2 08:20pm plt count-299 08:20pm pt-13.1 ptt-33.9 inr(pt)-1.1 08:20pm ck-mb-6 08:20pm ck(cpk)-193* 02:50am ck(cpk)-195* 08:20pm glucose-120* urea n-19 creat-1.1 sodium-122* potassium-4.4 chloride-86* total co2-27 anion gap-13 05:56am tsh-3.7 05:56am ck-mb-6 ctropnt-0.07* 05:56am ck(cpk)-184* 09:46pm urine blood-sm nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 09:46pm urine color-yellow appear-clear sp -1.028 09:46pm urine osmolal-434 09:46pm urine hours-random creat-90 sodium-less than . urine cx x 2: negative blood cx x 3: negative urine cx x 1: pending bloox cx x 1: pending . imaging head ct conclusion: chronic sinus mucosal disease. there is no acute hemorrhage or mass effect. stable appearance to the atrophy and chronic brain ischemia. . cxr impression: overall, minimally changed study with slight interval decrease in pulmonary vascular congestion. . echo impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. aortic sclerosis without stenosis. mild mitral regurgitation. moderate pulmonary hypertension. . lenis bilateral: negative . ekg possible atrial flutter with variable ventricular rate but cannot exclude motion artifact. right bundle-branch block. left axis deviation. left anterior fascicular block. possible anterior myocardial infarction. compared to the previous tracing of cardiac rhythm now may be atrial flutter, although motion artifact cannot be excluded with certainty. rate pr qrs qt/qtc p qrs t 54 108 144 448/437 81 -44 94 . brief hospital course: f presents with femur fracture after a mechanical fall. . # bradycardia: patient had acute onset bradycardic overnight on . appeared to be in atrial flutter with poor conduction. nodal agents were discontinued ep cardiology was consulted. ablation was discussed as an option but given patient's concurrent pneumonia and other comorbities the decision was made to wait on such a procedure until it would tolerated more easily. patient was continued on lovenox for vte prophyllaxis. initially bradycardia was thought to be asymptomatic. however, she began to develop complications of her bradycardia including somnolence, shortness of breath, low urine output, and arf within 48 hours of onset. at this point she was transferred to the icu for further management of her poor cardiac output. unsuccessful attempt was made to pharmacologically control rhythm. pt was desatting on nc, switched to nrb. became increasingly delirious. heart rhythm progressed to complete heart block, rate in 30s. per family mtg with niece, pt made cmo. pt gradually expired. . #. r femur fracture. seen by ortho/trauma in ed, went to or on where her femur was surgically repaired. patient's pain was adequately controlled after surgery. patient was continued on calcium and vitamin d. patient was started on lovenox after it was determined that femoral pseudoaneurysm/fistula/hematoma was stable. physical therapy was started. . #. ams: patient experienced several episodes of confusion and somnolence after her surgery which may be attributable to pain medications. infection may also be a significant contributor. pain medications were titrated and patient was started on empiric treatment for hospital acquired pneumonia. patient became bradycardic on and her somnolence subsequently increased. . # hospital acquired pneumonia: patient reports recent pneumonia. she developed increased oxygen requirements and increased sputum production during her admission. she was started on empiric treatment for hap with vancomycin and levoquin. patient was given symptomatic relief with nebulizer treatments and chest pt. . #. anemia. microcytic. hct down from 30 in to 20 on admission. guaiac positive stools. colonoscopy in showed 3 sessile 3cm non-bleeding polyps in the cecum and a single sessile 1 cm non-bleeding polyp of benign appearance was found in the transverse colon. no large hematoma seen on ct. ultrasound of femoral vessels after surgery showed pseudoaneurysm which was injected with thrombin. follow up imaging showed resolution of pseudoaneurysm, fistula, and hematoma during admission. patient received 2 units prbc during her admission. . # acute renal failure: patient developed elevated creatinine and low urine output 24 hours after acute onset bradycardia. presumed etiology was poor forward flow to the kidneys. patient was given several small ivf boluses without response. she became hypotensive and somnolent and was transferred to the icu. medications on admission: 1. metoprolol 25mg po bid 2. valsartan 160 mg po daily 3. amlodipine 5 mg po daily 4. rosuvastatin 20 mg po daily 5. levothyroxine 25 mcg daily (could not verify) 6. clonazepam 1 mg po qhs prn (could not verify) 7. lorazepam 0.5 mg po bid prn (could not verify) 8. prednisone 5 mg qod (stated she takes this daily 9. anastrozole 1 mg po daily (could not verify) 10. docusate 100mg po bid 11. acetaminophen 325 mg po q4hr prn 12. ferrous sulfate 325mg daily 13. pramoxine-mineral oil-zinc 1-12.5 %ointment sig: one (1) 14. appl rectal (2 times a day) as needed. 15. esomeprazole magnesium 40mg po daily 16. meclizine 12.5 mg po daily 17. albuterol 90 mcg q4-6hr prn discharge medications: none discharge disposition: expired discharge diagnosis: -right femur fracture -hyponatremia -left thigh pseudoaneurysm discharge condition: expired discharge instructions: none followup instructions: none procedure: open reduction of fracture with internal fixation, femur diagnoses: pneumonia, organism unspecified polymyalgia rheumatica esophageal reflux congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified hyposmolality and/or hyponatremia acute on chronic diastolic heart failure atrial flutter other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure arteriovenous fistula, acquired other specified cardiac dysrhythmias hypotension, unspecified peripheral vascular complications, not elsewhere classified iron deficiency anemia, unspecified fall from other slipping, tripping, or stumbling other alteration of consciousness candidiasis of vulva and vagina cervical spondylosis without myelopathy closed fracture of intertrochanteric section of neck of femur aneurysm of artery of lower extremity atrioventricular block, unspecified 

Answer: The patient is high likely exposed to