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: bactrim / vancomycin / ambien / augmentin / cephalexin / iv dye, iodine containing attending: chief complaint: shortness of breath major surgical or invasive procedure: central venous line placement history of present illness: 74 m with h/o dialated cardiomyopathy s/p aicd placement presents with shortness of breath and nausea. patient was discharged yesterday from the ccu service after presenting in the setting of a pacemaker firing for ventricular arrythmia, volume overload, and presumed pneumonia that was treated with 5 days of vancomycin and 7 days of levofloxacin. following discharge, he felt well. he was somewhat tired this morning, but was seen by a vna without issue. later today, he felt tired, wheezy, nauseus, and hot. the ccu np called him for routein follow-up and told him to come in based on his shortness of breath. in the ed, his initial vitals were t 98.8 hr 90 bp 125/77 rr 28 sat 100/ra. blood pressures dropped to 66/53 and he was given 1.5 l ns and started on levophed. blood and urine cultures were sent. a central line was placed with initial cvps 20-27. he received levofloxacin and clindamycin. currently, he feels "so-so". he complains mostly of sinus congestion that has been going on for months. he is mildly short of breath and tired. he denies chest pain, nausea, vomiting, diarrhea, constipation, rashes, headache, visual changes. past medical history: hypertension hyperlipidemia dialated cardiomyopathy. ef 25% on echo in atrial fibrillation s/p dccv x 2 with recurence and av nodal ablation congestive heart failure, dry weight 196 lbs h/o pulmonary embolism rectal adenocarceinoma s/p transanal excision s/p umbilical hernia repair with mesh lle insificienct s/p ablation of l greated saphenous vein, c/b ulcer formation. osteoarthritis s/p knee surgery spinal stenosis s/p back surgery allergic rhinitis s/p nasal surgery rosacia actinic eratosis decreased hearing h/o psychogenic polydipsea. h/o siadh subclavian artery steonsis causing chronic low l arm blood pressures social history: lives in with younger sister who has . iadl. divorced with 3 children. worked as firefighter and retired in smoke inhalation. currently works as groundskeepr for 10 hours per week. smoked 2 ppd for 20 years quit at 41 years. drinks 1-2 beers a few days per week. denies drug abuse. family history: brother with "colitis" died in 70s. children heathy. no family history of early mi, otherwise non-contributory. physical exam: vs: hr 97 bp 127/79 sat 100%/4l wt. 198.6 lbs general: wdwn male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl 5->3 mm, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. nodes: no cervical, axillary or inguinal lad. neck: supple with jvp of > 18 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. irregularly irregular, normal s1, s2. 1-2/6 systoloic murmur at llsb without radiation. no thrills, lifts. no s3 or s4. lungs: trace wheezing. scattered crackles throughout. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. 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: 07:15am blood wbc-7.3 rbc-3.51* hgb-9.4* hct-29.5* mcv-84 mch-26.9* mchc-32.0 rdw-15.7* plt ct-231 02:55pm blood neuts-91.2* lymphs-3.2* monos-2.9 eos-2.6 baso-0 07:15am blood pt-21.7* inr(pt)-2.1* 07:15am blood glucose-78 urean-29* creat-1.6* na-131* k-3.8 cl-95* hco3-28 angap-12 01:37am blood alt-28 ast-16 alkphos-96 totbili-1.2 05:38am blood ck(cpk)-30* 05:38am blood ck-mb-notdone ctropnt-<0.01 02:55pm blood ck-mb-notdone probnp-* 07:15am blood calcium-8.1* phos-3.4 mg-1.8 07:30am blood albumin-2.7* calcium-7.7* phos-2.5* mg-1.9 10:30am blood osmolal-274* 09:39pm blood type- ph-7.33* 03:19pm blood lactate-3.4* 05:49am blood lactate-0.9 : viral swab positive for hsv type 1 mrsa screen positive x 2 : blood cultures and urine culture neg cxr : there is suggestion of increased opacity, possibly infiltrate, in the left perihilar region, partially obscured by the overlying pacemaker/aicd. if clinically feasible, consider pa and lateral views for more sensitive evaluation. cxr : impression: increased opacities, left perihilar region. cxr : 1. unchanged marked cardiomegaly consistent with known history of dilated cardiomyopathy with prominent central pulmonary vasculature suggesting underlying pulmonary hypertension. 2. interval development of bilateral pleural effusions. no radiographic findings to suggest concurrent interstitial pulmonary edema. 3. new right lower lobe opacity, likely atelectasis. echo : the left atrium is markedly dilated. the right atrium is moderately dilated. the estimated right atrial pressure is 10-20mmhg. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is severe global left ventricular hypokinesis (lvef = 15%). the right ventricular cavity is moderately dilated with mild global free wall hypokinesis. there is abnormal septal motion/position. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: dilated left ventricle with severe global systolic dysfunction. dilated right ventricle with mild global systolic dysfunction. at least mild mitral regurgitation. moderate tricuspid regurgitation. moderate pulmonary hypertension. brief hospital course: 74 m with dialated cardiomyopathy s/p icd placement admitted for hypovolemic hypotension. hypotension - on initial presentation multiple etiologies were considered including overdiuresis, overbeta-blockade, adrenal insufficiency, worsened chf, sepsis, pe, ischemia, cardiogenic shock. cvl was placed in ed, started on pressors and given ivf. later turned out that bp likely taken in left arm where pt has subclavian stenosis. since arrival to the ccu, pt had adequate bps off pressors, on bp meds and required some diuresis. lactate was initially elevated but quickly resolved and there was no other signs of infection (all cultures neg, no new findings on cxr), therefore pt was not continued on antibiotics. ventricular arrythmia: history of vt in the setting of volume overload. patient continued to have vt and ectopy. on previous admission, pt started on amiodarone and had increased lfts requiring discontinuation. he was discharged on increased dose of beta blockade to decrease ectopy but while hospitalized had a repeat episode of vt. ep service recommended continuing digoxin and adding mexiletine. ablation was thought to be unlikely be successful and thus medical management was determined to be the first line of therapy. chronic systolic congestive heart failure: pt remained, stable euvolemic. pt was continued on his po lasix with goal of keeping him negative. he was also kept on a strict fluid restriction, both to correct the hyponatremia thought to be siadh secondary to lung disease, and to prevent positive fluid balance. an echo was done and showed ef of 15%, at least mild mr, mod tr, mod pulm htn, ascending aorta mildly dilated, and biventricular dilation. htn: pt was continued on losartan and his beta-blocker was decreased to toprol xl 50mg daily. copd: pt did not appear to be in an acute flair. he was continued on his prednisone, advair and spiriva and abuterol switched to xopenex as pt correlated the timing of the icd firing to being directly after abluterol acute on chronic renal failure: fluctuating with diuresis. hyponatremia: thought to be siadh given lung disease and prior urine lytes/osm pointing away from psychogenic polydypsia as per pmh. oral lesions: pt developed dry lesions on lips followed by yellow hemorrhagic plaques on his tongue. dermatology was consulted and diagnosed with hsv type 1. pt was treated with acyclovir for a total of 7 days course. medications on admission: . fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. spiriva with handihaler 18 mcg capsule, w/inhalation device sig: one (1) capsule inhalation once a day. 3. ascorbic acid 500 mg tablet sig: one (1) tablet po once a day. 4. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual as directed as needed for chest pain. 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. glucosamine 500 mg tablet sig: one (1) tablet po three times a day. 7. multivitamin tablet sig: one (1) tablet po once a day. 8. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol succinate 100 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* 10. cozaar 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 days. disp:*2 tablet(s)* refills:*0* 12. furosemide 40 mg tablet sig: 1.5 tablets po once a day. disp:*45 tablet(s)* refills:*2* 13. coumadin 2.5 mg tablet sig: one (1) tablet po once a day discharge medications: 1. mexiletine 200 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 2. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 8. losartan 25 mg tablet sig: 0.5 tablet po daily (daily). 9. digoxin 125 mcg tablet sig: 0.5 tablet po qod. 10. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for 10 days: swish and swallow. disp:*200 ml* refills:*0* 11. acyclovir 200 mg capsule sig: two (2) capsule po q8h (every 8 hours) for 3 days. disp:*18 capsule(s)* refills:*0* 12. warfarin 2 mg tablet sig: one (1) tablet po once daily at 4 pm. 13. levalbuterol hcl 0.63 mg/3 ml solution for nebulization sig: one (1) ml inhalation q4 prn (). disp:*120 ml(s)* refills:*2* 14. oxygen 2l nasal prongs continuous. o2 sat 84% on ra with ambulation. diagnosis: chronic systolic congestive heart failure 15. furosemide 40 mg tablet sig: 2.5 tablets po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis: acute on chronic systolic congestive heart failure, ef 15% stable ventricular tachycardia secondary diagnosis: non-ischemic dilated cardiomyopathy hypertension hyperlipidemia discharge condition: stable, v paced, vital signs stable. restricting free water given low sodium and congestive heart failure discharge instructions: you had shortness of breath and a low blood pressure on admission. you were admitted to the intensive care unit and your medications were adjusted to minimize your abnormal heart rhythym. you were started on a new medication called mexilitine. it is important that you take this medication as prescribed. medication changes: new medications: mexilitine 200mg tid acyclovir 400mg every 8 hours x 5 days nystatin x 12 days the following medications have been changed to: toprol xl 50mg daily losartan 12.5mg daily weigh yourself every morning, md if weight > 3 lbs in 1 day or 6 pounds in 3 days. adhere to 2 gm sodium diet fluid restriction: 1000ml per day or about 5 cups per day please contact your doctor or return to the emergency room if you develop any worrisome symptoms such as shortness of breath, chest pain, fever, chills, etc. followup instructions: cardiology: dr. phone: fax: attn: shebonne date/time: at 11:00am. cardiac device clinic at : at 2:20pm electrophysiology: dr. on at 10:20pm primary care: dr. phone: ( date/time: please call office to make an appt in 3 weeks. ****pt noted to be ob positive on last admission at with history of adenocarcinoma, should have repeat colonoscopy if indicated. procedure: venous catheterization, not elsewhere classified diagnoses: other primary cardiomyopathies acidosis congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified other and unspecified hyperlipidemia long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ personal history of venous thrombosis and embolism acute on chronic systolic heart failure other disorders of neurohypophysis stricture of artery paroxysmal supraventricular tachycardia personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus herpetic gingivostomatitis 

Answer: The patient is high likely exposed to