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: patient recorded as having no known allergies to drugs attending: chief complaint: vf arrest major surgical or invasive procedure: : mv repair/maze/ left atrial appendage resection : aicd placement history of present illness: this 54 year old male with no known pmh presented s/p ventricular fibrillation arrest on . he was at the red sox game with his sister and they were walking to their car when he stopped to smoke a cigarette and then he collapsed. a passing physician initiated cpr within 3-5 minutes per his sister's report. he was found to be in ventricular fibrillation and was shocked 5 times, given 3mg of epinephrine, 2mg of magnesium for torsades rhythm. he eventually had spontaneous return of circulation and breathing. he was intubated in the field on route to . he was transferred from the ed to the ccu and put on the arctic sun protocol. he was unresponsive and sedated and was eventually extubated on and has been very agitated and uncooperative. he has a history of etoh and is a heavy smoker. cardiac cath revealed no coronary disease but he has 3+ mitral regurgitation. he is being evaluated for mitral valve repair. past medical history: unknown, has not gone to a doctor for at least 20 years. social history: lives with: sisters occupation: works in chemical pipefitting tobacco:1.5 ppd for many years, current etoh: a few beers per night, several on weekends family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: pulse:108 resp: 20 o2 sat: b/p right: 93/81 left: height: 6'3" weight: 60.7 kgs general: skin: dry intact heent: perrla eomi ngt in place for tube feeds. neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iii/vi holo diastolic murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: a+ox3 but unable to swallow and is still impulsive and restrained. pulses: femoral right: cath site left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: 04:40am blood wbc-12.4* rbc-3.24* hgb-10.5* hct-31.2* mcv-96 mch-32.5* mchc-33.8 rdw-14.4 plt ct-242 06:05am blood wbc-15.0* rbc-3.33* hgb-10.6* hct-32.4* mcv-97 mch-32.0 mchc-32.9 rdw-14.4 plt ct-213 04:40am blood pt-14.0* inr(pt)-1.2* 06:05am blood pt-12.9 inr(pt)-1.1 04:40am blood glucose-104* urean-14 creat-0.7 na-137 k-3.6 cl-99 hco3-31 angap-11 06:05am blood glucose-91 urean-14 creat-0.6 na-134 k-3.7 cl-96 hco3-31 angap-11 04:40am blood wbc-12.4* rbc-3.24* hgb-10.5* hct-31.2* mcv-96 mch-32.5* mchc-33.8 rdw-14.4 plt ct-242 04:40am blood pt-16.6* inr(pt)-1.5* 04:40am blood urean-14 creat-0.7 na-133 k-4.2 cl-100 04:20am blood wbc-14.4* rbc-3.32* hgb-10.4* hct-31.5* mcv-95 mch-31.4 mchc-33.1 rdw-14.5 plt ct-307 04:20am blood urean-16 creat-0.7 na-132* k-4.2 cl-94* ct head w/o contrast study date of findings: there is no hemorrhage, edema, mass effect, or evidence for acute vascular territorial infarction. there is no shift of normally midline structures and -white matter differentiation is well preserved. the size and configuration of the ventricles appears normal. osseous structures are intact. there is opacification of bilateral maxillary sinuses. ethmoid air cells demonstrate mucosal thickening. there is trace fluid within the mastoid air cells bilaterally. there is a left occipital posterior scalp hematoma. impression: 1. no acute intracranial process. 2. left occipital scalp hematoma, without fracture. intra-op tee pre-cpb: mild spontaneous echo contrast is seen in the body of the left atrium. overall left ventricular systolic function is mildly depressed (lvef= 40 - 45 %). with mild global free wall hypokinesis. 1+ ai. there are simple atheroma in the descending thoracic aorta. the mitral valve shows characteristic myxomatous deformity. there is moderate/severe posterior leaflet mitral valve prolapse. moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is on infusons of epi and ntg, av-paced. there is a mitral ring in good position with no leak and no mr. residual area is 2.8 cm2. biventricular systolic fxn is mildly improved. tr remains 1+, ai remains 1+. aorta intact. brief hospital course: 54 year old male with no known past medical history admitted with vf arrest while at the red sox game. he underwent cpr in the field along with defibrillation and transition to atrial fibrillation. he was admitted to the ccu and was initiated on the arctic sun cooling protocol for cardiac arrest. initial echocardiogram showed severe mitral valve prolapse and regurgitation with a flail mitral valve, which was most likely the precipitant of his vf arrest. the patient was extubated successfully approximately 48 hours after rewarming. upon admission, he was started on empiric antibiotic therapy for possible aspiration pneumonia with cefepime, vancomycin and metronidazole. he was taken to the operating and underwent left sided maze procedure and mitral valve repair (see operative note for full details). overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis, given the length of preoperative stay. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. amiodarone was started for atrial fibrillation. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. intra-operatively, the patient was found to have an osteoporotic appearing sternum. was consulted and has recommended outpatient follow up following recovery from cardiac surgery. the patient continued to exhibit dysphagia, and dobhoff tube was placed for feeding purposes. coumadin was started for atrial fibrillation. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. a dual chamber acid was placed on without complication. this was interrogated and follow up appointment with the device clinic was arranged. he had a repeat video swallow study and was cleared for nectar thick ground diet and tube feeds were cycled. his dobhoff tube was removed on day of discharge and patient was instructed by the speech and swallow team for aspiration precautions. he is to follow up as an outpatient with a video swallow study (scheduled) for diet advancement. he was started on an ace-i for ef 35% once blood pressure tolerated. his inr was 2.3 on the day of discharge and he was given 1 mg of coumadin with plans to have inr drawn with results to be called in to at for further coumadin dosing instructions. inr goal for atrial fibrillation. by the time of discharge on pod 7 the patient was ambulating freely, the wound was healing well with staples in place and pain was controlled with oral analgesics and he was tolerating a ground diet. the patient was discharged home with services in good condition with appropriate follow up instructions and follow up appointments arranged. medications on admission: none discharge medications: 1. furosemide 20 mg tablet : one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 2. potassium chloride 20 meq tab sust.rel. particle/crystal : one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 4. nicotine 14 mg/24 hr patch 24 hr : one (1) patch 24 hr transdermal daily (daily). disp:*30 patch 24 hr(s)* refills:*1* 5. thiamine hcl 100 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. folic acid 1 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. calcium carbonate 200 mg (500 mg) tablet, chewable : one (1) tablet, chewable po bid (2 times a day). 8. cholecalciferol (vitamin d3) 400 unit tablet : 2.5 tablets po daily (daily). 9. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 10. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. amiodarone 200 mg tablet : one (1) tablet po bid (2 times a day) for 30 days: take x 30 days then per cardilogist instructions. disp:*60 tablet(s)* refills:*0* 12. warfarin 5 mg tablet : one (1) tablet po once (once) for 1 doses: take as instructed by cardiologist for inr goal of 2.0-3.0. disp:*60 tablet(s)* refills:*0* 13. clindamycin hcl 300 mg capsule : one (1) capsule po twice a day for 2 days. disp:*4 capsule(s)* refills:*0* 14. lisinopril 2.5 mg tablet : one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: vna discharge diagnosis: mitral regurgitation/ atrial fibrillation discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg 1+ edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments provider: , md phone: date/time: 2:30 provider: , dpm phone: date/time: 9:10 surgeon: dr at 1:00 pm cardiologist: , at 1:20 pm ep device clinic in 1 week at 11:30 am primary care dr. weeks video swallow follow up in 2 weeks - to be scheduled labs: pt/inr for coumadin ?????? indication atrial fibrillation goal inr 2/0-3.0 first draw results to dr office phone or np at **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] open heart valvuloplasty of mitral valve without replacement insertion of (naso-)intestinal tube excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: acidosis tobacco use disorder mitral valve disorders unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified hyposmolality and/or hyponatremia atrial fibrillation hypopotassemia closed fracture of sternum pneumonitis due to inhalation of food or vomitus bacteremia osteoporosis, unspecified ventricular fibrillation precipitous drop in hematocrit other accidents hypoglycemia, unspecified physical restraints status 

Answer: The patient is high likely exposed to