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: dyspnea/wheezing major surgical or invasive procedure: none history of present illness: ms. is a yo female with hypertension who presents with dyspnea and wheezing. the patient has been feeling sob for the past 2 weeks. she has noted cough (non-productive) and chest congestion but denies rhinorrhea, sore throat or headache. she reports swelling in her ankles, fatigue and poor po intake. she denies chest pain, palpitations, fevers, orthopnea. she reports one possible episode of pnd last week. she denies sick contacts, recent periods of immobilization or long travel. in the ed, initial vs were: t 98.3 p 75 bp 156/91 r 75 o2 sat 99% ra. patient was given levofloxacin, normal saline 500ml, solumedrol, nebs x3, lasix 20mg iv, and aspirin as well. patient with rales on exam and diffuse expiratory wheezes. patient with 600cc urine out after lasix. in ed, the patient went into rapid afib with hr in 130s, no decrease in blood pressure. dilt 10mg x1 150->120s. the patient became more tachpneic and required cpap transiently. she was never hypoxic. her most recent vitals are bp 114/64 hr 130s rr 22 98% ra. . on the floor, she is breathing comfortably, pleasant and conversant. she reports a history of an irregular heart beat and states that it comes and goes. she cannot feel her fast heart rate at this time. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: # hypertension # atrial fibrillation - uncertain duration, no anticoagulation # dyspepsia # depression # legally blind in right eye # h/o herpes zoster # anemia social history: lives alone. her brother and grand niece live close by. she is accompanied by her niece. she is independent of adls. she has meals on wheels and assistance with shopping. she smokes cigarettes/day. she smoked when she was younger and had quit for many years and resumed smoking 1 year ago. she drinks 2 small glasses of wine per night. no drug use. family history: non contributory. physical exam: general: alert & oriented x3, hoh & legally blind, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp 9, no lad lungs: bilat crackles at the bases. cv: irreg irreg and tachy, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ edema to mid-tibia, 2+ pulses, no clubbing, cyanosis neuro: cn grossly intact, strength 5/5 in ue & le bilat, sensation intact. pertinent results: 06:30pm wbc-8.1 rbc-3.64* hgb-8.9* hct-29.1* mcv-80* mch-24.4* mchc-30.6* rdw-18.8* 06:30pm plt count-358 05:29pm glucose-189* urea n-13 creat-0.9 sodium-140 potassium-2.8* chloride-100 total co2-27 anion gap-16 05:29pm ck(cpk)-66 05:29pm ck-mb-notdone ctropnt-<0.01 12:07pm lactate-1.2 11:00am ck(cpk)-70 11:00am ctropnt-0.01 11:00am ck-mb-notdone probnp-8552* micro: blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient imaging: cxr: 1. mild interstitial pulmonary edema. 2. small right pleural effusion with loculated fluid in the right minor fissure. 3. linear opacities in both lung bases, likely atelectasis. infection is not completely excluded in these regions. . echo: . the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is moderate to severe global left ventricular hypokinesis (lvef = 30 %). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: ms. is a year old female with a few week history of dyspnea found to be secondary to atrial fibrillation with rapid ventricular response and congestive heart failure. . congestive heart failure. patient was admitted to the micu for shortness of breath secondary to atrial fibrillation with a rapid ventricular response. she briefly required cpap in the ed, but was quickly weaned to room air. she was rate controlled with metoprolol. she was diuresed with lasix and started on lasix 20 mg po daily. she was started on lisinopril as wel. her echo showed an ef of 30%. . atrial fibrillation. patient reportedly had a history of paroxysmal atrial fibrillation though her pcp was unable to confirm this. her heart rate was in the 150s upon presentation though her blood pressure remained normal. she was rate controlled with metoprolol but remained in atrial fibrillation. she did nto want cardioversion as her and her family felt this was inconsistent with her goals of care. given her chads2 score of 2 and her high falls risk, she was started on aspirin 325 for stroke prevention. . code: dnr/dni discussed with patient & family communication: (niece) , (grandneice) , (brother) medications on admission: medications on admission: hydrochlorothiazide 25 mg po daily pilocarpine hcl 1 % drops 1 drop in the left eye twice a day zymar 1 drop 2x/day alphagan 1 drop 2x/day xalatan 1 drop qhs discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 3. pilocarpine hcl 1 % drops sig: one (1) drop ophthalmic (2 times a day). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. atrovent hfa 17 mcg/actuation aerosol sig: one (1) puff inhalation four times a day as needed for shortness of breath or wheezing. 7. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 10. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 11. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po qhs (once a day (at bedtime)) as needed for agitation. 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 13. ciprofloxacin 0.3 % drops sig: 1-2 drops ophthalmic (2 times a day). 14. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: house discharge diagnosis: pulmonary edema atrial fibrillation with rapid ventricula response . secondary diagnosis: hypertension depression discharge condition: good. patient is ambulating. she is on room air. discharge instructions: you were admitted for shortness of breath. you were found to have fluid in your lungs (pulmonary edema) and you were found to have an irregular heart rythmn (atrial fibrillation) at a rapid rate. you were given a diuretic to remove fluid from your lungs. you were given metoprolol to improve your heart rate. . the following changes were made to your medications: * you were started on lasix 20 mg daily * you were started on metoprolol 25 mg three times daily for improved heart rate * you were started on lisinopril 2.5 mg daily for you blood pressure * you were started on aspirin 325 daily for atrial fibrillation . please come to the emergency department or call your pcp if you have chest pain, shortness of breath, difficulty breathing, leg swelling, fevers, chills or any other concerns. followup instructions: you have the following appointment schedule: 1. , m.d. phone: date/time: 6:40 md, procedure: non-invasive mechanical ventilation diagnoses: anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation depressive disorder, not elsewhere classified anxiety state, unspecified acute combined systolic and diastolic heart failure legal blindness, as defined in u.s.a. 

Answer: The patient is high likely exposed to