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: no known allergies / adverse drug reactions attending: chief complaint: elective pulmonary vein ablation major surgical or invasive procedure: pulmonary vein ablation history of present illness: mr. is a 72 y.o. gentleman with a history of cva ( and ) with residual l-sided weakness, htn, dyslipidemia, atrial flutter s/p unsuccessful cardioversion in on , s/p tee with successful cardioversion who presented to hospital for elective pulmonary vein ablation. he tolerated his procedure well, which requried intubation with fentanyl 100mcg and was initially reversed and extubated. shortly after extubation, he was groggy, but following commands and talking. then about 10-15 min later, he started to become unresponsive and was no longer breathing. he was emergently re-intubated and had an abg done. glucose was wnl. he was given narcan 100mg with no improvement. then became htn to 150s and agitated and was started on a propofol gtt. he had no hypotension. pupils were equal and reactive. he has sheaths still in place that will be removed shortly. his heparin gtt was stopped. he was then transfered to the ccu. unable to get ros given pt was intubated and sedated. past medical history: 1. cardiac risk factors: (+)dyslipidemia, (+)hypertension 2. cardiac history: - cabg: none. - percutaneous coronary interventions: none. - pacing/icd: none. - aflutter, s/p cardioversion , with amio load 3. other past medical history: - cva: history of right inferior mca stroke in with residual mild left hemiparesis adn recurrence in . - ulcerative colitis: quiescent, followed by , m.d.; reportedly had 4+ guaiac stools in the past. - depression - history of gastritis - chronic renal insufficiency- baseline cr 1.2-1.4 social history: cpa; lives alone in , ma. widower; lost wife about 1.5 years ago (cirrhosis). -tobacco history: current ppd smoker (states that he "quit when he came to the hospital"). approx 45 pack year history. -etoh: last drink over a year ago. used to drink large cups of vodka; more than gallon of vodka every 10 days. -illicit drugs: none family history: mother had pancreatic ca at 75. father had mi at 81. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. physical exam: admission exam vs: t=97.0 bp=156/65 hr=63 rr=22 o2 sat=98% face mask 50% general: awake and answering questions appropriately. heent: perrl, eomi. neck: supple, jvp difficult to assess. cardiac: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: ctab anteriorly, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ radial 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ radial 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: # radiology chest xray (portable) impression: 1. right lower lobe opacity, focal atelectasis althoug pneumonia cannot be excluded. 2. new mild pulmonary edema. 3. stable mild cardiomegaly. # microbiology urine culture (final ): gram positive bacteria. ~1000/ml. suggesting staphylococci. # laboratory data admission labs 07:45am blood wbc-6.0 rbc-4.06* hgb-12.7* hct-36.8* mcv-91 mch-31.2 mchc-34.5 rdw-13.2 plt ct-200 07:45am blood neuts-64.3 lymphs-16.3* monos-10.0 eos-8.8* baso-0.5 07:45am blood pt-24.0* inr(pt)-2.3* 07:45am blood glucose-88 urean-13 creat-1.4* na-138 k-3.9 cl-102 hco3-28 angap-12 05:36pm blood ck(cpk)-152 05:36pm blood calcium-8.9 phos-3.9 mg-1.6 03:53pm blood type-art po2-418* pco2-38 ph-7.37 caltco2-23 base xs--2 intubat-intubated 03:53pm blood glucose-105 lactate-0.8 na-137 k-3.7 cl-104 03:53pm blood hgb-11.9* calchct-36 o2 sat-99 cohgb-1 03:53pm blood freeca-1.12 cardiac enzymes 05:36pm blood ck-mb-8 ctropnt-1.05* 04:41am blood ck-mb-8 ctropnt-1.57* discharge labs 07:35am blood wbc-8.3 rbc-3.86* hgb-11.9* hct-35.0* mcv-91 mch-30.9 mchc-34.0 rdw-13.2 plt ct-167 07:35am blood pt-34.5* ptt-36.3* inr(pt)-3.5* 07:35am blood glucose-101* urean-10 creat-1.0 na-133 k-3.9 cl-101 hco3-23 angap-13 07:35am blood calcium-8.0* phos-1.9*# mg-1.8 brief hospital course: pt is a 72 year old man with history of atrial fib/flutter and cva x2 with residual left-sided hemiparesis who was admitted to the ccu after failed extubation and concern for repeat cva. # non-responsiveness after extubation: likely medication-induced from prolonged anesthetic agents. there was initial concern for repeat cva since he is at high risk, but there was no evidence of stroke. the patient improved significantly and was re-extubated; he tolerated shovel face mask well and was awake and alert. there were no arrhythmias on telemetry and abg did no show acidosis or hypercarbia. troponins trended up in the setting of pvi and atrial flutter ablation, however ck-mb remained flat. # sirs: likely secondary to pneumonia; there is concern that patient aspirated given multiple intubations. he spiked a fever to 101.3 axillary, was tachypneic and became hypotensive. received 5 liters of normal saline; systolic bps were in the 90-100s. he was started on broad spectrum antibiotics (vancomycin/piperacillin-tazobactam), but these were changed as the patient improved clinically. ambulatory o2 sat was 94% prior to discharge. he was discharged home on 5 days of cefpodoxime and metronidazole. # rhythm: remained in sinus rhythm status post pulmonary vein isolation and atrial flutter ablation. received amiodarone 200mg daily, aspirin 81mg daily and warfarin 2.5mg daily. # hypertension: not an issue, in fact, patient had an episode of hypotension in the setting of infection. he was fluid resuscitated and his blood pressure stabilized without the need for pressors. # hyperlipidemia: continued atorvastatin 80mg daily. # history of gastritis: not on an h2-blocker or ppi on admission. was started on omeprazole. # chronic renal insufficiency: patient was at baseline cr of 1.2. discharged on lisinopril. # dvt prophylaxis: systemic anticoagulation with coumadin. # code: full code. medications on admission: -coumadin 2.5mg alteranating with 5mg qday -lipitor 80mg -thiamine 100mg qday -mv qday -amiodarone 200mg qday discharge medications: 1. aspirin 81 mg tablet sig: one (1) tablet po daily (daily) for 1 months. 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. zyrtec 10 mg capsule sig: one (1) capsule po once a day. 6. acetaminophen 500 mg tablet sig: 1-2 tablets po three times a day as needed for fever, pain. 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for sob, wheezing. disp:*1 inhlaer* refills:*2* 8. dextromethorphan poly complex 30 mg/5 ml suspension, extended rel 12 hr sig: ten (10) ml po q12h (every 12 hours). disp:*1 bottle* refills:*2* 9. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 10. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. cefpodoxime 100 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 5 days. disp:*20 tablet(s)* refills:*0* 12. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 5 days. disp:*15 tablet(s)* refills:*0* 13. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours). disp:*1 inhaler* refills:*2* 14. multiple vitamins tablet sig: one (1) tablet po once a day. 15. outpatient lab work please check inr and chem-7 on monday with results to dr. at phone: fax: discharge disposition: home with service facility: discharge diagnosis: atrial fibrillation/flutter s/p dccv x2 hypertension hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. vs: lungs clear ap rrr abdomen is soft, nontedner (+) bowel sounds bilateral groins without hematoma, bruit (+) peripheral pulses inr : 3.5 discharge instructions: you were admitted to the hopsital following a pulmonary vein ablation to treat atrial fibrillation. we had some trouble taking you off the ventilator and had to reinsert the tube again. your blood pressure was low in the ccu but is now normal to high. your lisinopril was restarted to better control your blood pressure. you also had a fever and we started you on antibiotics briefly in case you had a pneumonia. you are in a normal heart rhythm now but you should still continue on warfarin. . we made the following changes to your medicines: 1. do not take your coumadin tonight and take 2.5 mg daily on saturday and sunday. you will get your inr checked on monday by the vna. 2. start taking cefpodime and flagyl for the next 5 days to treat a possible pneumonia 3. start taking albuterol inhaler when you feel short of breath or wheezy. 4. use ipratropium-albuterol inhaler 4 times per day to treat your shortness of breath 6. start taking omeprazole to prevent any stomach irritation from the procedure 7. start taking dextromethorphan for your cough 8. resume taking your lisinopril for your blood pressure. followup instructions: department: gastroenterology when: monday at 10:30 am with: , m.d. building: lm campus: west best parking: garage department: west clinic when: monday at 10:30 am with: , md building: de building ( complex) campus: west best parking: garage . name: , m. address: ,, , phone: appointment: thursday at 9:30am name: , md specialty: cardiology address: , , phone: date/time: 3:30pm **please contact dr confirm this appointment. you will need to be seen 2 weeks after you are discharged from the hospital** procedure: excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: other iatrogenic hypotension hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation depressive disorder, not elsewhere classified atrial flutter chronic kidney disease, unspecified other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin late effects of cerebrovascular disease, hemiplegia affecting unspecified side fever, unspecified ulcerative colitis, unspecified other and unspecified general anesthetics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to