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: history of present illness: this is an 85-year-old male with history of coronary artery disease, status post myocardial infarction and hypertension, who was in his usual state of health until . the patient initially presented to hospital for ventricular fibrillation arrest on . the arrest was witnessed by a family member, who performed cpr. he was defibrillated in the field and intubated and was admitted to hospital in normal sinus rhythm. he was extubated on and was started on intravenous amiodarone for his ventricular fibrillation. after extubation at the outside hospital, the patient had agitation treated with haldol and ativan and was hypoxic with crackles on exam and jugular venous distention. he was treated with intravenous lasix. on the morning of , the patient was noted to be minimally responsive. arterial blood gas on 50% ventilator face mask was 7.35, 43, 65. at 7:30 a.m., the patient received .2 mg of rimexolone to reverse ativan with improved mental status. patient had an echocardiogram at the outside hospital showing ejection fraction of 20-25% with global left ventricular hypokinesis and heavily calcified aortic valve with moderate aortic stenosis and based on his chest x-ray, echocardiogram and bilateral crackles and hypoxia, he was treated with 40 mg intravenous of lasix and diuresed 900 cc of fluid. he denies shortness of breath, orthopnea, paroxysmal nocturnal dyspnea and nocturia and syncope. past medical history: 1. coronary artery disease. inferior myocardial infarction in and myocardial infarction in . by report, stress test two years ago. 2. hypertension. 3. transurethral resection of prostate 45 years ago. 4. status post cholecystectomy. 5. congestive heart failure by report. in the chart, ejection fraction 35% about two years ago with moderate mitral regurgitation. 6. obstructive sleep apnea. 7. gout. allergies: he has no known drug allergies. outpatient medications: 1. aspirin 81 mg q.d. 2. mavik 4 mg q.d. 3. coreg 3.125 mg po b.i.d. 4. allopurinol 100 mg po b.i.d. during gout attacks. 5. torsemide 10 mg po b.i.d. 6. manganate 100 mg of magnesium, 75 of calcium. medications on transfer from hospital: 1. amiodarone 0.5 mg per hour. 2. aspirin 81 mg po q.d. 3. lasix 40 mg intravenously q. 12 hours. 4. question of clindamycin 900. family history: noncontributory. social history: lives alone. health care proxy is his son . smoked 30 years, but quit 15 years ago. no alcohol, no drug use. physical examination: well-developed elderly male in no acute distress. oriented times one with following simple commands. vital signs were stable at the time of admission. pupils equal, round and reactive to light. extraocular movements intact. oropharynx with brown dried blood. no carotid bruits. jugular venous pressure of about 9 cm. cranial nerves ii through xii are intact, bilateral crackles with decreased breath sounds at the right base. question of mild wheezing. heart was regular with extrasystoles, 3/6 systolic murmur at the apex radiating to axilla. soft abdomen, nontender, nondistended with normal active bowel sounds. there is no edema on his extremities. he had 2+ pulses bilaterally. laboratory data: white blood cell count 13.0, hematocrit 44.0, sodium 134, potassium 4.1, chloride 99, bicarbonate 24, bun 44, creatinine 1.9. his cks were negative. ck-mb were negative. he had a troponin leak with a peak of 3.3. alt 183, ast 88, alkaline phosphatase 81, total bilirubin 1.2, calcium 8.4, phosphate 3.0, magnesium 2.0. electrocardiogram showed sinus rhythm at 84 beats per minute with normal axis, normal intervals, poor r wave progression, right atrial enlargement, q waves in ii and avf are consistent with the electrocardiogram in . echocardiogram by report from showed ejection fractions of 20-25% with global left ventricular hypokinesis, really calcified aortic valve with moderate aortic stenosis and pulmonary hypertension and left bundle branch on old electrocardiogram report, r wave progression. hospital course: 1. cardiovascularly: the patient did not show any signs of active ischemia. his troponin leak was thought to be from his congestive heart failure. he was kept on aspirin and also underwent a cardiac catheterization, which showed two vessel coronary artery disease. the left anterior descending artery was mildly calcified proximally, but had no flow limiting lesions. the left circumflex was totally occluded proximally and the distal vessel and obtuse marginal filled via left-to-left collaterals. the dominant right coronary artery was totally occluded proximally with a distal vessel filling via left-to-right and right-to-right collaterals. left ventriculography revealed severe 3+ mitral regurgitation with global hypokinesis and a calculated ejection fraction of 30%. resting hemodynamics revealed normal left and right sided filling pressures. there is mild pulmonary hypertension with a mean pulmonary artery pressure of 26 mmhg. there is no step up in oxygen saturation between the svc and the pa. there was no significant gradient noted across the aortic valve on catheter pull back from the left ventricle. final diagnosis from the cardiac catheterization: two vessel coronary artery disease, severe mitral regurgitation, and severe systolic ventricular dysfunction. an echocardiogram was also obtained on admission which showed moderately dilated left atrium and right atrium with severely dilated left ventricular cavity. there is severe global left ventricular hypokinesis with severely depressed systolic function. there is severe global right ventricular free wall hypokinesis as well. no aortic valve stenosis was seen on this echocardiogram. no aortic regurgitation was seen. there was severe 4+ mitral regurgitation with 3+ tricuspid regurgitation and severe pulmonary artery systolic hypertension. no pericardial effusion was seen. the patient was aggressively diuresed for his congestive heart failure. seven to eight liters of fluid were removed with diuresis. he improved substantially in terms of his pulmonary status and was weaned off of oxygen. due to his recent ventricular fibrillation arrest, and his poor ejection fraction of 20-30%, electrophysiology team was consulted who recommended and electrophysiology study, as well as a likely defibrillator. the patient was noted to have baseline atrial flutter. ablation was attempted and resulted in atrial fibrillation. the patient was started on dofetilide and ventricular tachycardia was also induced. during the electrophysiologic study, a defibrillator was placed via the left cephalic access. the patient was loaded on dofetilide, but continued to be in atrial fibrillation. he underwent electrocardioversion without any problems and remained in sinus rhythm thereafter. the patient was started back on beta-blockers and ace inhibitors which were titrated up as tolerated. the patient was started on coumadin therapy for his atrial fibrillation, as well as for his poor ejection fraction and global hypokinesis. he was discharged after his inr was above 2.0. he was also evaluated by physical therapy who recommended home safety evaluation as well as home physical therapy. he was discharged home with services. he was to have his inr and renal function checked by his primary care physician in three days. goal inr of 2.0 to 3.0. hospital course was also significant for question of aspiration pneumonia diagnosed at the outside hospital. he was transferred here on clindamycin. the clindamycin was switched over to levofloxacin and flagyl for two days while waiting for the sputum culture to come back. sputum culture revealed sparse oropharyngeal flora. the patient remained afebrile and clinically stable with no infiltrate on chest x-ray. the patient remained stable without any fever after discontinuation of the intravenous antibiotics. hospital course also significant for acute renal failure on admission. the patient arrived with a creatinine of 1.9. his acute renal failure resolved after improving the patient's hemodynamics. it was felt that the acute renal failure was due to poor forward flow from the heart. on discharge, his creatinine was 1.1. the patient's gout remained asymptomatic during the hospital course until the day of discharge when he complained of recurrent symptoms. gouty pain in his right ankle. he was given two doses of indomethacin and to continue as an outpatient on allopurinol and to have his gout managed by his primary care physician. mental status cleared up throughout the hospital stay. it was felt to be delirium from this acute illness. his elevated lfts were felt to be due to congestive heart failure which drifted down appropriately throughout the hospital course. the patient also developed some thrombophlebitis to the vancomycin infusion. the vancomycin was given prophylactically for the defibrillator placement. he was treated with vancomycin for a few doses which was switched to cefazolin intravenously and to be continued on po cefazolin for 14 days after discharge. final diagnosis: cephalic congestive heart failure, acute on chronic, native coronary artery disease, cardiomyopathy, myocardial infarction, old cardiac arrest, atrial fibrillation, atrial flutter, ventricular tachycardia and cardiac defibrillator placement. follow-up: the patient is to follow-up in the device clinic on at 10:30. he is also to follow-up with his primary care physician and his cardiologist. procedures done: electrophysiology study, cardiac catheterization, aicd placement. discharge condition: good condition. discharge medications: 1. aspirin 81 mg po q.d. 2. mavik 4 mg po q.d. 3. keflex 500 mg po q. 8 hours for 14 days. 4. dofetilide 250 mg po b.i.d. 5. carvedilol 6.25 mg po b.i.d. 6. coumadin 3 mg po q.d. dosage to be changed as per primary care physician based on his inr. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures other electric countershock of heart catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified gout, unspecified atrial fibrillation pneumonitis due to inhalation of food or vomitus cellulitis and abscess of upper arm and forearm ventricular fibrillation other vascular complications of medical care, not elsewhere classified 

Answer: The patient is high likely exposed to