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: the patient is a 32-year-old woman with no significant past medical history, although with previous tobacco use and who is seven months postpartum, who presented to her outpatient clinic on with dyspnea on exertion which has been progressive over five months, epigastric pain, and fatigue. the patient was sent for a chest x-ray as an outpatient which showed an enlarged, and she was sent to the emergency department at an outside hospital where an echocardiogram showed a dilated left ventricle, severe global hypokinesis, and an estimated ejection fraction of 15%, as well as 2+ mitral valve regurgitation. the patient was transferred to for further management and was initially admitted to the c-med service. the patient was diuresed approximately 2 liters on the medicine floor but was transferred to the coronary care unit on after becoming tachycardic, dizzy, with a weak pulse, and hypotensive (requiring a dopamine drip). upon transfer to the coronary care unit, the patient reported shortness of breath at rest as well as overall fatigue. the patient denied chest pain or palpitations. the patient also reported lightheadedness as well as visual blackouts which had resolved by the time she had arrived to the coronary care unit. past medical history: no significant past medical history. medications on admission: the patient was not on any medications at home. allergies: no known drug allergies. physical examination on presentation: physical examination on admission was notable for the patient being afebrile with tachycardia to the 110s. the patient was saturating in the high 90s on 2 liters nasal cannula. physical examination was notable for bibasilar crackles. first heart sounds and second heart sounds. an audible loud third heart sound. displaced point of maximal impulse. pertinent laboratory values on presentation: diagnostics on transfer included a normal complete blood count with a hematocrit of 40. chemistries were normal with a creatinine of 0.8. creatine kinase was 46. pertinent radiology/imaging: a chest x-ray showed mild congestive heart failure with cardiomegaly. an electrocardiogram revealed a normal sinus rhythm with a rate of approximately 140. normal axis and normal intervals. also with likely left atrial dilatation. approximately 1-mm to 2-mm anterior st elevations as well as v4 to v6 t wave inversions which may be related to repolarization changes. concise summary of hospital course by issue/system: the patient is a 33-year-old woman with no significant past medical history with dilated cardiomyopathy and congestive heart failure. she is seven months postpartum. 1. pump/cardiomyopathy issues: etiology was most likely postpartum and less likely viral; although the patient did have a upper respiratory tract infection a few months prior to admission. a workup for the patient's cardiomyopathy included thyroid studies which showed a moderately elevated thyroid-stimulating hormone but a normal free t4. erythrocyte sedimentation rate was normal. iron studies were normal. lyme was negative. antinuclear antibody was negative. serum protein electrophoresis was normal. negative human immunodeficiency virus test. a cardiac magnetic resonance imaging on did not show evidence of congenital coronary abnormalities. the patient was diuresed while on the c-med service; however, she became hypotensive (requiring dopamine). the patient was started on digoxin on ; however, this discontinued on after the patient had complete heart block on electrocardiogram. the patient's ins-and-outs were followed very closely, and she was in fact very negative with good urine output. a swan-ganz catheter was placed and showed fairly low filling pressures, and the patient was bolused with intravenous fluids as needed. the patient was tried on trials of an ace inhibitor and beta blocker which were started at very low doses, and then stopped, and then restarted several times due to hypotension. by , the patient had been restarted on her captopril 6.25 mg by mouth three times per day with plans to restart her coreg soon at a low dose. 2. hemodynamic issues: in terms of hemodynamics, the patient was initially on dopamine upon transfer to the coronary care unit but was switched to dobutamine for anatropic support with good results. the patient's central venous pressure was initially consistently in the 3 to 4 range which was thought to be too low for her, and she was given intravenous fluids for this. the patient was kept net even in terms of ins-and-outs. dobutamine was titrated off within two days, and the patient tolerated increased captopril and a beta blocker on . however, the patient had systolic blood pressures in the 60s on with a wedge pressure of 17. the patient was started on dopamine once again, and her ace inhibitor and beta blocker were held. dopamine was continued for two to three days and was slowly weaned off as her blood pressure tolerated. due to hypotension in the electrophysiology laboratory, the patient was placed on dobutamine and epinephrine in the electrophysiology laboratory. these were weaned off within two days, and the patient was restarted on her ace inhibitor. the incoming intern will dictate the remainder of the details regarding her congestive heart failure management. 3. rhythm: the patient with occasional palpitations and with telemetry and electrocardiogram showing some intermittent atrioventricular disassociation as well as complete heart block on . the patient also had short runs of nonsustained ventricular tachycardia as well as supraventricular tachycardia up to a heart rate in the 160s. the patient did have 40 beats of nonsustained ventricular tachycardia with hypotension with a mean arterial pressure in the 40s on . electrophysiology was consulted, and after discussion with the patient and her family and coronary care unit team, the decision was made to pursue implantable cardioverter-defibrillator placement. the patient underwent this procedure on , and had a 41-joule implantable cardioverter-defibrillator placed, including a coil in the back that was needed per the electrophysiology studies. a chest x-ray status post procedure showed good placement. implantable cardioverter-defibrillator was thought to be indicated due to the patient's multiple runs of nonsustained ventricular tachycardia as well as her frequent ectopy and also due to the patient's poor ejection fraction; although, it was not due to ischemic causes. 4. chest pain issues: the patient had a short episode of positional chest pain shortly after admission which resolved within two to three days. this was likely pericarditis because it was positional and improved dramatically with toradol and then percocet. the patient's cardiac enzymes were stable. a v/q scan showed low probability for pulmonary embolism. her amylase and lipase were also within normal limits. 5. neurologic issues: the patient with occasional visual changes that were thought to be due to hypotension. the patient had a transient episode of left facial numbness and subtle left-sided weakness, for which she underwent a head computerized axial tomography which was negative. the neurology service was consulted and felt that the episode was likely consistent with a migraine as the patient has a remote history of migraine headaches. the patient had no further episodes through . 6. endocrine issues: the patient had a thyroid-stimulating hormone of 9.8 and a free t4 of 1.4. the endocrinology service was consulted, and the patient was started on levoxyl 25 mcg by mouth once per day. the patient was not thought to be clinically hypothyroid. plans to recheck thyroid studies as an outpatient after the patient's acute illness has been stabilized. 7. anticoagulation issues: the patient was started and maintained on a heparin drip throughout her hospitalization due to her poor ejection fraction. 8. psychiatric issues: the psychiatry service was consulted for the patient as she was expressing discouragement. the psychiatry service believed that the patient was undergoing an adjustment disorder and recommended ativan as needed. 9. fluids/electrolytes/nutrition issues: the patient was on a cardiac diet, and her electrolytes were repleted as needed. 10. prophylaxis issues: the patient was on a heparin drip for a low ejection fraction as well as a proton pump inhibitor throughout her hospitalization. 11. access issues: the patient had a right internal jugular central line that was placed and then removed and then re-placed again. the patient also with an arterial line for close blood pressure monitoring. note: the remainder of the hospital course and discharge to be dictated by the incoming intern. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart catheter based invasive electrophysiologic testing arterial catheterization implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] pulmonary artery wedge monitoring transfusion of packed cells replacement of automatic cardioverter/defibrillator lead(s) only diagnoses: pneumonia, organism unspecified other primary cardiomyopathies urinary tract infection, site not specified congestive heart failure, unspecified cocaine abuse, unspecified paroxysmal ventricular tachycardia cardiogenic shock other complications due to other cardiac device, implant, and graft peripartum cardiomyopathy, postpartum condition or complication 

Answer: The patient is high likely exposed to