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: patient was initially admitted with a chief complaint of dyspnea and chf exacerbation. she is a -year-old white female with history of severe ar, chf, who was admitted to the vicu for dyspnea, and is now being called out to the floor. she was initially admitted on after initially presenting to an outside hospital having chest pain and shortness of breath. she was intubated after an abg at the outside hospital was 7.23, 57, and 227. she was given lasix, morphine, nitrates, and was transferred to . she had a troponin of 0.12. her hematocrit also was low at 26.2. she was started on lasix, hydralazine, nitrates, and aspirin. she was extubated on , and an echocardiogram was done as well as metoprolol was started. currently, she denies any chest pain, shortness of breath, nausea, vomiting, abdominal pain. denies cough, fevers, or chills. past medical history: 1. recent pneumonia on admission from . 2. coronary artery disease status post mi in as well as in . 3. chf with an ef of 15-20% on an echocardiogram obtained . this also showed severe + ar. 4. chronic renal insufficiency. 5. history of mrsa uti in . 6. gout. 7. chronic pericardial effusion. patient has refused pericardiocentesis numerous times, although there was no evidence of tamponade on the recent echocardiogram. 8. left bundle branch block. 9. total abdominal hysterectomy. 10. thoracic aortic aneurysm. social history: she is married for 72 years. no smoking or ethanol use. she has a history of medical noncompliance. allergies: 1. penicillin. 2. questionable of a beta blocker allergy. 3. questionable history of ace inhibitor allergy. pertinent findings on examination: her blood pressure was 131/46. she was satting 98% on 4 liters. she was in for 950 and out for 1389. length of stay she was 2 liters negative. she had dry mucous membranes. her jvp was at 10 cm. she has bibasilar crackles without wheezing. she had a grade 3/6 systolic ejection murmur heard best at the right upper sternal border as well as a grade blowing diastolic murmur heard best at the mid left sternal border. she had no peripheral edema. a peak troponin was 0.21 with a ck of 43 and a mb of 4. on , she had a chest x-ray which showed a dense focal opacification behind the left side of the heart, either atelectasis or infiltrate. the left costophrenic angle was blunted, mild-to-moderate chf. hospital course by problem: 1. chf: as noted previously, the patient has a severely depressed ejection fraction along with 3-4+ ar. she was initially continued on her beta blocker, hydralazine, and isordil. she was also kept on 100 mg p.o. b.i.d. of lasix. per the attending's recommendations, it was decided to start the patient on natrecor for diuresis. she received two days of natrecor diuresis and then was continued on 40 mg p.o. b.i.d. of lasix. also a chf consult was obtained, and they recommended starting the patient on toprol xl 12.5 mg q.d. she is also started on captopril 6.25 mg b.i.d, which she tolerated. also on the day of discharge, the patient was discharged on lisinopril 5 mg p.o. q.d. 2. in terms of ischemia, the patient was continued on aspirin and also the patient was started on plavix 75 mg p.o. q.d. the treatment team discussed the patient's therapeutic options for coronary disease, and the patient repeatedly refused invasive interventions such as cardiac catheterization. 3. in terms of her rhythm, she continued in left bundle branch block with no evidence of other dysrhythmia. a lipid panel was checked, and the patient was noted to have an appropriate ldl goal. on the evening of , the patient had two episodes of chest pain, one at approximately 10:30 p.m. and one at approximately 12 a.m. associated with some anterolateral t-wave changes. the patient was given sublingual nitroglycerin during each of these episodes with relief. the patient had a peak troponin during this episode of chest pain at 0.11. per extensive discussion with the attending, it was agreed not to start a heparin drip on this patient as a. the patient has a history of hematuria and gi bleed while on heparin, and b. heparin is usually a bridge of treatment to definitive interventions such as cardiac catheterization or bypass, and therefore was agreed that the patient would not be started on a heparin drip. 4. patient was noted to have cloudy urine, and a urinalysis was sent which did reveal a urinary tract infection. she was started on levofloxacin 250 mg p.o. q.48h. (renally dosed for a total of 10 day course). 5. chronic renal insufficiency: the patient's creatinine remained at her baseline during her admission. discharge diagnoses: 1. congestive heart failure. 2. coronary artery disease. 3. severe aortic regurgitation. 4. non-st-segment elevation myocardial infarction x2. 5. respiratory failure. 6. chronic renal insufficiency. 7. left bundle branch block. 8. chronic pericardial effusion without evidence of tamponade. discharge instructions: patient was instructed to call her primary care doctor or 911 if she began having chest pain, shortness of breath, severe difficulty laying down flat, leg swelling, fevers, chills, or any other complaints. patient was also told to begin a lasix sliding scale as directed. this will be accomplished through home vna, who will help with her this. she was also told to followup with her cardiologist within two weeks, and she will be receiving home vna through her niece. discharge medications: 1. protonix 40 q.d. 2. aspirin 325 q.d. 3. metoprolol xl 12.5 mg p.o. q.d. 4. lasix 40 mg p.o. b.i.d. 5. plavix 75 mg p.o. q.d. 6. sublingual nitrate prn. 7. lisinopril 5 mg p.o. q.d. 8. levofloxacin 250 mg one tablet p.o. q.48h. to finish . 9. she is also to receive potassium chloride prn through her vna. the patient should have chem-7s drawn approximately twice a week to follow her kidney function and her potassium levels as she is on both an ace inhibitor and lasix. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified aortic valve disorders systolic heart failure, unspecified acute respiratory failure other left bundle branch block 

Answer: The patient is high likely exposed to