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 86-year-old diabetic with a history of congestive heart failure, atrial fibrillation on coumadin, coronary artery disease, and chronic renal failure, sent from with shortness of breath and tachycardia. noted to have bilateral effusions that are not new but larger per outside hospital records. she had a cta that was negative for pulmonary embolus. had recent admit to from for atrial fibrillation with rapid ventricular rate. she was discharged without any lasix and is now representing with a picture consistent with congestive heart failure. past medical history: 1. congestive heart failure. 2. atrial fibrillation. 3. cri. 4. gout in right knee. 5. hypertension. 6. coronary artery disease status post myocardial infarction. 7. diabetes mellitus type 2. 8. gastroesophageal reflux disease. 9. status post ccy. 10. congestive obstructive pulmonary disease. 11. hypothyroid. allergies: asa with asthma. medications: 1. famotidine 20 mg po q24. 2. fluticasone 110 mg two puffs inhaled . 3. ipratropium bromide nebulizers one nebulizer q6h prn. 4. levothyroxine sodium 75 mcg iv q day. 5. levofloxacin 250 mg iv q48h. 6. someterol 1-2 puffs ih inhaled . 7. insulin-sliding scale. 8. senna one tablet po bid. 9. docusate 100 mg po bid. 10. lactulose 30 mg po tid. 11. bisacodyl 10 mg pr. 12. acetaminophen 325-650 po q4-6h prn. 13. diltiazem drip. 14. morphine 1-3 mg iv q4h prn. 15. vancomycin 1 gram iv q24h. 16. subq heparin. on , the patient was transferred to the micu for respiratory distress. she was called out on as a dnr/dni. no bipap. initially did well on nasal cannula, and the plan was to treat for pneumonia and try to optimize her volume status. however, the patient had severe right sided heart failure and acute renal failure at the time, and by , she was doing badly. her saturations were dropping. blood pressure dropping and had occasional bradycardia. family was contact and came to the patient's bedside, where she expired . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified thoracentesis diagnoses: pneumonia, organism unspecified unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease iatrogenic pneumothorax 

Answer: The patient is high likely exposed to