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: patient recorded as having no known allergies to drugs attending: chief complaint: weakness and bradycardia. major surgical or invasive procedure: permanent pacemaker placement. history of present illness: yo f with h/o hypertension, thyroid disorder, h/o syncope presented to osh from nh after noted to be pale and weak on . patient also reportedly "passed out", hr noted to be in 20-30 range at nh. . at , vs were 97.6 30s 114/62. patient denied any cp, sob, abd pain, lightheadedness. graddaughter is the hcp who that patient has been in usoh, fairly independent with adls. labs at osh were notable for k of 6.0, cr 1.6. trop i 0.013. given insulin, glucose and kayexalate. k on repeat 5.2. patient seen by cardiology with recommendations for ppm, patient refused but after discussions with hcp made for pursue ppm placement. also seen by renal service, arf thought to be to low co from heart block. of note patient given some haldol during intial hospitalization later held for concern of prolonged qt. . upon arrival to the icu, patient awake and alert, not following commands or answering questions. responds to painful stimuli (iv placement). telemetry showing 4:1 high grade av block. past medical history: - mild dementia - htn - hyperthyroid vs. hyperparathyroid (unclear from outside records) - syncope ?with falls (last admitted in for fall) - cad --?mi in the past, no cath, does not know if had stress test social history: lives at nh. no etoh, tob very remote use, drugs. family history: non contributory physical exam: vs: t 101 bp 104-17-->208/179 hr 30-40's rr 19 o2 99% 4l nc gen: elderly lady, lying flat, eyes open, nad heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, jvp flat cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. bradycardic, no thrills, lifts. no s3 or s4. chest: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, obese, ntnd. bs+ ext: no c/c/e. feet cool to touch, dopplerable pulses. skin: dry, rash under breasts/groin area pertinent results: 01:45pm blood wbc-14.2* rbc-3.56* hgb-11.5* hct-32.8* mcv-92 mch-32.4* mchc-35.1* rdw-14.2 plt ct-217 02:32am blood wbc-10.5 rbc-3.41* hgb-11.0* hct-31.2* mcv-91 mch-32.2* mchc-35.3* rdw-14.4 plt ct-167 01:45pm blood pt-12.4 ptt-25.4 inr(pt)-1.1 02:32am blood pt-12.5 ptt-26.2 inr(pt)-1.1 01:45pm blood glucose-137* urean-52* creat-1.8* na-141 k-4.8 cl-104 hco3-25 angap-17 02:32am blood glucose-120* urean-45* creat-1.4* na-141 k-4.0 cl-108 hco3-27 angap-10 01:45pm blood calcium-8.8 phos-5.2* mg-2.6 02:32am blood calcium-8.8 phos-3.5# mg-3.7* 01:45pm blood tsh-0.96 . chest x-ray: no prior films are available for comparison. heart is top normal in size, and there is arteriosclerosis and tortuosity of the aorta. there is a linear density in the left base consistent with subsegmental atelectasis or linear fibrosis. there is no evidence of acute consolidation or frank pulmonary edema. electrode is overlying the right lower chest. brief hospital course: year old female with history of hypertension, possible cad, hyperthryoid who presents with high degree av block. signs and symptoms thought to be secondary to the conduction abnormalities were renal failure and altered mental status. the mobitz type ii (intially 4:1 and then 2:1) heart block was intially adressed with the emergent placement of a temporary pacemaker via the right interenal jugular vein. this resulted in improved heart rate and resolution of the patient's renal failure and altered mental status. the patient was febrile which delayed the placement of a permanent pacemaker. a source for the fever was never found. she was treated for a 7 day course with ceftriaxone and azithromycin. the permanent pacemaker was placed on /0 an echo was obtained to help evaluate the patient's pump function, which was remarkably prsereved. the patient's thyroid function was checked and her tsh was wnl. she was discharged to her extended care facilitiy with follow up scheduled with and device clinic. medications on admission: - nifepidpine er 90 daily - mvi - ptu 50 mg daily - clonidine 0.2 mg po daily - robitussin 10 mg po prn - lasix 60 mg daily - atenolol 50 mg daily - senna 2 tabs hs discharge medications: 1. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 4. propylthiouracil 50 mg tablet sig: one (1) tablet po daily (daily). 5. azithromycin 250 mg capsule sig: one (1) capsule po q24h (every 24 hours) for 3 days. 6. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 7. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). 8. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 9. cefpodoxime 200 mg tablet sig: one (1) tablet po once a day for 3 days. discharge disposition: extended care facility: - discharge diagnosis: 4 to 1 mobitz ii second degree heart block. . mild dementia htn hyperthyroid cad --?mi in the past, no cath, does not know if had stress test \npneumonia discharge condition: vital signs stable. mental status improved. well paced on telemetry. vital signs stable. mental status improved. well paced on telemetry. tolerating pos. afebrile. discharge instructions: you were admitted to the hospital because of an irregular heart rhythm. it was thought that a permanent pacemaker would be the best option for treating this disorder. a pacemaker was placed on.... . please follow up with your appointments as documented below. please take your medications as prescribed. . please return to the hospital if you develop fevers, chills, redness or warmth over the site of the pacemaker, chest pain, lightheadedness, palpitations, shortness of breath, or any other concerning symptoms. . followup instructions: please follow up with dr. scheduled for friday at 12:40pm. you can call to verify the appointment. please follow up with dr. provider: clinic phone: date/time: 11:00 procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system diagnoses: pneumonia, organism unspecified hyperpotassemia coronary atherosclerosis of native coronary artery unspecified essential hypertension acute kidney failure, unspecified thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm other persistent mental disorders due to conditions classified elsewhere sinoatrial node dysfunction tricuspid valve disorders, specified as nonrheumatic mobitz (type) ii atrioventricular block 

Answer: The patient is high likely exposed to