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: cc: major surgical or invasive procedure: cardiac catheterization icd (defibrillator) placement history of present illness: hpi: 76 yo m with hx of ra, bl claudication, 2vd cad s/p mi and arrest , old mi, hypercholesterolemia, dm, prostate ca presenting with vf arrest. patient went in to see his pcp for some arm pain (presumably secondary to osteoarthritis) and for a lab check before starting a medication for ra and was found to have hyperkalemia with a k of 6.1 (bun 43, cr 1.1). also wbc 12.9 with left shift, hct 39.5 (baseline). a cxr showed ? of a lll infiltrate. his ekg showed nsr, q waves in ii, iii (old) and no st changes. he was admitted for monitoring, given kayexalate, started initially on ceftriaxone and azithromycin and then continued on azithromycin. he was monitored on telemetry and his cardiac enzymes were cycled x3. on , his troponin was found to be 0.19 at 8 am and then 1.3 at 4 pm. pateint was started on asa 325 mg qd. he had no complaints of chest pain or other symptoms at that time. on , a code blue was activvated at 8:11 pm when the patient was found to be cyanotic. chest compressions were started and he was intubated. he was found to be in vf and was shocked with 200 j x 1 with conversion to svt w/hr 190s and sbp 200s. 1 minute later, he was back in vf and was shocked with 300 j into an svt rhythm in 190s. patient was given lopressor ivx 2 with decrease in hr to 95-100. he was paralyzed with rocuronium and ventilated on ac tv 500 rr 12 fio2 60%. an ngt was placed and bloody fluid was obtained. he was also noted to have guaiac + stools. he was not considered a candidate for iv heparin or integrillin in discussion with cardiology. he was started on iv amiodarone (bolus 150 mg iv x 1 and then 1 mg/min), plavix 300 mg x1 and then transferred to for cardiac catheterization. . ros: n ofevers, chills, st, cp, palpitations, orthopnea, pnd, vomiting, abd pain, melena, hematochezia, hematuria, urinary changes, rashes. + sob with exertion, productive cough past medical history: bl claudication inferior myocardial infarction in complicated by ventricular fibrillation arrest, anoxic encephalopathy resulting in residual short-term memory loss and minor speech impediment, and unsteady gait. cath - 20% lm stenosis, 30% intermedius, 90% stenosis in retroflexed lcx s/p 2.5 x 9 s660 stent, 100% occlusion of the right coronary artery with 3-4+ collaterals in the left circumflex and left anterior descending hypercholesterolemia diet controlled dm prostate ca treated seven years ago. social history: sh: he smoked 10-15 years for a pack a day and quit 25 years ago. no alcohol history. he lives with his wife. has two grown children. he is an electronic engineer, retired 11 years ago. family history: fh: his father had a myocardial infarction in his 30s. physical exam: t 99.6 rectally p 82 rr 16 bp 157/86 sat 100% on ac tv 500 rr 16 peep 5 fio2 100% 87.2 kg gen: obtunded man intubated and lying in bed in nad neck: jvp not seen cv: rrr, nl s1, s2, no m/g/r lungs: ctab, no w/r/r abd: soft, sparse bs, nd, no organomegaly ext: 2+ femoral pulses bilaterally, no bruits, dopplerable dp and pt bilaterally, no edema rectal: no stool ng contents: guaiac negative. flushed x 2 - no frank blood or coffee ground appearance pertinent results: labs from osh: hct 34.3 on --> 35.6 wbc 12.5 on --> 21.4 ck 75 ->121 -> 151 mb -> 4.9 tropi 0.19 (nl 0-.39)-> 1.33 bnp 197 bun 38 on cr 1.2 on . cxr pa and lat from : old healed l lateral rib fractures, demineralized bones, mild degenerative changes throughout t-spine. no chf or pleural effusions, no focal pulmonary consolidation. no chf or pneumonia. . cxr ap here (my read) poor inspiratory effort, diffuse fluffy infiltrates in lul, r hilar prominence . ekg on admission: nsr at 73, qrs slightly widened, nl axis, q waves iii, avf, lvh, twi in avl (new since 7 pm), triphasic t waves in i . cath : lmca: luminal irregularities lad: wnl lcx: 90% prox rca: filling via collaterals . cath : lmca: 80% distal (same as ) lad: mild luminal irregularities lcx: patent prox, mild om2 disease rca: 100% mid to distal fills via l to r collaterals . duplex carotid - nonstenosing <40% plaque in r and left extracranial carotid systems. . arterial doppler of les: moderate decrease in arterial flow to the rle at rest at the level of the aorto-iliac. mild decrease to the lle at rest at the runoff level. dorsalis pedis appears to be occluded. when compared to the previous study from , there has been a decrease in arterial flow to the rle and the l dorsalis pedis is now occluded. chest (pa & lat) 9:51 am history: left axillary vein puncture for icd lead placement. please check. impression: pa and lateral chest compared to and 22: a new transvenous pacer defibrillator from the left axillary power pack follows the expected course to the right ventricular apex, proximal electrode dense from the left brachiocephalic vein to the svc. lateral view shows small bilateral pleural effusion, right greater than left, which could have been present on the earlier films and is not likely to represent hemothorax related to lead placement. there is no pneumothorax or mediastinal widening. moderate cardiomegaly is chronic and unchanged. lungs are grossly clear. healed left clavicle fracture and pleural thickening along the lower costal pleural margin adjacent to chronic fractures indicate prior chest trauma. 12:46am blood ck-mb-11* mb indx-6.5* ctropnt-0.49* 06:23am blood ck-mb-11* mb indx-6.9* 02:47pm blood ck-mb-7 ctropnt-0.46* 08:00pm blood ck-mb-4 ctropnt-0.39* 05:15am blood ck-mb-4 ctropnt-0.41* 06:23am blood triglyc-78 hdl-83 chol/hd-1.6 ldlcalc-37 brief hospital course: 73 yo m with h/o hl, dm, cad s/p imi and vf arrest in p/w vf arrest s/p nstemi. the following is a summary of his hospital course by problem. . cardiac: #. ischemia - the patient has a long cad history with an imi and vf arrest in and with recent stenting of occluded lcx in . ekg with new twi in avl. peak ck at 162, mb 11. ng tube with ? guaiac +, bloody aspirate at osh, so he did not receive integrillin and heparin drip on admission. given his prior history of arf with contrast, he was given mucomyst and bicarb prior to receiving his catheterization. cardiac cath showed unchanged coronary anatomy with a 50% tapering distal lmca lesion, mild luminal irregularities in the lad with maximum 30% obstruction, patent lcx stents with mild om2 disease, and a totally occluded rca in its mid course with the distal vessel filling by left to right collaterals. he was continued on asa, plavix and titrated up on metoprolol to metoprolol xl 225 qd. he was also continued on lipitor, gemfibrozil and niacin, and found to have an ldl 37. he was restarted on his home dose of accupril and norvasc. . #. pump - patient's bnp at the osh was 197. an admission chest x-ray showed mild chf and small bilateral pleural effusions. his lvedp at cath was elevated at 17 with a lvef 51% and very mild hypokinessis. a tte showed ef 45-50%, mild symmetric left ventricular hypertrophy with mild regional left ventricular systolic dysfunction c/w cad. left ventricular diastolic dysfunction. mild mitral regurgitation. mild pulmonary artery systolic hypertension. he autodiuresed and was started on metoprolol xl 225 qd and continued on accupril 20 qd. . #. rhythm - patient s/p vf arrest, then in svt with conversion to nsr on amiodarone on admission to . he was monitored on telemetry during his admission with 3 episodes of asymptomatic nsvt during his admission. electrophysiology was consulted and was unable to induce vt/vf in the lab. an icd was placed, and he will follow-up with ep in 1 week. . #. id: elevated wbc at osh with reported l shift. ? lll pna at osh, but appeared to have possible lul infiltrate on admission cxr here. repeat cxr without clear evidence of consolidation. repeat wbc elevated here, however, this was in the setting of steroids. - finish antibiotics course started at osh with 7 days of levofloxacin . #. gi: ? guaiac + ng aspirate at osh - guaiac negative here. patient was placed on ketorolac at osh. on admission to , he was placed on a iv ppi, and then switched over to protonix 40 po qd when his hct remained stable. . #. respiratory - patient was intubated for airway protection at osh after vf arrest. ? lll pna on cxr at osh. he did well on his spontaneous breathing trial on hd1 and was extubated. medications on admission: meds on admission to : accupril 20 mg qd atenolol 50 mg folic acid 5 mg qd folgrard 2.2 qd gemfibrozil 600 mg lipitor 80 mg qd norvasc 5 mg qd niaspan er 750 mg prednisone 15 mg qd probenecid 500 mg zoloft 100 mg qd asa 81 mg qd cromega (omega-3 fish oil) 2.5 g qd tylenol arthritis 650 mg nitroquick 0.5 mg prn . meds on transfer: amiodarone drip atenolol 75 folic acid 1 mg qd gemfibrozil 600 mg lipitor 80 mg qd norvasc 5 mg qd niaspan er 750 mg qd prednisone 15 mg qd probenecid 500 mg zoloft 100 mg po qd azithromycin 500 mg qd lovenox 40 mg sc qd ceftriaxone 1 g iv q24 asa 325 qd tylenol 650 prn albuterol prn morphine 2-4 mg sc q4prn toradol 15 mg tid iv prn pain discharge medications: 1. prednisone 5 mg tablet sig: three (3) tablet po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. combivent 103-18 mcg/actuation aerosol sig: 1-2 puffs inhalation once a day. disp:*1 month supply* refills:*2* 4. folic acid 1 mg tablet sig: five (5) tablet po daily (daily). 5. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 6. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 7. niacin 250 mg capsule, sustained release sig: three (3) capsule, sustained release po once a day. 8. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. disp:*3 tablet(s)* refills:*0* 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: five (5) ml po q6h (every 6 hours) as needed for cough. disp:*1 bottle* refills:*0* 12. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 13. quinapril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 14. metoprolol succinate 200 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 15. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 16. folgard rx 2.2-25-1 mg tablet sig: one (1) tablet po once a day. 17. probenecid 500 mg tablet sig: one (1) tablet po twice a day. 18. norvasc 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 19. omega-3 fish oil 1,000 mg capsule sig: 2.5 capsules po once a day. 20. tylenol arthritis 650 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. 21. nitroquick 0.3 mg tablet, sublingual sig: one (1) sublingual see instructions as needed for chest pain: take 1 for chest pain and call your doctor. repeat every 5 minutes as needed for a total of 3. 22. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain for 10 days. disp:*30 tablet(s)* refills:*0* 23. cephalexin 500 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 3 days. disp:*6 capsule(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: non-st-elevation myocardial infarction ventricular fibrillation cardiac arrest status post resuccitation coronary artery disease obstructive lung disease congestive heart failure community acquired pneumonia discharge condition: resting o2 sat 96%, ambulatory o2 sat 91%, afebrile, no chest pain discharge instructions: 1. please take all medications as prescribed. 2. please keep all follow-up appointments. 3. please seek medical attention if you develop fevers, chills, chest pain, shortness of breath that does not improve or have any other concerning symptoms. you do not need to continue wearing your sling. followup instructions: you have a follow-up appointment with the device clinic on , building, . phone: date/time: 11:30. please be sure to keep this appointment. you may decide at that time if you would like to schedule your follow-up with electrophysiology either here in at or ask dr. , your cardiologist, if he can refer you to an electrophysiologist in . please make a follow-up appointment with your cardiologist, dr. , for within the next 2 weeks. please make a follow-up appointment with your primary care doctor, dr. at for within the next 1-2 weeks. please procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified ventricular fibrillation 

Answer: The patient is high likely exposed to