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: morphine / codeine / amoxicillin attending: chief complaint: transferred for stemi major surgical or invasive procedure: cardiac cath intra-aortic balloon pump history of present illness: 87 yo f with htn as cardiac risk factor tx here from for stemi and urgent cath. pt was in usual state of health until 11am doa when she developed severe right cp radiating to her left. this was associated with n/v. took ems to osh and was found to have ste in lateral leads. heparin, plavix load, lipitor, and asa started. tx to cath here. cath: hd:elevated filling pressures, wedge of 18, ci 2.1 refractory hypotension requiring levo and dopa. ef 30% with regional wall motion abnormalities. normal lm, lad 30% with possible ulcer, 50% diag 1 with timi iii flow and ? of spnot reperfusion. also seen rca -lad small fistula to pa or mediastinum. iabp placed for afterload reduction. past medical history: htn, hypothroidsm, s/p right hip fracture social history: lives alone in . never smoked. drinks occ wine. she is estranged from her son who she sees for 2 hrs/year during the holiday. her hcp is her best friend . family history: noncontributory physical exam: vitals: t= 98.6, hr = 115 , bp = 83/43 on levo and dopa, rr = 20 , sao2 = 97% 5l. general: appears comfortable, nad. heent: normocephalic and atraumatic head, no nuchal rigidity, anicteric sclera, moist mucous membranes. neck: no thyromegaly, no lymphadenopathy, no carotid bruits. chest: her chest rose and fell with equal size, shape and symmetry, her lungs were clear to auscultation bilaterally. cv: pmi appreciated in the fifth ics in the midclavicular line without heaves or thrills, rrr, normal s1 and s1 no murmurs rubs or gallops. abd: normoactive bs, nt and nd. no masses or organomegaly back: no spinal or cva tenderness. ext: no cyanosis, no clubbing or edema with 2+ dorsalis pedis pulses bilaterally. cath site c/d/i without oozing integument: no rash neuro: cn ii-xii pertinent results: cath: 1. selective coronary angiography revealed a codominant system. the lmca was angiographically normal. the lad had a 30% lesion proximally, possibly had an ulcerated area in the mid-vessel. the diagonal had a 50% lesion with timi 3 flow throughout - possible spontaneous reperfusion. the lcx and rca had mild disease. there was a possible small fistulae from teh rca and lm to pa or mediastinum. 2. hemodynamics during the case showed elevated filling pressures (mean pcwp 18-10) with pulmonary hypertension (pasp 39 mm hg). there was systemic hypotension which required use of dopamine and levophed for blood pressure support. an iabp was placed for hemodynamic support (ci 2.26 on pressors, suggestive of cardiogenic shock). there was no gradient across the aortic valve on pullback. 3. left ventriculogram showed an ef of 30% with anterio, anterolateral, apical, and inferoapical akinesis/dyskinesis, which corresponds to a lad distribution. echo: 1. the left atrium is elongated. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is severe regional left ventricular systolic dysfunction. overall left ventricular systolic function is severely depressed (lvef 20%). resting regional wall motion abnormalities include akinesis of the lower 's of the left ventricle with relative preservation of the base. a resting left ventricular outflow tract gradient was varialby present which may be related to the inflation of the intra-aortic balloon pump. 3. right ventricular chamber size is normal while the apex is akinetic. 4.the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. 5.the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 6. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. 7.there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. chest ct: 1. no mediastinal mass. 2. bilateral pleural effusions with scattered septal lines and areas of ground glass opacity most consistent with mild pulmonary edema. in the appropriate setting, an infection should also be considered. 3. 1 year follow up recommedned for small lung nodules in the absence of underlying malignancy. brief hospital course: 1. cad: pt presented with stemi s/p cath and became hypotensive requiring intra-aortic balloon pump and levophed, dopamine, and dobutamine. the cath showed 30% proximal lad, possibly had an ulcerated area in the mid-vessel, the diagonal had a 50% lesion with timi 3 flow throughout (possible spontaneous reperfusion), the lcx and rca had mild disease. there was a possible small fistulae from teh rca and lm to pa or mediastinum. left ventriculogram showed an ef of 30% with anterio, anterolateral, apical, and inferoapical akinesis/dyskinesis, which corresponds to a lad distribution. pt was slowly weaned off of pressors, and intra-aortic pump was successfully removed, and was started on carvedilol and captopril. she was continued on asa, lipitor, and plavix. atenol and lisinopril were started. 2. pump: the patient had large anterior wall motion abnormalities on echo in the cath lab. formal echo done later showed severe regional left ventricular systolic dysfunction. overall left ventricular systolic function is severely depressed (lvef 20%). resting regional wall motion abnormalities include akinesis of the lower 's of the left ventricle with relative preservation of the base. unclear whether this is from this mi or from a previous one. pt had bilateral pleural effusion with mild chf on the chest ct. pt required 5l nc, and otherwise would desaturate into 80's. standing po lasix 20 mg qd was started. anticoagulation with coumadin and heparin were started since she is at risk for cardioembolic event after acute mi. ideally, she should be on coumadin for several months. however, she has a history of fall in the past, and pt evaluation noted high risk of fall, we decided to only anticoagulate while she is in-patient in the hospital and while she is at the acute rehab. since pt is going to transitional care where her pcp will be following, we spoke with her pcp . mian about this and said that she will decide whether the patient is safe to continue coumadin once she is discharged from the rehab. pt noted to have 6 beat nsvt overnight. given her low ef, she may benefit from icd. however, given her age and her dnr/dni status, planning of icd was thought inappropriate at this time. further discussion with the family member/hcp should be made before deciding for icd. 3. chest: possible mediastinal mass was seen during cath. there was also a question of possible fistula from the rca and lm to pa or mediastinum. chest ct was obtained which showed no mediastinal mass but did show a 4 mm nodule in the right middle lobe. there was a suggestion of possible smaller adjacent nodule in the upper lobe. these small nodules should be followed up with ct in 1 year. 4. thrombocytopenia: pt's platelets started to drop since admission. hit antibody was sent which was negative. once the intra-aortic balloon pump was removed, her platelet count recovered suggesting it was secondary to the pump. 5. anemia: pt got 1 unit of prbc with appropriate rise in hct. she had a guiac positive stool but her hct remained stable. 6. hypothyroid: she was continued on synthroid. 7. mental status: pt was initially confused and delirious since the cath requiring prn antipsychotics and benzodiazepine. she had a positive ua, so her delirium was attributed to uti and sun-downing. she was getting seroquel 25 mg po qhs for several days with good effect. after treating uti with levofloxacin, her metnal status improved. she will complete a 14 day course of uti. 8. code: dnr/dni after long discussion with hcp . medications on admission: actinol lisinopril synthroid discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. levothyroxine sodium 75 mcg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). 7. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 9. potassium chloride 20 meq packet sig: one (1) po once a day. 10. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime): check inr frequently and have the dose changed accordingly until inr at 2-3. 11. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 12. atenolol 50 mg tablet sig: one (1) tablet po once a day. tablet(s) discharge disposition: extended care facility: health care - discharge diagnosis: stemi htn hypothyroid discharge condition: hemodynamically stable. discharge instructions: pt was instructed to take all of the medications as instructed. pt should avoid strenuous activities for 2 weeks. pt should engage in cardiac rehab program as directed. pt needs to seek medical attention if she develops chest pain, sob, palpitation, diaphoresis, nausea/vomiting, dizziness, or any other concerning symptoms. pt should take coumadin and have her inr level checked and coumadin dose adjusted until level is stable. followup instructions: patient needs to follow up with pcp 1-2 weeks. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures implant of pulsation balloon transfusion of packed cells diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism other chronic pulmonary heart diseases other specified cardiac dysrhythmias cardiogenic shock delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to