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: penicillins / morphine attending: chief complaint: difficulty breathing major surgical or invasive procedure: endotracheal intubation bronchoscopy x 2 renal biopsy history of present illness: mr. is a 77m with extensive pmh including chf, cad c/b mi, dmii, lung cancer s/p vats, and esrd s/p kidney transplant in (on immunosuppresion), who presents from clinic with pneumonia, new thrombocytopenia and hyperkalemia. . mr. was diagnosed with a uti in and was treated with ciprofloxacin x7 days. he then became ill one week ago with upper respiratory symptoms including congestion and cough productive of phlegm streaked with blood which has evolved into phlegm with clots. he has noted some epistaxis with dripping down the back of his throat. he also noticed atraumatic bruises over his extremities over the past two days. he has had diarrhea for 7-10 days all prompting him to be evaluated today at and was found to have a new pneumonia. he was started on levofloxacin and sent home. his labs returned with a critical value with platets of 22 and creatinine of 7.3. he was notified and asked to be evaluated in the ed. . review of systems also positive for air hunger and anxiety related to his feeling of being unable to get enough air. he also endorses a decreased appettite. however, he denies n/v, hematemsis, f/c, ha. he denies any medication non-compliance, new medications or supplements. he follows with dr. , who mr. saw "a few months ago." . recently, patient has been having difficulty breathing, described as inability to get air in. increased bruising noted over the past two days. nosebleeding also noted. diarrhea on and off for the past 7-10 days. no fevers, chills, hematochezia, hematuria, dysuria, gum bleeding, melena . in the ed, initial vs were: 97.7 84 120/44 24 96% ra. cxr showed rll/rml pneumonia. sputum cx, urine cx, blood cx sent. for the hyperkalemia he was given kayexalate x1, insulin 10 u x2, 1 amp d50, calcium gluconate. he was guaiac negative. . on arrival to the micu, he is tachypneic, restless and obviously uncomfortable. he is tripoding to help make his breathing more comfortable. . review of systems: (+) per hpi, all else negative. past medical history: 1. dmii 2. htn 3. hypercholesterolemia 4. cad s/p mi () 5. severe osteoarthritis of the hips/shoulders/knees 6. spinal stenosis 7. esrd s/p lrrt () 8. pvd s/p r sfa-tib/peroneal trunk nrsvg (99), jump graft from r tib/peroneal trunk to distal r pt nr cephalic vg (), pta of r sfa-pt bypass (), angioplasty l cia (), l cfa-pt with in-situ svg (), b/l tma, b/l sesamoidectomies, r aka 9. lung adenoca s/p vats/wedge resection of nodule 10. bph 11. diastolic heart dysfunction 12. klebsiella bacteremia/urosepsis () 13. phimosis s/p circumcision in social history: he smoked cigarettes until (50 pack-years). he does not use alcohol. he lives at home with his wife who helps him with his medications and adls. he retired approximately 10 years ago from his job as a truck driver. he has 3 children that are doing well. family history: significant for lung cancer in the patient's father who developed this at age 75, but subsequently died of a stroke. his mother died at the age of 86 from stroke. he has one brother with mental retardation that died at the age of 69. he has another healthy brother. physical exam: admission physical exam: vitals: t: 96.9 bp: 125/51 p: 89 r: 26 o2: 86-90% on ra, 98% on 5l general: alert, oriented, uncomfortable, restless heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp ~12 cm, no lad cv: lsb sem, borderline, no murmurs, rubs, gallops lungs: diffuse rhonchi, most prominent in the bases of the lungs r>l, no wheezes, tripoding, accessory muscle use abdomen: soft, tenderness over the transplant graft in the llq, non-distended gu: foley, gross hematuria ext: warm, aka on right, with transmetatarsal amputation on left, multiple skin erosions on left calf and medial and lateral ankles. 2+ edema neuro: mildly confused (time of day), moving all 5 extremities. . pertinent results: admission labs: 01:03pm blood wbc-8.7 rbc-3.04* hgb-8.4* hct-27.9* mcv-92 mch-27.5 mchc-30.0* rdw-21.6* plt ct-22*# 01:03pm blood neuts-79.0* lymphs-14.4* monos-5.1 eos-1.1 baso-0.3 03:52am blood pt-14.1* ptt-27.5 inr(pt)-1.2* 03:52am blood fibrino-373# 03:52am blood ret aut-5.7* 01:03pm blood urean-138* creat-7.3*# na-138 k-5.9* cl-101 hco3-21* angap-22* 01:03pm blood alt-12 ast-25 alkphos-59 totbili-0.5 07:42pm blood ld(ldh)-718* totbili-0.5 03:20pm blood lipase-7 03:52am blood calcium-8.1* phos-7.0*# mg-2.8* 07:42pm blood hapto-64 09:15am blood hbsag-negative hbsab-negative hbcab-negative 04:10pm blood anca-negative b 09:15am blood hcv ab-negative 06:15pm blood lactate-1.4 04:29am blood hgb-8.3* calchct-25 o2 sat-66 11:40pm blood freeca-1.14 . brief hospital course: mr. is a 77 year old male with extensive history including heart failure (chf), coronary artery disease complicated by myocardial infarction (cad c/b mi), diabetes mellitus, type 2 (dmt2), lung cancer status post vats, and end stage renal disease (esrd) status post kidney transplant in (on immunosuppresion), who presented from clinic with pneumonia, new thrombocytopenia and hyperkalemia. . # acute on chronic renal failure: ultimately, the cause of his acute renal failure was not found. it was suspected that he had a ttp/hus-like syndrome or possibly atn from sepsis which he never recovered from. a renal biopsy of his transplanted kidney did not show acute graft rejection, blood vessel thrombosis, or other pathologic diagnoses. his adamsts13 was indeterminate. he was tried on cvvh and crrt for dialysis, however, he was ultimately unable to maintain euvolemia with this and was continuing to have pulmonary edema resulting in respiratory failure. his immunosuppression (rapamune and cellcept) was discontinued when it became clear that his kidneys were not recovering and his thrombocytopenia was worsening. . # thrombocytopenia: cause was never discovered. as discussed above, it is possible that he had a ttp/hus-like syndrome, sepsis, or a smoldering dic. itp was also on the differential. his hemolysis labs showed a mixed picture with largely normal total bilirubin and haptoglobin, variable fibrinogen sometimes under 100, and elevated ldh. he was tried on plasmapheresis x3 for possible ttp, however this did not raise his platelets. then, he was given a trial of prednisone for possible ttp/hus, which worked for only one day and was confounded by platelet transfusions at the same time. finally, his immunosuppression was held to let his bone marrow replace the platelets, which showed potential with a reticulocyte count of >7. he continued to have bleeding through pulmonary hemorrhage differential diagnosis includes ttp/hus vs. sepsis vs. acute rejection, graft thrombosis. likely source of infection is urinary with a ua positive. in terms of ttp/hus, he has anemia, thrombocytopenia, and renal failure. he has been on prednisone chronically and may be playing a role in suppression of his fever response in the case of ttp/hus and sepsis. his peripheral morphology shows occassional schisotcytes. ldh is elevated (though the sample was slightly hemolyzed). he has had symptoms of diarrhea for 7-10 days though non-bloody. . on during a family meeting it was decided that the patient should be made comfort measures only. we held labs, discontinued any unnecessary medications that did not contribute directly to patient comfort, discontinued dialysis. his vent was changed to pressure support. social work and the chaplain were consulted. on the morning of the patient died. medications on admission: *fentanyl 25 mcg/hr q72 *epogen 4,000 unit/ml injection 2 injections 8,000 u q 7 days *levofloxacin 250 mg tab -please take 2 tablets on day one and 1 tablet daily thereafter *lipitor 80 mg qpm *flomax 0.4 mg 24 hr cap qhs *rapamune 3 mg po qhs *hectorol 2.5 mcg po daily *protonix 40 mg tab 1 tablet(s) by mouth once a day *lantus solostar 300 unit/3 ml sub-q insulin pen inject 34 units subcutaneously at bedtime once a day at bedtime *senna 8.6 mg tab 1 tablet(s) by mouth prn *humalog 100 unit/ml sub-q sliding scale, as directed *bactrim ds 160 mg-800 mg tab 1 tablet(s) by mouth three times a week, mon/wed/fri *aspirin 81 mg tab po daily *niaspan 500 mg po qhs *cellcept mg po bid *furosemide 80 mg po bid *hydralazine 25 mg tab po qid *isosorbide mononitrate sr 30 mg 24 hr tab -3 (three) tablet(s) by mouth daily *metoprolol tartrate 100 mg po twice a day *ondansetron hcl 4 mg po twice a day *oxycodone-acetaminophen 5mg-325mg tab; 2 tabs po daily prn pain *prednisone 1 mg tab; 3 tabs po once a day *docusate sodium 100 mg cap; 1 cap po bid prn constipation *sennosides 8.6 mg tab; 1 tab by mouth prn discharge medications: n/a discharge disposition: expired discharge diagnosis: acute renal failure, respiratory failure discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis arterial catheterization closed [endoscopic] biopsy of bronchus closed [percutaneous] [needle] biopsy of kidney therapeutic plasmapheresis injection or infusion of oxazolidinone class of antibiotics central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified acidosis hyperpotassemia thrombocytopenia, unspecified nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified long-term (current) use of steroids diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of bronchus and lung other chronic pulmonary heart diseases hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) acute respiratory failure intestinal infection due to clostridium difficile old myocardial infarction other left bundle branch block encounter for palliative care do not resuscitate status spinal stenosis, unspecified region other and unspecified coagulation defects atherosclerosis of native arteries of the extremities, unspecified personal history of irradiation, presenting hazards to health chronic diastolic heart failure pseudomonas infection in conditions classified elsewhere and of unspecified site kidney replaced by transplant above knee amputation status osteoarthrosis involving, or with mention of more than one site, but not specified as generalized, multiple sites goodpasture's syndrome 

Answer: The patient is high likely exposed to