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: hypoxia major surgical or invasive procedure: intubation re-intubation s/p self-extubation extubation history of present illness: mr. is a 79 year old male with past medical history of recent aortic aneurysm repair, complicated by ischemic bowel and sepsis, also with history of coronary artery disease who presents from rehabilitation today with hypoxia. per report from the ed, patient was reported to be not feeling well and intermittently confused over the weekend. today an oxygen saturation was checked and it was reported to be 70%, so ems was called. of note, patient was started on remeron recently, which was felt to initially be the etiology of his symptoms. . in the ed, initially his blood pressure was 90/ . a chest x-ray was completed that demonstrated a left lower lobe pneumonia. he was given 750 mg of levofloxacin, and started on some intravenous fluids. . on the floor abg: 7.47/43/77, tachypnic, tachycardic, triggered. . ros: denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: 1. cad s/p mi (ef 40%), cabg , multiple pci's/stent to circ/rca 2. hyperlipidemia 3. htn 4. cervical myelopathy 5. s/p cervical fusion 6. gerd 7. schatzki's ring 8. mohs surgery 9. s/p open pararenal aaa () 10. s/p takeback for retroperitoneal bleeding () 11. s/p l colectomy () 12. s/p completion sigmoid colectomy, proctectomy, transverse colectomy () 13. s/p end transverse colostomy () 14. s/p fascial closure () 15. s/p bedside perc trach () 16. s/p klebseilla and mssa vap 17. s/p fungemia 18. zoster over left eye. social history: married with three children and worked as a lawyer, rare alcohol family history: nc physical exam: on admission: vitals: t: 100.4, bp: 94/50, hr: 100, rr: 42, 02 sat: 95% 3l general: mild respiratory distress, diaphoretic. heent: mm dry, op clear cardiac: s1+, s2+, tachycardic, no m/r/g lung: coarse bs on right, decreased bs on left. using accessory muscles to breath. abdomen: soft, nt, nd, +bs ext: no edema b/l neuro: grossly normal. occasional myotonic jerks. pertinent results: on admission: 04:50pm blood wbc-14.5* rbc-2.69* hgb-8.1* hct-25.4* mcv-94 mch-30.0 mchc-31.9 rdw-16.9* plt ct-520*# 04:50pm blood neuts-91.5* lymphs-4.3* monos-2.6 eos-1.3 baso-0.3 04:50pm blood pt-14.7* ptt-24.6 inr(pt)-1.3* 04:50pm blood glucose-110* urean-27* creat-0.9 na-136 k-4.7 cl-97 hco3-27 angap-17 06:30am blood calcium-8.7 phos-5.6* mg-2.0 05:33am blood ck(cpk)-18* ck-mb-notdone ctropnt-0.30* 09:25am blood ck(cpk)-20* ck-mb-notdone ctropnt-0.82* 02:17am blood ck(cpk)-8* ck-mb-notdone ctropnt-0.86* cxr: left basilar opacity which could represent atelectasis or pneumonia with a small to moderate-sized left pleural effusion, increased in the interval. ct chest: 1. no pulmonary embolism to the subsegmental level. 2. small right and moderate left nonhemorrhagic layering bilateral pleural effusion, increased since . complete collapse of the left lower lobe, collapse of basilar segments of the right lower lobe, and dependent opacities in both upper lobes, likely atelectasis. 3. signs of mild interstitial edema. mild upper lobe predominant emphysema. 4. severe coronary artery calcifications. prior cabg. minimal aortic valve calcifications, of unknown hemodynamic significance. ct head: 1. no acute intracranial process, including no hemorrhage, edema, or mass. mr -weighted imaging is most sensitive for evaluation of acute infarction. 2. right corona radiata hypodensities, most likely representing chronic lacunar infarcts. 3. paranasal sinus disease as described above. ct abd/pelvis: 1. increasing size of loculated fluid collection in the left retroperitoneal space since without evidence of rim enhancement to suggest abscess. this likely represents loculated hematoma. there is no evidence of active extravasation. 2. stable post colostomy bowel without evidence of obstruction. 3. no evidence of abdominal aortic aneurysm leak post repair. tte: the left atrium is elongated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild global left ventricular hypokinesis (lvef = xx %). overall left ventricular systolic function is mildly depressed (lvef= xx %). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve, but cannot be fully excluded due to suboptimal image quality. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mass or vegetation is seen on the mitral valve. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. significant pulmonic regurgitation is seen. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , the left ventricular dysfunction seems to be more global on the current study. no vegetations identified. if clinically suggested, the absence of a vegetation by 2d echocardiography does not exclude endocarditis. ueni: no evidence of dvt involving the bilateral upper extremities. somewhat limited evaluation of the right cephalic vein, which compresses normally. leni: normal bilateral lower extremity ultrasound examination. no evidence of dvt. renal u/s: 1. no evidence of hydronephrosis. 2. known mid to upper pole complex cystic lesion in the left kidney, seen on prior ct, is not well seen and is incompletely evaluated on this study. ct abd/pelvis: 1. bilateral effusions and atelectasis. mild ascites and anasarca. 2. decreased size of the previously described left retroperitoneal fluid collection, with residual phlegmonous inflammation extending to the left flank soft tissue defect. given rapid decrease in size of this collection, spontaneous decompression and drainage via the left flank wound is most likely. 3. unchanged size of complex left upper pole renal cyst likely hemorrhagic/inflammatory change involving previously identified simple renalcyst. 4. unchanged appearance of the stomach, small bowel, and residual ascending and proximal transverse colon, which terminates in a right lower quadrant end colostomy. 5. unremarkable appearance of the rectal stump, with no pelvic abscess identified. 6. bilateral fat- and fluid-containing inguinal hernias. cxr: increased bilateral pleural effusions and likely relaxation atelectasis. to evaluate possible pulmonary edema, recommend conventional paand lateral. brief hospital course: 79-year-old man with recent aortic aneurysm repair (), complicated by ischemic bowel and sepsis with subsequent wound dehiscence, also with h/o cad s/p cabg who is transferred from the medical floor for hypoxia and hypercapnia. # hypoxic and hypercarbic respiratory failure: pt was started on vanc and zosyn while inpatient for presumed hap. however, he became tachypneic on the floor to the 30s-40s with progressive hypoxia to the 80s, tachycardia, hypotension to the 80s, and delirium. abg 7.28/74/73. pt transferred to the micu and placed on bipap with repeat abg 7.16/91/133 leading to intubation. he was continued empirically on broad antibiotics but given absence of positive bacterial cultures, these were discontinued for treatment of pneumonia on . his respiratory failure was thought to be primarily to be due to bilateral pleural effusions with compressive atelectasis; these were too small to be drained. given his very low respiratory drive when he self-extubated on , emg study was done which was consistent with critical illness neuromyopathy rather than a pre-synaptic disorder of neuromuscular transmission. pt was successfully extubated on and in this setting, expressed his desire to be dnr/dni. he failed a speech and swallow evaluation and he and his wife refused tube. after this he and his wife decided to pursue comfort measures only and palliative care was consulted. the patient was then transferred to the general medical floor. non-comfort-directed medications were discontinued, as well as vitals and bloodwork. pt made comfortable with pain control and prn morphine. he passed away the night after transfer from cardiopulmonary arrest. # recent aaa repair, colectomy, wound infections: pt with loculated fluid collection measuring 8x6x11 in left retroperitoneal on ct abdomen on , increased since . he was noted to have purulent drainage from his incision site on and restarted on vanc/zosyn. wound culture grew out corynebacterium diptheroids. ct abd/pelvis on showed decreased size of fluid collection consistent with spontaneous decommpression and drainage via the incision site. pt remained afebrile with resolution of initial leukocytosis. # cad: pt with h/o cabg in and s/p multiple pci. ecg unchanged from prior with no active issues or complaints. aspirin initally held given possibility of surgery but restarted. metoprolol initially held in setting of hypotension but restarted at low-dose. statin restarted. all meds held when made cmo. medications on admission: acetaminophen 500 mg prn albuterol sulfate nebs ascorbic acid 500 mg tablet aspirin 81 mg tablet, daily atorvastatin 10 mg tablet daily camphor-menthol 0.5-0.5 % lotion q4:prn diphenhydramine hcl 50 mg/ml solution prn erythromycin 5 mg/g ointment qhs ferrous sulfate 325 mg (65 mg iron) daily heparin (porcine) 5,000 unit/ml solution tid insulin lispro sliding scale ipratropium bromide 0.02 % solution nebs megestrol 400 mg/10 ml suspension daily metoclopramide 5 mg tablet qidachs metoprolol tartrate 12.5 mg tablet multivitamin naphazoline-pheniramine 0.025-0.3 % drops omeprazole 20 mg capsule, daily oxycodone 5 mg/5 q4:prn discharge medications: none discharge disposition: expired discharge diagnosis: primary: - cardiopulmonary arrest - pneumonia - respiratory failure secondary: - s/p complicated aaa repair - cad - hypertension - hyperlipidemia - cervical myelopathy discharge condition: deceased discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified esophageal reflux other postoperative infection unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis aortocoronary bypass status pulmonary collapse other and unspecified hyperlipidemia acute and chronic respiratory failure alkalosis old myocardial infarction other emphysema cervical spondylosis with myelopathy 

Answer: The patient is high likely exposed to