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: see fhpa for allergies, pmh, psh dispo:dnr/dni ros resp:fio2 weaned down to .7 cn with rr:20's with spo2:94-97% bs:crackles up 2/3 with coarse rhonchi in upper lung fields. productive cough, not expectorating. cxr:r middle lobe pnx small r pleural effusion cv:bp:83-105/40's hr:65 v paced, no vea noted. bp supported with 5 mcg/kg/min of dopamine. received 1 250cc ivb of ns late pm for sbp in 80's/ id:t max:103.4 in ew treated with tylenol, afebrile in . pan cx in ew. treated with one dose of vanco and ceftazadime gu:bun/cr:65/1.8 u/o:15-20cc/hr. i/o's:approx +2l gi:abd soft, non-tender to palpation +bs. small stool o admission ob-. npo at present heme:hct:37 pt:23 ptt:40.2 inr:2.3 no overt s&sx of bleeding endo:bs:247-264 skin:intact access:2 #18 piv in r wrist. central line being placed a:#1:sepsis r/t pneumonia and possible uti p:place central line this evening, change dopamine to levophed titrate to map>60, monitor volume status via u/o and cvp, ivf boluses for cvp<8,monitor lactate with am labs,antibx per order, titrate fio2 as tolerated, encourage db&c, send sputum spec, ssinsulin per order,anticoagulation (? heparin)for mv, update family as needed, supportive care procedure: venous catheterization, not elsewhere classified infusion of vasopressor agent diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled severe sepsis gout, unspecified atrial fibrillation other chronic pulmonary heart diseases chronic kidney disease, unspecified other and unspecified hyperlipidemia septic shock long-term (current) use of anticoagulants cardiac pacemaker in situ pneumococcal pneumonia [streptococcus pneumoniae pneumonia] heart valve replaced by transplant streptococcal septicemia bronchiectasis without acute exacerbation diseases of tricuspid valve chronic diastolic heart failure 

Answer: The patient is high likely exposed to