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: full code allergies pcn, integrellin, hctz 82 yo male who was sent from pcp's office on with acute chest congestion, fever, sob and chills. pt was discharged from osh on secondary to gib. pt lives at home w/ son. pmh includes s/p acute gib, cabg x2, pci,ckd/stage 4( baseline creat 3.0), cm w/ ef 20-25%, renal artery stenosis w/ stenting, pvd, aaa w/ graft repair,gout, htn, anemia, dm, mitral regurg, diverticulosis, aflutter s/p cardioversion. cardiac cath showed 3 vessel disease and l subclavian stented. in er pt's temp 101.5 and pt was placed on sepsis protocol. cxr showed rll pneumonia. tlc w/ precept cath placed. pt became hypotensive and was given total of 6l ivf, and given vanco and levaquin. pt was also on levo for short amount of time and had aline placed in er. hct was 24 in ed and was transfused w/ 2 unit prbc. pt was boarded in er overnight. pt seemed to have improved and md's felt could transferred to floor bed. arrived on floor at 1300 today. on the floor pt developed acute resp distress w/ diffuse rhonchi heard throuhout. hr 90's and rr 40's w/ sat's dropping. placed on nrb mask and given 100mg lasix(felt he was fluid overloaded). ekg ?changes and placed ntg patch. pt did not improve and was sent to the micu. on arrival to micu pt was intubated for worsening resp distress. aline place. temp 95 rectally and bair hugger placed on pt. see care-vue for data. at about , b/p started to drop to sbp in the 80's. team aware and pt was fluid challenged w/ 1l, no improvement noted in b/p. aline placed and correlated nbp and abp. urine output for the first 2 hours of the shift was 0. pt started on levophed and was titrated to keep map's 60-65. see care-vue for details. pt given another 500cc of fluid for drop in b/p. precept cath on, svo2 50-40's. pt has been bradycardic thru night(50's), team aware and did not want to start at dobutamine at this time. pt was pan-cultured and cortisol stim test done. given decadron 8mg and was transfused w/ 1 unit prbc. vanco random 6.8, and was given 1 dose of vanco today. pt sedated on versed 2 and fentanyl 50mcg, pt responds to noxious and painful stimuli. gag and cough impaired. pupils equal and reative to light. c/v- events as noted above, b/p currently 100-120/30-40 w/ map's 55-65. currently on levophed 0.05mcg. hr 50's, sinus brady w/ noted st depression noted..team aware. has has 2-4 beat runs of vtach often. follow cardiac enzymes, ck's negative thusfar, and trop's chronically elevated at baseline. pt has slight edema in bil le. cvp 6-10 i/ pt has remained hypothermic, temp 95-97 recatlly and remains on bair- hugger. lactate trending down 0.7(from 2.0). remains on daily dosed vanco, cipro and aztreonam for treatment of pneumonia. precept cath in use. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube transfusion of packed cells diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis atherosclerosis of native arteries of the extremities with intermittent claudication chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial flutter acute respiratory failure atherosclerosis of renal artery other drugs and medicinal substances causing adverse effects in therapeutic use disorders of bilirubin excretion 

Answer: The patient is high likely exposed to