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: history of present illness: the patient is a 61-year-old male with a history of catatonic schizophrenia and a questionable history of cardiomyopathy who was doing well until the night prior to admission when he was noted to be tachypneic and febrile to 102.7 degrees. of note, the patient lives at a nursing home. at the nursing home his white count was found to be 18 in addition to the high temperature and he had a left lower lobe infiltrate upon chest x-ray. he was started on levofloxacin at the nursing home. overnight at the nursing home to the day of admission the patient was found to have increasing lethargy. he was hypoxic satting 84 to 87% on room air. he was subsequently transferred to the emergency department for further care. in the emergency department his systolic blood pressures were found to be in the 70's. he was given three liters of normal saline and started on neo-synephrine for pressure support. from the emergency department he was transferred to the medical intensive care unit where he remained on neo-synephrine for one day and was subsequently called out to the floor after that. pertinent labs from admission: his creatinine was found to be 2.6. his liver enzymes were elevated. his alt was 67, his ast was 89. his albumin was low at 3.1. he had an inr of 1.6. physical examination: his temperature was 99. his blood pressure was 90/50, heart rate of 120. his respirations were 26. he was breathing 100% on a nonrebreather. in general, he was lying in bed in no acute distress, somewhat diaphoretic. his pupils were pinpoint. he would not follow commands. his conjunctivae were clear. he was tachypneic but a regular breathing rate. there were no murmurs, rubs or gallops. his neck was supple. there were a few crackles in the lungs and no rhonchi sounds. his abdomen was soft, non-tender. bowel sounds were present. his extremities were warm with no edema. he had 2+ pulses bilaterally. on neuro examination, he responded only to pain. he was very non-verbal. unable to test most of the rest of the examination. hospital course: the patient was weaned off neo-synephrine and his blood pressure remained stable for the duration of his admission. he was started on flagyl in addition to levofloxacin for presumed aspiration pneumonia. his hematocrit dropped on hospital day two to the high 20's and remained at that point for the duration of his admission up until when the patient received two units of packed red blood cells. the patient remained intermittently febrile running low grade temperatures to the 100.2, 100.4 range. a speech and swallow evaluation was obtained on hospital day four and was noted to state that the patient was able to eat soft solids, drink thin liquids and required that his pills be crushed. his mental status continued to be nonresponsive to verbal commands, only responding to pain. condition at discharge: stable. discharge diagnoses: pneumonia. discharge medications: 1. levofloxacin 500 mg q. day day four of 14. 2. flagyl 500 mg t.i.d. he is currently on day four of 14. 3. heparin 5000 units subcu t.i.d. 4. senna. 5. calcium carbonate. 6. colace. 7. docusate. 8. multivitamin. follow-up plans: the patient should follow up with primary care physician, . , within one week. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: other primary cardiomyopathies anemia of other chronic disease urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia pneumonitis due to inhalation of food or vomitus other shock without mention of trauma unspecified disorder of kidney and ureter catatonic type schizophrenia, unspecified 

Answer: The patient is high likely exposed to