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: morphine / protonix / bactrim / penicillins / ultram / nexium / cephalosporins attending: chief complaint: shortness of breath major surgical or invasive procedure: endotracheal intubation history of present illness: 65-yo-man w/ multiple myeloma admitted to the micu for hypercarbic respiratory failure. he presented to the ed today w/ dyspnea. was feeling well until 3 days ago, when he developed dyspnea on exertion. the dyspnea was present even at rest, got progressively worse so that today he was unable to walk across a room, prompting his presentation to the ed. it is assoc w/ fever, lethargy, non-productive cough, and myalgias. there were no chest pain, palpitations, orthpnea, pnd, or increased le edema. . of note, there were no recent med changes. he has not been taking excess oxycontin or oxycodone. has not had an asthma attack in years. past medical history: # mm, iga kappa: diagnosed in melphalan, prednosine, zometa in early . xrt to spine. s/p pulsed decadron. thalidomide started . # chronic anemia attrubited to blood loss from a peptic ulcer # asthma, takes no medications for this # htn # s/p rad prostectomy in for prostate cancer # h/o club foot and surgery in # recurrent cellulitis for the past 3 years in right lower leg social history: works as a construction survey supervisor. married with 2 children. smoked but quit in . h/o alcohol abuse, quit in . no h/o ivdu or cocaine use. . family history: son passed away form leukemia at age 40. physical exam: vs: t 101.7, bp 121/55, hr 66, o2 sat 97% on ac 600 x 14/60%/5 gen: lying flat in bed, intubated and sedated, does not respond to commands but withdraws to sternal rub heent: perrl, anicteric, op clear w/ mmm, no jvd, no lad cv: reg s1/s2, + 2/6 systolic murmur loudest at apex, no s3/s4/r pulm: scattered insp wheezes on r anterior chest, no crackles abd: obese, +bs, soft, nt, nd ext: warm, 1+ dp b/l, 2+ pitting edema to knees b/l neuro: sedated as above, moving all extremities pertinent results: admission labs: 03:10pm blood wbc-2.5* rbc-4.04* hgb-12.9* hct-40.0 mcv-99* mch-32.0 mchc-32.3 rdw-14.9 plt ct-147* 03:10pm blood neuts-58 bands-2 lymphs-14* monos-24* eos-0 baso-0 atyps-2* metas-0 myelos-0 03:10pm blood hypochr-1+ anisocy-1+ poiklo-1+ macrocy-occasional microcy-normal polychr-normal ovalocy-1+ 03:10pm blood pt-47.0* ptt-40.1* inr(pt)-5.5* 03:10pm blood plt smr-low plt ct-147* 03:10pm blood alt-23 ast-60* alkphos-49 totbili-0.4 02:35am blood ck(cpk)-329* 03:10pm blood lipase-40 03:10pm blood probnp-562* 02:35am blood ck-mb-4 02:35am blood ctropnt-<0.01 04:00am blood ck-mb-2 ctropnt-<0.01 12:15pm blood ck-mb-2 ctropnt-<0.01 10:21pm blood ck-mb-2 ctropnt-<0.01 03:10pm blood calcium-8.2* 04:15am blood albumin-3.4 calcium-7.5* phos-2.7 iron-27* 04:15am blood caltibc-203* vitb12-600 folate-13.9 ferritn-233 trf-156* 08:12pm blood type-art o2 flow-5 po2-57* pco2-84* ph-7.25* calhco3-39* base xs-6 intubat-not intuba comment-nasal 12:08am blood type-art po2-78* pco2-68* ph-7.30* calhco3-35* base xs-4 intubat-not intuba 04:11pm blood type-art po2-154* pco2-43 ph-7.47* calhco3-32* base xs-7 04:32pm blood lactate-1.5 k-4.0 radiology: ========= cta chest- findings: the visualized portions of the lungs are clear without evidence for pneumonic consolidations. several small bullae are seen consistent with emphysematous changes. there is no mediastinal or hilar lymphadenopathy. the heart appear normal. pulmonary vasculatures are opacified without evidence for intraluminal filling defects. there is no evidence for aortic dissection. descending aorta is tortuous. . dome of the liver and spleen are unremarkable. . bone windows: the vertebral bodies have a moth-eaten appearance consistent with the patients history of mm. . impression: no evidence of pe or pneumonia. . cxr : portable ap chest radiograph: accounting for differences in patient rotation and lower lung volumes, there appears to be no significant interval change. the heart size, mediastinal and hilar contours appear stable. the lungs appear clear without consolidations. no pleural effusions are seen. no pulmonary edema is seen. . impression: no acute cardiopulmonary process . head ct: findings: there is no intracranial hemorrhage, mass effect, or shift of normally midline structures, hydrocephalus or overt major vascular territorial infarction. however, since the prior examination, there has been probable interval development of a triangular shaped 1 cm area of low absorption in the left parietal vertex subcortical white matter. the finding is nonspecific in etiology, but given the patient's age, could represent an area of subacute to chronic infarction. in that light, there are several additional areas of low absorption, each under a centimeter in size within both cerebral hemispheres that were likely seen on the prior study and could represent chronic small vessel infarcts as well. there is mild bilateral ethmoid sinus mucosal thickening and a tiny air-fluid level within left maxillary sinus. these findings could well be a consequence of the patient's intubated status. . conclusion: no intracranial hemorrhage. other findings as noted above. . micro data: ========== 7:19 am influenza a/b by dfa source: nasopharyngeal aspirate. **final report ** direct influenza a antigen test (final ): positive for influenza a viral antigen. reported by phone to 1320. direct influenza b antigen test (final ): negative for influenza b viral antigen. . blood culture : no growth to date blood culture : no growth to date brief hospital course: brief hospital course: ====================== in the ed, the patient had diffuse exp wheezes, was hypoxic w/ o2 sat 88-90% on ra. he was given o2 5l/m by nc w/ o2 sat increasing to 91-93%. abg was 7.25/84/57. cxr was normal, cta was done to investigate for pe and was normal. rectal temp was 101.4f. he was empirically treated w/ prednisone 60mg, albuterol/atrovent nebs, and levoflox 500mg po. after receiving ativan 2mg and dilaudid 1mg iv in prep for cta, the pt became lethargic. he was treated w/ narcan x 3, initially effective in restoring alertness, but 3rd dose was uneffective. at that time, he was intubated for airway protection. a dx of meningitis was considered, but lp was not performed due to inr 5.5; instead, he was empirically treated w/ levoflox 500mg, vancomycin 1gm, and meropenem 1gm iv. he was subsequently transferred to the micu for further care. . in the micu, plan was for lp under fluroscopic guidance (after failed at bedside). however, influenza cultures came back positive for influenza a and it was felt that this explained his fever, respiratory distress and altered mental status. although it had been about 72 hours since initiation of symptoms, it was decided to start him on a course of tamiflu. in addition ,he completed a steroid taper, along with a course of azithromycin for his suspected reactive airways component. all other antibiotics were discontinued. he was extubated and had improvement in respiratory symptoms and improved mental status. . of note, hospital course also complicated by episodes of paroxysmal afib w/ hr in 140s-160s, without hemodynamic instability. rapid rate controlled with metoprolol. in addtion, he was already anti-coagulated for history of dvt. he was continued on anti-coagulation with iv heparin, transitioned to coumadin with lovenox bridge prior to discharge. his mm was felt to be stable and through communication with his oncologist, dr. , it was determined that he would not need ivig or other intervention for his stable low wbc. he continued to take his thalidomide throughout the hospital course at a dose of 200mg daily. htn was also an issue at this hospitalization, and for this the pt was maintained on metoprolol and an acei with good bp control. the pt was sent home with home oxygen, the last 3 days of a steroid taper, and inhalers with plans to f/u with his pcp for and future pft's, given the likelihood of copd. discharge medications: 1. doxazosin 4 mg tablet sig: one (1) tablet po hs (at bedtime). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. oxycodone 20 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po q8h (every 8 hours). 4. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 5. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. warfarin 2 mg tablet sig: two (2) tablet po hs (at bedtime): adjust as instructed by your primary care physician based on your inr. disp:*90 tablet(s)* refills:*2* 7. thalidomide 200 mg capsule sig: one (1) capsule po qhs (). 8. enoxaparin 100 mg/ml syringe sig: one (1) syringe subcutaneous every twelve (12) hours: use until your primary care physician tells you that your inr is between and you can stop taking lovenox. disp:*14 syringe* refills:*2* 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q 2h prn () as needed for wheezing or sob. disp:*1 inhaler* refills:*1* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 11. senna 8.6 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*30 capsule(s)* refills:*0* 12. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 13. home oxygen continuous 2l nasal canula oxygen for copd. last room air oxygen saturation was 85% at rest. 14. outpatient lab work please draw inr on friday and on mondays thereafter and fax results to: , coumadin nurse ( 15. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 inhalers* refills:*2* 16. lisinopril 20 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 17. metoprolol tartrate 25 mg tablet sig: three (3) tablet po twice a day. disp:*180 tablet(s)* refills:*2* 18. prednisone 5 mg tablet sig: two (2) tablet po once a day for 3 days: take 2 tablets on (the day after discharge). take one tablet per day for two days thereafter. disp:*4 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: influenza a possible atypical bacterial pneumonia supratherapeutic inr multiple myeloma with anemia, thrombocytopenia prostate cancer s/p resection htn dvt's in past discharge condition: stable, oxygen saturation stable on 2-4l oxygen by nasal canula discharge instructions: you were admitted with respiratory distress that was caused by influenza a. you also likely have emphysema based on your exam, chest x-ray and chest ct, however you should have pulmonary function tests once you are completely recovered from the flu to help clarify your lung status. you were intubated, treated for flu, treated for a possible atypical pneumonia, and treated for emphysema with steroids. your condition has improved, however you still require oxygen and will need time to recover your strength. you will also need time for your inr to become therapeutic. until then you will need to use lovenox to thin your blood. you should follow up with dr. as you previously planned. you should follow up with dr. within the next 1-2 weeks for basic bloodwork and a physical exam. you should have your inr level checked frequently until the level has stabilized. the visiting nurse will draw your level and fax it to at medical center on friday and again on monday. thereafter, you should visit as she instructs. following are your scheduled appointments: 1. provider: , md phone: date/time: 11:00 2. provider: , rn phone: date/time: 11:00 3. provider: chair 1 date/time: 11:00 followup instructions: pt to follow up with dr. (pcp) pt to follow up with coumadin clinic at his pcp's office (previously followed there) provider: , md phone: date/time: 11:00 provider: , rn phone: date/time: 11:00 provider: chair 1 date/time: 11:00 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization transfusion of other serum diagnoses: thrombocytopenia, unspecified abnormal coagulation profile congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate acute respiratory failure long-term (current) use of anticoagulants multiple myeloma, without mention of having achieved remission chronic obstructive asthma with (acute) exacerbation anemia in neoplastic disease influenza with pneumonia 

Answer: The patient is high likely exposed to