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: amiodarone / atorvastatin / vancomycin hcl attending: chief complaint: sepsis atrial fibrillation chf major surgical or invasive procedure: intubation history of present illness: 85 yo m w/ h/o metastatic prostate ca to bone, cad, chf (lvef 21%), avr, severe mitral stenosis, pah, paf who p/w wk h/o n/v post meals. patient/wife report approx 2 wk h/o vomiting following meals. reports delay of approx 10 minutes following meals. vomiting whole food. denies abd pain/jaundice/ colored stools/dk urine. denies hematemesis. +constipation-> no bm x 1wk. wife reports that tonite at dinner pt had multiple episodes of vomiting (usually just one) and was accompanied by shaking chill. has h/o subj fevers at home. +cough over the last several weeks, productive of yellow sputum. +cough at night. no coughing spells. no sob/doe/cp/palpitations. stable minimal exercise tolerance across room. states not limited by resp status. . . according to wife, pt has had steady decline in functional status over the last 3 months, worsened over the last month. . pt rec'd first dose of samarium 153 on - carries known rx of thrombocytopenia. . in ed, 102.4/138/ 117/71/ 18 88% ra, elev lactate to 9.9, started on must, rec'd vanc/levo/flagyl past medical history: 1) metastatic adenocarcinoma of the prostate: score 7 (4+3) diagnosed . he did not receive primary therapy to his prostate gland due to his underlying medical conditions. he was treated with casodex alone from until with minimal response. in , lupron was initiated with a minimal response. several months ago, he was treated with casodex again, which was for rising psa and elevated lfts. 2) congestive heart failure, lvef 21% 3) anemia 4) coronary artery disease 5) eczema 6) hypercholesterolemia 7) atrial fibrillation 8) sciatica 9) chronic hepatitis c - acquired through blood transfusion associated with avr in . 10) rheumatic heart disease 11) hypertension 12) asthma, copd 13) s/p aortic valve replacement 14) ppm, icd implant 15) vf arrest 16) severe mitral stenosis 17) 2+ mr social history: he denies a history of smoking, rare alcohol use, no ivdu. he acquired hepatitis c from a blood transfusion. he lives at home with his wife and is able to perform his adls, although his wife does say he is forgetful with his medications. family history: nc physical exam: bp 97/59, p 68, r 24, 94% 4l nc, cvp 13 w/ prominent a waves, svo2 62% ill appearing cachectic male in nad. perrl op clr +jvd regular s1, prominent s2. no m/r/g b/l basilar crackles +bs. soft. nt. nd. no hepatosplenomegaly. no 1+ le edema pertinent results: 133 94 33 /135 agap=25 5.2 19 1.1 \ . ca: 9.6 mg: 2.0 p: 4.4 alt: 26 ap: 180 tbili: 1.8 alb: ast: 172 ldh: 2860 dbili: pnd tprot: : 74 lip: 105 urica:14.5 . probnp: hapto: pnd . 98 9.4\ 9.5 / 82 / 28.8\ n:58.6 l:36.1 m:3.5 e:0.9 bas:1.0 . pt: 20.9 ptt: 40.6 inr: 2.9 . cxr: mild pulm vasc redistribution . brief hospital course: 84 yo m w/ chf, avr, ms, w/ h/o vomiting, fever, cough, febrile on admission, tachycardic, w/ elev lactate, and no obvious source of infxn. . 1) sepsis- on arrival to the icu pt afebrile c no wbc but tachyc, tachypneic c increased lactate. ct of chest showed l pul infiltrate. ct abdomen showed gb wall thickening but no evid of gi source. pt empirically coverd c ceftriaxone, vancomycin and flagyl. pt developed rash in ue after one vancomycin administration, so abx given more slowly subsequently. no additional reaction noted. bedside swallow showed pt at risk for aspiration and so this likely contributed to his development of pna. 2. fluids- elev cvp but pt likely always runs high given known severe ms. concerned that patient was relatively hypovolemic given h/o vomiting, elev lactate; therefore, initially given ivf boluses despite elevated cvp. . 2) chf- pt significantly overweight but as stated previously concern for hypovolemia. therefore was bolused with fluid. fluid status balanced between diuresis for possible volume overload in the lungs and need for increased perfusion to the tissues. on pt hypotensive c decreased rr and fixed and dilated l pupil. pt's liver and cardiac enzymes as well as his lactate elevated, indicating inadequate perfusion of his end organs. pt given asa for cardiac damage sltrsfu on snyivoshulsyion. therefore pt was intubated by anesthesia. follow intubation family elected to make pt dnr and then later that day decided on comfort measures only. pt was extubated and on pt expired. family denied autopsy. . . 3) thrombocytopenia- heme onc consulted and attributed pt's thrombocytopenia to pt's recent dose of samarium. . 4) elev amylase/lipase- likely ongoing vomiting, no clinical evidence of pancreatitis. . ) ppx- pneumoboots, gi . medications on admission: asa 81 mg qday lisinopril 40 mg qday lopresser 75mg lasix 40mg qday coumadin sumarin every other wk. discharge medications: pt expired discharge disposition: expired discharge diagnosis: sepsis pneumonia chf discharge condition: pt expired discharge instructions: pt expired followup instructions: pt expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube transfusion of other serum transfusion of platelets diagnoses: pneumonia, organism unspecified anemia, unspecified chronic hepatitis c without mention of hepatic coma unspecified septicemia severe sepsis personal history of malignant neoplasm of bronchus and lung intracerebral hemorrhage rheumatic heart failure (congestive) heart valve replaced by other means acute respiratory failure septic shock malignant neoplasm of prostate old myocardial infarction long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ chronic obstructive asthma, unspecified secondary malignant neoplasm of bone and bone marrow mitral stenosis with insufficiency 

Answer: The patient is high likely exposed to