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: penicillins / aspirin attending: chief complaint: sob, cp, nausea major surgical or invasive procedure: none history of present illness: year old man with h/o copd, recent nstemi who presents from facility c/o sob and chest pain and nausea for most of tuesday. he denies vomiting and abdominal pain. in the ed, he was found to have a temperature to 101.3, retrocardiac opacity on cxr, negative abdominal and pelvis ct. he was given levofloxacin, flagyl, and 1800 cc of ns with systolic pressures staying in the 90's. in the ed, he began ruling in for a non-st elevation mi; cardiology initially recommended only antiplatelet therapy, but later recommended a heparin drip. while in the ed, after receiving ivf and approximately one unit packed red blood cells, the patient was noted to be in mild respiratory distress with oxygen saturations of 89% despite 4l nc. he was otherwise tachycardic to the 130s, but sbp stable in the 120s. a repeat cxr showed congestive heart failure. he was treated with lasix 40mg iv x 2 with good results. when patient came to the icu, he denied cp and his breathing had improved. past medical history: coronary artery disease, s/p non-st elevation myocardial infarction, no prior catheterization performed as his son did not feel he would want interventional measures; last echo () - ef 35% to 45% gastroesophageal reflux disease chronic obstructive pulmonary disease s/p cholecystectomy for gangrenous gallbladder in dementia iron deficiency anemia anxiety history of deep venous thrombosis social history: used to smoke 1 ppd for many years, quit several years ago. occasional etoh on special occasions. lives in , according to his son, he needs assistance for everything other than feeding. per his son, he has dementia at baseline with poor short term memory but is able to remember people and is usually oriented. family history: noncontributory physical exam: tm 101.3 tc 99.2 bp 94/30 hr 98 rr 38 o2sat 93% 2l nc gen: patient lying comfaortable in bed, able to communicate heent: eomi, sclera anicteric, mmm, poor dentition lungs: diffuse ins/exp wheezes cardiac: rrr s1/s2 grade ii/vi holosystolic murmur at apex abdomen: distended, soft, +bs, nt no rebound or gaurding; giuac neg in ed ext: no edema, dp 1+, trace pt neuro: aaox3 pertinent results: cxr: there appears to have been interval development of interstitial opacities bilaterally consistent with pulmonary edema. again seen is a poorly defined retrocardiac opacity/consolidation consistent with left lower lobe pneumonia. ct abdomen: no ct findings to explain the patient's abdominal pain/distention. no bowel abnormalities. sigmoid diverticulosis without evidence of diverticulitis. left base consolidation, suspicious for pneumonia. multiple simple hepatic cysts. stable tiny hypodensity in the left kidney, not well evaluated on this study. status post cholecystectomy with stable mild prominence of the extrahepatic biliary system. stable mild dilatation of the infrarenal aorta. short left common iliac dissection, chronicity indeterminite. brief hospital course: assessment: yo man with copd, recent nstemi admitted with dyspnea, chest pain, and nausea; found to have a lll pneumonia by cxr and cardiac enzyme elevations suggestive of nstemi. . 1. respiratory distress - his dyspnea and hypoxia were most likely secondary to the left lower lobe pneumonia in the setting of severe lung disease. in addition, he most likely had a component of congestive heart failure, especially given ivf and prbc administration in the first few days of his admission. his pneumonia was treated with levofloxacin and vancomycin initially given his allergy to penicillin. there was no need to cover for anaerobes as he did not aspirate. blood cultures were negative, and he tested negative for influenza and legionella. he was treated with supplemental oxygen, albuterol inhaler and nebulizer treatments, atrovent nebulizer treatments, fluticasone-salmeterol, and steroids. he remained afebrile, hemodynamically stable w/o any respiratory distress, and he will complete a 14 day total course of antibiotics. . 2. chest pain - he was found to have cardiac enzyme elevations, with cks in the 300s. he was treated with a nitroglycerin drip in the to become chest pain free, and a heparin drip for 48 hours. he was also treated with aspirin, plavix, and metoprolol. his imdur was restarted when the nitro drip was stopped. he had one additional episode of chest pain in the setting of exertion (transferring); this resolved within five minutes. his chest pain was frequently accompanied by nausea - this is likely to be an anginal equivalent for him. pt had troponin rise from 0.36 to 0.64 over the weekend. pt was asymptomatic - denied cp, nausea, vomiting. considered other causes of enzyme leak such as pe, chf, renal failure or demand ischemia. given his baseline renal insufficiency and chf, this troponin increase could be due in part to those causes. he was started on lovenox 70mg q12 and continued on this for 3 days. also, given that his cks were flat, he is not an ideal candidate for cardiac cath, and he is already on appropriate medical management, the team felt that there were no further interventions for this patient. would continue to manage symptomatically and continue current cardiac regimen. . 3. chf - on last echo, his lvef was 35-45%. he went into pulmonary edema after receiving iv fluids and prbcs. he was monitored clinically for signs of overload and treated as needed. . 4. htn - he was continued on a beta-blocker, to keep his sbp<110. . 5. gerd - he was treated with a proton pump inhibitor. . 6. cri - at baseline, his creatinine is 1.3-1.6; it was stable throughout his hospital stay. . 7. anemia - the patient has chronic iron deficiency anemia and was transfused approximately one unit of packed red blood cells in the emergency room. his hematocrit remained stable throughout the hospitalization. . communication - son , (home), (office), (cell) code status - dnr/dni, no central lines w/o discussion w/ son, no invasive procedures including tee. . medications on admission: 1. docusate sodium 100 mg po bid 2. aspirin 81 mg 3. clopidogrel 75 mg daily 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation 5. combivent 103-18 mcg/actuation aerosol sig: one (1) puff inhalation every 6-8 hours as needed for shortness of breath or wheezing. 6. digoxin 125 mcg daily 7. isosorbide mononitrate 30 mg tablet sustained release 24hr daily. 8. pantoprazole 40 mg po q12h. 9. risperidone 0.5 mg po hs 10. toprol xl 25 mg tablet sustained release once a day. 11. senna 8.6 mg po bid 12. lactulose as needed. 13. promethazine 12.5 mg tid prn 14. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual q 5min as needed for chest pain. discharge medications: 1. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 8 days. 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 5. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. risperidone 0.5 mg tablet sig: one (1) tablet po hs (at bedtime). 13. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 14. ipratropium bromide 0.02 % solution sig: one (1) inhalation q4h (every 4 hours). 15. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4h (every 4 hours). 16. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for back pain. 17. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 18. insulin lispro (human) 100 unit/ml solution sig: follow sliding scale subcutaneous asdir (as directed): may d/c when steroid taper complete. 19. phenergan 12.5 mg tablet sig: one (1) tablet po every hours as needed for nausea. 20. prednisone 20 mg tablet sig: two (2) tablet po qd () for 3 doses. 21. prednisone 10 mg tablet sig: three (3) tablet po qd () for 4 doses. 22. prednisone 20 mg tablet sig: one (1) tablet po qd () for 4 doses. 23. prednisone 10 mg tablet sig: one (1) tablet po qd () for 4 doses. 24. prednisone 5 mg tablet sig: one (1) tablet po qd () for 4 doses. 25. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual prn (as needed) as needed for chest pain: take 1 every 5 minutes up to 3 times. discharge disposition: extended care facility: nursing home - discharge diagnosis: primary: nstemi lll pneumonia copd dementia . secondary: gerd iron deficiency anemia anxiety h/o dvt discharge condition: fair discharge instructions: please return for further care if you have chest pain, shortness of breath, worsening nausea or vomiting, cough, fever, chills, change in mental status or any other symptoms that are concerning to you. . please take all your medications as directed. you should continue your antibiotics for 8 more days. . follow up with your physician at the appointment listed below. followup instructions: provider: , md phone: date/time: 3:30 procedure: transfusion of packed cells diagnoses: pneumonia, organism unspecified acidosis subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease anxiety state, unspecified iron deficiency anemia, unspecified personal history of venous thrombosis and embolism subendocardial infarction, subsequent episode of care other specified hypotension volume depletion, unspecified obstructive chronic bronchitis without exacerbation 

Answer: The patient is high likely exposed to