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: patient recorded as having no known allergies to drugs attending: chief complaint: nausea, vomiting major surgical or invasive procedure: none history of present illness: 55 yo m with history of dm, htn, high cholesterol presented to the ed with sevedral days of nausea and vomiting. the patient reports being in his usoh until monday, 5 days prior to admssion when he developed malaise, rigors, and myalgias. he did not check his temperature. he then developed nausea, vomiting, non-bilious, non-bloody. he reports not being able to tolerate any po's since monday. he reports 5-6 episodes of emesis daily. he said he stopped taking all of his usual medications, including insulin on monday because he was not sure what was going on. he had been taking advil with relief in symptoms. he denies diarrhea, abdominal pain, cough, chest pain before coming to the ed (developed non-productive cough in the ed). no sick contacts. . ed course: vs on admission t 100.7; hr 119; bp 184/77; rr 30; o2 98% ra. labs were significant for wbc of 17, cr 2.5, k 3.2, serum glucose 474, presence of urine glucose 1000; urine ketones 15. ag =19 initially. lactate 1.6. trop 0.12; ck ; mb 9 on presentation (with cr 2.5. trop went up to 0.38. ekg sinus rate 104; new st depression in avl on this am's ekg. . patient resuscitated with 2l ns. in the ed the paitent was also given: acetaminophen 1000 mg x 2, insulin human regular 6 units iv and 8 units sc; ondansetron 4 mg iv x 2; levofloxacin 750mg; aspirin 325mg. . by the time the patient arrived to the floor, he felt improved. continues to have nausea. denies cp or any other symptpoms. he has nver had dka before. past medical history: 1. htn 2. dm type 2 3. hypercholesterolemia 4. hepatitis c 5. pud 6. r cranial nerve palsy 7. erectile dysfunction 8. prostatitis 9. bph 10. l renal cell carcinoma 11. lll radiculopathy 12. microalbuminuria social history: lives with wife. children. quit smoking 20 y ago. no alcohol family history: noncontributory physical exam: vs: 100.9 95 156/94 27 97% ra general: resting in bed; pleasant; alert and oriented x 3; nad; breathing comfortably heent: op clear; no scleral icterus; mm sl dry neck: no jvd, no bruits heart: regular, nl s1s2, no m/rubs/gallops lungs: soft crackles at left base abd: + bs, soft, nt, nd ext: no edema, palp pulses throughout pertinent results: 11:00pm urine granular-0-2 11:00pm urine rbc-* wbc-* bacteria-occ yeast-none epi-0-2 11:00pm urine blood-lg nitrite-neg protein-500 glucose-1000 ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:00pm urine color-yellow appear-clear sp -1.021 11:30pm pt-11.1 ptt-27.2 inr(pt)-0.9 11:30pm plt smr-normal plt count-337 11:30pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 11:30pm neuts-94.9* bands-0 lymphs-3.2* monos-1.9* eos-0.1 basos-0 11:30pm wbc-17.3*# rbc-3.50* hgb-10.7* hct-29.6* mcv-85 mch-30.5 mchc-36.0* rdw-14.4 11:30pm ck-mb-9 ctropnt-0.12* 11:30pm ck(cpk)-* 11:30pm estgfr-using this 11:30pm glucose-474* urea n-41* creat-2.8* sodium-134 potassium-3.6 chloride-93* total co2-22 anion gap-23 11:48pm glucose-446* lactate-2.0 k+-3.6 01:44am lactate-1.6 k+-3.2* 01:44am comments-green top 04:00am ck-mb-11* mb indx-0.6 ctropnt-0.33* 04:00am lipase-41 04:00am alt(sgpt)-37 ast(sgot)-73* ck(cpk)-1705* alk phos-64 tot bili-0.4 04:00am glucose-298* urea n-39* creat-2.5* sodium-133 potassium-3.2* chloride-98 total co2-24 anion gap-14 05:45am ck-mb-10 mb indx-0.5 ctropnt-0.38* 05:45am ck(cpk)-1828* 10:29am plt count-291 10:29am wbc-14.1* rbc-3.01* hgb-9.0* hct-26.1* mcv-87 mch-29.8 mchc-34.3 rdw-14.4 10:29am calcium-8.0* phosphate-2.6* 10:29am ck-mb-12* mb indx-0.7 ctropnt-0.58* 10:29am alt(sgpt)-39 ast(sgot)-87* ck(cpk)-1776* alk phos-64 tot bili-0.5 10:29am glucose-303* urea n-35* creat-2.3* sodium-135 potassium-3.7 chloride-103 total co2-23 anion gap-13 11:15am urine osmolal-430 11:15am urine hours-random creat-63 sodium-23 06:30pm plt count-321 06:30pm wbc-14.5* rbc-2.36* hgb-7.1* hct-19.5*# mcv-83 mch-30.0 mchc-36.3* rdw-14.5 06:30pm calcium-7.8* phosphate-1.5* magnesium-1.8 06:30pm ck-mb-9 ctropnt-1.14* 06:30pm glucose-113* urea n-32* creat-2.2* sodium-131* potassium-3.8 chloride-102 total co2-21* anion gap-12 10:00pm plt count-269 10:00pm wbc-11.4* rbc-2.67* hgb-7.9* hct-22.4* mcv-84 mch-29.6 mchc-35.2* rdw-14.7 10:00pm calcium-7.7* phosphate-2.3* magnesium-1.8 10:00pm glucose-113* urea n-32* creat-2.2* sodium-133 potassium-4.0 chloride-104 total co2-22 anion gap-11 . : sinus tachycardia. there is a late transition with tiny r waves in the anterior leads consistent with possible prior anterior wall myocardial infarction. minimal st segment elevation in the inferior leads consistent with possible ischemia or infarction. clinical correlation is suggested. compared to the previous tracing left ventricular hypertrophy is no longer apparent and st segment elevation is new. . axr: fidnings suggestive of mild partial or early small bowel obstruction. if clinically indicated, continued monitoring is advised. . cxr: left lower lobe pneumonia. . echo: mild left ventricular cavity enlargement with moderate global hypokinesis suggestive of a diffuse process (toxin, metabolic, etc. - though cannot fully exclude multivessel cad). . ekg: sinus tachycardia. left axis deviation. late transition with tiny r waves in the anterior leads consistent with possible prior anterior wall myocardial infarction. minimal st segment elevation in the inferior leads with diffuse st-t wave changes consistent with possible ischemia or infarction. clinical correlation is suggested. . ekg: sinus tachycardia. probable left ventricular hypertrophy. non-specific st-t wave changes. compared to the previous tracing of no change. . ekg: sinus rhythm. compared to the previous tracing the rate is slower. . cxr: sinus rhythm. compared to the previous tracing the rate is slower. . ekg: sinus rhythm. occasional atrial premature beats. leftward axis. intraventricular conduction delay. non-specific st-t wave changes. compared to the previous tracing of atrial ectopy is new. the qrs duration is similar. . cxr: consolidation in the left lower lobe, not significantly changed since the prior radiographs. brief hospital course: mr. is a 55 year old man with diabetes, hypertension, and hyperlipidemia, who presented with fever, nausea, and vomiting, and who was found to be in dka with infiltrate on cxr, now positive for legionella. his brief hospital course, by problem: . #) pneumonia. urinary legionella antigen positive, treated empirically for cap for 3 days with levofloxacin. afebrile, leukocytosis resolved, satting well on room air. cxr showed that pneumonia unchanged. he was given a total 14-day course of levofloxacin. . #) nstemi. subendocardial ischemia in the setting of acute demand from difficult-to-control hypertension/fever/pneumonia. non-specific ekg changes. enzymes trending down. he will get a p-mibi once pneumonia has resolved and blood pressure is better controlled; it was scheduled for . continued aspirin, statin, beta blocker, . blood pressure was aggressively controlled, and the patient was discharged on many blood pressure medications (see med list). . #) anemia. received 2 units of prbc's in micu. hematocrit remained stable. . #) hypertension. has been difficult to control, requiring esmolol and nitro drip for control. blood pressure on floor has been 142-180 systolic. titrated medications to max dose; the patient has follow up appointment with his pcp next week for further titration of blood pressure medications. . #) elevated blood glucose. likely high in the setting of infection. initial anion gap closed quickly. blood sugars have been well controlled since transfer. he was continued on lantus while inpatient, and his outpatient oral hypoglycemic medications were restarted at the time of discharge. . #) nausea. resolved. . #) metabolic acidosis/resp alkalosis. anion gap is 12. have respiratory alkalosis from pneumonia, with compensatory renal acidosis. mildly elevated anion gap (12) was concerning given no clear source (lactate wnl, blood glucose has been well controlled, ? renal failure). it resolved by the time of discharge. . #) renal failure. s/p left nephrectomy with rising creatinine over the past few months (appears baseline is 1.6-2.0 or so). mri in showed widely patent r kidney vasculature. creatinine was monitored and remained stable. medications on admission: aspirin 81mg daily neurontin 300mg vytorin 10-40mg daily glipizide 10mg metoprolol 50mg prilosec daily glucophage 1000mg levirmir pen 10ml at bedtime norvasc 5mg daily doxazosin 2mg daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. hydralazine 50 mg tablet sig: 1.5 tablets po q6h (every 6 hours). disp:*180 tablet(s)* refills:*2* 4. valsartan 160 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. doxazosin 2 mg tablet sig: one (1) tablet po once a day. 8. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po once a day. 9. neurontin 300 mg capsule sig: one (1) capsule po twice a day. 10. glipizide 10 mg tablet sig: one (1) tablet po twice a day. 11. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 12. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 13. levemir flexpen 100 unit/ml insulin pen subcutaneous 14. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: diabetic ketoacidosis type 2 diabetes hypertension demand ischemia discharge condition: stable, blood pressures improved, discharge instructions: you were admitted with high blood pressure, high blood sugars, and pneumonia. you are being treated with many new blood pressure medications and antibiotics for the pneumonia. please take all of the new medications as prescribed, and complete the entire course of the antibiotics. . if you develop nausea, vomiting, dizziness, chest pain, shortness of breath, high fevers, or other concerning symptoms, please seek medical attention immediately. followup instructions: you have been chest x-ray: to be scheduled by dr. stress test: tuesday, , at 10am. of building on of . - no smoking or eating for 2 hours prior to the test - no caffeine or decaffeinated products for 12 hours prior to the test - they will send a letter please follow up with dr. as previously scheduled: provider: , md phone: date/time: 9:00 provider: phone: date/time: 11:00 provider: , md phone: date/time: 9:10 procedure: transfusion of packed cells diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease subendocardial infarction, initial episode of care pure hypercholesterolemia chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified alkalosis personal history of malignant neoplasm of kidney diabetes with ketoacidosis, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to