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: this is an 88 year-old man with a history of depression and anxiety who was in his usual health until about 6:00 p.m. on . he had dinner with his family as usual and at baseline was walking with a walker. at about 5 or 6:00 p.m. his family found him sitting on the floor. there was no witnessed fall according to his son. appeared generally weak. he was walked over to a chair, and as his family tended to him he became progressively weaker and started to speak less. according to his son his words were understandable, but very sparse. he was taken to the hospital emergency room where a ct of the spine was concerning for a c2 fracture and he was transferred to the for stabilization. he was given solu-medrol at 30 mg per kilogram intravenous a 10:30 p.m. at the he was admitted to the trauma service for presumed fall, however, with complete history of the event there was no head trauma and no loss of consciousness. further examination showed no evidence of c2 fracture. while awaiting further evaluation mr. had a rapid heart rate with a supraventricular rhythm and cardiology was consulted. past medical history: per his son; 1. prostate cancer some six years ago treated with hormones. 2. depression. 3. anxiety. 4. fracture and pin of the left hip two years ago. he walked at baseline with a walker. medications: 1. ritalin. 2. celexa. 3. protonix. allergies: no known drug allergies. physical examination: temperature 35.6. blood pressure 139 to 164/69 to 87. heart rate 80s. general, well developed, well nourished man in no acute distress. head and neck c collar in place, clear dentures. cardiovascular regular rate and rhythm. no murmurs or jvd. pulmonary clear to auscultation. abdomen positive bowel sounds, soft, nontender, nondistended. extremities, frozen left elbow joint deformities in the fingers. neurological, mental status, ones eyes to loud voice, vocalizes quietly, but unintelligibly. does not follow commands. pupils are equal, round and reactive to light. does not respond to visual threat. there are dolls eyes. the jaw is strong. face is even. there is no gag. motor very little spontaneous movement, no tremor, increased tone in the legs, left elbow is frozen. withdraws all extremities to pain. deep tendon reflexes are nil in the left upper extremity, 2+ in the right upper extremity, 2+ at the knees and 1+ at the ankles. toes are up going bilaterally. sensory grimaces and withdraws to pain in all extremities. studies: ct of the head with c spine revealing no fracture and the parenchyma is grossly intact. mr imaging reveals a few small and bilateral diffusion slowing in the frontal, parietal and occipital areas consistent with infarction. laboratory: white blood cell count 7.9, hematocrit 39, platelets 282, pt 12.9, inr 1.1, ptt 29.7, sodium 136, potassium 3.6, chloride 101, bicarb 22, bun 16, creatinine 0.6, glucose 301, calcium 9.5, magnesium 1.7, phosphate 3.2, ast 46, alt 58, alkaline phosphatase 218. hospital course: mr. was subsequently transferred from the trauma service to the neuro intensive care unit after evaluation revealed no evidence of c2 fracture. given mr. rapid ventricular rate cardiology consultants suggested the addition of amiodarone to his regimen. however, subsequent evaluation of the electrocardiogram reveals that he had an episode of supraventricular tachycardia, which converted to normal sinus rhythm with the addition of amiodarone. they recommended continuation of amiodarone at this time. evaluation for his strokes revealed multiple infarctions as noted above consistent with a water shed distribution infarction perhaps in the setting of a rapid ventricular rate. evaluation of his carotid arteries with ultrasound revealed no evidence of significant disease in the cervical potions of the bilateral carotid and vertebral arteries. mr of the cervical spine shows no soft tissue disease and no evidence of fracture. mr. was stable clinically and was transferred to the neurology floor. there is clinical course continued to improve. he was noted initially to have a right hemiparesis and a right facial droop. he remained mute for the first day or so on the floor, however, he began to improve with more verbal interaction. he responded to his name appropriately. subsequently he followed simple commands and his aphagia steadily improved. by the time of this dictation mr. was alert and oriented to person and place. he answers simple questions appropriately. he has a fluent speech. his right hemiparesis improved markedly and now he has only moderate weakness of the right upper extremity with mild weakness in his right legs. his swallowing, however, was not adequate to sustain safe oral intake and therefore a decision was made to place a percutaneously inserted g tube for nutrition and medication administration. he tolerated this procedure well without complications. we anticipate as mr. continues to improve clinically from a neurologic perspective he will be able to swallow and therefore it would not be unreasonable to reevaluate his swallowing in one to two months time and consider the removal of the peg tube. we note that while in house mr. had some evidence of pneumonia and therefore he was started on a fourteen day course of levofloxacin. he also had cellulitis on his right arm and therefore was started on the first generation of cephalosporin initially in the intravenous form and then changed to po. at the time of this dictation mr. is clinically stable and appropriate for transfer to a rehabilitation facility where emphasis could be placed on his continued improvement given special emphasis on his strength and gait stability. we anticipate that this will continue to improve as well as his aphagia. again his swallowing could be reassessed in one to two months time and at that time perhaps the peg tube could be removed. discharge condition: markedly improved. discharge status: discharged to a rehabilitation facility. discharge medications: 1. aspirin 325 mg po q day. 2. lansoprazole 30 mg po q day. 3. amiodarone 400 mg po t.i.d. 4. levofloxacin 500 mg po q day for eight more days to complete a fourteen day course. 5. keflex 500 mg po q 6 hours for cellulitis for eight more days. note: we should mention that mr. sugar was high while in house. a hemoglobin a1c revealed that he had a level of 13 suggesting underlying diabetes mellitus. this should be assessed at some point in the near future and an oral hypoglycemic considered. follow up: mr. will follow up with his primary care physician. may also follow up with the clinic at or he may follow up with dr. from the stroke service at . , m.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: pneumonia, organism unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of prostate other specified cardiac dysrhythmias cellulitis and abscess of upper arm and forearm cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to