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: difficulty swallowing. major surgical or invasive procedure: peg placement. history of present illness: this is a 79 y/o male patient with multiple system atrophy (aggresive form of parkinsons), htn, prostate ca s/p xrt who was initially admitted to neurology service on for dysphagia secondary to rapid deterioration of msa and peg placement. peg placement successful but after patient had sudden hct drop and on ct scan was found to have right rp and thigh bleed hematoma, unknown etiology, transferred to micu. vascular consulted and felt surgery and angio no indicated at present time as patient would require intubation. patient was transfused a total of 9 units of blood while in the micu. patient last blood transfusion was on in the am and hct has been stable. for the past few days patient neurologic function has become worse, where patient very stiff. neurology following patient for management of msa. patient also noted to be hypernatremic in the micu and is being given free water bolus through peg tube. during hospital course patient had thrombocytopenia as well, hit sent which came back negative, plt count starting to improve. he continue to spike low grade fevers, patient pan-cultured with no source of infection found, cxr negative. past medical history: 1.)multisystem atrophy 2.)htn 3.)prostate ca s/p xrt 4.)cervical radiculopathy 5.)hypercholesterolemia social history: pt lives with wife and is cared for by multiple aides. he is totally depedent for adl's. quit tobacco 30yrs ago. family history: no neuro disease physical exam: t 98.4, bp 112/59, hr 104, rr 19, spo2 97%ra gen- chronically ill appearing elderly male in nad cv- tachy but reg, no m/r/g pul- moves air well, minimal bibasilar rales abd- peg in place, soft, nt, nd, nabs back- no sacral edema, no bruising extrm- 1+ edema over shins bilaterally nails- no clubbing, no pitting/color changes/indentations neuro- awake, non-verbal, resting tremor, moves extremeties pertinent results: ct abd/pel: no change compared to the exam of two days earlier. this includes the left-sided retroperitoneal bleed and the more superior portion of the right lower extremity bleeding. . renal u/s: ultrasound is compared with a ct scan performed 1 day previously. again, shown is bilateral hydronephrosis with atrophic kidneys with marked cortical atrophy. no perirenal fluid is identified. the retroperitoneal hematoma surrounding the left kidney is not seen. please note that ultrasound is not a reliable imaging technique for excluding the presence of retroperitoneal blood or for ongoing active bleeding. . ekg:baseline artifact rhythm uncertain - mostly regular/slight irregular tachycardia - may be atrial tachycardia but baseline artifacttmad right bundle branch block nonspecific st-t wave changes suggest repeat tracing since previous tracing of , bradycardia replaced by tachyarrhythmia . ct: 1. large right thigh hematoma. 2. large left posterior pararenal space hematoma, which appears separate from the muscles associated with the left iliac as well as from the psoas muscle. 3. pulmonary opacities in the right and left lower lobes, suggestive of aspiration. very small bilateral pleural effusions. 4. small pericardial effusion. . 03:31am blood wbc-28.6*# rbc-4.31* hgb-13.3* hct-39.3* mcv-91 mch-30.8 mchc-33.8 rdw-15.4 plt ct-122* 04:30am blood wbc-17.3* rbc-3.80* hgb-11.6* hct-34.3* mcv-90 mch-30.5 mchc-33.8 rdw-15.6* plt ct-99* 03:37am blood wbc-15.8* rbc-3.27* hgb-10.0* hct-29.5* mcv-90 mch-30.4 mchc-33.7 rdw-15.5 plt ct-69* 04:23am blood wbc-24.4* rbc-2.88* hgb-8.7* hct-25.3* mcv-88 mch-30.1 mchc-34.2 rdw-15.8* plt ct-87* 11:09am blood wbc-24.5* rbc-2.80* hgb-8.3* hct-24.7* mcv-89 mch-29.5 mchc-33.3 rdw-15.2 plt ct-80* 12:55pm blood wbc-9.5 rbc-3.71* hgb-11.1* hct-32.7* mcv-88 mch-30.0 mchc-34.1 rdw-13.6 plt ct-142* 04:46pm blood wbc-12.4*# rbc-4.26* hgb-12.3* hct-37.4* mcv-88 mch-28.9 mchc-32.9 rdw-13.7 plt ct-189# 11:09am blood neuts-78* bands-2 lymphs-9* monos-10 eos-0 baso-0 atyps-0 metas-0 myelos-1* 04:46pm blood neuts-82.2* lymphs-11.4* monos-5.8 eos-0.4 baso-0.3 03:31am blood plt ct-122* 03:31am blood pt-13.0 ptt-23.9 inr(pt)-1.1 03:31am blood fibrino-490* 08:56am blood fdp-0-10 03:31am blood glucose-133* urean-31* creat-1.0 na-146* k-3.2* cl-104 hco3-28 angap-17 05:00am blood glucose-129* urean-31* creat-1.2 na-145 k-4.5 cl-114* hco3-23 angap-13 12:55pm blood glucose-76 urean-24* creat-1.0 na-145 k-3.3 cl-106 hco3-22 angap-20 04:46pm blood glucose-104 urean-35* creat-1.3* na-145 k-4.3 cl-108 hco3-24 angap-17 03:31am blood ck(cpk)-932* 05:00am blood ck(cpk)-1354* 03:00pm blood ld(ldh)-208 totbili-0.4 04:46pm blood alt-32 ast-29 totbili-0.6 03:31am blood ck-mb-12* mb indx-1.3 ctropnt-0.17* 03:31am blood calcium-8.0* 04:30am blood calcium-8.0* phos-3.2 mg-2.0 03:37am blood albumin-2.6* calcium-8.0* phos-3.9 mg-1.9 05:30am blood calcium-9.2 phos-3.3 mg-2.2 03:00pm blood hapto-159 05:30am blood tsh-1.1 02:31am blood type-art po2-111* pco2-48* ph-7.41 calhco3-31* base xs-5 intubat-not intuba 12:52am blood type-art temp-38.8 po2-92 pco2-64* ph-7.30* calhco3-33* base xs-2 intubat-not intuba 06:18pm blood type-art po2-175* pco2-34* ph-7.42 calhco3-23 base xs--1 02:17am blood lactate-2.6* 12:52am blood lactate-1.5 06:18pm blood lactate-4.3* 02:17am blood hgb-13.1* calchct-39 o2 sat-84 brief hospital course: on , the pt was seen by a catholic priest and administered last rights. a family meeting outlined the pt's wishes, including that he not be intubated, resuscitated, fed via tube (though the family did undergo an initial attempt with the peg tube), or cpr. the pt was transferred from the micu to the floor with the status of comfort measures only. the family remained with the patient. a family member awoke and the pt had died. the night float resident was summoned to the room, and the patient was pronounced dead at 0410 on . the primary cause of death was respiratory arrest secondary to multisystem atrophy. an autopsy was declined by the family. the death certificate was filled out by , md, the night float covering intern. . the medical issues are as below: 1.)acute blood loss anemia: top source appears to be into right thigh, given physical exam. other possibilities include rp or intra-abdominal bleed from peg. pt has been guaiac positive, but only trace positive brown stool, making gi bleed seem less likely. pt has been discussed with vascular. the pt was evaluated with ct and transfused multiple unit of blood. the pt was made cmo before this issue was resolved. . 2.)msa: the pt was treated with mirapex and had a peg in place, though the tube feedings were stopped after the family meeting, in concordance with the pt's wishes. . 3.)htn: vital sign monitoring was stopped after pt made cmo.prior to that, the bp meds were held due to blood loss anemia. . 4.)leukocytosis: pt without fever, feel this is most likely a stress response. no clinically obvious infection. . 5.)thrombocytopenia: pt appears to be chronically low but is now lower than usual. no documentation as to etiology. will transfuse to keep over 50. . 6.)fen: pt initially tube fed via peg, then discontinued per family meeting. medications on admission: celexa 40mg--one by mouth every day cipro 250 mg--one tablet(s) by mouth twice a day darvocet-n 100 100-650mg--one by mouth q8 as needed for pain ddavp 0.2mg--one by mouth at bedtime terazosin 10mg--2 by mouth every day ibuprofen 800mg--one by mouth three times a day with food nystatin u/g--apply twice a day to affected area plavix 75mg--one every day robinul 1 mg--1 (one) tablet(s) by mouth three times a day . transfer- 1.)terazosin 2mg daily 2.)citalopram 40mg daily 3.)mirapex 0.5mg daily 4.)lansoprazole 30mg daily 5.)sc heparin discharge medications: pt deceased. discharge disposition: expired discharge diagnosis: deceased. discharge condition: deceased. discharge instructions: not applicable. followup instructions: not applicable. md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] transfusion of packed cells diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified personal history of malignant neoplasm of prostate hematoma complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hyperosmolality and/or hypernatremia hydronephrosis other degenerative diseases of the basal ganglia 

Answer: The patient is high likely exposed to