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: unwitnessed fall, right hip fracture major surgical or invasive procedure: orif intubation/extubation history of present illness: briefly, this 86 m initially admitted on s/p unwitnessed fall at rehab, found to have r intertroch fx. . during intubation, in preparation for surgery, the patient became hypoxic with pao2 in 30s. cxr showed white-out of l side. surgery aborted and pt returned to . placed on positive pressure ventilation with fio2 1.0 and peep 10 cm h2o with o2 sat high 80s to low 90s. underwent bronchoscopy by pulmonary in pacu that showed copious secretions on the left that were aspirated. he was transferred to the micu. . in the micu he was started on pip-tazo and vancomycin and an ng tube was placed for concern of aspiration pna. he was taken to the or for r hip repair . he was extubated . he was noted to have scrotal edema; an ultrasound was negative. . he was deemed stable for callout to the floor on . past medical history: 1. recurrent syncope. 2. parkinson's disease, diagnosed in approximately ; minimally verbal at baseline. 3. barrett's esophagitis from the ge junction 36 cm to 30 cm, with recurrent esophageal strictures. 4. colon cancer, status post resection. 5. depression. 6. pernicious anemia. 7. glaucoma. 8. prostate cancer, status post prostatectomy. 9. hypertension-no medications. 10. hepatitis c positive from a blood transfusion. 11. squamous cell carcinoma in situ, positive margins in . 12. cervical spondylosis. 13. choledocholithiasis status post biliary sphincterotomy and extraction of two calculi in the common bile duct in 06/00. 14. thoracic kyphosis. social history: wife has "cancer" and his wife lives with his daughter. has been living with his son. has three children; two in , one in . he has six grandchildren. he has had no tobacco times 15 years, drinks occasional alcohol. the patient has a very difficult living situation, as the patient's son is reportedly unsupportive and questionably verbally abusive. family history: non contributory physical exam: vitals - t 97.6, bp 128/72, hr 56, wt 110 kg o2 sat 100% 2l nc general - elderly male, minimally vocal, nad heent - perrl, eomi, no lad, no jvd cv - rrr, no murmurs chest - coarse breath sounds abdomen - nabs, soft, no g/r extremities - no edema. right hip wound dressing, incision c/d/i neuro - moves all 4 extremities spontaneously pertinent results: admission labs: 09:20am glucose-94 urea n-21* creat-1.0 sodium-138 potassium-4.5 chloride-100 total co2-31 anion gap-12 09:20am ck(cpk)-38 09:20am ck-mb-notdone 09:20am ctropnt-<0.01 09:20am calcium-9.1 phosphate-4.1 magnesium-2.0 09:20am asa-neg ethanol-neg acetmnphn-18.0 bnzodzpn-neg barbitrt-neg tricyclic-neg 09:20am wbc-9.5 rbc-4.03* hgb-12.9* hct-38.1* mcv-95 mch-32.0 mchc-33.8 rdw-14.3 09:20am neuts-58.7 lymphs-36.1 monos-2.5 eos-0.9 basos-1.7 09:20am plt count-283 09:20am pt-12.1 ptt-24.5 inr(pt)-1.0 11:35am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-tr bilirubin-neg urobilngn-4* ph-6.5 leuk-neg 11:35am urine color-yellow appear-clear sp -1.016 07:16pm ck(cpk)-58 11:29pm ck(cpk)-44 . bal: gram stain (final ): 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): multiple organisms consistent with oropharyngeal flora. 1+ (<1 per 1000x field): budding yeast. respiratory culture (final ): >100,000 organisms/ml. oropharyngeal flora. escherichia coli. 10,000-100,000 organisms/ml.. trimethoprim/sulfa sensitivity testing available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ =>32 r ampicillin/sulbactam-- 16 i cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 16 i ciprofloxacin--------- =>4 r gentamicin------------ <=1 s imipenem-------------- <=1 s meropenem-------------<=0.25 s piperacillin---------- =>128 r piperacillin/tazo----- <=4 s tobramycin------------ <=1 s . . : hip unilat min 2 views right in o.r. 6:18 pm hip unilat min 2 views right i; lower extremity fluoro without reason: orif rt.hip fx. check hardware placement clinical history: open reduction and internal fixation of right intratrochanteric hip fracture. four views of the right hip were acquired intraoperatively. again seen is an intratrochanteric fracture line. an intramedullary nail with single distal screw and trochanteric fixation rod has been placed. alignment appears satisfactory. please refer to the operative note for additional information. . cxr : left upper lobe pneumonia is obscured by new complete collapse of the left lung accompanied by at least a small volume of pleural effusion secondary to pulmonary processes. two 4-mm wide metallic opacities projecting over the upper stomach have migrated inferiorly along the course of the esophagus from positions in the upper chest from and 29. these look like dental fillings. nasogastric tube tip projects over the upper duodenum. no pneumothorax. . cxr : the ng tube was removed in the meantime interval. the left lower lobe atelectasis is unchanged as well as the left pleural effusion, at least moderate in size, layering. the foreign bodies are again demonstrated, most likely in the stomach. the right lung is unremarkable. . discharge labs: 8.6 wbc, 39.4 hct, 197 plts chem 7 138/4.3/99/32/14/0.5/83 ca 7.9 mg 2.0 phos 2.1 brief hospital course: 86 m w/ parkinson's disease a/w r intertroch fx, s/p repair, course c/b whiteout of l lung. . # pulmonology: 1) ecoli pna-initially started on vancomycin/pip-tazo, narrowed to ceftriaxone based on sensitivities from bal. he was extubated on . repeat cxrs showed initially worsening then some improvement. patient should be re-evaluated by physician and cxr before dc'ing ceftriaxone. scheduled for 14 day course to end on . 2) left pleural effusions-likely benign, no leukocytosis, no worsening hypoxia, no fever. decision was madee not to tap. patient with improvement with diuresis. will need continued diuresis, is and os, daily weights on discharge. continue albuterol inhalers. continue weaning o2. . # right intertrochanteric fracture: s/p right cm nail for right it fracture on . ortho follow up as scheduled. patient is wbat. will need ongoing pt upon discharge. continued calcium, vitamin d, calcitonin . # unwitnessed fall: past h/o recurrent seizures. no evidence of mi by cardiac biomarkers. no valvular disease by tte in . likely mechanical fall given parkinson's. . # parkinson's disease: continued carbidopa/levodopa . # htn: continued atenolol . # urinary: patient with scrotal edema and indwelling foley. will need to have urinary voiding trial after scrotal swelling decreased. . # depression: continued mirtazapine . # fen: speech and swallow evaluation done while patient had ng tube in place showed aspiration with thin liquids. per discussion with entire team, attending, fellow patient and his daughter decision was again made to continue eating soft foods, with water as only thin liquid and give vanilla ensure. patient refused long term ng tube or j- or g-tube. repleted lytes prn. . ppx: dvt ppx with heparin in house. transitioned to lovenox on transfer (could consider coumadin), will need readdressed with ortho. ppi, bowel regimen. . code: documented dnr/dni by all notes in chart. (dni reversed for or, now reinstated). no pressors, no central lines. discussed with hcp. . communication: kozol, daughter, is hcp at (h); (m); (w) medications on admission: morphine sulfate ir 15-30 mg po q4-6h:prn atenolol 12.5 mg po daily pantoprazole 40 mg iv q24h carbidopa-levodopa (25-100) 1 tab po qid calcium carbonate 500 mg po tid calcitonin salmon 200 unit in daily senna 1 tab po bid:prn ceftriaxone 1 gm iv q24h docusate sodium 100 mg po bid heparin 5000 unit sc tid timolol maleate 0.5% 1 drop both eyes vitamin d 400 unit po daily mirtazapine 45 mg po hs discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation tid (3 times a day). 3. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 4. calcitonin (salmon) 200 unit/actuation aerosol, spray sig: one (1) nasal daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 6. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po qid (4 times a day). 7. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous once a day: could consider transition to coumadin. for dvt ppx s/p orif of right hip. . 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. mirtazapine 15 mg tablet sig: three (3) tablet po hs (at bedtime). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 11. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): barrett's esophagus. 13. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 14. ceftriaxone 1 g recon soln sig: one (1) intravenous once a day for 10 days: to have clinical picture reassessed at end of 14 days of treatment (). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary orif for right hip fracture. e. coli pneumonia left pleural effusions parkinsons recurrent esophageal strictures requiring dilation . secondary hypertension depression discharge condition: stable. still with subacute medical needs. known aspiration risk, but goals of care dictate modified diet as treatment. discharge instructions: please follow up with your pcp, . at rehab. . you were admitted with a right hip fracture. you were diagnosed with a left lung pneumonia and left pleural effusion. . if you have infection surrounding the wound, increased pain in the right hip or anything else of concern please go to the emergency department for evaluation. . if you have fever, chills, or difficulty breathing please return to the hospital. please seek medical attention for anything of concern. followup instructions: please follow up with a medical doctor (ie your pcp) before discontinuing the ceftriaxone for your pneumonia. . please follow up with dr. on at 8:40am, located on of the center. please have them address duration of dvt prophylaxis. provider: xray (scc 2) phone: date/time: 8:40 provider: , md phone: date/time: 9:00 procedure: fiber-optic bronchoscopy fiber-optic bronchoscopy other lavage of bronchus and trachea other lavage of bronchus and trachea open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia personal history of malignant neoplasm of prostate unspecified fall depressive disorder, not elsewhere classified paralysis agitans acute respiratory failure personal history of other malignant neoplasm of skin pneumonitis due to inhalation of food or vomitus personal history of malignant neoplasm of large intestine stricture and stenosis of esophagus cervical spondylosis without myelopathy closed fracture of intertrochanteric section of neck of femur edema of male genital organs 

Answer: The patient is high likely exposed to