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: mr. is status post mi with cardiac cath done in . this showed coronary disease that was treated medically at that time. recently he began experiencing increasing shortness of breath, had a positive exercise tolerance test and a repeat catheterization that showed an ef of 62 percent, lad 30 percent occlusion, om1 with 90 percent stenosis, rca with 100 percent stenosis, circumflex with 30 percent stenosis and a 50 percent left main lesion. additionally, the patient was shown to have an aortic valve area of 0.9 cm2 with a mean gradient of 37. past medical history: significant for atrial fibrillation, hypertension, hypercholesterolemia, lower extremity varicosities, cad, status post imi in , renal calculi, status post right renal lithotomy, history of testicular cancer treated with radiation and an orchiectomy in . he also has a history of cholecystectomy in . medications prior to admission: lipitor 40 mg every day, norvasc 5 mg every day, lisinopril 20 mg every day, amiodarone 200 mg every day, aspirin 81 mg every day, and folic acid 400 mcg every day. the patient states an allergy to ivp dye with a note that it caused an anaphylactic response. family history: significant for father who died of an mi at 87 years old. mother died at 69 of leukemia. the patient is retired, lives with his wife and son. remote tobacco use, quit 15 years ago, and rare alcohol use. no other recreational drug use. the patient had a carotid ultrasound done prior to surgery that showed bilateral clean carotids. physical exam prior to admission: heart rate 78, blood pressure 175/64, respiratory rate 20, o2 sat 98 percent on room air. height was 5 feet 5 inches, weight 142 pounds. in general a thin, older man in no acute distress. skin showed no obvious lesions. heent showed pupils equally round, reactive to light with extraocular movements intact. normal buccal mucosa. neck was supple with no jvd. he had a murmur that radiated bilaterally to the carotids. chest was clear to auscultation bilaterally. heart was regular rate and rhythm, s1 and s2 with a iii/vi systolic ejection murmur. abdomen was soft, nontender, nondistended with normoactive bowel sounds. no hepatosplenomegaly or cva tenderness, and a well healed cholecystectomy scar. extremities were warm and well perfused with no clubbing, cyanosis or edema. neurologically cranial nerves iii through xii were grossly intact. nonfocal exam. moved all extremities with 5/5 strength. the patient had 2 plus pulses distally, bilaterally equal. ekg showed sinus rhythm at 66 with an old imi and left ventricular hypertrophy. on the patient was admitted directly to the operating room for a scheduled avr and cabg. please see the or report for full details. in summary, the patient had an avr with a number 25 pericardial valve and a cabg times two with a lima to the lad and saphenous vein graft to the ramus. his bypass time was 214 minutes with a crossclamp time of 184 minutes. the patient tolerated the operation and was transferred from the operating room to the cardiothoracic icu. at the time of transfer the patient had propofol, epinephrine and levophed infusing. in the immediate postoperative period the patient remained hemodynamically stable, however, he was slow to awaken and ultimately neurology was consulted. following the neurology consult the patient underwent an mri that showed a small right cerebellar stroke of questionable age, felt most likely to be an old lesion. he also had an eeg on postoperative day one that showed encephalopathic slowing and repeat carotid ultrasounds were negative for stenosis bilaterally. additionally, the patient had poor oxygenation despite full ventilation, and by chest x-ray showed signs of early ards. on postoperative day two his chest x-ray showed progressing ards. a bronchoscopy done at that showed time showed mild inflammation. furthermore, the patient showed a bump in his creatinine from his baseline of 1.7 to 2.3 and a renal consult was called at that time. throughout this period the patient continued to require pressors to maintain an adequate blood pressure. on postoperative day three the patient's respiratory status continued to deteriorate, following with the diagnosis of acute respiratory distress. the intensivist hospitalist team was consulted to gather suggestions on ventilatory support. the patient was fully sedated and changed to pressure controlled ventilation at that time. it should be noted that throughout this period the patient also had persistent fevers, despite negative blood, urine, and sputum cultures. on postoperative day four the patient went into atrial fibrillation, which also caused an increasing pressor requirement. his respiratory status continued to be an issue and at that time the patient was chemically paralyzed as well. he at that time also had an increasing white blood cell count and infectious disease was consulted as was pulmonary consulted. ultimately on postoperative day eight the patient was shown to have proteus in his blood and e. coli in his urine. he was treated with appropriate antibiotics at that time. during the next week the patient had a relatively stable hospital course, during which his renal failure slowly resolved. his neurological status gradually improved, to the point where once the paralysis was discontinued the patient was following commands. however, his pulmonary status continued to wax and wane. ultimately by the week of the patient was able to be switched from pressure controlled ventilation to assist controlled ventilation. at that time thoracic surgery was consulted and on the patient had a trache and peg. during this period the patient continued to be sedated with fentanyl and versed, which were slowly being weaned. the week following the patient's trache and peg, serial chest x-rays showed resolving ards, however, he also had bilateral pleural effusions. for this pigtail catheters were placed bilaterally on the first of and the effusions were drained. the patient continued to make slow progress with his ventilatory wean. as his sedation was decreased the patient became more alert and responsive. following the drainage of his pleural effusions attempts were made to switch the patient to pressure support ventilation, which initially failed, requiring additional assist controlled ventilation. ultimately by the second week of the patient was doing pressure support ventilation during the day with assist control resting at night. by the third week of the patient was on pressure support ventilation with pressure supports of 12 to 18 during the day and rested with pressure supports of 20 to 25 at night. the week of the the patient was noted to have increasing pressure support needs in order to maintain adequate tidal volumes and not be progressively dyspneic. a chest x-ray done on the 20th showed a right lower lobe pneumonia. at that time the patient was restarted on antibiotics. sputum cultures done at that time showed gram positive cocci with budding yeast and the patient was also begun on fluconazole. chest x-ray done on the showed resolving pneumonia. additionally, the patient had a white count that had resolved at that point. at this time it is felt the patient is stable and ready to be transferred to pulmonary rehabilitation. his physical exam shows vital signs with temperature 99, heart rate 90 to 100 sinus rhythm, blood pressure 105 to 110 over 50. respiratory rate generally ranges in the high 20s to low 30s on pressure support ventilation with 12 of peep and pressure support ranging between 14 and 20. his o2 sat has been 100 percent. breath sounds are rhonchorous throughout the upper airway distributions and diminished at the bases. cardiovascular is regular rate and rhythm, s1 and s2 with no murmur. sternum is stable. incision is well healing with no erythema or drainage. abdomen is soft and nontender with active bowel sounds. peg is in place. peg site is clean and dry with no erythema or drainage. extremities are warm and well perfused with 1 to 2 plus edema. patient's condition at discharge is stable. discharge diagnoses.: 1. status post aortic valve replacement with a number 25 pericardial valve and coronary artery bypass graft times two with left internal mammary artery to the left anterior descending and saphenous vein graft to the ramus, complicated by a systemic inflammatory response and adult respiratory distress syndrome as well as acute renal failure. 2. status post trache and peg. preoperatively the patient's diagnoses included atrial fibrillation, hypertension, hypercholesterolemia, testicular ca, status post radiation therapy and orchiectomy, renal calculi, status post right ureterolithotomy, cholecystectomy, and status post imi. th is to be discharged to rehabilitation. he is to have follow-up with dr. in four weeks. follow-up with dr. upon discharge from rehabilitation. follow- up with his primary care, dr. , upon discharge from rehabilitation. discharge medications: 1. tylenol 325 one to two tablets q. four hours as needed for temperature greater than 38. 2. aspirin 81 mg every day. 3. colace 150 mg b.i.d. 4. combivent one to two puffs q. four hours. 5. flovent two puffs b.i.d. 6. bisacodyl suppository q.h.s. p.r.n. 7. miconazole powder q.i.d. p.r.n. 8. lansoprazole 30 mg every day. 9. reglan 5 mg q.i.d. 10. fluconazole 200 mg every day times two weeks. 11. lasix 40 mg b.i.d. 12. clonazepam 0.5 mg b.i.d. 13. amiodarone 200 mg every day. 14. zosyn 4.5 grams q. eight hours times two weeks. , m.d. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other electric countershock of heart percutaneous [endoscopic] gastrostomy [peg] (aorto)coronary bypass of one coronary artery arterial catheterization temporary tracheostomy open and other replacement of aortic valve with tissue graft closed [endoscopic] biopsy of bronchus transfusion of packed cells injection or infusion of nesiritide infusion of vasopressor agent diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortic valve disorders pressure ulcer, other site candidiasis of lung other septicemia due to gram-negative organisms other encephalopathy infection and inflammatory reaction due to other vascular device, implant, and graft empyema without mention of fistula iatrogenic cerebrovascular infarction or hemorrhage nutritional marasmus 

Answer: The patient is high likely exposed to