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 85-year-old man with a history of type 2 diabetes, hypertension, ulcerative colitis, and depressed left ventricular function of approximately 40%, with inferior wall motion abnormalities collapsed at a funeral. bystanders performed cardiopulmonary resuscitation as emergency medical service was en route. the patient was semiconscious on their arrival. heart rate was 90 with no palpable blood pressure noted. lungs were clear. the patient vomited bright red blood and was incontinent of urine and stool. electrocardiogram showed st elevations myocardial infarction. the patient was given aspirin and typed and crossed for 4 units of packed red blood cells. recorded blood pressures were 110/palp and 208 systolic over 173 diastolic. he was transferred to emergency room. there, the electrocardiogram showed st elevations of greater than 2 mm in v1 through v3 with reciprocal changes, potassium 5.9, lactate 4.8. he was taken to catheterization emergently on presentation. past medical history: 1. hypertension. 2. type 2 diabetes. 3. ulcerative colitis. 4. angina. medications on admission: glipizide, prinivil, atenolol. allergies: sulfa. family history: family history not taken; unobtainable. social history: social history was unobtainable. physical examination on admission: temperature 96.4, pulse 104 to 127, blood pressure of 69 to 120 systolic over 30 to 60 diastolic, respiratory rate 20 to 28, with oxygen saturation of 95% to 100% on 100% fio2 by the ventilator. in general, he was an elderly male, ill-appearing, drowsy, but appropriate. heent revealed pupils were equal, round, and reactive to light and accommodation. og-tube with blood. jugular venous distention pulsations to ear when lying flat. pulmonary revealed crackles one-half the way up posteriorly. cardiovascular revealed quiet precordium, normal s1 and s2, with a regular rate and rhythm. no murmurs. abdomen was soft, nontender, and nondistended, with hypoactive bowel sounds. extremities were cool, modeled, with decreased distal pulses and pail nails bilaterally. neurologically, alert and oriented, answered inappropriately, and the patient was sedated on the ventilator. lines revealed he had a right swan, bilateral upper extremity peripheral ivs, and a right radial artery line. laboratory data on admission: white blood cell count 12.7, hematocrit 42.7, platelets 209. chem-7 revealed sodium of 136, potassium 4.9, chloride 101, bicarbonate 19, bun 37, creatinine 1.4, glucose 332. creatine kinase initially was 77 with a troponin of 2. lactate was 4.8. radiology/imaging: electrocardiogram showed sinus rhythm at 80, axis -30, left axis deviation, p-r interval 0.182, qrs greater than 120 msec, st elevations in v1 through v4, q wave in v2, t wave inversion in i and l, borderline left bundle-branch block. chest x-ray showed a good t tube placement with swan in the right pa, tortuous aorta, and congestive heart failure that was deemed mild. hospital course: mr. was taken emergently to the catheterization laboratory from the emergency room and transferred to the coronary care unit at for care of an acute anterior myocardial infarction. creatine kinases rose to peak of 5600. in the catheterization on presentation, he had diffuse 3-vessel disease with a right coronary 80% stenosis, right posterior diagonal 50% stenosis, right posterolateral 80% stenosis, proximal left anterior descending artery 80%, mid left anterior descending artery 80%, distal left anterior descending artery 80%, first diagonal 100%, circumflex 60%, first obtuse marginal 95%, second obtuse marginal 95%, third obtuse marginal 95% stenosis. swan-ganz catheter was placed in the catheterization laboratory that showed an ra of 10, and the pulmonary capillary wedge pressure was 12. the patient had a percutaneous transluminal coronary angioplasty and stent placed to the proximal left anterior descending artery and mid left anterior descending artery. mr. had an intra-aortic balloon pump placed and was transferred to the unit. the left anterior descending artery stent had timi-ii flow. the patient was also started on levophed, and dopamine, and dobutamine in the coronary care unit. the coronary care unit course was complicated by an upper gastrointestinal bleed with hematocrit initially at 42.7 that dropped to 32.7, for which he was transfused 6 units of blood. the patient had a temperature spike on hospital day four for which he was started on levofloxacin, vancomycin, ceftazidime, and flagyl. cultures found enterococcus in his urine and methicillin-susceptible staphylococcus aureus in his sputum. lines were changed, and the antibiotic course was paired down to levofloxacin and oxacillin. the patient's intra-aortic balloon pump was discontinued on hospital day four, and a pa catheter was placed. pulmonary capillary wedge pressure was 16 at that time. on hospital day five captopril was started with decreased pressor needs. he was diuresed on hospital day six with a labile blood pressure and ruled out for a vsd by swan-ganz catheter. he was weaned off pressors completely by hospital day eight. he was treated with oxacillin on and continued diuresis. the swan-ganz catheter was discontinued on hospital day 10 and replaced with a triple lumen. mr. was extubated on hospital day 12 and found to be tachypneic with good oxygenation with an arterial blood gas of 7.41/34/90. dopamine was weaned to off on and started on digoxin. he was diuresed on dopamine transiently and responded well before being sent to the floor. the patient continued to be tachypneic with an arterial blood gas of 7.45/33/80 on 6 liters by . diuresis continued; however, on hospital day 15 the patient was found to be obtunded with a respiratory rate of approximately 50 breaths per minute, hypercarbic, and hypoxic. the patient did not respond to lasix and appeared to have continued respiratory distress. he was intubated on the floor and transferred to the coronary care unit where he was noted to be febrile and to have pus around his central venous line. antibiotics were restarted through his central venous line, and the catheter line tip was sent. left subclavian and right arterial line were placed. he was noted to be hypotensive on the floor prior to intubation at 70s/40s and a heart rate of 116 to 120. prior to transfer to the floor he was restarted on his dopamine pressor drip. the following morning a pa catheter was reinstituted to check pulmonary capillary wedge pressure and systemic vascular resistance. this was performed with a pulmonary capillary wedge pressure of 11 and cardiac index of 2.8. the patient was still in cardiac congestive heart failure based on his swan numbers and was started on dopamine drip with wean of the dopamine drip. on the night of the patient self-extubated at approximately 8 p.m. and was felt to be hemodynamically stable with respiratory rates in the 30s, and oxygen saturation of 98% on 100% nonrebreather. the decision was made to keep the patient extubated and to follow closely. over the course of the night the nitroglycerin, dobutamine, and dopamine drips were weaned over the course of the night to off. an echocardiogram performed on revealed no effusion and an ejection fraction of less than 25%, consistent with the patient's congestive heart failure, and status post a large anterior myocardial infarction. in consultation with the patient's family the patient was made dnr not dni at that time. over the following two days the patient continued to be tachypneic with pulmonary edema and was diuresed aggressively with lasix and morphine for breathing relief. his ace inhibitor continued to be titrated aggressively with increased cardia output noted on the swan-ganz catheter. by , mr. continued to tolerate titration of the captopril with meanwhile maintaining systolic blood pressures of approximately 150s. he was started on imdur for preload reduction and continued to tolerate this well. by , he was transferred to the floor and stopped all antibiotics. the catheter tip grew out coagulase-negative staphylococcus, and blood culture bottles also grew out coagulase-negative staphylococcus. in consultation with infectious disease, it was felt that the patient was not actively infected and this was most likely superficial contaminations. routine surveillance blood cultures were drawn and continued to be negative at the time of discharge. from to the patient continued to maintain good blood pressures and oxygen saturations. he was not tachypneic and did not seem to be in failure. however, a continuing issue at the time of discharge was the patient's apparent depression. he seemed very lethargic and unwilling to enjoy activities in the hospital. his appetite was low, and he was eating less than 25% of most of his meals. in consultation with the patient's family it was felt best not to place a peg tube and to continue to encourage p.o. intake and this will be a continuing issue at a rehabilitation facility when the patient is discharged. at the time of hospital discharge, on , mr. was three weeks status post a large anterior myocardial infarction. he was doing well and maintaining a good blood pressure on mavik 4 mg p.o. q.d. he was maintained on the current medical regimen including mavik 4 mg p.o. q.d., digoxin 0.125 mg p.o. q.d., aspirin 325 mg p.o. q.d., lipitor 10 mg p.o. q.d., plavix 75 mg p.o. q.d., lasix 160 mg p.o. q.d., and imdur 90 mg p.o. q.d. discharge status: the patient was discharged to rehabilitation center on . condition at discharge: good condition. discharge diagnoses: 1. acute anterior myocardial infarction. 2. congestive heart failure. 3. diabetes. 4. hypertension. 5. depression. 6. loss of appetite. medications on discharge: 1. aspirin 325 mg p.o. q.d. 2. lipitor 10 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. 4. digoxin 0.125 mg p.o. q.d. 5. mavik 4 mg p.o. q.d. 6. lasix 160 mg p.o. q.d. 7. effexor 37.5 mg p.o. q.d. 8. glipizide 10 mg p.o. q.d. 9. imdur 90 mg p.o. q.d. , m.d. dictated by: medquist36 d: 15:18 t: 14:24 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube implant of pulsation balloon angiocardiography of right heart structures diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care hemorrhage of gastrointestinal tract, unspecified 

Answer: The patient is high likely exposed to