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: penicillins attending: chief complaint: ams major surgical or invasive procedure: none history of present illness: 84 m w/ pmh of known sdh, h/o dvt's, prostate cancer, dementia who presented with arf, fevers, and hypernatremia (na 159), found also to have recurrent bilateral lower extremity dvt's. was initially admitted to the neurosurgery service but was transferred to medicine on for further management. he is currently on heparin - coumadin bridge for dvts but his hematocrit was noted to have dropped from 28 to 21.5. he was taken down to ct for ct ab/pelvis and ct head which did not show rp or new head bleed. he was in the process of receiving a transfusion for bleed of unknown source. his mental status was noted to be even worse today than usual. during a routine check, he was noted to be in respiratory distress and his o2 sats dropped to the 40s. respiratory agressively suctioned and were able to retrieve 3 very large mucus plugs with improvement in his o2 sats. he was transferred to the icu for further management. . on the floor, he is not able to give any further history and ros not obtainable. per floor nursing staff, at baseline he might respond yes or no but not reliably. he was running a low-grade fever this morning (vitals sheet not available). past medical history: - coronary artery disease s/p mi and cabg yrs ago - subdural hematoma in , now s/p emergent burrhole placement x2 on for acute worsening of hematoma - lower extremity dvt in (now off anticoagulation due to sdh; bliateral lenis earlier this month show no clot) - colon cancer (stage, therapy, status otherwise unknown) - hyperlipidemia - hypertension - chronic kidney disease, stage ii with baseline creatinine 1.2 social history: lives alone, retired, son either lives with him or nearby, no smoking, no illicit drug use family history: non-contributory physical exam: vitals: t: 95.9 bp: 129/100 p: 95 r: 23 o2: 100% on 2l nc general: lethargic, lying on his r side, does not follow commands or give verbal responses heent: pinpoint pupils, dry mm neck: supple, jvp not elevated lungs: decreased breath sounds bilaterally, no wheezes, rales, ronchi cv: distant heart sounds, regular rate, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: head ct : impression: 1. left subdural collection with hyperdense focus anteriorly that is not significantly changed in comparison to , with mass effect upon the cerebral sulci and lateral ventricle. 2. small hypodense right subdural collection. 3. 6mm rightward shift of midline structures. . head ct : impression: overall no significant interval change in the extent and size of the left sided subdural with minimal mass effect on the sulci and the ventricle and minimal midline shift as described previously. no evidence of herniation identified. tiny right-sided subdural is again seen unchanged. other changes as described above. . head ct : impression: unchanged extent and size of chronic bilateral subdural hematomas and their minimal mass effect and shift of midline structures. the acute component in the anterior left frontal subdural compartment is unchanged. . abd ct : impression: 1. no retroperitoneal hematoma or intra-abdominal free gas. 2. bilateral atelectasis. 3. capacious rectum, appearing impacted with retained fecal material. . cxr : findings: in comparison with the study of , there is continued opacification just above the minor fissure consistent with right upper lobe pneumonia. brief hospital course: this is a 84 m w/ pmh of recent sdh s/p boreholes x 2, also w/ recurrent dvts s/p ivc filter, here w/ persistently altered mental status, now s/p hypoxia in the setting of large mucus plugs. . # hypoxia/pneumonia: the initial event was thought to be secondary to very large mucus plugs (x 3) as evidenced by suctioning. initially his hypoxia resolved, however the patient then developed a large right sided pneumonia, likely secondary to aspiration. treated empirically with vanc/aztreonam/flagyl/cipro for empiric coverage per id. frequent suctioning was performed by nursing. he was maintained on humidified air and supplemental o2 as needed. the patient became hypotensive, an arterial line was placed and he was started on pressors. after discussion with the family, the decision was made to make the patient dnr/dni as the pneumonia was worsening and his pressor requirement was increasing. eventually, the decision was made to withdraw pressor support. within hours the patient's pressure decreased, he went into respiratory arrest and subsequent cardiac arrest. the patient was not resuscitation per the family's request. . # ams: most likely thought to be secondary to antiseizure medications. mental status improved initially while in the micu, however deteriorated once the patient's pneumonia developed. eeg did not show evidence of seizure. held keppra and alzheimer's medications. after much discussion the decision was made not to escalate care and to make the patient dnr/dni. . # anemia: unclear etiology of loss. gi consulted. the did not see the efficacy in scoping the patient. hct remained stable. discontinued heparin and coumadin given recurrent bleeding. . # recurrent dvts: stopped coumadin and heparin in the setting of recurrent sdh and unclear loss. s/p ivc filter. . # recurrent sdh: likley was the underlying cause of his poor overall functional and mental status. per ct head he had no acute bleed. neurosurgery was consulted. speech and swallow would not even evaluate him secondary to his mental status, the patient was maintained on tube feeds. . # transaminitis: unclear etiology. alt 135, ast 140 on at osh. ultrasound performed on was unremarkable. . # fen: ivf, repleted electrolytes, tube feeds via dopoff . # prophylaxis: pneumoboots, ivc filter . # access: double-lumen picc . # communication: hcp ( medications on admission: heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. order date: @ 0938 insulin sc (per insulin flowsheet) sliding scale order date: @ 2137 500 ml ns bolus 500 ml over 30 mins order date: @ 0313 influenza virus vaccine 0.5 ml im asdir follow influenza protocol document administration in poe order date: @ 1109 500 ml ns bolus 500 ml over 60 mins order date: @ 0525 15. ipratropium bromide neb 1 neb ih q6h order date: @ 2137 acetaminophen 325-650 mg po q6h:prn order date: @ 0836 levetiracetam 250 mg po bid order date: @ 1754 albuterol 0.083% neb soln 1 neb ih q6h:prn order date: @ 2137 metoprolol tartrate 12.5 mg po bid start: in am hold hr<55 sbp<100 order date: @ 2248 doxazosin 1 mg po hs order date: @ 2137 multivitamins 5 ml po daily order date: @ 1210 docusate sodium (liquid) 100 mg po bid order date: @ 2137 namenda *nf* 10 mg oral order date: @ 2137 donepezil 5 mg po hs order date: @ 2137 senna 1 tab po bid order date: @ 2137 famotidine 20 mg po bid order date: @ 2137 folic acid 1 mg po daily order date: @ 2137 thiamine 100 mg po daily order date: @ 2137 discharge disposition: expired discharge diagnosis: pneumonia discharge condition: expired md procedure: venous catheterization, not elsewhere classified interruption of the vena cava enteral infusion of concentrated nutritional substances transfusion of packed cells angiocardiography of venae cavae diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of malignant neoplasm of prostate aortocoronary bypass status other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus personal history of malignant neoplasm of large intestine acute venous embolism and thrombosis of deep vessels of proximal lower extremity alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance hyperosmolality and/or hypernatremia infection and inflammatory reaction due to indwelling urinary catheter foreign body in larynx chronic kidney disease, stage ii (mild) 

Answer: The patient is high likely exposed to