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. was a pleasant 80-year-old gentleman with a history of coronary artery disease, hypertension, chronic obstructive pulmonary disease, chronic lymphocytic leukemia, and hypogammaglobinemia, and liver and brain metastases with unknown primary, who was initially admitted with a brain metastatic bleed and resulting seizure disorder. he was once admitted to the micu from to for acute respiratory distress which was thought to be secondary to aspiration pneumonia and he was started on bipap and then weaned to face mask. he was ruled in, also, for an mi with a peak troponin of greater than 50. we were unable to treat him due to his metastatic bleed in his brain, so he was given aspirin and lopressor. his aspiration pneumonia was treated with zosyn, vancomycin, and flagyl. he went to the floor on and was started on hemodialysis. however, the next day, he developed peripheral eosinophilia and urine eosinophilia which was thought to be secondary to his zosyn and, so, he was changed to levofloxacin for one dose. he also had his quinton catheter pulled out which he was using for his hemodialysis on because an av fistula was formed and there was a big left groin hematoma with a drop in blood pressure. he also had a likely aspiration event on with possible sepsis and the blood loss in his groin hematoma caused him to become hypotensive. he was also hypoxic and was found to be 88% on room air. he was sent to the micu and he was started on bipap, but intubated on for airway protection. he was continued on levofloxacin, flagyl, and vancomycin for the presumed line sepsis and the aspiration pneumonia. a lot of secretions were being suctioned out. a ct angiogram was also done to rule out for pe, but that time, bilateral pleural effusions were found. ct of the abdomen was unremarkable, except for polycystic kidney disease and liver metastasis. the patient's sputum grew mrsa and serratia. he was being covered with vancomycin, bactrim, and ceptaz, but it was believed that his eosinophilia was secondary to his multiple drug interactions, and the patient also developed a drug rash in his axillary area which was also thought to be secondary to drug reaction. in addition, the patient was still spiking temperatures and, at that time, it was concluded that it could be secondary to a drug fever due to the use of ceftriaxone. allergy and immunology were consulted who recommended that all his antibiotics be stopped and the patient was started on tobramycin. the patient was also receiving hemodialysis three times a week. despite all these multiple attempts for medical treatment, the patient did not show any signs of improvement. the patient's blood pressure was volatile/fluctuating up and down and the patient was repeatedly spiking temperatures. at that time, a very detailed family meeting was held between the attending, dr. , the resident, dr. , social worker, and the daughter of mr. , , who was actively involved in his care. during the family meeting, it was decided that the patient will be made comfort measures only. he will remain trached and we are going to continue some of his medications at this time and his tube feed and try to make him as comfortable as possible. this was decided on . on , it was decided that we could start slowly weaning off his medications, except for medications that would keep him comfortable. all of his medications, including lopressor, aspirin, and other medications he was on, were all discharged and the patient was kept on an ativan drip, fentanyl drip, and his valproic acid to prevent him from developing any seizures. in addition, the antibiotics were also stopped because, on the family meeting of , it was decided that the patient will not undergo any more hemodialysis and, since tobramycin was cleared by the kidney, all antibiotics were stopped. the patient's tube feeds were still continued, but they were decreased from 60 cc per hour to 10 cc per hour. on , in the morning, it was decided that we could slowly start weaning off his trach and moving to pressure support of 5, peep of 5, fio2 of 21%, in a bipap mode and continue his tube feeds at 10 cc per hour and titrate up the fentanyl and the ativan as needed to make him more comfortable. in addition, we can add a morphine drip and titrate that up, as well, as needed for comfort level. on at 7:45 p.m., the patient passed away. the patient did not respond to sternal rub or any pain sensation. pupils were fixed and dilated and did not respond to any light. no breath sounds were heard. no heart sounds were heard. at that time, the attending, dr. , was notified regarding the death of mr. . in addition, his primary care physician, . , was also notified about his expiration. in addition, his daughter, , who was actively involved in his medical care, was also notified regarding her father's death. she refused any autopsy. dr., 12-207 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis thoracentesis temporary tracheostomy percutaneous [endoscopic] gastrojejunostomy diagnoses: malignant neoplasm of liver, secondary chronic airway obstruction, not elsewhere classified hematoma complicating a procedure other convulsions acute respiratory failure pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of brain and spinal cord acute myocardial infarction of unspecified site, initial episode of care chronic lymphoid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to