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: lidocaine-->rash, erythromycin--> anaphylaxis, + vanco ros: cv: no issues at this time... regimen includes isordil, diltiazem, metoprolol, clonidine, hydralizine. goal bp 130-150mmhg. ppp. pt has had a pericardial effusion that last week he had been getting serial echo's to evaluate...the effusion has not become a tamponade and plan is to re-echo only if pt becomes hd unstable. neuro: thru the week he has been helpful with adl's truning, etc... saturday into sunday, in the setting of weaning his sedation, he has become overly sedated... versed is @2mg/hour and fentanyl @80mcg/hour. i tried weaning fent to 50mcg...but he became very restless, easily aggitated, not verbally calming, not getting volumes, biting ett + ???biting tongue as his oral bleeding has increased (thus the bite block). pt is now resting quietly, vss, not aggitated resp: #7.5 ett----ac 550x60%x15x peep12.5. coarse throughout. massive oral secretions that need q1-2 suctioiing with thin catheter to prevent coughing and bucking vent. bite block in place. oral secretions are thick clear, blood tinged/bloody. rt nares with nose bleed last noc...is now clotted. ---chest ct showed lll effusion (not new) too small/diffuse to tap, and rt upper lobe process. see id below gi/gu: to have hd today ??time. last got hd on sat and tolerated it excellently. foley cath changed yesterday , with spec sent...urine now is clear y. voids ~50cc (or more) per hour. ogt with goal rate (35/hr) nepro with 30gms promod. started bowel regimen @12mn (lactulose)---goal is to administer q6 until bm. no bm this admission adn abd, although with umbilical hernia, has become softly distended. (+)sounds x4 quads and min to no residuals. had been on insulin gtt...off since . being covered with q6 hour sliding scale insulin... scale tightened again last noc for blood sugars 80-120. id: has been on ceftriaxone + levofloxacin for pnx. temps trending upward to 100.5(ish) over past 36 hours, thus the foley change... ???funguria, started on fluconazole. as well on prednisone. social: wife is rn and very up on care, very pleasant and supportive. pt is a stay at home dad (3-kids at home). procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis other bronchoscopy diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified acute respiratory failure diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled complications of transplanted kidney pancreas replaced by transplant 

Answer: The patient is high likely exposed to