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 a 30 year old male with no previous past medical history who was in his usual state of health until the day before when he developed left-sided posterior pleuritic chest pain. he went to an outside hospital emergency department where he was found to have muscle strain and was discharged with prn narcotics. the pain continued to worsen and was now also being associated with a cough and eventual production of greenish sputum. the patient was seen again at the same hospital where he was diagnosed with pneumonia and prescribed erythromycin. he was also admitted for this condition but discharged on the following day to home where he continued to have pleuritic chest pain, fever, chills, sweats, cough and green sputum. he was seen by his primary care physician three days following that and he changed his antibiotics to augmentin and gave him one dose of intramuscular ceftriaxone. at his primary care physician's office chest x-ray showed left lower lobe pneumonia. the patient got a little better over the next week with ibuprofen, antibiotics and expectorants. however, over the last few days the patient got significantly worse and presented to the emergency department. he has noted worsening shortness of breath, tachypnea, continuing fever, and chills. he denies any diarrhea, abdominal pain, sick contacts, recent plane or car trips, or history of deep vein thromboses. past medical history: unremarkable. medications on admission: none except recent antibiotics. allergies: no known drug allergies. social history: he lives with his wife in , smokes one pack per day. he rarely consumes alcohol and no illicit drug use, no history of unprotected sex, no blood transfusions. family history: significant for coronary artery disease in mother. physical examination: on initial examination temperature is 102.4, blood pressure 106/74, heartrate 100, sating 96% on 3 liters, respiratory rate 30. in general this is an alert and awake male in mild respiratory distress. pupils were equal and reactive to light. extraocular movements intact. sclera anicteric. oropharynx erythematous but otherwise clear. neck is supple with no lymphadenopathy and no jugulovenous distension. respiratory, decreased breathsounds at the left base with tactile fremitus. dullness to percussion one-third the way up on the left. cardiovascular, tachycardiac, s1 and s2, with no murmurs, rubs or gallops. abdomen was nontender, nondistended with normoactive bowel sounds. extremities revealed 2+ pulses with no edema. laboratory data: initial laboratory studies revealed a white count of 12.5 with 3 bands, hematocrit 38, platelets 723, unremarkable chem-7. hospital course: 1. pulmonary - the patient was admitted for what originally appeared to be a community acquired pneumonia. he was found to have what is believed to be a parapneumonic effusion and on the following day was taken to the interventional pulmonology suite for a diagnostic thoracocentesis. however, during the thoracocentesis a large amount of pus was drained. a total of 250 cc of pus was evacuated. the patient's saturations on nasal cannula following the procedure worsened significantly over night. this consisted of the presence of a left-sided chest tube which drained 1.2 liters of frank pus. the patient's oxygenation worsened furthermore with oxygen saturations less than 94 on 100% rebreather. the patient was transferred to the micu for observation where he soon thereafter experienced significant worsening and respiratory failure and was found to be in hypoxic respiratory failure and was intubated. on the following day he was taken to the operating room where cardiothoracic surgery performed full drainage of his left-sided diffusion which now drained 2.2 liters of pus. he had four chest tubes placed which continued to drain copious amounts of pus for the next two weeks. following the procedure, the patient's pulmonary status remained somewhat compromised and he remained on ac ventilatory mode for over one week. a little after one week of intubation he slowly started to improve requiring less positive end-expiratory pressure and less fio2. he was successfully transferred to pressure support ventilation and eight days post intubation was extubated. following extubation he was tachypneic and but was able to maintain good oxygenation. arterial blood gases drawn at that time showed both good ventilation and oxygenation, the only limiting factor being his extreme agitation toward impulse extubation. his chest tubes continued to drain copious amounts of pus and this issue was discussed with cardiothoracic surgery who felt that this is quite common following drainage of such large amounts of empyema. the patient is expected to have the chest tubes placed for several weeks and they will continue to drain pus. 2. infectious diseases - the patient remained continuously febrile during the first two weeks of the hospital stay. this was believed to be resolved with a large amount of empyema surrounding his left lung. he had multiple blood cultures, sputum cultures, and urine cultures which always remained negative. the only positive culture was from the pleural aspirate which grew five different species, those were peptostreptococcus, veionella, gram negative rods, staphylococcus epidermidis and bacteroides. he was started on a broad coverage of vancomycin, zosyn and levofloxacin which was subsequently tailored to a coverage of vancomycin and zosyn alone. his fever slowly decreased and after about two weeks his temperature was in the 98 to 100 range. there was never a suspicion of any other possible source of infection. two chest computerized tomography scans were painful in the procedure which showed a mild decrease in the loculated pleural effusion and no decrease in the overall volume of the pleural effusion in his left pleural cavity. 3. cardiovascular - the patient remained relatively stable from the cardiovascular standpoint. he was initially total body overloaded but that subsequently diuresed nicely with a little bit of lasix. he is currently also diuresing without intervention from the team. 4. endocrine - it appears quite likely the patient has undiagnosed diabetes mellitus. on a continuous basis his fasting blood glucose is above 120 to 130. hemoglobin 1ac was 6.0. it is quite possible that this undiagnosed diabetes might be the only risk factor for the profound amount of empyema and respiratory compromise he had after what had appeared to have been an community acquired pneumonia. 5. gastrointestinal - no abnormalities from a gastrointestinal standpoint, tolerating feeds well and taking good p.o. post extubation. 6. renal - he remains relatively stable from a renal standpoint. no evidence of acute renal failure. he maintained good urine output at all times. discharge condition: fair. discharge disposition: discharged to a regular medical floor. discharge medications: deferred to his primary care physician. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other incision of pleura transpleural thoracoscopy diagnoses: pneumonia, organism unspecified acute respiratory failure empyema without mention of fistula 

Answer: The patient is high likely exposed to