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: patient recorded as having no known allergies to drugs attending: chief complaint: doe and lle edema. major surgical or invasive procedure: bronch during pea arrest history of present illness: micu resident accept note . cc: transferred to micu for acute on chronic respiratory failure. . hpi: 54 yo male with crohn's disease c/b psc and cirrhosis awaiting liver transplant, pulmonary sarcoid, recent sinusitis, admitted with cc: fever, sob, hemoptysis and calf pain. he was amditted to the medical service he had cta and leni which was negative for pe but ct showed intersitital and bronchial opacties. his anc was 530 and he was started on cefepime, azitrho, vancomycin and admitted to the medical service on the floor. hospital course notable for: . 1. pna: seen by pulmonary consult who felt likely bacterial pna. sputum cultures were normal. urine legionella, serum galactomanon, cryptococcal negative. igg positive for mycoplasma, but igm negative ruling out acute mycoplasma. fungal cx neg. pt's vanco and azithro d/c'd on . . 2. pancytopenia: he was seen by heme consult for pancytopenia. dat was positive on surface but not eluate, so he was felt to not be hemolyzing (this can occur in hypergammaglobulinemic states.) bm showed cellular bm- they felt liekly due to splenic sequestration vs (less likely) mds. . 3. brbpr: had episode of brbpr overnight on . colonoscpy normal (inactive chrons and polyp.). hct stable so observed, and c.diff checked. . 4. hyponatermia:na 128 on . was felt to be due to siadh and fluid resricted and diuresed with improvement to 132 on . . 5. id was consulted who rec dc azithro, vanc. capsofungin was added for candidiasis. . 6. fen: was not taking pos due to thrush. tfs were started on and patient was started on pos. . called by nf team on at 11pm to see patient for increasing respiratory distress. vs 75%ra to 96%nrb breathing at 30 with accesory muscle use. abg on nrb: 7.5/39/74. cxr shows worsenig bialteral infiltrates vs. failure. he was given lasix 40iv x 1, mso4 1mg, vanco 1 g, flagyl 500 and started on mask-ventilation and transferred to the icu team. past medical history: 1. ibd (chrons) c/b psc awaiting olt 2. pancytopenia, nos 3. psc cirrhosis 4. recent sinusitis s/p ent drainage on levofloxacin x 2 weeks 5. pulmonary sarcoid diagnosed by lung biopsy x 19 years (off steroids x 10 years) 6. thrush . meds on transfer: acetaminophen albuterol 0.083% neb soln albumin 25% (12.5gm) benzonatate caspofungin cefepime cetylpyridinium chl (cepacol) chlorhexidine gluconate clotrimazole dolasetron mesylate ferrous sulfate furosemide guaifenesin-dextromethorphan ipratropium bromide neb maalox/diphenhydramine/lidocaine mesalamine multivitamins neutra-phos nystatin oral suspension oxycodone pantoprazole phenaseptic throat spray promethazine hcl senna ursodiol zinc sulfate trazodone hcl social history: lives with wife, no alcohol, no tobacco (quit 25 years ago). engineer on disability. family history: nc physical exam: 101.8 tc; 111/39 ; 126 ; 37 ; 100% on mask ventilation with ps gen: with mask ventilation on heent: perrla, + scleral icterus neck: jvp 1cm above sternal notch lungs: bilateral basilar rales; no wheezes cor: tachy, no murmurs abd: soft, nt + palpable spleen tip, no fluid wave, nd ext: 2+ edema neuro: moving all 4 extremities equally, no asterixis skin: 1cm purpuric lesions on dorsum of feet pertinent results: at 0600: wbc 2.7, hct 26.6, plt 111, mcv 106 50%pmns, 12%bands, 28%lymphs . 132/97/11 -------- < 108 4.0/32/0.8 . ca 7.3/ mg 1.7/ p 2.4 . cxr:worsening bibasilar infilatrates brief hospital course: 1. respiratory failure: history of pulmonary sarcoid and now with worsening pneumonia. pt was just recently started on tube feeds and pos-- aspiration is possible. given fever, worsening bibasilar infiltrates pna likely although worsening sarcoid cannot be ruled out. was given lasix/mso4/ntg with no diuresis by nf team. had negative cta/leni on admission. patient was intubated for respiratory failure on am of . very hypoxic requiring fio2 100%, high peep. even so, he began to desat to 40% and had a pea arrest subsequent to this. his o2 sats were improved after about 45 minutes of coding the patient with very high peeps and continued fio2 100%. after patient continued to decline, an esophageal baloon was used to measure pleural pressures and pt. was tried on nitric oxide to vasodilate pulm arteries without success. . 2. cvs. does not appear to be in pulmonary edema. was given lasix/mso4/ntg without effect. echo shows normal ef. echo during code with big rv but . 3. hepatology: psc with cirrhosis awaiting liver transplant. . u/s shows diffusely heterogeneous and nodular liver, consistent with the given history of psc and cirrhosis, minimal ascites, patent portal vein. patient developed shock liver after pea arrest. . 4. renal. creatinine stable. abg shows metabolic alkalosis, likely due to intravascular volume depletion. continue to monitor. after arrest, pt. had significantly elevated lactate and metabolic and resp acidosis. the resp acidosis was eventually resolved but patient continued to be more and more acidotic with a rising lactate to a max of 30. . after pea arrest, patient was as mentioned above very difficult to ventilate and oxygenate with a rising lactate (to a max of 30 prior to his death). he was very volume overloaded and requiring at times 4 pressors to maintain adequate maps. he had multiorgan dysfunction with anuric renal failure, shock liver, possible anoxic brain injury with fixed, dilated fluids, respiratory failure. he also had rising inr and possible dic with some bleeding from the ett tube. renal felt hd or cvvh would not be tolerated. as the patient continued to decline and was heading towards another cardiac arrest despite broad specturm antibiotics including antifungals, pressors, bicarbonate drips and boluses, a family meeting was held and it was decided that patient would be made comfort measures only. patient was not, however extubated and pressors were continued per family request. patient died several hours later at 8:35 pm. the family agreed to a post with the exclusion of the brain. medications on admission: mesalamine 1200mg qd mvi mylanta zinc ursodiol 1200mg levaquin 500mg qd tussin dm chlorhexidine mouthwash codeine tylenol discharge medications: none, expired discharge disposition: expired discharge diagnosis: respiratory failure shock liver renal failure pea arrest crohns sepsis discharge condition: expired discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances biopsy of bone marrow transfusion of other serum diagnoses: pneumonia, organism unspecified cirrhosis of liver without mention of alcohol acute and subacute necrosis of liver acute kidney failure, unspecified sarcoidosis candidiasis of mouth regional enteritis of unspecified site defibrination syndrome acute and chronic respiratory failure alkalosis awaiting organ transplant status hemorrhage of gastrointestinal tract, unspecified other disorders of neurohypophysis 

Answer: The patient is high likely exposed to