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: the patient is an 88 -year-old male admitted from with complaints of loose bowel movements, tea colored urine, and increasing lethargy and dehydration. on addition to the emergency , the patient was lethargic with - breathing, dry mucous membranes, bradycardic on admission with a heart rate of 30 to 40, potassium of 6.2. the patient was treated with one amp of d50, 5 units insulin, one amp of calcium gluconate, given lasix for congestive heart failure verified by chest x-ray with poor response. he was transferred to the cardiac care unit / medical intensive care unit for closer observation. past medical history: 1. atrial fibrillation, treated with digoxin and on admission the level was 2.3. 2. gastric polyps. 3. history of gastrointestinal bleed. 4. methicillin resistant staphylococcus aureus in the urine. 5. anemia. 6. hypertension. 7. a massive left sided cerebrovascular accident on , leaving the patient with left sided neglect and left hemiparesis. physical examination: on admission, the patient's neurologic examination was significant for being able to open eyes spontaneously and reacting to painful stimuli. he speaks only russian. he moves his right side only. soft restraints on right wrist to prevent the patient from pulling lines. the respiratory examination showed coarse breath sounds with rales in both bases. the patient also had occasional wheezes noted bilaterally. he remains on room air and o2 saturation was 97%. he continues with frequent periods of apnea, lasting 15 to 25 seconds, - breathing pattern, and a question of a left lower lobe pneumonia on examination. the heart rate was stable in the mid 70s, occasional bradycardic episodes with rates down to the 30s, occasional premature ventricular contractions rhythm, consistent also with atrial fibrillation. on genitourinary examination, there is a foley draining cloudy, amber urine in fair amounts. the foley was leaking at the insertion site. warm saline was added to the balloon with no effect. gastrointestinal examination: there was a g-tube that was clamped and it was flushed well. there was positive bowel sounds and he was passing small amounts of soft, dark stool. the skin integrity showed an ulceration on the left lateral malleolus, the size of a nickel and with wet-to-dry dressings applied. numerous small broken areas were noted on the coccyx and aloe vesta perineal cream was applied to that. the patient was consistent repositioned on bed to prevent further breakdown. the patient's vital signs on admission were a temperature of 99 f, a pulse of 65 to 90, respiratory rate 26, oxygen saturation of 95% on room air, and a blood pressure of 161/58. hospital course: the patient remained in the medical intensive care unit for management of acute renal failure with creatinine going from 0.5 to 3.6 with minimal urine output. it should also be noted that on physical examination, the patient had bilateral hydroceles in the scrotum. the patient was managed in the intensive care unit on admission with intravenous fluid hydration and ciprofloxacin treatment from through , for a urinary tract infection. he was transferred to the medical floor on . his hospital course was significant for an increase in creatinine to a maximum of 7.3. the differential diagnoses were thought to be acute tubular necrosis or acute interstitial nephritis, possibly with minimal disease. the patient had significant proteinuria of 1.8 gm in 24 hours. the potassium managed initially well with kayexalate. prednisone was begun at 60 mg q day on , to empirically treat possible acute interstitial nephritis. the ciprofloxacin was discontinued secondary to the possible contribution of the acute interstitial nephritis. the decision was made to initiate hemodialysis due to the worsening problems with the volume overload and electrolyte abnormalities in the patient. on , the patient underwent quinton catheter placement. a right femoral was attempted without good flow. a left femoral was successful and had catheter placement. the patient underwent hemodialysis with a removal of 1.0 kg. on return to the medical floor the patient was noted to have a decrease of his systolic blood pressure to 75, which improved with 500 cc normal saline and gave a systolic blood pressure of 100. later in the evening, the patient had another episode of systolic blood pressure dropping below 70. the hematocrit showed 20.2, down from 26.2 earlier in the day. a ct scan of the abdomen obtained to assess for hematoma showed a right thigh hematoma, apparently from the venous source. there was no retroperitoneal bleed seen. the patient was emergently transfused with one unit packed red blood cells and given additional 250 cc of normal saline bolus. there was a systolic blood pressure reaching 100. the patient was still anuric / oliguric. arrangements were made for the transfer of the patient to the medical intensive care unit for closer monitoring of the bleed and respiratory status. the patient's son was notified of plans for transfer. full code was verified by the medical team. after being transferred to the medical floor, the patient remained stable, except for a continued drop in hematocrit, such that the patient received a total of six units of packed red blood cells over the course of through . however, over time, the patient's hematocrit stabilized. in addition, the patient responded well to hemodialysis, such that his mental status improved and a decrease in his global body edema was noted on physical examination. the patient's condition continued to improve with hemodialysis as stated before, and the ulcer noted on admission on the left lateral malleolus continued to heal with appropriate granulation and no other bed sores were noted on the patient, thanks to appropriate nursing care. the patient was also noted to have yeast in his urine on and on , for which he was treated with diflucan and he had no other infections. in summary of his diagnostic procedures done during the course of his hospital stay, the patient's initial electrocardiogram showed atrial fibrillation with an average ventricular rate of 65. since the previous tracing of , the ventricular response rate has slowed slightly. no other significant changes had occurred. the intervals were normal, he had a normal axis. in addition, the patient underwent several radiological examinations, the significant one being the ct scan on , which showed a large right groin hematoma, tracking along the right medial muscle, compartment to approximately the upper third of the femur. there was no evidence of retroperitoneal hemorrhage. second, there were small bilateral pleural effusions. the ultrasound of the patient's scrotum on showed bilateral hydroceles. chest x-ray done on showed right sided hemodialysis catheter tip in the distal svc as a quinton catheter was placed in the anterior thorax and there was no pneumothorax after the procedure. there was also decreased pulmonary edema and congestive heart failure compared with the admission x-ray and there was persistent left lower lobe collapse / consolidation. and there was an unchanged level of bilateral pleural effusions. a doppler study of the right thigh to discover the extent of venous flow within the right leg, although grossly limited study as described in its longer report, there was no definite evidence of a deep vein thrombosis. right common femoral artery, superficial femoral popliteal veins were of a small caliber throughout, which they have been related to venous compression from adjacent soft tissue swelling or the hypovolemic state. the microbiological studies for the patient in summary: the stool studies never showed any clostridium difficile and the urine culture was positive for yeast. blood cultures have been consistently negative with the exception of a presumed contaminant of staphylococcus epidermitis. the patient received overall, six units of packed red blood cells during his stay in the hospital. again, the patient's mental status improved, the bleeding was clinically determined to be over, and the patient's volume and electrolyte status improved with hemodialysis, to the point where he was ready for discharge. discharge medications: include albuterol / atrovent nebulizer treatment, enteric coated aspirin 325 mg q day, zantac 150 mg q day, diflucan 200 mg q 48 hours, prilosec 20 mg q day, renagel 400 mg q day, niferex 150 mg , lopressor 50 mg , tylenol 650 mg q four to six hours prn, phoslo three tablets qid, nystatin powder to the appropriate areas. tube feeds are nepro and promod at 45 cc/hr for eighteen hours during the day. code status: full code. allergies: no known drug allergies. discharge condition: stable. discharge status: to a nursing facility. discharge diagnosis: acute renal failure. underlying diagnoses: 1. hemiparesis from an middle cerebral artery stroke. 2. atrial fibrillation. 3. hypertension. 4. gastrointestinal bleeds. 5. urinary tract infections. 6. dementia. , m.d. dictated by: medquist36 procedure: hemodialysis venous catheterization for renal dialysis diagnoses: hyperpotassemia urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation other specified cardiac dysrhythmias hemiplegia, unspecified, affecting unspecified side 

Answer: The patient is high likely exposed to