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 a 64 year old man with a history of hypertension who was in his usual state of health when he was witnessed to collapse in front of his family. the patient's son started rescue breathing immediately and ems arrived on the scene within ten minutes. the patient was found to be in pulseless electrical activity, given atropine, epinephrine and converted to ventricular tachycardia. the patient was shocked into sinus rhythm and then degenerated back into ventricular tachycardia and was shocked again. the patient was intubated in the field. ekg showed marked st elevations anteriorly. the patient was brought to by medical flight when he became hypotensive and started on peripheral dopamine. in the catheterization laboratory, the patient had a total occlusion of his mid- left anterior descending and was stented. he was decerebrate posturing on the catheterization table before he needed to be paralyzed and sedated. the patient was given reopro, aspirin and plavix. an intra-aortic balloon pump was placed. the patient was found to have pulmonary capillary wedge of 26 with a cardiac index of 2. the patient was markedly acidotic. past medical history: 1. hypertension. 2. familial hyperlipidemia. 3. borderline diabetes mellitus. allergies: no known drug allergies. medications: 1. tenormin 75 mg p.o. q. day. social history: the patient is married with children. he had no smoking history. family history: family history of hyperlipidemia. physical examination: the patient had a pulse of 97 with a blood pressure of 129/85 on dopamine and intra-aortic balloon pump. the patient's mechanical ventilation was set at ac-700 by 12, 100% fio2 and peep of 5. on general examination, the patient is an ill appearing man who is sedated and paralyzed. heent examination revealed dilated pupils that were nonreactive. moist mucous membranes. bilateral nasal packing and copious blood draining from his nares and oropharynx. neck examination revealed no lymphadenopathy and jugular venous distention that was hard to assess. cardiac examination revealed regular rate and rhythm, normal s1, s2, no murmurs, rubs or gallops. pulmonary examination revealed lungs that are clear to auscultation bilaterally. abdominal examination revealed a belly that was distended, but soft, nontender with normal bowel sounds. the extremities revealed livid vermicularis, cold extremities but good capillary refill and faint dorsalis pedis pulses bilaterally. neurological examination revealed hyper-reflexia in the upper extremities, mute plantar reflexes, two plus patellar reflexes. the patient was paralyzed and sedated. laboratory: pertinent laboratory findings, the patient had a white blood cell count of 28, hematocrit of 46.9, and platelets of 301. the patient's creatinine was 1.7. the patient had initial ck of 4,944. the patient's initial arterial blood gas was 6.99 with a pco2 of 73 and pao2 of 158. after mechanical ventilation, the arterial blood gas was 7.23 with a pco2 of 48 and a pao2 of 251. the ekg revealed normal sinus rhythm at 90 with right axis deviation, left posterior hemiblock, first degree av conduction delay and st elevations in ii, iii and f as well as in v2 through v6. chest x-ray revealed congestive heart failure. cardiac catheterization: the patient had a pulmonary capillary wedge pressure of 26 with a mid left anterior descending lesion of 100% status post stent. the patient had a distal circumflex lesion of 70%. he had a right dominant system. summary of hospital course: the patient is a 64 year old male with a history of hypertension, who presented status post ventricular tachycardia arrest with massive anterior st elevation myocardial infarction secondary to 100% mid left anterior descending lesion status post stent, prolonged cardiac resuscitation and anoxic brain injury. 1. cardiovascular: the patient presented with total occlusion of his mid left anterior descending with massive st elevation anterior myocardial infarction, ventricular tachycardia arrest. the patient was taken to the catheterization laboratory and received a stent to his mid left anterior descending total occlusion. he was managed with aspirin, plavix and reopro. the patient's ck peaked at 14,233. the patient was maintained on dobutamine and intra-aortic balloon pump. he was in cardiogenic shock post cardiac catheterization. he was maintained on a heparin drip. the patient had episodes of ventricular tachycardia on admission and was maintained on amiodarone intravenously for approximately 24 hours. the patient was eventually stabilized off inotropics and the intra-aortic balloon pump was removed. the patient had an echocardiogram which revealed an ejection fraction of 30 to 40% with the intra-aortic balloon pump in place. there was marked systolic dysfunction of the left ventricle with hypokinesis of the septum and apex. 2. pulmonary: from a pulmonary standpoint, the patient was initially intubated for airway protection as a base control. the patient had a temperature to 102.3 f., the day after admission. this was suspected to be secondary to an aspiration event. the patient eventually grew group b beta hemolytic streptococcus in his sputum, blood and urine. the patient also grew staphylococcus aureus in his sputum. the patient was started on levofloxacin, flagyl and vancomycin. the patient was then switched from vancomycin to oxacillin as the staphylococcus aureus was sensitive. the patient subsequently grew klebsiella out of his sputum which was sensitive to levofloxacin. he was maintained on this regimen. the patient had another temperature spike to 102.2 f., with a positive sputum culture for gram negative rods which were not speciated at the time of this dictation. there was concern for either another aspiration event or ventilatory associated pneumonia. the patient was started on ciprofloxacin, ceftazidime, in addition to oxacillin. the patient had a rash develop after starting ceftazidime and the patient was switched to asterinum. the patient showed minimal brain stem activity with occasional apnea. he was evaluated for tracheostomy. this was not performed at the time of this dictation secondary to ongoing febrile state. 3. renal: from a renal standpoint, the patient had an elevated creatinine on presentation, which was thought to be secondary to atn injury from his cardiac arrest. this eventually resolved with creatinine returning to a baseline of 0.7. 4. neurologic: the patient is status post cardiac arrest with prolonged resuscitation, anoxic brain injury. when the patient was off sedation for 24 hours, he was evaluated for the first time by neurology, who estimated that the patient had a greater than 70% chance of having no recovery and very low chance of having any significant recovery. the patient ultimately underwent a head ct scan which revealed complete loss of and white matter differentiation, as well as total effacement of the sulci. the patient had an eeg that showed extremely low voltage activity consistent with a diffuse anoxic brain injury. the the patient's hospitalization, he had presence of dolls eyes, corneal reflexes and gag, but was unable to interact or follow command. at the seven day mark, the patient had intermittent roving eye movements. at the 14 day mark, the patient was unable to follow any commands or interact with his environment in a meaningful way. at this time, it was predicted that the patient had no tangible probability of recovery beyond the state that he was in at that time. 5. infectious disease: the patient had multiple aspiration pneumonias with pathogens including staphylococcus aureus, group b beta hemolytic streptococcus, klebsiella and then, most recently, gram negative rods. the patient was started on a regimen of levofloxacin, flagyl and vancomycin. this was eventually changed to levofloxacin, flagyl and oxacillin. when the patient began growing klebsiella, he was maintained on levofloxacin, flagyl and oxacillin. with his third positive sputum culture, the patient was treated empirically for a ventilator associated pneumonia with ciprofloxacin, ceftazidime and oxacillin. infectious disease followed the patient while in the hospital. he developed a rash in the face with starting ceftazidime and was switched to asterinum. 6. endocrine: the patient presented with marked hyperglycemia in the setting of myocardial infarction. he was initially maintained on an insulin drip. he was able to be transitioned to a regular insulin sliding scale. 7. hematologic: the patient presented with marked epistaxis and oozing from his line sites. this eventually came under control. the patient required transfusions throughout his admission. later in the patient's admission, he developed melenic stools, requiring further blood transfusion. this occurred in the setting of having a peg j-tube placed. the patient also experienced thrombocytopenia while on heparin infusion. his heparin dependent platelet antibody was negative. upon restarting low molecular weight heparin for the patient's large anterior wall myocardial infarction, his platelets remained stable. 8. gastrointestinal: the patient developed melenic stools and bleeding around his peg j-site. the patient's low molecular weight heparin was held. gastrointestinal was contact and recommended 40 mg twice a day. the patient was lavage negative. his hematocrit dropped four points after the melenic stool. he had further melenic stools the day after that occurrence. his hematocrit dropped another four points. interventional radiology, who had placed the peg-j tightened the patient's fasteners. the patient was to have a recheck hematocrit and gastroenterology was considering endoscopy. 9. code status: the patient initially presented full code. multiple family meetings were held including neurology, social work, and the cardiology team. the prognosis of neurological recovery was reported to be very poor. despite this, the patient's family elected to have the patient undergo tracheostomy and peg-j placement. in the setting of ongoing infection and transient episodes of hypotension requiring brief periods of pressor dependency, and the patient's grim neurologic prognosis at two weeks, the patient's family elected to make him "do not resuscitate", no pressors. the remainder of this dictation will be dictated by the intern that picks up the coronary care unit service. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization enteral infusion of concentrated nutritional substances temporary tracheostomy implant of pulsation balloon percutaneous (endoscopic) jejunostomy [pej] diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care other convulsions pneumonitis due to inhalation of food or vomitus cardiac arrest anoxic brain damage cardiogenic shock 

Answer: The patient is high likely exposed to