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: transfer to micu to manage respiratory failure major surgical or invasive procedure: cvl placement history of present illness: hpi: 80 yo male, h/o cad (known 2 vd), dm, v-tach (with icd/pm ), bph, admitted s/p presumed fall. history is via prior notes (some obtained from nephew) by nephew report (neurology note), pt had a fall in the shower last friday, hurt his leg and went to rest in the couch. on morning of admission he didn't answer when meals and wheels arrived; building manager was called to open his door (neighbors said they heard some moaning overnight). when the door was open, mr. was found down in the floor. he said:"i lost my balance" in the couch. . on admission, trauma workup revealed c4/5 disc herniation with compression of the spinal cord. all other w/u was negative for fracture or trauma (right tib/fib, femur, pelvis, spine. ct torso showing pulmonary nodules. ct head negative for acute hemorrhage. he was afebrile (hypothermic to 92 on rectal temp) but hypotensive on admit (bp 100/p). he was found to have a c5 level (below nipples). he was started on a solumedrol gtt and seen by neurology. ua was c/w uti, and he was given 1 dose of levofloxacin. us of rle was positive for dvt, and he was started on heparin gtt. he was initially started on neosynephrine (changed to levophed on hd#2). on hd #2, he was intubated for respiratory distress, and antibiotic coverage was broadened to vanco/zosyn/flagyl ( bld cx growing gnrs). . on ros obtained by neurology when patient was awake, pt denied ha, diplopia, blurry vision, tinnitus, vertigo, dysphagia, dysarthria, incoordination, focal weakness/numbness. no f/c, no weight loss, no sob/cp/pressure/palps, no n/v/abd pain/constipation/diarrhea, no muscle aches/joint pains, no rash, no dysuria. . pt transferred on to micu service for further care. past medical history: hpi: 80 yo male, h/o cad (known 2 vd), dm, v-tach (with icd/pm ), bph, admitted s/p presumed fall. history is via prior notes (some obtained from nephew) by nephew report (neurology note), pt had a fall in the shower last friday, hurt his leg and went to rest in the couch. on morning of admission he didn't answer when meals and wheels arrived; building manager was called to open his door (neighbors said they heard some moaning overnight). when the door was open, mr. was found down in the floor. he said:"i lost my balance" in the couch. . on admission, trauma workup revealed c4/5 disc herniation with compression of the spinal cord. all other w/u was negative for fracture or trauma (right tib/fib, femur, pelvis, spine. ct torso showing pulmonary nodules. ct head negative for acute hemorrhage. he was afebrile (hypothermic to 92 on rectal temp) but hypotensive on admit (bp 100/p). he was found to have a c5 level (below nipples). he was started on a solumedrol gtt and seen by neurology. ua was c/w uti, and he was given 1 dose of levofloxacin. us of rle was positive for dvt, and he was started on heparin gtt. he was initially started on neosynephrine (changed to levophed on hd#2). on hd #2, he was intubated for respiratory distress, and antibiotic coverage was broadened to vanco/zosyn/flagyl ( bld cx growing gnrs). . on ros obtained by neurology when patient was awake, pt denied ha, diplopia, blurry vision, tinnitus, vertigo, dysphagia, dysarthria, incoordination, focal weakness/numbness. no f/c, no weight loss, no sob/cp/pressure/palps, no n/v/abd pain/constipation/diarrhea, no muscle aches/joint pains, no rash, no dysuria. . pt transferred on to micu service for further care. social history: sh: tob:no etoh/smoking pt recieves all medical care from . contact pt's nephew, , . per nephew pt has no wife or children, has a niece in so. and a sister yr's old. nephew has no paperwork for health care proxy but is the only living relative living locally. . fh: unable to obtain family history: sh: tob:no etoh/smoking pt recieves all medical care from . contact pt's nephew, , . per nephew pt has no wife or children, has a niece in so. and a sister yr's old. nephew has no paperwork for health care proxy but is the only living relative living locally. . fh: unable to obtain physical exam: vs: t:98.0/92.0 97/34 (on levo) 60, v-paced 93-100% ac 100%, 500/14, pip=18, plat=14, peep=5 cvp=8 general: white elderly man, somewhat disheveled. edentulous, somewhat wasted. neck collar in place; intubated and sedated heent: anicteric, mmm without lesions, op clear neck: supple, no lad, no carotid bruits, no thyromegaly cv: rrr s1s2 no m/r/g resp: ctab no r/w/r abd: +bs soft/nt/nd no hsm/masses ext: right leg pitting edema, distal pulses present with doppler. skin: excoriations in left elbow, right forearm. ms: eyes open spontaneously, responds to voice/commands, was not moving extremities (was intubated/sedated), no babinski elicited bilaterally. pertinent results: 12:15pm fibrinoge-405* 12:15pm pt-13.1 ptt-27.8 inr(pt)-1.1 12:15pm plt count-238 12:15pm wbc-13.1* rbc-3.82* hgb-11.3* hct-33.2* mcv-87 mch-29.7 mchc-34.1 rdw-15.8* 12:15pm ck(cpk)-158 amylase-41 12:15pm urea n-72* creat-3.5* 12:22pm glucose-146* lactate-2.0 na+-130* k+-4.9 cl--95* tco2-24 12:30pm urine rbc-* wbc->50 bacteria-many yeast-none epi-0-2 12:30pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-mod 12:30pm urine color-yellow appear-hazy sp -1.009 12:30pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:30pm urine gr hold-hold 12:30pm urine myoglobin-presumptiv 12:30pm urine hours-random 12:30pm urine hours-random 10:23pm ck-mb-17* mb indx-1.8 ctropnt-<0.01 10:23pm ck(cpk)-919* brief hospital course: a/p: 80 yo male, h/o cad, chf, v-tach s/p pacer/icd placement, presenting s/p presumed fall, now with cord compression at c4/5 and gram neg sepsis., intubated for respiratory failure. . # respiratory failure: as per trauma team, intubated for air hunger, po2 was 66 with pco2 of 21. now intubated for sepsis and mental status. has significant metabolic acidosis, likely contributing to work of breathing, ph around 7.25, has improved with increasing rr, now normalizing. pt remained intubated for sepsis and ms status -cont managment of the vent to keep ph close to normal levels - aggressive ventilator managment of acidosis, inc rr to blow off co2 - will f/u abgs and wean vent as tolerated - rsbi when fully awake, but now likely to extubate, pending discussion with family re: terminal extubation/cmo. patient was eventually terminally extubated per discussion with family. . #spinal cord compression: with disc herniation--getting progressively worse since admission since sensory level and movement level is ascending up the spinal cord. unclear at this point if the diaphragm is paralysied or not. has c5 level (new). neuro consulting, rec'd high does steroids (3 days, then taper), rec'd mri and lp to r/o post-viral entities like gb. seen by ortho spine; patient did not want intervention (surgical) at that time), intervention likely not indicated at this point. since patient was not improving and his neurological condition was getting worse, a discussion with the family provided that the patient should be made cmo. . . 3. shock: gram neg sepsis+spinal shock (both vasodilatory). not really responsive to fluids, dependent on pressors. spinal shock is usually not responsive to fluids. bcx growing gram negatives; growing kliebsiella (sensitive to zosyn) tte shows ef=45-50% (reports from showing ef=20%); he may be hyperdynamic in setting of sepsis. lactate decresing with lr and pressors. svo2 wnl. he received 6 l fluids,is on levophed, vanco/zosyn/flagyl. aggressive measures were continued untill a family discussion took place that made the patient to be comfort measures only and the patient expired shortly afterwards.3. arf: b/l creatinine according to osh records was 0.9; now elevated, likely prerenal vs . 10. code: pt. is dnr at this time. spoke to pt's nephew who is his hcp. will talk to other family and likely pt. will be made cmo on . . 11. access: right sc (), l a-line () 12. dispo: icu discharge disposition: expired discharge diagnosis: gram negative sepsis spinal cord injury acute respiratory failure discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: acidosis urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified severe sepsis unspecified fall paroxysmal ventricular tachycardia acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock automatic implantable cardiac defibrillator in situ other septicemia due to gram-negative organisms intervertebral disc disorder with myelopathy, cervical region 

Answer: The patient is high likely exposed to