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: respiratory distress major surgical or invasive procedure: intubation history of present illness: 85 m with history of dvt, recent large ugib from bleeding duodenal ulcer s/p ex lap one month ago; now admit with pulmonary embolism, hypoxia, and hypotension. patient with recent admission to surgical service for large ugib related to duodenal ulcer. had ex lap with duodenotomy and oversewing of ulcer on . received 10 units prbcs, 4 ffp, 1 bag platelets. discharged to rehab on . continued to get tpn via picc (?still on). . in the ed, initial vs were hypoxic, hypotensive, tachycardic. hr up to 190 with poor pulses and thus cardioverted (x2 total, synchronized). neo and 4l ivfs for hypotension. l femoral line placed. intubated. vanco and ceftaz for antibiotics. cta with lingular pe. heparin gtt started. no tpa due to recent surgery and large bleed. ct abd/pelvis without acute pathology. other ed meds: midaz, fent, verapamil. after intubation pt was dysynchronous with the vent, became tachy to 170 and dropped pressures to 40 and they paralyzed him with vec temporarily. past medical history: - recent bleeding duodenal ulcer s/p exploratory laparotomy, duodenotomy, and oversewing of bleeding duodenal ulcer . - moderate dementia - gait d/o, h/o falls - dual chamber pacemaker for sinus node dysfunction - htn - orthostatic hypotension on midodrine - hoh - urinary incontinence - chronic lower extremity edema - hx of recurrent pna - dvt in r femoral vein (1 yr ago) on lovenox at prophylactic dose - hyperlipidemia - diastolic heart failure, lvh, ef > 55% on last echo by report w/ mild mr, mild tr, mod/severe pulm htn, lae - anemia of chronic disease - basal cell carcinoma - prosthetic r eye - hypoalbuminemia w/ recent wt loss of 18 pounds since . - h/o pna (last ) - peripheral neuropathy - chronic l pleural effusion - osa but did not tolerate cpap social history: needs assistance w/ all adls exc feeds self. ambulates w/ assistance. no tob/etoh. rehab resident. supportive son who is md. family history: noncontribitory physical exam: tmax: 36.9 ??????c (98.4 ??????f) tcurrent: 36.9 ??????c (98.4 ??????f) hr: 108 (108 - 111) bpm bp: 109/50(64) {84/45(54) - 109/50(64)} mmhg rr: 14 (0 - 28) insp/min spo2: 90% heart rhythm: st (sinus tachycardia) o2 delivery device: endotracheal tube ventilator mode: cmv/assist vt (set): 500 (500 - 500) ml rr (set): 32 rr (spontaneous): 0 peep: 5 cmh2o fio2: 100% pip: 29 cmh2o plateau: 15 cmh2o compliance: 54.3 cmh2o/ml spo2: 90% abg: 7.21/38/84.//-12 ve: 17 l/min pao2 / fio2: 84 general: intubated, sedated, paralyzed. heent: sclera anicteric, mmm, et in place neck: supple, jvp not elevated, no lad lungs: rhonchi throughout. cv: tachy rate and sometimes irrhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 10:25pm type-art po2-58* pco2-23* ph-7.39 total co2-14* base xs--8 10:25pm glucose-103 10:06pm ptt-141.3* 07:59pm type-art po2-69* pco2-23* ph-7.40 total co2-15* base xs--7 03:50pm type-art po2-108* pco2-24* ph-7.34* total co2-14* base xs--10 03:45pm pt-17.6* ptt-150* inr(pt)-1.6* 01:49pm lactate-2.1* 10:45am type-art po2-69* pco2-41 ph-7.13* total co2-14* base xs--15 10:45am lactate-3.4* 10:36am pt-18.5* ptt-150* inr(pt)-1.7* 08:26am glucose-121* urea n-50* creat-1.5* sodium-142 potassium-3.9 chloride-116* total co2-16* anion gap-14 08:26am alt(sgpt)-34 ast(sgot)-26 ld(ldh)-174 ck(cpk)-75 alk phos-70 tot bili-0.4 08:26am ck-mb-notdone ctropnt-0.03* 08:26am albumin-2.3* calcium-7.0* phosphate-4.1 magnesium-1.7 08:26am wbc-7.0 rbc-3.22* hgb-9.5* hct-30.2* mcv-94 mch-29.5 mchc-31.4 rdw-14.6 08:26am plt count-204 08:11am type-art po2-84* pco2-38 ph-7.21* total co2-16* base xs--12 cta chest 1. acute pulmonary embolism involving the lingular branch of the left pulmonary artery and subsegmental right basilar artery. no ct findings to suggest rv strain. 2. multifocal pneumonia with bilateral pleural effusions. 3. no acute intra-abdominal pathology. moderate fecal load present within the rectum and sigmoid colon. 4. small bowel containing right inguinal hernia. echo due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular function is at least mildly depressed. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. very limited study. 08:11am lactate-3.0* 04:54am comments-green top 04:54am lactate-4.7* 04:50am glucose-121* urea n-57* creat-1.7* sodium-143 potassium-4.0 chloride-116* total co2-15* anion gap-16 04:50am wbc-5.9 rbc-3.03* hgb-9.2* hct-27.9* mcv-92 mch-30.3 mchc-32.8 rdw-14.5 04:50am neuts-89.9* lymphs-6.3* monos-3.2 eos-0.1 basos-0.4 04:50am plt count-164 03:27am type-art rates-/16 tidal vol-500 peep-5 po2-105 pco2-33* ph-7.26* total co2-15* base xs--11 02:30am urine color-yellow appear-clear sp -1.023 02:30am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-sm urobilngn-neg ph-5.0 leuk-neg 02:23am voidspec-clotted sp 02:04am comments-green top 02:04am lactate-6.1* 02:00am glucose-138* urea n-62* creat-2.0*# sodium-145 potassium-4.2 chloride-111* total co2-15* anion gap-23* 02:00am estgfr-using this 02:00am alt(sgpt)-51* ast(sgot)-39 ck(cpk)-40 alk phos-92 tot bili-0.6 02:00am lipase-61* 02:00am ck-mb-notdone ctropnt-0.02* 02:00am calcium-9.1 phosphate-4.3 magnesium-2.1 02:00am wbc-8.9 rbc-3.88*# hgb-11.4* hct-35.4*# mcv-91 mch-29.4 mchc-32.3 rdw-14.5 02:00am neuts-78.9* lymphs-17.5* monos-3.1 eos-0.1 basos-0.3 02:00am plt count-201# 02:00am pt-15.1* ptt-24.5 inr(pt)-1.3* brief hospital course: this is a 85m with dementia, history of dvt, admitted with lingular pe and septic shock secondary to multifocal pneumonia. . # pulmonary embolism: pt did not have overt signs of right-sided heart strain on presentation and given his co-presentation with sepsis likely due to pneumonia the pt was not treated with thrombolytics. pt was placed on a heparin gtt until when he was made cmo. . # sepsis: pt presented with septic shock likely secondary to multifocal pneumonia. pt was treated with vancomycin and zosyn given that he lives at macu. pt required levophed and neosynephrine as well as ivf for resuscitation. pressors were withdrawn on when the pt was made cmo. . # respiratory failure: likely combination of pulmonary embolism as well as multifocal pneumonia. pt was placed on heparin gtt and vancomycin/zosyn respectively. pt was kept on mechanical ventilation (required intermittent vecuronium for ventilator dyssynchrony) until terminally extubated on . . # acute renal failure: likely combination of prerenal/atn in the setting of septic shock. pt was resuscitated with ivf prn. . # fen: pt was npo on the ventilator, fluids boluses prn and electrolytes repleted as necessary. . # code: on a family meeting was held with and (sons) and extended family and the decision was to make the patient comfort measures only. pressors were withdrawn and the pt was terminally extubated. pt was kept on a fentanyl gtt for comfort. pt passed at 7:04 from cardiopulmonary arrest. . medications on admission: white petrolatum-mineral oil ointment prn (as needed). hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain for 2 weeks. protonix 40 mg twice a day aricept 10 mg once a day. cholecalciferol 1,000 unit once a day. enoxaparin 40 mg once a day. proscar 5 mg once a day. lasix 20 mg every other day. lasix 40 mg every other day. midodrine 5 mg once a day. potassium chloride 10 meq once a day. flomax 0.4 mg once a day. insulin sliding scale metamucil once a day as needed for constipation discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: pneumonia, organism unspecified anemia of other chronic disease congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis other chronic pulmonary heart diseases acute respiratory failure septic shock cardiac pacemaker in situ diastolic heart failure, unspecified other pulmonary embolism and infarction inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) 

Answer: The patient is high likely exposed to