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: sulfa (sulfonamides) / / haldol / aspirin attending: chief complaint: shortness of breath major surgical or invasive procedure: left thoracentesis history of present illness: mr. is a 80 yo greek m with h/o chronic bilateral pleural effusions (exudative, uremic pleurisy) s/p bilat thoracentesis and pleural bx with pleurex cath placement on , cad s/p mi, chb s/p pacer, diabetes, htn, esrd on hd who presents with shortness of breath over the last 24hrs. he noted the increase gradually over the course of the day, symptomatically improved with home 02. he endorses a mild non-productive cough, but denies hemoptysis. he denies cp, n/v, f/c, or change in bms. furthermore, he denies any lightheadedness or dizziness. his pleurex cath was drained today without output (drained every other day, no output over the last 5 drainages). patient reports good adherence to medications and has not missed a dialysis session. . in the ed, vs t 99.2, hr 64, bp 153/42, rr 32, 87% on ra -> 97%4l. ekg non-ischemic. cxr with large l pleural effusion. ip consulted and performed thoracentesis. given ctx 1g and levaquin 750mg for ? pna. cont to show labored breathing so was admitted to the micu for further monitoring. . allergies: sulfa, haldol, , past medical history: -h/o recent chronic lymphocytic exudative pleural effusions secondary to chronic uremic pleurisy: s/p thoracentesis (transudative), (right, 1700 ml, exudative, symptomatic relief, poor lung expansion"trapped"), (left, 300ml, exudate, no symptomatic releif, poor lung expansion). right sided pleuroscopy with drainage of 1200 ml of serious fluid and parietal pleural biopsy and pleurex catheter placement on . -colonic adenoma with high grade dysplasia / intramucosal carcinoma; no mucosal invasion, all ln negative, s/p right colectomy -cad: nstemi in , no perfusion defects mibi. -mod pulm htn, ef >70% 3/09 echo -complete heart block s/p sigma dr ppm in -left internal carotid artery stenosis: (carotid us in showed a l ica 70-79% stenosis with /lcca index of 3.6, no right ica stenosis with a /rcca index of 1. in ) on clopidogrel. -esrd: htn and diabetes, on hd, receives hemodialysis on tuesday, thrusday and saturday via a left av fistula at dialysis center. -type 2 dm: (last a1c 6% in ) on oral agents -hypertension -chronic anemia (baseline hct ~ 35) -hyperlipidemia -secondary hyperparathyroidism -bilateral cataracts s/p surgical intervention -s/p ercp for bile duct stenosis -mild dementia -h/o urinary retention requiring discharge home with foley/leg bag social history: lives with wife and son. another son who lives in downstairs apartment. he worked as a bricklayer for many years. reports a 45 pk/yr h/o tobacco but quit over 20 yrs ago. has glass of wine with lunch and dinner. occasional beer on a hot day. family history: mother-dm, cad physical exam: on transfer from micu: vital signs: t 97.6 bp 177/51 76 sao2100% on 2l gen: lying flat in bed, pleasant, talking without labored breathing heent: eomi, pinpoint pupils, symmetric, anicteric sclera neck: supple, no lad heart: regularly irregular, 2/6 sem at base lung: decreased bs bilaterally, l>r with crackles abd: thin, soft, nt/nd + bs no rebound or guarding ext: warm, no rash, 2+ dp pulses skin: no bruising neuro: alert and oriented, no focal deficits pertinent results: 06:40pm blood wbc-7.2 rbc-4.02* hgb-11.0* hct-34.9* mcv-87 mch-27.4 mchc-31.6 rdw-16.1* plt ct-487* 03:05am blood wbc-6.9 rbc-3.27* hgb-9.2* hct-28.6* mcv-88 mch-28.1 mchc-32.1 rdw-16.5* plt ct-428 08:59am blood hct-29.9* 06:40pm blood neuts-76.3* lymphs-15.8* monos-5.7 eos-2.1 baso-0.2 06:40pm blood pt-12.6 ptt-26.5 inr(pt)-1.1 04:00am blood pt-13.7* ptt-27.8 inr(pt)-1.2* 06:40pm blood glucose-228* urean-37* creat-4.4*# na-139 k-4.2 cl-95* hco3-29 angap-19 03:05am blood glucose-153* urean-41* creat-4.6* na-137 k-4.1 cl-98 hco3-28 angap-15 06:40pm blood ctropnt-0.14* 03:05am blood ck-mb-notdone ctropnt-0.15* 06:40pm blood totprot-7.0 albumin-3.7 globuln-3.3 calcium-9.0 phos-3.6# mg-2.2 03:05am blood calcium-8.1* phos-4.1 mg-2.2 06:47pm blood lactate-2.3* . cxr : 1. interval increase in the left basal effusion with progressive left lower lobe collapse when compared to the chest radiograph of . 2. stable right basal effusion with areas of added density in the right lower lobe suggestive of superimposed infection. brief hospital course: in the ed, the patient had a left thoracentesis, one liter removed and was symptomatically imprved. he was admitted to the icu for tachypnea with rr 40, but then improved to rr 20's. initially, he had a high o2 requirement - 87% ra in the ed, 92% on 4l, 98% on 5l. he received dialysis in the icu and his oxygen levels improved to 100% on 3lnc. the interventional pulmonary service consulted on this patient - as he is followed by them closely as an outpt- and recommended removal of right pleurex and placement on a new left pleurex after plavix wash out. the patient was tranfered to the floor in stable condition. while on the floor, he remained stable, with his o2 saturation 95-97% on 2-3l nc. he had no tachypnea or pleuritic chest pain while on the floor. he had dialysis x1 on the floor. he is being d/c home with home vna for daily vital signs/lung exam to be sure effusion not returning while patient at home. medications on admission: renal caps 1 cap daily clopidogrel 75mg daily glipizide 5mg daily metoprolol tartrate 25mg nifedipine 30 mg sr darvocet 50mg-325 prn simvastatin 20mg daily terazosin 2mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid prn as needed for constipation. 4. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). 5. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. nifedipine 30 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 8. simvastatin 10 mg tablet sig: two (2) tablet po hs (at bedtime). 9. terazosin 1 mg capsule sig: two (2) capsule po hs (at bedtime). 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed. 11. glipizide 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: recurrent left pleural effusion discharge condition: stable. vital signs normal. patient is s/p hemodyalisis today () discharge instructions: you were admitted for shortness of breath that was associated with a recurrent pleural effusion (fluid on your lungs) on the left side. this effusion was drained and your shortness of breath improved over the following two days. you will need an additional drainage of this fluid and a placment of a temporary catheter next week and this will be done be interventional pulmonology. until that time, you will have the visiting nurse come by and check on you daily to be sure that this fluid does not rapidly accumulate and cause you trouble again. . please stop taking your plavix and aspirin at home to prepare for this procedure. you can likely re-start these medicines after you see dr - be sure to clarify this with him at your next visit (next ). . you can use your home oxygen if you feel that you need it but if you start to need larger and larger amounts or have a lot of difficulty breathing, please return to the hospital. . the catheter on your right side does not appear to be functioning at this time but the interventional pulmonology physicians do not feel that it needs to be removed during this visit (they may remove it at your follow up appointment). you do not need to try and drain this catheter while you are at home. . please return to the emergency department or call your primary care physician if you develop any of the following: * fever, chills, redness or tenderness over the catheter site * increasing shortness of breath, chest pain, pain when you take a deep breath * any other symptoms that are concerning to you followup instructions: please call dr office (inteventional pulmonology) today at to schedule an appointment for , . . please also keep the following appointments that are already scheduled for you: provider: clinic phone: date/time: 8:30 provider: , m.d. phone: date/time: 10:20 provider: , m.d. phone: date/time: 10:00 md, procedure: hemodialysis thoracentesis diagnoses: anemia in chronic kidney disease unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction cardiac pacemaker in situ 

Answer: The patient is high likely exposed to