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: percocet attending: chief complaint: increasing sob major surgical or invasive procedure: cardiac catheterization redo sternotomy, mvr (#31 mosaic tissue valve), tv repair (#32 ce band) trach/peg tunneled left subclavian hd cath history of present illness: hpi: 85 yo m w/mmp including cad s/p cabg, cri, htn presents with sob. pt was recently in the hospital on to mechanical fall. he was d/c and sent to rehab. at rehab, pt states feeling well until the end of last week when he felt he was "full of fluid." he described having to stop after 40 feet walking b/c of sob (baseline >80 feet), requiring o2 during night time (pt able to sleep with one pillow), an sense of increased abd distention, and increased lower extremity edema. . while in the emed, he received a total of 80 mg of iv lasix and had a total of 1000 cc of uop at noon. . he denies, pnd,denies cough, fever, fatigue, chest pain, dizziness, ha, or sick contacts. . of note, he had a lll pna diagnosed in , and he just finished treatment with augmentin for 14 days. past medical history: 1. cad s/p mi - cabg and 2 vessel redo in . - pmibi: no anginal symptoms.no significant interval change. oderate fixed inferior wall defect and moderate apical defect with a small amount of reversibility. inferior wall hypokinesis. calculated ejection fraction of 56%. 2. ischemic cardiomyopathy - tte tte: dilated, symm lvh, ef >55%, aortic root mildly dilated, trace ar, 3+ mr, mild pa sys htn 2. endocarditis strep salivarius 3. 2:1 wenckebach block s/p v-pacer 4. bph 5. pseudocyst l knee 6. s/p hernia repair, x3 surgeries 7. s/p appy 8. htn 9. cri (baseline 1.6-1.8) 10. lle cellulitis 11. gout 12. emphysema 13. r colon cancer s/p colectomy 14. parkinson's disease (followed by dr. 15. pvd w/ claudication symptoms 16. chronic venous stasis 17. hypercholesteroemia. social history: lives with son although has been in and out of inpatient rehab facilities over past 2 months. remote 1 year history of cigar use, quit. drinks occasional alcohol, 1 small glass of wine per night, can go days without drinking etoh. denies other drug use. works 3hours/week in insurance. . family history: brother-80 yo deceased, mi two sisters have cad physical exam: pe: on admission vs: tm: 96.1 tc 96.1 bp: 118/72 hr: 88 o2sat: 94% on 2l weight : 251.1 lbs general: aox3. in nad. pulm: bibasilar crackles. decreased breath sounds l>>r. cv: holosystolic murmur best heard at the apex. nl s1/s2. jvp is at the jaw line ~ 11 cm. gi: distended. nl bs+. no tenderness. ext: 3 + pitting edema. redness over both lower extremities, consistent with venous stasis. skin: redness over sacral region and scrotum. pt getting daily washing with saline and nystatin powder on scrotum, and xeroderm over sacrum. pe prior to leaving medicine floor: general: aox3. in nad. pulm: bibasilar crackles. ctab anteriorly cv: holosystolic murmur best heard at the apex. nl s1/s2. gi: soft and non-tender. gu: 3+ scrotal edema. foley in place (). ext: 2 + pitting edema. redness over both lower extremities, consistent with venous stasis. skin: redness over sacral region and scrotum. pt getting daily washing with saline and nystatin powder on scrotum, and xeroderm over sacrum. r femoral dressing is intact, no hematoma, no drainage, no pus, no erythema (cath done on ). pertinent results: 01:30am blood wbc-10.5 rbc-2.96* hgb-8.8* hct-27.7* mcv-94 mch-29.8 mchc-31.8 rdw-16.7* plt ct-237 02:52am blood wbc-11.4* rbc-2.96* hgb-8.9* hct-27.8* mcv-94 mch-30.1 mchc-32.1 rdw-16.9* plt ct-267 01:30am blood plt ct-237 01:30am blood pt-14.3* ptt-30.7 inr(pt)-1.3* 01:30am blood urean-35* creat-3.0*# na-143 k-3.6 cl-105 hco3-30 angap-12 02:52am blood glucose-115* urean-64* creat-4.6* na-138 k-4.7 cl-103 hco3-25 angap-15 04:15am blood alt-9 ast-18 ld(ldh)-210 alkphos-195* amylase-104* totbili-0.5 portable chest tracheostomy tube remains in standard position. permanent pacemaker is unchanged in position, with proximal coiling of one of the leads in the right supraclavicular area. heart is enlarged but stable in size. pulmonary vascular engorgement and perihilar haziness are unchanged. multifocal areas of atelectasis show slight improvement, particularly in the right lower lobe. left retrocardiac opacity and adjacent left pleural effusion are unchanged. small right pleural effusion is also stable. ct head w/o contrast impression: 1. no hemorrhage or mass effect. 2. chronic microvascular ischemia. 3. paranasal sinus mucosal disease. 4. unchanged expansion of the diploic space of the left parietal bone which may be secondary to paget's disease. eeg impression: this is an abnormal eeg due to the independent, at times synchronous, frontocentral slowing with broad-based phase reversals, as well as the slow and disorganized background and bursts of generalized slowing. this suggests bilateral frontocentral subcortical dysfunction, as well as similar regions of cortical irritability. the slow and disorganized background and bursts of generalized slowing suggest an encephalopathy, which may be seen with infections, toxic metabolic abnormalities, ischemia or medication effect. brief hospital course: mr. was admitted with a chf exacerbation. he was diuresed and began feeling better. ct surgery was consulted for his mr and tr. cardiac cath on showed severe 3vd with a patent lima-lad, severe disease in svg->om and occluded svg->rca. he was placed on cipro for a uti. dental medicine cleared him for surgery. he awaited improving creatinine before going to the operating room on where he underwent a redo, redo-sternotomy, mvr with #31 mosaic tissue valve & tv repair with 32 mm ce band. he was transferred to the csru in critical but stable condition on epinephrine, levophed, vasopressin, and propofol. his epi was weaned off and he was started on natrecor for diuresis. he was extubated on pod #2. the remaining vasoactive drips were weaned to off on pod #3 and he was diuresed with lasix. he continued to be followed by cardiology. he was seen by speech and swallow who recommended pureed solids and thin liquids with po meds. he was transferred to the floor on pod #5. he was cdiff positive on and was started on flagyl. he was readmitted to the csru on for respiratory distress and decreased urine output. he was treated with nebulizers with little result and required reintubation. he was seen by mephrology later that same day for anuria and rising creatinine. he was started on vasopressin and neosynphrine for hypotension. his neo and vasopressin weaned to off on . his creaintine and urine output continued to improve. he was again extubated on . on , he had recurrent atn, required reintubation for suspected aspiration and pressors again. he also had afib. he was started on cvvh. he was seen by id and was started on cefepime and vanco. on he was again extubated and his cvvh was dc'd. a dobhoff tube wsa placed and he was started on tube feeds. picc line placed . antibiotics (vanco/cefepime) for presumed hospital acquired pneumonia dc'd on . he completed his course of flagyl. urine output continued to wax and wane and he was again seen by renal, repiratory status began to deteriorate. he was seen by thoracic surgery for consideration of trach and peg which were placed n . he was seen by neurology on for stiffness which ws thought to be metabolic. head ct was negative. he was restarted on dialysis on and an hd cath was placed on . he was last dialyzed on and will need hd on . medications on admission: 1. aspirin 81 mg tablet2. 2. allopurinol 100 mg 3. simvastatin 40 mg tablet qd 4. ferrous sulfate 325 (65) mg qd 5. lisinopril 10 mg tablet qd 6. furosemide 80 mg tablet 7. atenolol 25 mg tablet qd discharge medications: 1. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed. tablet(s) 2. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed for constipation. 3. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 4. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). 5. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 6. ipratropium bromide 0.02 % solution : one (1) inhalation q4h (every 4 hours). 7. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 9. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 10. nystatin 100,000 unit/g cream : one (1) appl topical (2 times a day): periarea. 11. albuterol sulfate 0.083 % solution : one (1) inhalation q4h (every 4 hours). 12. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 13. erythromycin 5 mg/g ointment : one (1) ophthalmic qid (4 times a day). 14. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift discharge disposition: extended care facility: medical center - discharge diagnosis: mr, tr, cad gout cri (2.1) sbe 2:1 heart block s/p ppm bph htn le cellulitis lipids emphysema colon ca parkinsons pvd with claudication venoud stasis s/p cabg , hernia repair colectomy discharge condition: stable discharge instructions: call with fever, redness or drainage from incisions or weight gain more than 2 pounds in one day or five in one week. no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds. followup instructions: please make appointments: dr. 4 weeks dr. 2 weeks already scheduled appointments: provider: 4 pain management center date/time: 10:30 md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart other and unspecified coronary arteriography insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis thoracentesis percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus open and other replacement of mitral valve with tissue graft open heart valvuloplasty of tricuspid valve without replacement injection or infusion of nesiritide infusion of vasopressor agent diagnoses: pneumonia, organism unspecified end stage renal disease coronary atherosclerosis of native coronary artery mitral valve disorders acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified coronary atherosclerosis of autologous vein bypass graft gout, unspecified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease paralysis agitans pneumonitis due to inhalation of food or vomitus intestinal infection due to clostridium difficile other emphysema other and unspecified coagulation defects diseases of tricuspid valve fitting and adjustment of cardiac pacemaker 

Answer: The patient is high likely exposed to