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: 58 yo male with muscle invasive bladder cancer presented for cystoprostatectomy and ileal neobladder creation. major surgical or invasive procedure: radical cystoprostatectomy with creation of ileal neobladder history of present illness: the patient is a 58 year old male who presented with well-known muscle invasive transitional cell bladder cancer. he has previously underwent multiple transurethral bladder resections and biopsiesby dr. , as well as a bladder sparing protocol using chemotherapy of gencytobene, taxol, and carboplatin. a biopsy from demonstrated persistent low grade papillary urothelial carcinoma involving the smooth muscle. after thorough discussions of his options, the patient subsequently decided to undergo a radical cystoprostatectomy with creation of a neobladder by dr. at medical center. past medical history: chronic emphysema and bronchtis, bacterial meningitis, bilateral knee surgery social history: 40 pack year smoker physical exam: general: no acute distress, healthy appearing lungs: bilateral moderate rales cardiovascular: rrr, no mrg gi: soft, nontender, nondistended. staples clean/dry/in tact incision; jp site x 2 clean, dry. spt site clean/dry neurologic: alert and oriented x3 ext: no edema gu: mild ecchymosis of scrotum, penis. foley draining clear urine pertinent results: 07:20am blood wbc-6.8 rbc-3.12* hgb-9.5* hct-27.4* mcv-88 mch-30.4 mchc-34.5 rdw-14.0 plt ct-176 07:20am blood plt ct-176 07:20am blood pt-13.3 ptt-22.7 inr(pt)-1.2 07:20am blood pt-13.3 ptt-22.7 inr(pt)-1.2 07:20am blood glucose-120* urean-22* creat-0.8 na-144 k-3.9 cl-110* hco3-28 angap-10 07:20am blood mg-2.0 brief hospital course: the patient was admitted on for an elective radical cystoprostatectomy and creation of a neobladder by dr. . the procedure went well and the patient was dischared to the trauma intensive care unit in stable condition with a foley, a suprapubic tube, and two jp drains. his hematocrit was stable after 1700 cc blood loss and 2 u prbc given intraoperatively. his sp tube and foley catheter had excellent urine output; his bun/cr were normal. he was extubated on pod 1 and transferred from the icu to the floor on pod 2. he passed flatus on pod 4 and his ngt was removed. he was started on a house diet, which he tolerated. his pain was initially controlled with a pca, but was then controlled with percocet after his ngt was removed. he did not tolerate percocet so was switched to vicodin which worked well. he also was given iv toradol. he was followed by the pulmonary medicine service in house. serial chest films demonstrated a small right lower lobe consolidation although he was afebrile and oxygenating well on room air. he was started empirically on a 10 day course of levofloxacin for nosocomial pneumonia. he required 2-4 l o2 nasal cannula until pod 3 when he was weaned to room air with sao2around 92-93%. he was ambulatory prior to discharge. medications on admission: ativan 1''', combivent 103-18 2 puffs qid, compazine 10''' discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 2. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 8 days. disp:*8 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): while taking vicodin until bowel movement . disp:*30 capsule(s)* refills:*2* 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*1 disk with device(s)* refills:*2* 5. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. combivent 2 puffs q6 hours discharge disposition: home with service facility: discharge diagnosis: bladder cancer s/p cystectomy ileal neobladder discharge condition: stable discharge instructions: see instructions. house diet - take as much or as little as you can tolerate. foley and sp tube to gravity; vna to assist with emptying/recording outputs. shower; no tub soaks/swimming x 4 weeks. activity as tolerated - stairs ok; no heavy lifting > 10 lbs. resume preoperative medications. vicodin for pain; colace to soften stools. tylenol alone is preferred if it can control your pain since it will not constipate you. md if: fever >101.5, worsening cough, redness/oozing from wound, difficulty with catheters. complete 10 day course of levofloxacin for pneumonia. followup instructions: 1. dr. , 2 weeks for staple removal, call for appt. 2. pulmonary next week, call for appt, need follow up chest xray procedure: radical cystectomy formation of cutaneous uretero-ileostomy division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells diagnoses: pneumonia, organism unspecified acidosis malignant neoplasm of prostate other emphysema malignant neoplasm of other specified sites of bladder 

Answer: The patient is high likely exposed to