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: no known allergies / adverse drug reactions attending: chief complaint: fall and sob with cough major surgical or invasive procedure: none history of present illness: mr. is an 87 year old man with a pmhx significant for idiopathic capillary leak syndrome, recurrent pna with a rml pulmonary abscess who presented to the ed s/p a fall and was subsequently admitted to the for hypoxia. mr. was recently discharged from in where he was also admitted for workup and initial treatment of a rml pulmonary abscess which manifested as a cough productive of brown sputum. he was seen by id and was discharged with a 6 week course of amoxacillin/clavulanate (unasyn). per the patient, he has noted some recurrence of the cough over the past several weeks, but denies fevers/chills/sweats, hemoptysis, or nausea/vomiting diarrhea. he also denies chest pain. per his pcp, , he was normoxic on for his follow up visit. also ct from demonstrated necrotic tissue in rml c/w resolving pneumonia and persistent groung glass opacity in the rul concerning for bronchoalveolar carcinoma. . in the ed, initial vs were : 98.8 100 92/60 22 94% 10l. patient was given levofloxacin, vancomycin and zosyn. ct of the head and spine demonstrated no fracture. . on the floor, pt was normotensive to 100/65, temp 97.8, hr 94, rr 2-25, with spo2 92-98% on 10l nc past medical history: as, valve area 1.6 in w/ ef 69% rml abscess, s/p 4 wks unasyn, with improvement on fu ct cad, s/p nstemi idiopathic vascular leak syndrome dieulefoy??????s lesion in the stomach facial melanoma s/p resection social history: - tobacco: quit in , - alcohol: previous alcohol use in 's - illicits: none - retired jazz musician family history: no family hx of capillary leak or lung cancer, mother with dm, father died of tuberculosis, nephew w/ mgus. physical exam: general: alert, oriented, cachectic man able to speak in full sentences, heent: sclera anicteric, dry mmm, neck: supple, no lad lungs: diffuse rhonchi, egophony on r in lower and middle fields, no wheezes, rales, ronchi cv: regular rate and rhythm, ii/vi systolic ejection murmur, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 12:40pm wbc-10.8# rbc-3.51* hgb-12.9* hct-39.5* mcv-113*# mch-36.9*# mchc-32.7 rdw-15.7* 12:40pm neuts-93.4* lymphs-4.4* monos-1.1* eos-0.3 basos-0.8 12:40pm plt count-317 12:40pm ck-mb-6 ctropnt-0.04* 12:40pm alt(sgpt)-46* ast(sgot)-42* ld(ldh)-160 alk phos-179* tot bili-1.7* 12:40pm glucose-114* urea n-31* creat-1.0 sodium-143 potassium-3.9 chloride-108 total co2-25 anion gap-14 12:51pm lactate-1.9 05:39pm wbc-9.5 rbc-3.26* hgb-12.4* hct-36.7* mcv-113* mch-37.9* mchc-33.6 rdw-15.3 09:28pm ck-mb-4 ctropnt-0.02* 09:28pm ck(cpk)-76 labs on discharge: imaging/other data on discharge sputum cx: gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram negative rod(s). 1+ (<1 per 1000x field): gram positive cocci. in pairs. 1+ (<1 per 1000x field): gram positive rod(s). 1+ (<1 per 1000x field): budding yeast. smear reviewed; results confirmed. respiratory culture (final ): sparse growth commensal respiratory flora. yeast. sparse growth. haemophilus influenzae, beta-lactamase negative. moderate growth. beta-lactamse negative: presumptively sensitive to ampicillin. confirmation should be requested in cases of treatment failure in life-threatening infections.. urine legionella ag: legionella urinary antigen (final ): negative for legionella serogroup 1 antigen. (reference range-negative). cxr: impression: right lung opacities with possible small left lower lung opacity, raising concern for multifocal pneumonia in the appropriate clinical setting. in the setting of trauma, pulmonary hemorrhage/contusion or aspiration not excluded. c-spine ct: impression: 1. no acute fracture with minimal retrolisthesis of c3 on c4 which is most likely degenerative in etiology, although of indeterminate ge. 2. multilevel degenerative change with posterior disc osteophyte complex at c5-c6 causing mild-to-moderate spinal canal narrowing. if clinical concern exists for cervical cord injury, consider mri if no contraindication. 3. partially imaged right lung consolidation may be due to infection and extent better assessed on accompanying chest radiograph. head ct: impression: no acute intracranial process. cxr: impression: 1. right picc ends in the region of the cavoatrial junction. 2. improved, but persistent multifocal pneumonia. brief hospital course: mr. is an 87 year old man with a pmhx significant for idiopathic capillary leak syndrome, moderate as, and recent pneumonia with rml abscess who presented to the ed s/p a fall and was admitted to the with pna and hypoxemia. his stay was complicated by acute kidney injury which resolved over course of admission # pneumonia and hypoxemia: mr. presented to the ed on following a fall from standing. in the ed, he was found to have right sided pulmonary infiltrates, productive cough, and hypoxemia. in the unit, mr. was found to be normoxic with spo2 of 93-96% on room air suggesting that perhaps a mucous plug had been expectorated. he was begun on vanc, zosyn, and levofloxacin in the ed and this was continued on the floor. cxr performed on admission demonstrated a multifocal pneumonia. sputum cx grew h. influenzae and was trated with empiric vancomycin and zosyn which was changed for oral amoxicillin on . #acute kidney injury: mr. initial bun/cr in the ed was 31/1.1. with his baseline creatine of 0.7, cachectic body habitus, and physical exam consistent with volume depletion, this was thought to represent prerenal azotemia. fluid repletion with ns was performed with improvement in renal function. #aspiration: given recurrent pneumonias including abscess it was felt pneumonias were likely to be related to aspiration. pt also noted to sound gurgly when lying flat and talking. speech and swallow eval was requested. patient was placed on dysphagia diet with thinned liquids which has been noted in the discharge orders. however, speech pathologist evaluation on did not show any evidnce of dysphagia or aspiration, so he was changed to a regular diet. #lung nodule: patient was found to have persistent ggos on chest ct performed in mid compared to ct in . therefore, it was recommended that patient have a follow up ct in 6 months (). previous cts were performed at . medications on admission: omeprazole 20mg po daily detrol la 4mg po daily discharge medications: detrol la not restarted as patient had difficulty voiding during hospital stay. can be restarted if overactive bladder or bladder spasms recur. 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 3. amoxicillin 250 mg capsule sig: four (4) capsule po q8h (every 8 hours) for 7 days. discharge disposition: extended care facility: cozy corner nursing home - discharge diagnosis: multifocal pneumonia - haemophilus influenza discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted because of shortness of breath and kidney failure. you were found to have pneumonia and were treated with antibiotics. a bedside swallowing evaluation by a speech pathologist did not find any evidence of aspiration or increased risk of aspiration. a chest ct also showed a lung nodule which you should have followed up on with your primary care doctor. you should have a chest ct scan in the next 6 months to document whether the nodule is changing in size. your last ct was done at . followup instructions: you should follow up with your pcp after you leave rehab. procedure: central venous catheter placement with guidance diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified aortic valve disorders cachexia abrasion or friction burn of face, neck, and scalp except eye, without mention of infection other disorders of plasma protein metabolism accidental fall from bed pneumonia due to hemophilus influenzae [h. influenzae] volume depletion, unspecified other and unspecified capillary diseases body mass index between 19-24, adult 

Answer: The patient is high likely exposed to