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: ace inhibitors / hydrochlorothiazide / chlorthalidone attending: chief complaint: change in mental status, hypotension major surgical or invasive procedure: cystoscopy history of present illness: 83 yo m s/p mvr c/d afib, chf, resolved chb, & s/p sternal wound debridement/plating , trach/peg , cytoscopy , dc'd to rehab, presented to ed with changes in mental status and hypotension. past medical history: mitral regurgitation, hypertension, hypothyroidism, gastroesophageal reflux disease, degenerative joint disease, h/o cancer s/p lupron and xrt, h/o hyponatremia social history: married, lives with wife. former , quit 15 yrs ago after 3ppd x 49yrs. alcoholic drinks per day. family history: non-contributory physical exam: bp 90/52 hr 74 arousable, not following commands lungs ctab cv rrr abdoen benign extrem 2+ rle, 1+ lle edema pertinent results: 03:34am blood wbc-13.7* rbc-3.32* hgb-10.3* hct-29.3* mcv-88 mch-30.9 mchc-35.0 rdw-16.3* plt ct-202 03:34am blood pt-13.3* ptt-32.2 inr(pt)-1.2* 03:34am blood plt ct-202 08:20pm blood fibrino-354 d-dimer-1149* thrombn-pnd 03:34am blood glucose-77 urean-68* creat-1.0 na-135 k-3.8 cl-100 hco3-27 angap-12 08:20pm blood alt-11 ast-14 alkphos-52 amylase-15 totbili-0.5 08:20pm blood lipase-9 01:13am blood wbc-11.2* rbc-2.95* hgb-9.2* hct-28.5* mcv-97 mch-31.1 mchc-32.1 rdw-18.1* plt ct-388 01:13am blood plt ct-388 08:03am blood pt-14.3* ptt-28.8 inr(pt)-1.3* 01:13am blood glucose-120* urean-50* creat-0.5 na-144 k-3.2* cl-104 hco3-32 angap-11 brief hospital course: mr. was started on neosynephrine drip which was weaned off over the next day. urology consult done for hematuria and clot in foley tubing and bladder irrigaton recommended for clot evacuation. he continued in a fib. mental status changes resolved. wound nurse consult also done for pressure ulcer on coccyx.clinical nutrition assessments also done. he continued to be gently diuresed. also followed by the plastics team for wound debridement. passy - muir valve also placed on , but failed intital trial. uti with vre noted and treated with linezolid. ep also consulted for two 10 second periods of bradycardia/asystole while he was in a fib and being turned. achieved goal on tube feeds. given his vagal pauses, he was evaluated by ep for a pacer. however, given his id issues, his risk of infecting a new pacer would be high, so this was postponed. picc line removed . id consult done on for rising wbc, e.coli in sputum, and yeast in urine.vancomycin and ceftriaxone started. chest/abd ct done to evaluate for occult sources of infection.this revealed bil. lower lobe infiltrates and pleural effusions. urology was reconsulted for foley changes and continuing hematuria. ceftriaxone changed to zosyn per id recs. cystoscopy done and this showed a left posterior wall perforation as well as diffuse radiation cystitis. urology recommended starting aluminum irrigation. given his low hct, he was transfused 6 units prbcs over the next 36 hours. zosyn stopped for rash, and meropenem started for continued coverage. he began to progress with ventilator weaning, but continued to have up to 15 second pauses with increasing frequency. since he was no longer appearing to be infected, he was taken for a pacemaker on . he has remained hemodynamically stable, and had a midline catheter placed for iv access and post pacer antibx which completed on . he condition has remained stable and he is ready for discharge to rehab on . medications on admission: lopressor 25 mg tid levothyroxine 50 mcg daily omeprazole zocor 20 mg daily amiodarone 200 mg daily asa 81 mg daily captopril 50 mg tid klonopin 0.5 mg colace lasix 40 mg iv bid haldol discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. levothyroxine 50 mcg tablet : one (1) tablet po daily (daily). 3. atorvastatin 10 mg tablet : one (1) tablet po daily (daily). 4. acetaminophen 325 mg tablet : one (1) tablet po q6h (every 6 hours) as needed. 5. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 6. docusate sodium 50 mg/5 ml liquid : two (2) po bid (2 times a day). 7. ascorbic acid 90 mg/ml drops : one (1) po daily (daily). 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 9. camphor-menthol 0.5-0.5 % lotion : one (1) appl topical (2 times a day) as needed. 10. zinc sulfate 220 (50) mg capsule : one (1) capsule po daily (daily). 11. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation q4h (every 4 hours). 12. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q4h (every 4 hours) as needed. 13. beclomethasone dipropionate 80 mcg/actuation aerosol : one (1) inhalation (2 times a day). 14. miconazole nitrate 2 % powder : one (1) appl topical tid (3 times a day) as needed. 15. oxybutynin chloride 5 mg tablet : one (1) tablet po tid (3 times a day) as needed. 16. metoprolol tartrate 25 mg tablet : three (3) tablet po tid (3 times a day). 17. digoxin 125 mcg tablet : one (1) tablet po daily (daily). 18. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). 19. haloperidol 1 mg tablet : one (1) tablet po hs (at bedtime). 20. furosemide 10 mg/ml solution : forty (40) mg injection tid (3 times a day). discharge disposition: extended care facility: - discharge diagnosis: s/p mvr (tissue) , post op course c/b afib, chf, heart block which resolved. discharged to rehab , readmitted to mwmc for chf, af. s/p sternal debridement sternal plating with bilateral pectoralis advancement flaps cystoscopy/fulgaration perm pacer placement htn known mr ca with olupron/xrt hypothyroidism gerd h/o hyponatremia discharge condition: good discharge instructions: keep foley catheter in place, do not remove or change under any circumstances. please call urology service at with any problems (, or page on-call urology resident. call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. no lotions, creams or powders to incisions. followup instructions: see dr. 2-3 weeks after discharge from rehabilitation see dr. 2-3 weeks after discharge from rehabilitation with dr. (urology) ( in 2 weeks, please call for appointment procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more thoracentesis transfusion of packed cells initial insertion of transvenous lead [electrode] into ventricle other transurethral excision or destruction of lesion or tissue of bladder transurethral clearance of bladder initial insertion of single-chamber device, not specified as rate responsive injection or infusion of oxazolidinone class of antibiotics diagnoses: esophageal reflux unspecified pleural effusion unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation atrial flutter hypotension, unspecified cardiac arrest alkalosis infection with microorganisms without mention of resistance to multiple drugs pressure ulcer, buttock streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] heart valve replaced by transplant sinoatrial node dysfunction accidents occurring in residential institution precipitous drop in hematocrit gastrostomy status tracheostomy status irradiation cystitis radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other specified retention of urine rupture of bladder, nontraumatic 

Answer: The patient is high likely exposed to