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: bactrim attending: chief complaint: cough, chills, confusion major surgical or invasive procedure: none history of present illness: 81 year old male status post cabg, copd, htn, and recurrent utis was found by his daughter seeming somewhat confused and having rigors. over the past few days he had developed nonproductive cough, difficulty breathing, and had felt weak. he was admitted to the micu where he was treated for sepsis and pneumonia. past medical history: cad s/p cabg, dm2 w/neuropathy (wheelchair bound), anxiety, htn, hyperchol, copd, insonmia, chf, constipation, recurrent utis, h/o lymphoma s/ , mass (etiology unknown), childhood polio. social history: 40 pack year tobacco history, rare alcohol, lives downstairs from daughter. family history: non contributory physical exam: t 96.8 bp 118/60 hr 93 rr 20, 96% ra gen: nad perrla, eomi, mmm no jvd rrr, nl s1s2 no m/r/g lungs with rhonchi b/l, occasional exp wheeze abd soft nt nd normal bs extremities without c/c/e, + onchymycosis, 1+ peripheral pulses neuro cn ii-xii intact, decreased sensation at soles of feet b/l, strength 5/5 throughout pertinent results: cxr-the vascular catheter remains in satisfactory position. the cardiac silhouette is enlarged but stable. there is extensive blurring of the strs likely due to motion artifact. this limits overall assessment. there are patchy some confluent opacities at the lung bases, left greater than right. the left lower lobe opacity is unchanged but the right lower lobe opacity appears new. impression: 1. persistent left lower lobe opacity and new patchy right lower lobe opacity. this could be due to aspiration given the clinical suspicion. 2. limited assessment for congestive heart failure due to respiratory motion. 11:00pm blood wbc-13.5* rbc-4.60 hgb-14.0 hct-38.9* mcv-85 mch-30.5 mchc-36.0* rdw-15.1 plt ct-136* 11:00pm blood glucose-213* urean-23* creat-0.9 na-139 k-4.6 cl-98 hco3-31* angap-15 11:18pm blood lactate-5.0* 03:00am blood wbc-12.2* rbc-3.81* hgb-11.3* hct-33.3* mcv-87 mch-29.7 mchc-34.1 rdw-15.5 plt ct-164 03:00am blood glucose-74 urean-16 creat-0.9 na-139 k-3.5 cl-102 hco3-28 angap-13 11:00pm blood tsh-0.76 swallow eval summary / impression: functional oral and pharyngeal swallowing ability with no signs of aspiration on bedside swallowing evaluation. pt. was able to swallow , cracker and water without difficulty. he denied food sticking in his throat or going down the wrong way. recommendations: 1. diet of soft solids and thin liquids 2. he should take small bites of solids eat only one bite at a time chew well alternate between one bite and one sip 3. keep him seated upright for 30 minutes after eating. 4. medications broken or crushed in puree 5. if further swallowing difficulties are noted w/solids suggest gi consult, as pt. has a history of esophageal stricture brief hospital course: the patient was admitted to the unit and reaponded quickly on the must protocol. early after admission patient had elevated troponins in the setting of tachycardia, which was thought to be due to a demand ischemia. he was diagnosed with pneumonia, and blood cultures remained negative. on the second day in the micu the patient was witnessed to cough while eating. a repeat cxr confirmed new aspiration pneumonia. respiratory: on trasfer to the floor , the patient was stable with good oxygenation but clinically his pneumonia was slow to improve. he was treated with levoquin and vancomycin, which was discontinued since the patient did not have mrsa, and given nebulizer albuterol/atrovent therapy. the patient has copd and is on standing dose of 10mg prednisone daily and albuterol mdi. he received a steroid taper and was discharged using his home dose of prednisone and off nebs. throughout the hospital course, the patient was afebrile and maintained good oxygen saturation. he occasionally developed shortness of breath when anxious that was relieved by oxygen saturation. blood cultures remained negative. at discharge, the patient had gotten 7 days of levoquin and a prescription for 7 more days was provided for a full 14 day course for pneumonia. cardiovascular: the patient has cad s/p cabg, htn, chf with ef 30-35%, and diabetes. troponin revealed slight elevations consistent with demand ischemia, and the trend was stable. he takes aspirin, a beta blocker, statin and ace inhibitor which were continued. his chronic atrial fibrillation was rate controlled on lopressor. anticoagulation is contraindicated due to the patients fall risk. blood pressure was well controlled on lopressor and lisinopril. urinary retention: the patient is s/p turp with a history of recurrent urinary tract infections and had continued urinary retention with difficulty voiding this admission. he required foley placement for urinary retention at which time a bladder scan revealed one-half liter retained urine. the patient was able to spontaneously urinate the next day and developed gross hematuria. after passage of blood clots, the patient voided additional clear urine. he was started on flomax for long term therapy and recommended to visit urology clinic as an outpatient. anxiety: the patient easily became anxious and dyspneic with discussions about disposition or with procedures. his home regimen was continued and sertraline was increased to 30mg po daily on . diabetes: the patient followed a diabetic cardiac healthy diet and glucose levels were managed by application of regular insulin per sliding scale with fingerstick glucose checks every four hours. physical therapy: the patient was weak and lacking strength to transfer himself from bed to chair or just to stand from sitting position. he was treated intensely with physical therapy and was much improved by discharge where he was able to complete transfers with the assistance of a walker. every day at mutliple times of enquiry, the patient adamantly refused to attend a short time in a rehab facility before returning home even after a family meeting including his daughter. the patient was discharged to home with services provided by visiting nursing. he was breathing comfortably on room air and lacked dyspnea on exertion. he was voiding spontaneously with ease. in conclusion, the patient has significantly improved and will complete a home course of levoquin for pneumonia. of note, recommendation for rehab was made, however he firmly and repeatedly denied and insisted upon discharge home with services. he did agree to stay in the hospital for several additional days for physical therapy and resolution of his urinary retention (which resolved prior to discharge), and had made significant gains prior to discharge. he was discharged with vna and home pt. medications on admission: prednisone 10 mg po qd aspirin 325 mg ad simvastatin 40 mg po qd 3. cyanocobalamin 500 mcg two (2) tablet po qd 4. levofloxacin 500 mg tablet sig: one (1) tablet po q24h x10 days. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid 6. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). 7. prednisone 10 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 2. simvastatin 40 mg tablet sig: one (1) tablet po qd (once a day). 3. cyanocobalamin 500 mcg tablet sig: two (2) tablet po qd (once a day). 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 5. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). 6. prednisone 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. digoxin 250 mcg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 8. albuterol inhalation 9. atrovent 18 mcg/actuation aerosol inhalation 10. xanax oral 11. calcium + d 600-200 mg-unit tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 12. tamsulosin hcl 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 13. psyllium 58.6 % packet sig: one (1) packet po tid (3 times a day). disp:*90 packet(s)* refills:*2* 14. citalopram hydrobromide 20 mg tablet sig: 1.5 tablets po qd (once a day). disp:*45 tablet(s)* refills:*2* 15. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: elder services: discharge diagnosis: pneumonia sepsis copd discharge condition: stable and improved discharge instructions: please take all medicines as prescribed. please return to the emergency room or call your primary doctor if you develop worsening shortness of breath. followup instructions: follow up with your primary doctor within 1 week. procedure: insertion of indwelling urinary catheter diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified unspecified septicemia chronic airway obstruction, not elsewhere classified atrial fibrillation sepsis pneumonitis due to inhalation of food or vomitus retention of urine, unspecified 

Answer: The patient is high likely exposed to