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: history of present illness: the patient is a 28 year old male, status post living related kidney transplant in , who presents with fever, chills and cough. the patient had recently been hospitalized on , with similar symptoms. he received intravenous fluids at that point and fever workup was unremarkable. the patient felt better on , and was discharged with linezolid 600 mg q.h.s. times two weeks. however, his cough has been persistent and production with a lot of phlegm. he complains of (head pounding) right ear pain, pressure over the right zygoma, and steady high fevers. the day prior to admission he had a temperature of 101.4 at home. he complains of chills, sweating, and fevers mostly at night. the patient is only tolerating liquids. he did not eat the day prior to admission or the day of admission. he also complains of loose stools. he has no urinary problems. denies abdominal pain, neck pain or changes in weight. he has noticed shortness of breath secondary to coughing. past medical history: insulin dependent diabetes mellitus. end stage renal disease. left retinal detachment. toxoplasmosis in the left eye. history of urinary tract infection. past surgical history: living related kidney transplant in . allergies: vancomycin, norvasc, iodine and iodine containing products. medications on admission: 1. sirolimus 5 mg daily. 2. cellcept mg four times a day. 3. prednisone 5 mg per day. 4. bactrim single strength one tablet per day. 5. protonix 40 mg per day. 6. fludrocortisone 0.1 mg p.o. twice a day. 7. clonidine 0.1 mg one to three tablets p.o. three times a day p.r.n. 8. toprol xl 100 mg p.o. daily. 9. os-cal with vitamin d 500 mg p.o. daily. 10. epogen injection 20,000 units q.tuesday. 11. linezolid 600 mg p.o. q.h.s. (started ). 12. insulin pump. social history: the patient denies alcohol and tobacco use. physical examination: on examination, temperature 98.8, heart rate 107, blood pressure 138/82, oxygen saturation 92 percent in room air, weight 62.82 kilograms. in general, the patient is ill appearing and coughing. he is alert and oriented. skin - face is flushed, and the patient has good capillary refill. head, eyes, ears, nose and throat is normocephalic and atraumatic. right eye is reactive to light, left eye is not reactive (but this is baseline). there is palpable tenderness over the frontal maxillary sinuses, right greater than the left. the mouth has no exudate on the tonsils and the mucous membranes are moist. neck is supple with no palpable nodes or thyromegaly. there are no carotid bruits. lungs - there are decreased breath sounds bilaterally with right greater than left. cardiovascular - tachycardic but regular with normal s1 and s2, no murmur. the abdomen is soft, nontender, nondistended. bowel sounds are present. there is a well healed right lower quadrant incision. extremities showed no cyanosis, clubbing or edema. right arm was well healed scar. there is slight tenderness to the right calf. there are small bruises over bilateral legs. laboratory data: pertinent laboratory data showed sodium 134, potassium 3.4, chloride 92, bicarbonate 29, blood urea nitrogen 36, creatinine 3.5, glucose 67. white blood cell count 2.9, hematocrit 28.8, glucose 609. urine culture demonstrates gram positive bacteria. rapamycin level from , is 3.1. hospital course: the patient was admitted to the transplant surgery service on . on the first night of his admission, he became hypoxic and required four to ten liters of oxygen to keep his oxygen saturation in the 90s. he was tachycardic to the 120s. he was ill appearing and in mild distress. it was therefore decided to transfer him to the intensive care unit for close observation. an arterial blood gas done at this time demonstrated the ph 7.5, pco2 38, pao2 64. the patient's oxygen saturation increased to 96 percent on ten liters of humidified oxygen delivered via face tent. the patient also received albuterol ipratropium nebulizers which seemed to improve his breathing. the patient was started on vancomycin, linezolid and levofloxacin for general coverage. his condition was consistent with pneumonia and sinusitis. an ent consultation was called and they agreed with this diagnosis and recommended normal saline sprays to the nose three times a day to help clear out his sinuses. infectious disease consultation was obtained and they helped manage his treatment and recommended various studies while he was in the hospital. his head ct was positive for sinusitis, and a chest ct was consistent with pneumonia. his blood cultures were all negative. his viral cultures were negative. his legionella urinary antigen cultures were negative. his antibiotics were changed to unasyn for sinusitis and azithromycin for atypical pneumonia and he was treated with fluconazole for yeast which was found on his sputum culture. he continued to improve in the intensive care unit throughout his stay and his oxygen was able to be titrated down. with hydration, his creatinine slowly improved and decreased from 3.5 on admission to 2.3 at the time of discharge. while in the intensive care unit, the patient's hematocrit dropped to 23.0 and he required two units of blood for blood loss anemia. on , the patient was stable enough to be transferred to the floor. he had clinically improved in terms of his pneumonia and his sinusitis. on , a decision was made to discharge the patient to home. the patient has hypertension at baseline and experienced hypertension while in the hospital. the renal attending recommended changing his toprol to labetalol for better control since it is an alpha and beta blocker. the infectious disease team recommended sending him home on four weeks of augmentin for sinusitis, and ten days of azithromycin for atypical pneumonia. condition on discharge: good. discharge status: to home. discharge diagnoses: pneumonia. sinusitis. status post kidney transplant. diabetes mellitus, insulin dependent. hypertension. medications on discharge: 1. prednisone 5 mg tablet one tablet p.o. daily. 2. bactrim single strength one tablet p.o. daily. 3. protonix 40 mg tablet one tablet p.o. daily. 4. epogen 20,000 units subcutaneously q.tuesday. 5. azithromycin 250 mg capsule two capsules p.o. q24hours times ten days. 6. clonidine 0.1 mg tablet, one tablet p.o. twice a day. 7. mycophenolate mofetil 500 mg tablet, one tablet p.o. four times a day. 8. fluconazole 200 mg tablet, one tablet p.o. q24hours times ten days. 9. sirolimus 1 mg tablet, 3 mg p.o. daily with the instructions to follow-up with the clinic as the dose may need to be changed based on the rapamycin level. 10. augmentin 875/125 mg tablet, one tablet p.o. twice a day times four weeks. 11. labetalol 200 mg tablet, two tablets p.o. three times a day. follow up: the patient is to follow-up with the clinic in two days. he was instructed to call to make an appointment. the patient is to follow-up with dr. in infectious disease clinic in about two weeks and was instructed to call for an appointment. , dictated by: medquist36 d: 16:39:07 t: 18:24:51 job#: procedure: transfusion of packed cells diagnoses: pneumonia, organism unspecified unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant unspecified sinusitis (chronic) 

Answer: The patient is high likely exposed to