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: fever, altered mental status major surgical or invasive procedure: arterial line history of present illness: this is a 79 yo m with a h/ body dementia, atrial fibrillation, h/o bph and utis, presenting from with altered mental status and fever. of note, a urine culture was sent several days ago from , and the pt was started on bactrim. apparently that culture was not diagnostic but is growing 10,000-30,000 gram positive organisms. per the son, after taking a nap he was more agitated and having difficulty walking. . in the ed, the pts vitals were: tm 100.4, bp 83-118/41-69, hr 83-107, r 18, 98-100% on 4l nc. he was found to have a wbc of 11.1 with 30% bands, and a lactate of 3.2. his ua showed 21-50 wbc and moderate le. cxr was unremarkable. he received 3l ns, ctx 1 gm iv x1, cefepime 2 gm iv x1, azithromycin 500 mg iv x1, and tylenol 650 mg pr x1. his sbp dropped into the 70s, and he was started on a peripheral levophed gtt. past medical history: -h/o prostatitis -atrial fibrillation -h/o urinary tract infection -h/o bph/bladder outlet obstruction -h/ body dementia--followed by behavioral neurology, dr. , -? sleep apnea -h/o psychosis -h/o rll pna in with dysphagia by swallowing study -h/o delerium in setting of fevers social history: pt lives in nh in since , previously was in there. pt retired in ??????05. widowed for 15 yrs. his son, lives in . he has a daughter in ca. he smoked 1 pack per day for 15 years, stopping over thirty years ago. he also had drinks/night for 10 years, also stopping thirty years ago. family history: father committed suicide at the age of 53. his mother passed away at 64, dm, died apparently from hydrocephalus. no siblings physical exam: physical exam on admission to micu: vs: temp: 98.2 bp 135/46 p 83 r 16 sat 98% on 2 l nc gen: sleeping, not following commands, withdraws to pain, does not talk, will not open eyes but purposely will squeeze eye closed heent: constricted but equal and reactive, anicteric, dry mm, op without lesions neck: no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits resp: cta b/l but difficult to assess as pt will not cooperate with taking deep breaths cv: irreg irreg, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: 1+ pitting edema at the ankles, warm, good pulses skin: no rashes/no jaundice neuro: withdraws all extremities to pain pertinent results: cxr: findings: compared to the previous examination there has been interval resolution of right lower lobe airspace opacification. there are no new areas of opacification. the cardiomediastinal silhouette is stable. several clips project over the left neck. there is no pleural effusion. soft tissues and osseous structures are otherwise unremarkable. impression: no acute cardiopulmonary process. . ct head: findings: there is no acute intracranial hemorrhage, shift of normally midline structures, hydrocephalus or major vascular territorial infarction. prominence of the lateral ventricles and sulci is unchanged compared to the previous examination and likely related to atropy. density values of the brain parenchyma are maintained. mild hypodensities in the periventricular white matter are most consistent with chronic small vessel ischemia. the visualized paranasal sinuses and mastoid air cells are well aerated. impression: no acute intracranial hemorrhage. . brief hospital course: upon presentation, the patient showed signs of possible sepsis with hypotension, tachycardia, and fevers, in the setting of a positive urinalysis. he responded rapidly to fluid boluses and initiation of intravenous antibiotics- initially vancomycin and zosyn followed by more narrowed coverage with vancomycin and ceftriaxone. upon stabilization, he was moved to a general medical floor where iv antibiotics were continued for a presumed urinary tract infection. culture data from our institution as well as from the were negative. however, given his co-morbidities of bladder outlet obstruction and frequent urinary tract infections, we continued treatment with an oral regimen of ciprofloxacin, after reviewing his past sensitivities. we clarified his baseline mental status with his caregivers at the to confirm that he was not delirious. he was discharged with a seven day course of ciprofloxacin. . his inr was found to be supratherapeutic on this admission. he will have this re-checked daily at his nursing home until it returns to a therapeutic range, at which point his coumadin will be restarted. medications on admission: -carbidopa-levodopa (25-100) 1 tab po bid start: in am 8am and 4pm -donepezil 10 mg daily -finasteride 5 mg po hs 8pm -quetiapine fumarate 12.5 mg po daily 1 pm -quetiapine fumarate 25 mg po qpm 8pm -tamsulosin 0.4 mg po hs 8pm -coumadin 6 mg 6 days per week and 2 mg 1 day per week -bactrim started . allergies: nkda discharge medications: 1. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po bid (2 times a day). 2. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 3. finasteride 5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 4. quetiapine 25 mg tablet sig: 0.5 tablet po daily at 1300hrs (). 5. quetiapine 25 mg tablet sig: one (1) tablet po daily at 2000hrs (). 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 7. ciprofloxacin 250 mg tablet sig: one (1) tablet po every twelve (12) hours for 6 days. tablet(s) 8. lab work please check inr daily, and restart coumadin at 6mg daily six days per week and 2mg one day per week. discharge disposition: extended care facility: centre for extended care discharge diagnosis: urinary tract infection discharge condition: stable, afebrile, normotensive. discharge instructions: you were admitted with a urinary tract infection. your vital signs were initially unstable and you required intensive care for the first day of your admission. you improved with intravenous fluids and antibiotics. we will be discharging you with a seven day course of antibiotics. . your inr was too high during this admission, this was likely due to your antibiotics. you will need to have this checked daily until your inr is within range at 2-3, at which time you should restart your coumadin. . if you develop unstable vital signs such as hypotension, dizziness, palpitations, or fevers, please return to the emergency department. . please take all of your medications as indicated . please follow up as indicated below. followup instructions: provider: , md phone: date/time: 1:30 provider: , m.d. phone: date/time: 2:30 procedure: venous catheterization, not elsewhere classified diagnoses: thrombocytopenia, unspecified anemia, unspecified urinary tract infection, site not specified atrial fibrillation personal history of tobacco use hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) long-term (current) use of anticoagulants dementia in conditions classified elsewhere without behavioral disturbance dementia with lewy bodies personal history, urinary (tract) infection 

Answer: The patient is high likely exposed to