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: flu like symptoms major surgical or invasive procedure: none history of present illness: mr. is a 70 yo m w/ h/o bppv, htn who p/w 18 days of flu-like symptoms which got better then worse over 5 days + dry cough, intermittend abd pain, night sweats, low volume dark urine, poor po intake, malaise, headache, myalgias. pt also endorses low-grade fevers ?100.4 intermittently. cxr was ordered on by pt's pcp which showed retrocardiac opacity. apparently, the pt checked this online and self-referred to the ed. . on arrival to the ed, his vitals were t 98.0 hr 146 bp 91/63 r 12 o2 sat 97% on ra. by the time he was placed in a room, his temp had risen to 101.7. ekg initially showed svt and he was given 6mg adenosine and hr fell to 110s and bps to 110/70. then, he reverted back to svt. but the ed team did not feel further dosage of adenosine was needed. he got 9l ivf in ed with minimal uop. a foley was then placed and his uop was 100cc prior to transfer. the ed team thought the pt likely to be very dehydrated with fever and underlying pna. cvl was placed for better access and levophed started which is running at 0.06 at time of transfer. . prior to transfer from the ed, the pt is alert, oriented and conversational. his vitals are notable for hr 110s-130s, bp 96/74, 28, 99% on 2l nc. d-dimer was elevated in the ed and cta chest was considered but not done due to concern over low uop. thus, ct abd was done on route to the icu. of note, pt also recieved levofloxacin, ceftriaxone, and tylenol in the ed. . on arrival to the icu, pt c/o diaphoresis and mild abd pain but otherwise states he is feeling much better past medical history: hypertension bppv- symptoms at present are different. social history: lives with his wife who has disease (followed by dr. at ), pt owns his own law firm specializing in environmental law. smoked a pipe x 10years, quit in his 20's, no illicit or iv drug use. family history: father- died of copd, etoh abuse mother- alive in good health at age sister- d. suicide. had schizophrenia sister- alive and well pertinent results: cxr pa/lat: findings: in comparison with the study of , there is continued atelectasis or scarring at the left base with low lung volumes. on the lateral view, there is some suggestion of increased opacification just behind the cardiac silhouette. this is not confirmed on the frontal projection. however, in view of the clinical symptoms, this could represent a focus of pneumonia. no vascular congestion or pleural effusion. remainder of the lungs is clear. . ekg: multiple ekgs came with pt from ed all taked btwn 8p and 9p at rates 130-150s and all with what looks like accelerated junctional rhythm. left axis deviation, nl qrs. j point elecation in v3,4. twi in v1. no st changes. poor r wave progression. baseline ekg from 1 yr ago nsr. 01:30pm wbc-6.8 rbc-4.34* hgb-13.1* hct-39.7* mcv-92 mch-30.1 mchc-32.9 rdw-13.1 01:30pm neuts-84* bands-0 lymphs-10* monos-3 eos-0 basos-0 atyps-3* metas-0 myelos-0 01:30pm hypochrom-1+ anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 01:30pm plt smr-low plt count-110* 01:30pm sed rate-50* 01:30pm urea n-22* creat-1.4* sodium-135 potassium-4.0 chloride-96 total co2-26 anion gap-17 01:30pm alt(sgpt)-23 ast(sgot)-20 ld(ldh)-207 alk phos-150* tot bili-0.5 brief hospital course: pneumonia: admitted with left lower lobe consolidation, cap, treated with ctx and azithromycin. cultures negative to date at time of discharge, legionella urine antigen negative. discharged with 7 day course of azithromycin. hypotension: profound hypovolemia in setting of cap, initially requiring pressors following ~10 l fluid resucitation. cultures negative, biomarkers negative. tolerating pos, blood pressure stable at time of discharge. in ed, with run of svt, resolved on arrival to floor with ivf. as noted, biomarkers negative. inpatient cardiology evaluation deferred given restoration and maintenance of sinus rhythm. benefit from outpt holter/cardiology evaluation +/ beta blockade if tachyarrhythmia is a recurrent issue. pancreatic mass: question of pancreatic headmass on ct. lfts within normal limits, pancreatic enzymes also wnl. mrcp performed, official read pending at time of discharge. pt will follow up with his pcp to discuss results. he may need an outpt ercp if findings suggest malignancy. medications on admission: aspirin 81mg daily prozac 20mg daily advil 400mg q 4 prn (avg 1600mg/day for last 5 days) discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 3. azithromycin 500 mg tablet sig: one (1) tablet po once a day for 6 days. disp:*6 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary pneumonia hypovolemic shock supraventricular tachycardia secondary hypertension discharge condition: stable, afebrile, alert and oriented x 3, ambulatory discharge instructions: you were admitted with a pneumonia. your low blood pressures were likely from dehydration related to your pneumonia. you were treated with antibiotics and you improved. as you know, an abnormality was noted in your pancreas on your ct scan and you had an imaging study called an mrcp, the radiology read for which is currently pending at the time of your discharge. as we discussed, you will follow up with your pcp next week to discuss these results. please take the antibiotic, azithromycin as directed. followup instructions: please follow up with dr. next week to follow up on the remainder of your culture results and your mrcp results. procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis other specified cardiac dysrhythmias other shock without mention of trauma unspecified disease of pancreas 

Answer: The patient is high likely exposed to