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: weakness, chills major surgical or invasive procedure: none history of present illness: 88 yo man with chf (ef 35%), cad s/p cabg in , afib on coumadin admitted with weakness and chills. the patient states that he was in his usual state of health until the evening prior to admission when he began to experience chills. the patient notes associated weakness and the following morning (the day of admission) the patient was too weak to get out of bed. ems was called. . in the ed, t 101.7, bp 80's/40's 97% 3l. poor urine output. given 4l ns with sbp decreasing to 70's. cxr revealed a left-sided pneumonia, the patient was placed on early goal-directed sepsis protocol. he was started on levophed 0.15 for blood pressure support with a good response to the sbp 120's. he received levofloxacin 750mg x1. . ros: patient notes a single episode of emesis after drinking a glass of cranberry juice the evening prior to admission. he denies headache, blurry vision, photophobia, rhinorrhea, sore throat, cough, sputum production, abdominal pain, nausea, diarrhea, dysuria, skin breakdown, swollen or erythematous joints. he denies chest pain, orthopnea, new edema or any change in his exercise tolerance. past medical history: 1. coronary artery disease, status post coronary artery bypass graft in times four. 2. congestive heart failure with an ejection fraction of 25% with diastolic and systolic dysfunction. 3. hyperlipidemia. 4. paroxysmal atrial fibrillation, on coumadin. 5. status post appendectomy. 6. history of lower gastrointestinal bleed. 7. glucose intolerance. 8. right carotid stenosis of 60% to 69%. 9. history of escherichia coli urosepsis. 10. history of low blood pressure social history: the patient is retired and now lives with sister (who is yo). the patient denies ever smoking. he notes occasional wine consumption. family history: positive for coronary artery disease and breast cancer. physical exam: pe: 99.1 67 122/50 (on levophed 10) 16 98% 2l nc svo2 66% cvp 16 gen: nad. heent: perrl. pink, moist oral mucosa without lesions. cv: rrr. normal s1 and s2. no m/r/g. pulm: crackles in the left lower lung fields. abd: soft, nontender. ext: trace left lower extremity edema. pertinent results: 11:18am pt-32.6* ptt-30.3 inr(pt)-3.5* 11:18am plt count-189 11:18am neuts-90* bands-0 lymphs-1* monos-9 eos-0 basos-0 atyps-0 metas-0 myelos-0 11:18am wbc-15.4*# rbc-4.32* hgb-12.7* hct-36.0* mcv-83 mch-29.4 mchc-35.3* rdw-17.2* 11:24am lactate-3.0* k+-5.1 12:15pm urine rbc-21-50* wbc-0-2 bacteria-few yeast-none epi-0-2 12:15pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-6.5 leuk-neg . frontal chest radiograph: over the interval there are some placement of a right-sided internal jugular central venous catheter with tip in the cavoatrial junction. there has also been increasing perihilar haziness consistent with devloping pulmonary edema. the left costophrenic angle and portions of the left hemithorax are incompletely evaluated. there is increasing right basilar opacity. impression: 1. mild pulmonary edema which is new compared to prior study. 2. right lower lobe pneumonia brief hospital course: a/p: 88 yo man with chf (ef 35%), cad s/p cabg in , afib on coumadin admitted with weakness and chills, found to have right sided pneumonia with relative hypotension and elevated lactate. . # hypotension. baseline sbp 90's. in the setting of fever and elevated lactate this was believed to be sirs/sepsis physiology from pneumonia. he required pressors briefly in the icu and was able to be weaned after fluid resuscitation. antihypertensives and diuretics were initially held and then slowly added back. at time of discharge enalapril had not been restarted; can restart in the next few days at rehab if bp allows. . # community acquired pneumonia. patient intially given iv levofloxacin and then transitioned to po. his leukocytosis resolved. he spiked a temperature to 101 and was broadened to vanc and zosyn briefly. blood cultures remained no growth and cxr unchanged. changed back to just levofloxacin with continued improvement. plan 14 days total antibiotics. please continue to monitor temperature. no other localizing symptoms. saturating well on room air at discharge. cont nebs prn. . # acute on chronic renal failure. baseline cr approximately 1.4-2.0; on admission was elevated but resolved with holding diuretics and gentle volume resuscitation. likely in part due to hypovolemia, improved with re-hydration. . # normocytic anemia. admission hct of 36 near baseline (34-40). decline in hct likely in part dilution due to ivf. patient has a history of lower gi bleed, though no signs of active hemorrhage during this admission. patient thought to be stable on home anticoagulation, though supratherapeutic on admission. also element of aocd with renal failure. anticoagulation held for elevated inr on admission and then restarted. . # cv. history of cad, chf and hyperlipidemia. continued on aspirin, statin. as noted above antihypertensives initially held and all restarted before discharge except enalapril. this should be restarted as outpatient. patient with increased edema in lower extremities at time of discharge from diuretics being held; no evidence acute coronary event. recent ef 35%. . # paroxysmal atrial fibrillation. supratherapeutic inr at 3.7. coumadin held and then became subtherapeutic. inr 1.8 on day of discharge; repeat in 3 days and adjust coumadin prn. . # hematuria: patient noted to have hematuria on ua then had traumatic incident with foley being pulled. urine now clear but should get repeat ua for signs of microscopic hematuria in weeks as outpatient to further follow up. . # right carotid stenosis. outpatient follow-up. . # glucose intolerance. last hgb a1c 6.5 in . - fingersticks were normal this admission without requirement for insulin. continued on diabetic, heart healthy diet. . # code: dnr/dni per discussion with patient. medications on admission: pantoprazole 40 mg po q24h digoxin 125 mcg po daily levothyroxine 25 mcg po daily furosemide 120 mg po qam, 80mg qpm aspirin 81 mg po daily atorvastatin 10 mg po daily warfarin 7.5 mg po hs fenofibrate micronized 48 mg po daily metoprolol succinate 25 mg sustained release po qhs enalapril maleate 5 mg po bid spironolactone 12.5 mg po daily discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 3. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 4. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. warfarin 7.5 mg tablet sig: one (1) tablet po daily (daily). 8. fenofibrate micronized 54 mg tablet sig: one (1) tablet po once a day. 9. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po at bedtime. 10. spironolactone 25 mg tablet sig: 0.5 tablet po daily (daily). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 13. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 14. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q6h (every 6 hours) as needed. 15. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 16. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 8 days. 17. outpatient lab work please check inr on monday and have followed up by physician at rehab. goal inr . discharge disposition: extended care facility: for the aged - macu discharge diagnosis: community acquired pneumonia anemia of chronic disease atrial fibrillation hematuria chf, systolic discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet . you were admitted with a pneumonia. please call your doctor or return to the hospital if you develop high fevers, shortness of breath, chest pain. . you had blood in your urine noted after your foley was placed and then had bleeding after the foley was removed. please get your urine rechecked for blood as an outpatient. followup instructions: please call your primary care doctor, dr. () and make a follow up appointment in the next weeks. . provider: , md phone: date/time: 10:20 procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease coronary atherosclerosis of native coronary artery acute kidney failure, unspecified unspecified septicemia atrial fibrillation aortocoronary bypass status sepsis chronic kidney disease, unspecified systolic heart failure, unspecified other and unspecified hyperlipidemia long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to