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: this is an 85-year-old male with a history of diabetes type 2, hypertension, ulcerative colitis and depressed lv function approximately 40% with inferior wall motion abnormalities per primary care physician, collapsed at a funeral. bystanders performed cpr as ems was en route. the patient was semi-conscious. heart rate 90, no palpable blood pressure. lungs were clear and the patient vomited bright red blood and was incontinent of urine and stool. electrocardiogram showed anterior st elevation myocardial infarction. the patient was given aspirin and nitroglycerin and was found to be guaiac positive and transfused 4 units. recorded blood pressures were 110/palp, 208/173 and was taken to the emergency room. there, electrocardiogram showed st elevation greater than 2 mm in v1 and v3 with reciprocal changes, potassium of 5.9 and lactate of 4.8, taken to the catheter lab emergently, received nitroglycerin, diltiazem, insulin, plavix and integrilin. during the case, his blood pressure was 159/97 and dropped to 84/44. at this point, atropine and fluid was given for heart rate in the 60s which rebounded to 110. dopamine was started at 10 mcg per kg per minute. subsequently, a swan and intra-aortic balloon pump was placed. with the finding, cardiac output of 3.37, cardiac index of 1.8, pulmonary capillary wedge pressure 18, ra 8, pa 29/11 with a mean of 19, rv pressure 24/6. his coronary arteries showed a normal left main, lad with diffuse disease, 80% proximal lesion, 80% long mid lad lesion and 80% distal lesion and a left circumflex 60% proximal lesion and a subtotal om1 through 3, rca with diffuse disease, plus an 80% distal pda and plv. the lad was stented x2 with poor flow after the stent (timi-2). the st elevations actually worsened after the procedure and this was felt secondary to damage already performed. subsequently, he was transferred to the ccu where integrilin and fluids were given. an insulin drip was started, an arterial line was placed. he required intubation and was given, in addition to dopamine, levophed, dobutamine and fluids at 500 cc an hour. subsequently, he was noted to have a gastrointestinal bleed with bright red blood in the nasogastric tube. the integrilin was stopped and 2 units of packed red blood cells were given. his urine output increased from 30 cc an hour to 110 subsequently. past medical history: 1. hypertension 2. diabetes type 2 3. ulcerative colitis 4. imi in the past with depressed lv function and inferior wall motion abnormalities per his primary care physician. 5. angina medications: 1. glipizide 2. prinivil 3. atenolol allergies: sulfa family history: not taken social history: not taken physical exam in the ccu: vital signs: temperature 96.4??????, pulse 104 to 127, blood pressure 69 to 120/30 to 60, mean arterial pressure 37 to 87, respiratory rate 20 to 28, o2 saturation 95% to 100% intubated with a respiratory rate at 14. general: elderly male, ill appearing, drowsy, but appropriate. head, ears, eyes, nose and throat: pupils equal, round and reactive to light. og tube with blood noted. jugular venous distention pulsations to the ear when lying flat. pulmonary: crackles are notable half the way up bilaterally. cardiovascular: quiet precordium, s1 and s2 with regular rate and rhythm. no murmurs. abdomen: soft, nontender, nondistended. extremities: cool, mottled with decreased radial pulses bilaterally and pale now noted. neurologic: alert and oriented, answers inappropriate, but sedated on the vent. lines: he had a right groin swan, bilateral upper extremities peripheral intravenous and a right radial line. labs: white blood cells 12.7 with 58% neutrophils, 37% lymphocytes, 2% monocytes, 1.5% eosinophils, hematocrit 42.7, platelets 209. inr 1.2, sodium 136, potassium 4.9, chloride 101, bicarbonate 19, bun 37, creatinine 1.4, glucose 332, calcium 6.9, magnesium 1.8, phosphorus 2.6, lactate 2.5. arterial blood gases 7.32, pco2 39, po2 82, total co2 21. initial cks showed a ck of 77, troponin 2. imaging: electrocardiogram showed sinus rhythm at 80, axis -30, pa segment 0.812, qrs greater than 120 milliseconds. st elevations v1 through v4, q in v2, t-wave inversion in avl for the lying left bundle branch block. echocardiogram showed anterior septal aneurysm, severe region lv dysfunction with global hypokinesis and akinesis with ejection fraction of approximately 20%. chest x-ray showed a good et tube placement, swan in the right pa, somewhat distal tortuous aorta and congestive heart failure that was deemed mild at that time. hospital course: mr. was admitted to the coronary care unit on for treatment of a large anterior myocardial infarction. the night after admission, he was intubated, was put on three pressors, including levophed, dopamine, dobutamine and intra-aortic balloon pump at 1 to 1, had an upper gastrointestinal bleed and was hydrated substantially with several 500 cc boluses to maintain his systolic blood pressures above 70. the rest of the hospital course will be dictated by problem. 1. cardiovascular: mr. had a large anterior myocardial infarction with global akinesis and hypokinesis in the setting of diffuse three vessel disease. he had an ejection fraction of 20%. as stated, he was on three pressors, including dopamine, dobutamine and levophed and an intra-aortic balloon pump at 1 to 1. on the initial days, he was bolused several times with 500 cc boluses to maintain his systolic blood pressures above 70. also, on day #3, a right ij swan was placed which showed a ra pressure of 10, rv pressure of 50, pa pressure of 30/15 with a mean of 20, pulmonary capillary wedge pressure of 12.5 and a cardiac index of 5.5. ct surgery and he was felt not to be inappropriate candidate for coronary artery bypass graft secondary to poor flow after two lad stents were placed and poor touchdown points in the oms in the setting of an inferior myocardial infarction in the past. by hospital day #4, he was weaned off the intra-aortic balloon pump and levophed was discontinued. he maintained systolic blood pressures of 70s to 120s and over the subsequent days, was continued to be weaned off of pressors. by hospital day #6, he was weaned off pressors and started on low dose captopril. he continued to have labile blood pressures with systolic blood pressures of approximately 80 which responded to holding of the captopril and 500 cc normal saline fluid boluses. by hospital day #8, his captopril was titrated to 37.5 and coreg was started at 6.25 b.i.d. he continued to have episodes of hypertension and was responsive to fluid boluses. captopril was restarted at 6.25 and gently titrated to 18.75 p.o. t.i.d. at the time of discharge. at the time of discharge, mr. was recovering slowly from a large interior myocardial infarction with blood pressures approximately 120s systolic and pulses of 80%. he was sluggish, resting comfortably and did not complain of any subsequent chest pain. 2. pulmonary: mr. was initially intubated in the catheter labs after the large anterior myocardial infarction. he was maintained on control for several days subsequently. starting on the 8th day post catheter, he was started on pressure support trials and these were tolerated well. on hospital day #8, he was extubated with o2 saturations maintaining above 90% on 6 liters by nasal cannula. after transfer to the floor, he had some episodes of respiratory distress with increasing respiratory rate and accessory muscle use. he continued to sound with rales auscultated one third of the way up. it was thought not to be generally fluid overloaded, but more in the setting of a poor cardiovascular pump function. he was gently diuresed and maintained on 38% shelf mask with response of his o2 saturation. at the time of hospital discharge, mr. was breathing approximately 30 breaths a minute and breathing comfortably with o2 saturations in the 90s with 6 liters o2 by nasal cannula. 3. gastrointestinal: mr. had continued to experience upper gastrointestinal bleeding after her large anterior myocardial infarction. gastrointestinal was consulted and it was felt he is not a candidate for an esophagogastroduodenoscopy at this time unless a massive bleed was noted. his hematocrit remained between 23 to 32 during the course of his hospitalization. he required 7 units of packed red blood cells over several days. at the time of hospital discharge, his hematocrit was 28 and had been stable for two days and was trace guaiac positive. he will continue to be followed as an outpatient at a rehabilitation center. 4. infectious disease: by hospital day #2, mr. started to spike high fevers up to 101.5??????. his sputum cultures grew mssa and enterobacter and his urine culture grew enterococcus. he was initially started on vancomycin, levofloxacin, ceftazidime and flagyl over the course of three days. as cultures returned, he was switched to a long course of levofloxacin and oxacillin. he took the levofloxacin for 10 days and oxacillin for 8 days for a total of 10 days of gram positive coverage. at the time of the hospital discharge, he had been afebrile x48 hours and surveillance cultures of sputum and urine had been negative. 5. endocrine: mr. was npo for a large part of his coronary care unit stay. he was maintained on an insulin drip when tpn was started with blood glucoses approximately 180 to 14. the tpn was slowly weaned, as he started tube feeds on hospital day #7 and an appropriate blood glucose response. on transfer to the floor he was started on a cardiac soft diet with high blood glucoses approximately 250 to 300. he was started on his outpatient dosage of glipizide with appropriate response of glucose. at the time of discharge, his glucose was approximately 130 to 150. he will be discharged on an outpatient regimen of glipizide. 6. hematologic: mr. experienced low hematocrits in the setting of an upper gastrointestinal bleed. this was responsive to 7 units of packed red blood cells over the course of his hospitalization. in addition, his upper gastrointestinal bleed was worsened by low platelet count secondary to mechanical disruption or the intra-aortic balloon pump. his platelets, by hospital day #3, were as low as 21 and one bag of platelets was transfused. after discontinuing the intra-aortic balloon pump, his platelets rose over the course of several days to 150 and at the time of hospital discharge it was noted to be approximately 290. it is not felt that it was thrombocytopenia for any reason except for mechanical disruption of platelets. the intra-aortic balloon pump was not felt to be an issue at discharge. 7. neurologic: the patient was sedated on morphine and propofol for the duration of his coronary care unit stay. he was slow to awake after morphine and propofol was discontinued two days prior to transfer to the floor. he subsequently became more alert slowly over the course of several days and on the floor was noted to be alert and conversing in short sentences, although notably different than prior to his myocardial infarction. it was felt that this would be responsive to rehabilitation and further care in an outpatient setting. discharge condition: mr. was discharged to rehabilitation in fair condition. he will maintain rehabilitation for one to two weeks with aggressive physical therapy. discharge diagnosis: 1. anterior myocardial infarction with cardiogenic shock secondary diagnoses: 1. diabetes 2. hypertension discharge medications: 1. digoxin 0.125 po qd 2. aspirin 325 po qd 3. plavix 75 po qd for 30 days after stent placement 4. lipitor 10 mg po qd 5. coreg 6.25 po bid 6. captopril 18.75 po tid 7. lasix 40 po qd 8. glipizide 10 mg po qd 9. protonix 40 mg po qd , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube implant of pulsation balloon angiocardiography of right heart structures diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care hemorrhage of gastrointestinal tract, unspecified 

Answer: The patient is high likely exposed to