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: no known allergies / adverse drug reactions attending: chief complaint: pneumonia major surgical or invasive procedure: intubation for mechanical ventilation history of present illness: 83m with esophageal ca, recent admission for ftt, pneumonia. the patient was sent from nursing home, reportedly ill-appearing. we do not yet have any history from his facility, . i have left a message with the nurse on duty. the patient's sister reports that he had been treated for pneumonia two weeks ago at . (our records suggest the patient was discharged on , but not treated for pneumonia at that time.) the patient did have a prescription for levaquin in his records from , so he probably was diagnosed with pneumonia recently. his sister spoke to him the day before this hospitalization and says he sounded fine. he was able to go to lunch and dinner that evening. the patient's sister also reports that his usual nuring support could not reach him due to the inclement weather this week. . in the ed, the patient was tachycardic, hypoxic on ra on arrival. he was brought in looking unwell, hypoxic, and with altered mental status. in addition, the patient was exteremly cachectic. the patient's cxr showed pna and he received vancomycin, levaquin, zosyn (recently admitted with pseudomonas). the patient had terrible iv access and so was underresuscitated. a right ij triple lumen was placed. the patient was progressively tachypneic to low 40s, and his lactate was 4.9. after failureo f nrb, the ed felt the need to intubate, with sedation via fentanyl and versed. though his sbp was 115 before intubation, afterward he had transient periods of sbp around 60-90. phenylephrine was then started. though altered, pt wished to be full code. (his sister was unaware of her brother's exact wishes but felt he would probably want to be full code and would agree to all of the items on the icu consent form.) past medical history: esoph ca s/p esophagectomy with ? gastric pullup at ~ 10 years ago prostate ca nephrolithiasis social history: immigrated from in 62. worked for sears-. smoked until his esophagectomy ~ 10 years ago. no recent etoh. lives independently at , takes his own medications, sporadic nursing checks. family history: non-contributory physical exam: admission physical exam: vs: temp: 97.3 bp: 108/65 hr: 63 (rr: 22 o2sat 96%) gen: intubated, sedated, cachectic heent: perrl, secretion in mouth, oropharynx with some erythema, likely secondary to intubation. resp: quiet breath sounds with wheeze cv: s1, s2, no murmurs auscultated abd: non-distended, quiet bowel sounds, no guarding, liver felt below costal margin. ext: clubbing of nails, dusky fingernails with > 2 seconds capillary refill, no edema. skin: many seborrheic keratoses neuro: sedated, small pupils, but responsive to light. 2+ biceps reflexes bilaterally. 2+ patellar reflexes bilaterally. babinski downgoing in left foot, equivocal in right. pertinent results: admission labs: 02:00pm wbc-16.4* rbc-3.95* hgb-10.3* hct-34.9* mcv-88 mch-26.0* mchc-29.4* rdw-15.1 02:00pm neuts-77* bands-11* lymphs-4* monos-4 eos-0 basos-0 atyps-0 metas-4* myelos-0 02:00pm glucose-75 urea n-25* creat-0.8 sodium-145 potassium-4.2 chloride-103 total co2-23 anion gap-23* 02:00pm calcium-8.9 phosphate-5.1* magnesium-2.1 02:00pm ctropnt-<0.01 03:38pm lactate-4.9* . ct torso : impression: 1. multifocal pneumonia and signs of atypical infection including tree-in- opacities (which can be seen with endobronchial pna or tuberculosis) as well as centrilobular ground-glass nodules (which can be seen with atypical pneumonia such as mycoplasma or viral pneumonia). secretions within the right main stem bronchus and trachea are likely due to extensive infection as the patient is intubated and aspiration is less likely. 2. extremely limited evaluation of the abdomen, however, possible right hydronephrosis. if clinically indicated, a renal ultrasound could be performed for further evaluation. 3. small-to-moderate axial hiatal hernia. . echo : the left atrium is normal in size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mass or vegetation is seen on the mitral valve. there is moderate thickening of the mitral valve chordae. no mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a very small pericardial effusion. impression: normal global and regional biventricular systolic function. moderate pulmonary hypertension. moderate tricuspid regurgitation. very small pericardial effusion. . renal ultrasound: impression: 1. echogenic kidneys compatible with medical renal disease, although without atrophy. indeed the parenchyma seems mildly swollen. no evidence of hydronephrosis or abscess. 2. extensive ascites. . cxr: findings: as compared to the previous radiograph, there is no relevant change. minimally increase in opacities at the left lung base, the other opacities in both the left and the right lung are constant. unchanged high position of the endotracheal tube, the tube could be advanced by 1 to 2 cm. no newly appeared focal parenchymal opacities. unchanged bilateral symmetrical apical thickening. brief hospital course: the patient had a complicated hospital course including a micu stay where he was on pressors for quite a while as well as refractory respiratory failure. he was treated with multiple courses of antibiotics for hcap but failed to improve. given his failure to improve and the severity of his illness, a goals of care conversation was conducted by the micu team. the patient's sister did not feel that pursuing a tracheostomy, a peg tube and prolonged intubation were consistent with his wishes. as such, the patient was made dnr/dni and was extubated on . he actually did well initially. as such, a code conversation was had with the sister and he was made . he was transferred out of the unit on . he initially did well and was able to communicate with his sister and with myself. however, his respiratory status deteriorated. he was given morphine for pain and for respiratory distress. he ultimately passed away on at 1:40 pm. his family was at his bedside at the time of his death. medications on admission: nexium 40 mg qd florinef 0.1mg qd zoloft 25 mg qd bethanecol 25 qd carafate 1g qid discharge disposition: expired discharge diagnosis: sepsis, respiratory failure discharge condition: deceased discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus injection or infusion of oxazolidinone class of antibiotics diagnoses: anemia, unspecified esophageal reflux unspecified pleural effusion acute kidney failure, unspecified severe sepsis candidiasis of other urogenital sites personal history of malignant neoplasm of prostate methicillin susceptible staphylococcus aureus septicemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure pneumonitis due to inhalation of food or vomitus cachexia septic shock other emphysema pressure ulcer, lower back streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] encounter for palliative care personal history of urinary calculi do not resuscitate status hyperosmolality and/or hypernatremia ventilator associated pneumonia leukocytosis, unspecified adult failure to thrive insomnia, unspecified mixed acid-base balance disorder pressure ulcer, stage ii nutritional marasmus personal history of malignant neoplasm of esophagus methicillin resistant pneumonia due to staphylococcus aureus unspecified disorder of autonomic nervous system body mass index less than 19, adult dysphagia, unspecified 

Answer: The patient is high likely exposed to