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: clogged g tube major surgical or invasive procedure: endotracheal intubation arterial line placement history of present illness: 80-year-old man with pmhx of cad, copd, dementia and seizure disorder who was transferred from for complaint of clogged g-tube. per records, pt was at baseline but wasn't able to receive po meds due to clogged g-tube and was sent in for evaluation. on arrival to , pt was uncomfortable with increasing oxygen requirement. . in the ed, initial vitals were: t 100.0 p 60 bp 188/85 r 24 o2 sat 98% on nrb and ra sat in the 80s%. pt was notably tachypneic and in mild respiratory distress. abg revealed acute on chronic respiratory acidosis 7.41/74/67. portable cxr was concerning for right sided pna and he received vanc/pip-tazo for empiric coverage of hap. he did not tolerate bipap trial due to beard and discomfort. it was felt that the hypercarbia was not acute given his alert and agitated mental status with intermittent yelling. . on arrival to the icu, pt was yelling intermittently but denying any pain when questionned. he reports shortness of breath which began approximately 3 days ago and occaisional cough that is non-productive. he denies fevers, chills, nausea, vomiting or chest pain. he reports feeling hungry and thirsty, though further review of symptoms difficult to obtain due to ms. past medical history: cad (h/o of imi) copd (baseline o2 requirement of 1-2l nc) b/l hip fx s/p r hip replacement bph with obstructive uropathy mood d/o pvd osteoporosis htn gerd anemia mild dementia hyperthyroid persistent r pleural effusion social history: (+) tobacco, 5 cigarettes per day x 60 years, quit 1 yr ago. social etoh. no drugs. formerly in marines. now lives at . family history: noncontributory physical exam: physical exam at admission: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema . physical exam at discharge: vitals: 98 97 120/62 72 18 93%cpap general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly. g tube intact without drainage, erythema, or tenderness. ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: labs on admission: lactate:1.2 . trop-t: <0.01 ck: 20 mb: notdone . 135 89 23 bs 125 agap=8 ------------- 4.6 43 0.7 . wbc 11.9 hgb 11.2 hct 35.2 plts 189 n:91.1 l:3.7 m:4.8 e:0.1 bas:0.3 . pt: 13.1 ptt: 31.4 inr: 1.1 . labs at discharge: 05:45am blood wbc-3.8* rbc-3.02* hgb-9.2* hct-29.9* mcv-99* mch-30.5 mchc-30.8* rdw-14.9 plt ct-177 05:45am blood glucose-110* urean-20 creat-0.6 na-140 k-3.5 cl-99 hco3-36* angap-9 05:45am blood calcium-8.4 phos-2.2* mg-2.1 . micro: blood cx sent x 2 on : no growth . gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram negative rod(s). respiratory culture (final ): oropharyngeal flora absent. escherichia coli. moderate growth. proteus mirabilis. quantitation not available. presumptive identification. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | proteus mirabilis | | ampicillin------------ =>32 r =>32 r ampicillin/sulbactam-- =>32 r 16 i cefazolin------------- 8 s <=4 s cefepime-------------- <=1 s <=1 s ceftazidime----------- <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s cefuroxime------------ 4 s <=1 s ciprofloxacin--------- =>4 r =>4 r gentamicin------------ =>16 r 4 s meropenem-------------<=0.25 s <=0.25 s piperacillin---------- =>128 r 16 s piperacillin/tazo----- <=4 s <=4 s tobramycin------------ 4 s 2 s trimethoprim/sulfa---- <=1 s =>16 r . images: cxr : impression: diffusely increased pulmonary opacity, particularly on the right. bilateral pleural effusions. . cxr : findings are consistent with right lung multifocal opacities that might be worrisome for infectious process accompanied by bilateral pleural effusion. the percutaneous gastrostomy tube is noted. . cxr : impression: improved right upper/lower lung opacities; bilateral pleural effusions, right greater than left, show no change. . cxr : (extubated) lower lung volumes post-extubation with no interval change, stable moderate right pleural effusion and left lower lobe atelectasis. . echo : impression: regional left ventricular systolic dysfunction consistent with coronary artery disease. moderate aortic stenosis. mild to moderate aortic regurgitation. moderate eccentric mitral regurgitation. . ekg : nsr with hr of 79, peaked t waves essentially unchanged from prior tracings, no other acute st-t wave changes . ekg : atrial fibrillation with rapid ventricular response. left ventricular hypertrophy with st-t wave changes. compared to the previous tracing of atrial fibrillation with rapid ventricular response and lateral st-t wave changes have appeared and marked increase in rate. clinical correlation is suggested. . brief hospital course: 80-year-old man with pmhx of cad, copd, dysphagia and seizure disorder who was transferred from for clogged g-tube but found to be in respiratory distress with pneumonia. . # pneumonia: pt was found to be in repiratory distress in the ed and was admitted to the micu for possible pneumonia with pulmonary edema seen on cxr. empiric vancomycin and piperacillin-tazobactam were started. when he got to the micu he was yelling intermittently but denying any pain when questioned. at one point on his first night in the icu, he became very quiet with o2 saturation dropping; he then stopped breathing and became apneic. he was emergently intubated, with post-intubation hypotension requiring pressors briefly. furosemide was given intermittently with good urine output and improvement of respiratory status. acetezolamide was given to waste bicarb and stimulate respiratory drive. neurology was consulted and thought that the episode was not a seizure. neurology was convinced that he may have had a stroke in the past and this is the reason for his swallowing difficulty. the patient was extubated within 30 hours. the patient's antibiotic regimen was changed to cefepime and ciprofloxacin, but after the sputum culture grew out e. coli and proteus sensitive to cephalosporins and resistant to ciprofloxacin, the regimen was changed to ceftriaxone. the 14-day course of antibiotics will end on . . # history of cad: has been followed by cardiology. echo in showed focal wall motion abnormality, lvef 40%. he had no chest pain. ce negative and ekgs at baseline. suspected acute on chronic pleural effusions heart failure. he was started on aspirin 81mg daily (as per pcp, contraindication to starting). he was continued on simvastatin and lisinopril. due to his episodes of hypotension in the micu, his acetutolol was discontinued and was held at discharge as his heart rate remained in the low 60s and sbp in the 120s. closely follow-up is needed to consider restarting the beta blocker. . # atrial fibrillation: on in the icu, patient developed atrial fibrillation with rapid ventricular rate, quickly controlled with metoprolol 5 mg iv x 1. the rhythm spontaneously converted to sinus, which has persisted until discharge. he was discharged on asa 81mg daily with further anticoagulation to be considered by pcp. . # hypertension: continued on home regimen of lisinopril. acebutolol was discontinued due to hypotensive episodes and heart rate in the low 60s. . # dementia: continued on home regimen of actonel/ca q week. held trazodone as concerned about mental status. . # seizure disorder: continued valproic acid 750 mg qam and 1000 mg qhs. neurology was consulted and did not feel as though his history was consistent with seizure and that he was mentating well after extubation. medications on admission: tamsulosin 0.4 mg daily lisinopril 20 mg daily acebutolol 200 mg valproic acid 750 mg qam valproic acid 1000 mg qhs donepezil 10 mg tablet qhs trazodone 25 mg tablet qhs actonel with calcium 35 mg-500 mg (1250 mg) q monday simvastatin 10 mg daily fluticasone 110 mcg/actuation ipratropium bromide 0.02 % q6hrs nitroglycerin 0.3 mg tablet sl prn ferrous sulfate 325 mg daily albuterol nebs q6hr prn lansoprazole 30 mg daily heparin 5000u sc tid miv daily senna qhs docusate sodium 50 mg/5 ml liquid daily acetaminophen 325 mg tablet q6hr prn bisacodyl 10 mg tablet daily prn discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 2. lisinopril 20 mg tablet : one (1) tablet po daily (daily). 3. tamsulosin 0.4 mg capsule, sust. release 24 hr : one (1) capsule, sust. release 24 hr po daily. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q4h (every 4 hours) as needed for wheeze. 5. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 6. valproic acid (as sodium salt) 250 mg/5 ml syrup : three (3) po qam (once a day (in the morning)). 7. valproic acid (as sodium salt) 250 mg/5 ml syrup : four (4) po hs (at bedtime). 8. donepezil 5 mg tablet : two (2) tablet po hs (at bedtime). 9. simvastatin 10 mg tablet : one (1) tablet po daily (daily). 10. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 11. senna 8.6 mg tablet : one (1) tablet po hs (at bedtime). 12. bisacodyl 10 mg suppository : one (1) suppository rectal hs (at bedtime) as needed for constipation. 13. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 14. ceftriaxone 1 gram recon soln : one (1) gram intravenous once a day for 8 days: last day . 15. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day. discharge disposition: extended care facility: & rehab center - discharge diagnosis: pneumonia discharge condition: vital signs were stable upon discharge discharge instructions: you were admitted to the hospital because you were thought to have a clogged gastric tube. you were found to have pneumonia and were treated with antibiotics. because of a brief episode of not breathing, you were intubated but then extubated the following day. your respiratory status improved on the antibiotic. you were discharged to in stable condition. you were started on a new medication called aspirin. please continue to take this medication as directed. your antibiotic will be given until to complete a 14-day course. the following medications were stopped: acebutolol because of low blood pressure and trazodone because of confusion. if you develop fevers, chills, shortness of breath, chest pain, or any other concerning symptom, please seek medical care immediately. followup instructions: please keep the following appointments or contact the provider to cancel/reschedule. provider: . & phone: date/time: 4:30 please contact your pcp: , s. for a follow up appointment in weeks. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation arterial catheterization diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified aortic valve disorders peripheral vascular disease, unspecified thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm other persistent mental disorders due to conditions classified elsewhere acute respiratory failure pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified epilepsy, unspecified, without mention of intractable epilepsy proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site attention to gastrostomy hyperplasia of prostate, unspecified, with urinary obstruction and other lower urinary symptoms (luts) unspecified episodic mood disorder dysphagia, unspecified urinary obstruction, not elsewhere classified 

Answer: The patient is high likely exposed to