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: dyspnea, respiratory distress major surgical or invasive procedure: none history of present illness: y/o with severe as, chf with preseved ef, h/o dvt, phemigus vulgaris presents from rehab. pt had wt gain over week prior to admission up to 153.8lb. on lasix 80mg daily was started with improvement to 149 lb on (goal wt 140). during this time pt had progressive fatigue. yesterday (per family) he had a coughing spell after eating yesterday. he developed phlegm production, cough, and left pleuritic chest pain and was started on levofloxicin for new lung (lul) infiltrates. this am he developed a low grade temp. flagyl was added for aspiration pna. nebs and roxanal was also added. diuresis was continues. this afternoon dested to 90% on 3l and t 99. transfered to for further evaluation. . review of systems: denies f/c, no sob. no cp. no abd pain or diarrhea. no dysuria. chronic skin break down. . in the emergency department initial vs t99.2, hr 90, bp 125/52, r 26, p02 low 80s ra. improved to mid 90s on nrb. bp quickly droped to sbp 60s. given ivf (1l), rij was placed and the pt was started on levophed at 0.4. cxr concerning for lul infiltrate. given vanco. zosyn ordered but not given. was oxygenating well on nrb, however because of worsening fatigue switched to bipap fio2 40%, peep 5, tv 445, r 22. vital prior to transfer 82, 19, 125/52, 100% on bipap past medical history: pemphigus vulgaris s/p po steriods and ivig severe as with 0.7 cm2 chf r femoral haed avascular necrosis c diff colitis with severe infection , on longstanding vancomycin paf htn osteoporosis hx of prostate ca s/p xrt, lupron hx of colon ca s/p resection 23 years ago hx of rle dvt , s/ ivc filter in place vre colonization mssa bacteremia at social history: longterm resident of rehab for 1 year. baseline independent in feeding but needs assistance in other adls. baseline is oriented and able to hold conversations. quit tobacco > 50 years ago. no recent etoh. son is a neurologist at . family history: nc physical exam: physical exam on admission: general appearance: well nourished, no(t) overweight / obese, mild resp distress eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic, thrush cardiovascular: (s1: normal), (s2: normal), (murmur: systolic), late peaking systolic ejection murmur loudest at lusb peripheral vascular: (right radial pulse: diminished), (left radial pulse: diminished), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: diminished: lul) abdominal: soft, non-tender, bowel sounds present, tympanic to percussion extremities: right lower extremity edema: 2+, left lower extremity edema: 2+, edema to mid shin bl. no calf pain musculoskeletal: unable to stand skin: cool, rash: multiple crusted / scabed lesions in varied stages of healing. no pus or erythema. thin skin neurologic: attentive, follows simple commands, responds to: verbal stimuli, oriented (to): person, movement: purposeful, tone: normal pertinent results: labs on admission: 05:15pm blood wbc-9.1 rbc-4.40* hgb-12.4* hct-38.7* mcv-88 mch-28.2 mchc-32.0 rdw-17.4* plt ct-154 05:15pm blood neuts-69 bands-16* lymphs-4* monos-3 eos-0 baso-0 atyps-1* metas-0 myelos-5* promyel-1* other-1* 04:15pm blood pt-12.7 ptt-27.4 inr(pt)-1.1 04:15pm blood glucose-183* urean-49* creat-1.4* na-141 k-4.7 cl-104 hco3-24 angap-18 04:15pm blood alt-29 ast-25 ck(cpk)-11* alkphos-85 totbili-0.3 04:15pm blood lipase-8 03:53am blood calcium-8.1* phos-4.1 mg-1.8 04:28pm blood type-art po2-99 pco2-48* ph-7.33* caltco2-26 base xs--1 intubat-not intuba 04:28pm blood glucose-179* lactate-2.9* na-139 k-4.8 cl-101 cardiac enzymes: 04:15pm blood ck-mb-notdone ctropnt-0.11* 05:15pm blood ctropnt-0.12* 03:53am blood ck-mb-4 ctropnt-0.08* cxr () findings: single ap upright portable chest radiograph is obtained. low lung volumes limit evaluation. there is extensive upper lobe and lower lobe opacity involving the left lung concerning for pneumonia. there is likely underlying effusion. right lung is grossly clear. cardiomediastinal silhouette is difficult to assess with atherosclerotic calcifications noted at the aortic knob. bony structures are grossly intact. impression: left-sided multifocal pneumonia. brief hospital course: y/o with severe as, chf, h/o c diff, pemphigus vulgaris with hypotension, fever with lul infiltrate and sepsis. the patient's symptoms were secondary to lul pna given cough, fatigue, new onset infiltrate suggestive of aspiration pna. however, given the possibility of other sources of infection (skin, urine, gi/ c.diff etc) pt. was pan-cultured. there was also significant degree of bandemia on cbc. given nursing home resident the patient was started on broad spectrum abx coverage for hap with vanco, zosyn, cipro. he was also started on flagyl for empiric coverage of c. diff. the patient was also started on stress dose steriods given chronic use of prednisone in this patient. standing nebs were ordered. per discussion with hcp and family on admission, the patient was confirmed to be dnr/dni, but pressor use was allowed. influenza dfa came back negative. urine legionella negative as well. urine cultures and blood cultures were pending. sputum grew normal oropharyngeal flora. the patient was noted to have mildly elevated but stable troponins likely secondary to demand ischemia in the setting of hypotension/sepsis and chf. he also had evevated lactate levels secondary to sepsis. due to worsening hypotension, aggressive resusitation with ivf was started, while watching closely for signs of pulmonary edema given severe as and chf. cvp remained 0-1 cm h2o despite agressive fluid resuscitation, suggesting a profound vascular leak. over the next day, the patient became progressively more hypotensive and required increased doses of levophed, which was titrated to maintain map>65. he was also becoming more hypoxemic, requiring initiation of nippv. despite aggressive treatment with antibiotics, fluid resuscitation and use of pressors, the patient was becoming progressively hypoxemic, hypotensive and oliguric. a discussion was held with the family to update them on prognosis, during which the decision was made to make him comfort care only. the nippv was discontinued and the patient was switched to nasal canula for dyspnea. he was given morphine as needed for comfort. pressors were withdrawn. the patient went into asystole and passed away with his family at the bedside. medications on admission: amoxicillin 2gm po prn dental procedure levofloxacin 250mg daily to flagyl 500mg tid - morphine oral soln 20mg/ml 4mg sl hourly prn amiodarone 200mg po daily famotidine 20mg daily mirtazapine 15mg qhs po prednisone 3mg po daily timolol 0.25% 1 drop daily to both eyes vancomycin 125mg po bid gabapentin 100mg qhs clobetasol propionate daily 1 application eucerin crm acetaminopehn 650mg po q6h prn guaifenesin 100mg po q6h prn aluminum acetate 1 apply daily furosemide 80mg po daily start albuterol neb q4h prn ipratropium q4h prn discharge disposition: expired discharge diagnosis: respiratory failure discharge condition: expired md procedure: venous catheterization, not elsewhere classified non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified acidosis congestive heart failure, unspecified unspecified septicemia atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders sepsis candidiasis of mouth acute respiratory failure pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified personal history of malignant neoplasm of large intestine hypoxemia pemphigus 

Answer: The patient is high likely exposed to