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: the patient is a 75 year old male first admitted to the neurology service on , for a right hemisphere stroke and then transferred to the medical intensive care unit on for lobe pneumonia, sputum culture growing out escherichia coli and pseudomonas. the patient is status post right pneumonectomy for lung cancer and has chronic obstructive pulmonary disease diagnosed in with myelodysplastic syndrome, also with new onset atrial fibrillation. the patient presented initially with left-sided weakness and dysarthria which was on magnetic of ischemic paraventricular white matter on the right. there was no thrombosis, no vegetation seen on echocardiogram. after four days on the neurology service with great improvement in terms of his left-sided weakness the patient was noted to have decreased oxygen saturation down to the high 80s with tachypnea, was transferred to the medicine intensive care unit for possible intervention. along with the hypoxia and tachypnea he was also noted to have a lowgrade fever, a cough with yellow sputum, while his chest x-ray revealed a new left lower lobe infiltrate, levofloxacin was started, giving his aspiration risk and sputum culture grew escherichia coli and pseudomonas and antibiotics were changed to ceftazidime along with levofloxacin. also of note, on the same day he developed atrial fibrillation which was new onset with heart rates of 170s. the rate was eventually controlled with diltiazem and lopressor. during his stay in the medical intensive care unit the patient became afebrile. follow up chest x-ray showed improvement in the left lower lobe infiltrate and the patient was transferred to the medicine floor. past medical history: 1. coronary artery disease, status post two myocardial infarctions, the last one in ; 2. hypertension; 3. colon cancer diagnosed in , the patient is now status post colectomy with ostomy placement; 4. lung cancer, status post right lung resection in ; 5. abdominal aortic aneurysm, last computerized axial tomography scan in showed an aneurysm 4.8 by 4.8. 6. myelodysplastic syndrome; 7. macular degeneration; 8. chronic obstructive pulmonary disease; 9. congestive heart failure; 10. peripheral vascular disease; 11. chronic right-sided chest pain, likely musculoskeletal. medications on admission: he was on folate, vitamin b12, danazol, atenolol, neurontin, flovent, epogen. allergies: no known drug allergies. social history: he has a 100 pack year smoking history, occasional alcohol use. he is married. family involved. hospital course: 1. cardiovascular - there was no recurrence of atrial fibrillation in the medical intensive care unit, sotalol was used for rhythm control with cardiology following. he was originally started on low dose beta blocker, lopressor 12.5, b.i.d. and was discontinued due to worsening wheezing secondary to chronic obstructive pulmonary disease. his systolic blood pressures rose to the 170s. electrocardiograms were performed on , , and showed no changes. aspirin was continued. coumadin was recommended for both his atrial fibrillation and cerebrovascular accident. he was originally started on 4 mg on and 2, inr rose to 3.6. the patient is now currently on coumadin 2 mg q.h.s. 2. pulmonary - the patient was originally requiring 15 liters oxygen mask with saturations in the low 90s. he is now currently on only 2.5 liters nasal cannula with saturations averaging 95%. the patient is apparently still on levofloxacin and ceftazidime. levofloxacin is 500 mg times one every day and ceftazidime is intravenously q. 8 hours. there has been amazing improvement in his lung examination with decreased wheezing and crackles that were noted originally at the bases. 3. renal - his bun/creatinine has been stable during the hospitalization. 4. infectious disease - noted sputum grew out escherichia coli and pseudomonas. the patient was continued with levofloxacin for six more days and the intravenous ceftazidime for a total of 14 days. 5. gastrointestinal - the patient originally noted to have chronic dysphagia, and bedside swallowing test and swallowing imaging was performed during the hospitalization with both results consisting with appropriate swallowing. the patient is to continue a soft diet and recommendations were to continue soft diet, to eat all meals and beverages sitting upright. 7. neurology - he was followed by the neurology service throughout his hospital course with great improvement in his left-sided weakness. the patient is to continue coumadin with a goal inr between 2 and 3. the patient is to follow up with dr. , with dr. , in one to two weeks. discharge status: stable. discharge medications: 1. warfarin 2 mg p.o. q. day for an inr goal of 2 to 3 2. ambien 5 mg p.o. q.h.s. prn insomnia 3. prednisone 50 mg p.o. q. day to be decreased 10 mg every day until 10 mg q. day 4. sotalol 80 mg p.o. b.i.d. 5. ferrous sulfate 325 mg p.o. q. day 6. multivitamins one capsule p.o. q. day 7. folic acid 1 mg p.o. q. day 8. gabapentin 300 mg p.o. t.i.d. 9. atorvastatin 10 mg p.o. q. day 10. percocet 1 to 2 tablets p.o. q. 4-6 hours prn 11. colace 100 mg p.o. b.i.d., hold for diarrhea 12. senna one tablet p.o. b.i.d. 13. danazol 100 mg p.o. b.i.d. 14. trazodone 50 mg p.o. q..s. prn insomnia 15. albuterol inhaler q. 4 hours prn wheezing 16. atrovent inhaler q. 4 hours prn wheezing 17. neutra-phos 2 packets p.o. t.i.d. 18. ceftazidime 2 gm intravenously q. 12 for a total of 14 days 19. levofloxacin 500 mg intravenously q. 24 hours 20. intravenous fluids normal saline, 75 cc/hr follow up plan: 1. the patient is to follow up with dr. or dr. in neurology in one to two weeks, phone . 2. the patient is to follow up with cardiology in three weeks. 3. the patient is to follow up with primary care physician in two to three weeks. disposition: the patient is to go to facility for rehabilitation. , m.d. dictated by: medquist36 d: 13:59 t: 19:44 job#: procedure: diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: congestive heart failure, unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation pneumonia due to pseudomonas pneumonia due to escherichia coli [e. coli] cerebral artery occlusion, unspecified with cerebral infarction other respiratory abnormalities 

Answer: The patient is high likely exposed to