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: altered ms major surgical or invasive procedure: none history of present illness: yo m w/ pmh multiple mylemoa, with plasmacytoma of left clavicle dx in s/p xrt (last ~) with recent admission () for dehydration and pna presents with one day of altered ms . pt recently returned home from rehab 5 days ago after completing treatment for pna with vanc/zosyn. . in ed, found to be hypotensive to 90's systolic which was responsive to fluids. also febrile, w/ t 101. labs notable for hct down to 25 (from baseline 28-30), cr elevated to 2.4 (from baseline 1.1-1.3), elevated trop/cks. pt was trace guiac + on exam. cxr showed improved left upper lobe opacity. in , pt received 2.5 l ns and one unit prbc. pt received one dose of vanc and 1 dose zosyn. his ecg showed inferolateral st depressions. cardiology was called and felt that his troponin leak was due to septic shock and not an acute mi - they recommended treatment for . he was then transferred to the floor. shortly after arriving on the floor, his bp dropped into the 70's systolic and micu eval was requested. on arrival he was found to have sbp in the 70's and to be minimally responsive. his sats were in the low eighties. an ecg was repeated and he again had inferolateral st depressions. he had one piv. ns was agressively started and a second piv was placed and fluids given. he was put on a nrb and sats were in the mid nineties, and a gas showed adequate oxygenation and ventilation. his blood pressure did not respond to ivf so he was started on levophed through his lt. piv awaiting micu transfer. past medical history: past onc hx the patient was referred to dr. for a left clavicular mass in . the patient had a history of fx in the left humerous. in early , he developed a mass in his left shoulder. at first this was thought to be a deformity post-fracture but it continued to grow so it was decided to biopsy it. on needle biopsy the mass was found to be a plasmacytoma. an spep was done that showed an iga lambda monoclonal protein and lambda light chains in the serum, a 24 hour urine and upep revealed that the patient excreted about 7300 mg per day of light chains per day. he was originally treated with decadron in . he was being treated with xrt (last ~). . pmhx hypertension coronary artery disease s/p mi , peptic ulcer s/p gib benign prostatic hypertrophy h/o temporal arteritis h/o pemphigoid h/o anemia h/o small bowel volvulus s/p appendectomy s/p status post inguinal hernia repair x2 h/o colonic polyps sigmoid diverticulosis rheumatoid arthritis "sleepwalking" h/o neck problems (?). . past surgical history: 1. s/p appendectomy 2. s/p status post inguinal hernia repair x2 social history: the patient is married, lives in his own home. his son helps care for both he and his wife. previously worked as a psychoanalyst. he was in the army in world war ii in . he had no chemical or toxin exposure, no radiation exposure. family history: noncontributory physical exam: vitals - t 99.1 (axillary), hr 113, bp 84/40 -> sbp 62, rr 18, o2 94% 2l nc general - pt moaning, non-responsive to verbal commands heent - cvs - distant heart sounds, appeared regular, tachycardic, no noted m/r/g lungs - could not clearly ascultate pt's moaning abd - soft, + palpable aortic pulse, could not assess for tenderness, normoactive bowel sounds. g tube site with significant purulence. ext - no le edema b/l, bt. heel ulcerations, grade neuro - awake, not alert, minimally responsive pertinent results: 02:30pm pt-13.6* ptt-33.5 inr(pt)-1.2* 02:30pm plt smr-normal plt count-265 02:30pm neuts-66 bands-4 lymphs-13* monos-6 eos-8* basos-1 atyps-0 metas-1* myelos-1* 02:30pm wbc-11.0 rbc-2.78* hgb-8.8* hct-25.4* mcv-91 mch-31.6 mchc-34.5 rdw-15.5 02:30pm ck-mb-10 mb indx-2.1 ctropnt-2.67* 02:30pm glucose-84 urea n-43* creat-2.4*# sodium-125* potassium-4.6 chloride-86* total co2-30 anion gap-14 02:45pm lactate-1.6 k+-4.7 09:30pm calcium-7.6* phosphate-4.5# magnesium-2.3 09:30pm ck-mb-9 ctropnt-2.46* 11:25pm lactate-2.4* brief hospital course: pt is a yo man with mmp including multiple myeloma, with plasmacytoma of left clavicle , s/p recent admission for dehydration and pna (d/ced ) who was readmitted with and 1 day ms changes. on presentation to floor, pt hypotensive, low grade fever, unresponsive, therefore got micu evaluation and pt was transferred to micu. upon transfer to the micu, patient was intubated, started on levophed, and started on vancomycin, cefepime, and flagyl for antibiotic coverage. approximately 24 hours after admission, patient developed tachycardia and with mottled and cool extremities. son (his hcp) was called with initial decline in vital signs and pt's code status was then changed from full code to do not administer cpr. patient then received a total of 3l ns, levophed was increased, 3 amps bicarb were administered, patient was started on dopamine, and patient was administered epinephrine. patient's bp then diminished to 0 and heart rhythm was pea. time of death was called at 12:15am on . medications on admission: prednisone 5mg qd protonix 40 qd isosorbide mononitrate cr 30mg qd tramadol prn aricept 10 qd nameda 10 asa discharge medications: none discharge disposition: expired discharge diagnosis: 1. septic shock 2. pneumonia discharge condition: expired discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization transfusion of packed cells diagnoses: pneumonia, organism unspecified end stage renal disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute kidney failure, unspecified unspecified septicemia severe sepsis hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure septic shock multiple myeloma, without mention of having achieved remission dehydration 

Answer: The patient is high likely exposed to