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: penicillins / aspirin attending: chief complaint: sob major surgical or invasive procedure: ct-guided biopsy. thoracentesis. induced sputum. cxr. abdominal/pelvic ct. ekg. central venous access placed (now d/c'd). received 4 units ffp. history of present illness: this is an 81 year old man with pmh significant for chf, copd, type ii dm, atrial fibrillation, and multiple recent admissions for recurrent right upper lobe pneumonia who presents with several days of increasing sob, cough productive of clear sputum, and fever. past medical history: pmh 1. copd 2. chf 3. dm2 4. asthma 5. afib 6. 3+ tr on echo 7. prostate ca on horomone therapy 8. bilateral hernia repair social history: pt lives at home with wife and son. 2 other children and was formerly employed as a manager at . no etoh, tobacco 1 ppd entire life, stopped 5 years ago family history: non contributory physical exam: on admission: vs: bp 101/50 hr 82 rr 30 o2sat 100% nrb gen: elderly, thin man; tachypneic heent: dry mm; no cervical lad cv: irregularly irregular; no m/r/g; no jvd pulm: rhoncherous breath sounds diffusely; decreased breath sounds at bases abd: +bs; s/nt/?mild distention; no hsm ext: 2+ pitting le edema bilat brief hospital course: in the emergency department on , the patient was found to be hypotensive with bp 87/59 with an elevated lactate. he met criteria for sepsis and was given levofed and admitted to the icu. by problem, his course was as follows: hypotension: hypotensive 80s/50s on admission. bp improved to 100/50 with ivf, levofed, and solumedrol. he remained in the icu, hemodynamically stable, until . at that point, he was transfered to the medical floor. there, he remained hemodynamically stable without need for pressure support. central access was d/c'd on . afib: his chronic atrial fibrillation continued with rate controlled by diltiazem. chf: he required diuresis for sob on an almost daily basis. sob: the patient initially required supplementary o2 via non-rebreather mask to maintain o2 saturation in the low 90%'s. mr. was persistently tachypniec in the icu and on the floor, and uncomfortably short of breath with movement. on the floor, he maintained o2 saturation 90-94% on 4l o2 via nasal cannula, however. he underwent therapeutic tap of his right pleural effusions on and of his left pleural effusion on . on , the patient became increasingly short of breath. no pneumothorax was present on cxr and pe was suspected. the patient was started on argatroban and transfered to the micu. pulm mass: patient was afebrile with wbc 5.8 on admission. his wbc count rose rapidly despite antibiotic therapy (initially ceftriaxone/azithromycin/vancomycin, then ceftriaxone/azithromycin, then levofloxacin). the infectious disease service was consulted. on admission, the patient was found to have a rul lesion on cxr and chest ct suspicious for tuberculosis. the patient has a history of positive ppd test. the patient underwent bronchoscopy on that visualized a lesion in the right main bronchus. the lesion was not biopsied due to the patient's high inr. culture data: induced sputum stains were negative x3 for acid-fast bacteria. gram stain showed only respiratory tract flora and yeast. sputum cultures urine cultures perinephric mass fluid cultures abdominal mass: an infiltrated perinephric mass, retroperiotneal lymphadenopathy, and multiple hepatic lesions were initially identified on chest ct. their presence was confirmed on abdominal/pelvic ct. on , the patient underwent ct-guided biopsy of the perinephric mass. lymph node fna and pleural fluid cytology demonstrated a high grade b cell lymphoma. coagulation: the patient is on coumadin at home for afib. on admission, his inr was 3.7. inr rose with administration of antibiotics and peaked at 4.9 on . the patient was reversed with vitamin k and 4 units of ffp. on the floor, he was anticoagulated with a heparin drip, stopped for procedures. his platelet count fell from 200 on admission. heparin was stopped on . argatroban was started for suspected pe on . renal: the patient's creatinine rose from 0.7 on admission. close attention was paid to fluid status. the patient had hematuria on ua on . foley catheter was d/c'd on . urologic: the patient was discovered to have a paraphimosis on . this was manually reduced by the urology service on that day. on , the paraphimosis recurred, was again reduced by urology, and a foley catheter was inserted. nutrition: the nutrition service was asked to evaluate the patient. the patient received a low-salt, diabetic diet with glycerna supplementation. disposition: the patient and his family decided to persue comfort measures only as his prognosis with chemotherapy was very poor and he had multiple comorbidities. the patient died at 1:47 am. medications on admission: terazosin 5mg po qhs zafirlukast 20mg po bid combivent ih flovent ih metformin 500mg po qd glyburide 10mg po bid diltiazem xr 360mg po qd warfarin 1mg po qd lasix 20mg po qd discharge disposition: extended care discharge diagnosis: pneumonia discharge condition: died . procedure: venous catheterization, not elsewhere classified thoracentesis thoracentesis arterial catheterization closed [endoscopic] biopsy of bronchus closed [percutaneous] [needle] biopsy of kidney biopsy of lymphatic structure diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation other malignant lymphomas, lymph nodes of multiple sites pneumonia due to other streptococcus 

Answer: The patient is high likely exposed to