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: iodine attending: chief complaint: sepsis and vt major surgical or invasive procedure: central line placement history of present illness: pt is a 78y/o am w/ a pmh significant for cad s/p lad stent x2, htn, afib, and cri who presented with hypotension, a rbbb, and pna. he was in his usoh until when he noted fevers and dizziness. he went to a osh and was found to have pna. he experienced 2 runs of vt, was started on lidocaine and transferred to for further management. . at , he was found to be hypotensive to the 70s with a lactate of 4.5. he was started on sepsis protocol and sent to the micu for pressor support. in the micu, he was hypotensive requiring levophed, hypoxic requiring bipap, and w/ leukocytosis. he was changed from ceftriaxone/azithromycin to zosyn/vancomycin and then his vanco was stopped after outside bcx grew klebsiella. he was continued on ivf and endocrine was consulted for hypothyroidism. as he was treated w/ abx he was able to be weaned from both the lidocaine and levophed and actually required bp control w/ metoprolol prior to call-out. at the time of x-fer he has no complaints. he denies sob, cp, abdominal pain, n/v, ha, or other complaints. he has been afebrile since 6pm on and his bcx/ucx have been negative to date here at . past medical history: coronary artery disease s/p lad stent hypertension dyslipidemia atrial fibrillation mild pulmonary artery hypertension mild ar chronic renal failure (baseline cr 1.5) social history: immigrated from 3yrs ago lives with his wife previous tobacco use: 56yrs x2ppd, quit 3yrs ago family history: unknown physical exam: 99.9, 132/56, 82, 25, 99% 2l gen: obese asian man lying in bed in nad heent: eomi, perrla, mmm, o/p clear neck: -lad cv: rrr, s1/s2 wnl, 2/6 sem @ usb lungs: inspiratory crackles at the l base, diffuse inspiratory wheezes abd: distended, s/nt, +bs, -hsm appreciated ext: -c/c/e neuro: cn 2-12 grossly intact, strength 5/5 bilaterally skin: -rashes pertinent results: cath : 1. single-vessel coronary artery disease. 2. in-stent restenosis of the proximal lad stent. 3. moderate systolic hypertension. 4. successful drug-eluting stenting of proximal lad. . cxr : there is a left-sided ij central venous catheter with the distal tip in the brachiocephalic vein. the cardiac size is unchanged. the lateral radiograph is suboptimal. there is a pleural effusion, likely on the left side given the retrocardiac opacity. underlying infiltrate in the left base would be difficult to exclude. degenerative changes are seen at the dorsal spine. interstitial markings are mildly prominent without overt pulmonary edema. . echo : 1. the left atrium is mildly dilated. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef=55%). apical hypokinesis is present. 3. the ascending aorta is mildly dilated. 4. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis. mild (1+) aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 5. compared with the findings of the prior study (images reviewed) of , the apical hypokinesis may be new, since the apex was not well seen on the previous study. 01:00am blood wbc-19.5*# rbc-3.70* hgb-11.6* hct-32.6* mcv-88 mch-31.3 mchc-35.6* rdw-13.6 plt ct-172 05:35am blood wbc-10.7 rbc-3.23* hgb-10.6* hct-29.3* mcv-91 mch-32.7* mchc-36.1* rdw-13.8 plt ct-249 01:00am blood pt-13.6* ptt-28.3 inr(pt)-1.2 05:45am blood pt-12.5 ptt-29.4 inr(pt)-1.0 01:00am blood glucose-186* urean-47* creat-3.0*# na-140 k-3.5 cl-106 hco3-21* angap-17 05:35am blood glucose-99 urean-26* creat-1.6* na-141 k-3.9 cl-109* hco3-24 angap-12 03:00am blood alt-48* ast-24 alkphos-35* amylase-62 totbili-0.7 06:25am blood alt-32 ast-16 ld(ldh)-164 alkphos-43 totbili-0.6 01:00am blood ck-mb-4 ctropnt-0.21* 11:00am blood ck-mb-6 ctropnt-0.09* 04:58pm blood ck-mb-5 ctropnt-0.06* 03:00am blood calcium-6.5* phos-2.2* mg-1.3* 05:35am blood calcium-7.9* phos-2.9 mg-1.8 cholest-pnd 03:00am blood crp-99.9* 01:11am blood lactate-4.7* 04:13am blood lactate-1.1 05:54am blood tsh-0.052* 01:00pm blood t3-55* 05:54am blood free t4-2.0* 06:25am blood caltibc-187* vitb12-246 folate-5.6 hapto-270* ferritn-349 trf-144* brief hospital course: a/p: 78y/o man w/ a pmh significant for cad, htn, afib, and cri who presented w/ vt and presumed sepsis. he initially required pressor support but has improved from a hemodynamic perspective and was called out to the floor . 1. sepsis: the pt originally presented w/ hypotension, pna on cxr, a lactate of nearly 5 and + osh klebsiella bcx. he required pressor support and was treated, in turn, with ceftriaxone/azithromycin, vanco/zosyn, and finally zosyn alone as his osh cultures grew pan-sensitive klebsiella in bottles (sensitive: amikacin, amp/sulbactam, cefaxolin, ceftaz, ceftriaxone, cefuroxime, cipro, gent, imi, levo, pip/tazo, tobra resistant: ampicillin). he required ivf to maintain his pressure along w/ levophed when first admitted to the unit but was weaned off these prior to call out to the floor. once he came to the floor, he spiked temperatures to 101 on 2 consecutive days but these abated once his central line was d/c. his antibiotics were switched to levaquin and he will complete a 14d course at home. the blood and urine cultures drawn here at have yet to grow any bacteria and the patient is no longer requiring supplemental oxygen or ivf. . 2. rhythm: pt had two episodes of vt at osh and requiring lidocaine gtt. this therapy was continued in the micu but was weaned prior to call out to the floor. he developed a rate dependent rbbb during his micu course but this corrected with better rate control. the patient has chronic afib as an outpatient and had this on admission but was converted to nsr with amiodarone. he has never been anticoagulated for his afib and his pcp was about this and agreed to f/u with him as an outpatient. . 3. cad: the pt was r/o for mi this admission. he was continued on his bblocker, aspirin, and statin. he was restarted on his ace-i after he recovered his renal function and was normotensive (130/60 on the day of d/c) only on captopril 6.25 tid. he was sent out on lisinopril 5mg qd (was on 40 on admission) and will require bp titration as an outpatient if he again becomes hypertensive. . 5. acute on chronic rf: his baseline cr appears to be 1.6-1.9 over the past few years but was elevated to 3.0 on admission. this was attributed to a prerenal etiology his septic picture and his renal function recovered with fluid rehydration. . 6. endo: the patient had a significantly decreased tsh on micu admission along with an elevated free t4 and a low t3. endocrine was consulted and felt that there was no need to treat him actuely for this problem but outpatient follow-up of his tfts. medications on admission: lisinopril 40 mg qd atenolol 25 mg qd hydrochlorothiazide 25 mg qd, amiodarone 200 mg qd lipitor 10 mg qd plavix 75 mg qd aspirin 1 qd discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 5. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 6. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: prinicpal: 1. klebsiella pneumonia. 2. klebsiella bacteremia and septic shock. 3. non-sustained ventricular tachycardia. 4. acute renal failure. 5. anemia of inflammation. secondary: 1. single vessel coronary artery disease. 2. s/p bare metal lad stent c/b isr - s/p pci and des. 3. hypertension. 4. chronic kidney disease stage iii. 5. atrial fibrillation. discharge condition: good discharge instructions: please take your medications as directed please keep your follow up appointments please call your pcp or return to the er for: 1. fever to 101 2. chest pain 3. shortness of breath 4. other concerning symptoms followup instructions: provider: , m.d. phone: date/time: 9:00 please see your primary care physician ( ) on at 9am procedure: transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure, unspecified severe sepsis atrial fibrillation mitral valve insufficiency and aortic valve insufficiency percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) right bundle branch block septic shock other septicemia due to gram-negative organisms pneumonia due to klebsiella pneumoniae 

Answer: The patient is high likely exposed to