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 attending: chief complaint: dyspnea major surgical or invasive procedure: cvl placement intubation terminal extubation history of present illness: 74 yo with h/o chf, copd per chart presented to outside ed presents with three weeks of shortness of breath. no chest pain. there his oxygen saturation is 72% on 5l. he was started on bipap and came up to 95%. labs demonstrated leukocytosis to 29.4, lactate of 13.1 k of 8.0 and cr of 2.2. ast was 4358 and alt was 4381. alk phos 238. tylenol level was 3. his mental status deteriorated while on bipap and he was intubated and placed on mechanical ventilation. abg demonstrated 7.16/54/150. he was given calcium gluconate, sodium bicarb, kayexalate, vanc and levofloxacin and started on n-acetylcysteine and was transferred to the . on arrival to the ed, he was intubated and sedated, hr 80, bp 107/49, satting 100% on vent. he was given 5 liters of saline out of concern for sepsis. he was given calcium gluconate, propofol asxtreoname and norepineprhine. in the ed there were concenred for abdominal distension and a macerated wound of the scrotum and pernium. surgry was called, and were not impressed. ct chest demonstrated b/l infiltrates. he was given 5l ns and azrteonam.on transfer to the icu his vital signs were hr 70 bp 100/70 rr20 97% vent. lactate also trended down. past medical history: past medical history: unknown later found out copd and pulm htn social history: lives with long time partner; long time smoker. no etoh or illicits. family history: noncontributory physical exam: general appearance: overweight / obese, diaphoretic eyes / conjunctiva: no(t) pupils dilated head, ears, nose, throat: endotracheal tube, og tube cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: not assessed), (left radial pulse: not assessed), (right dp pulse: not assessed), (left dp pulse: not assessed) respiratory / chest: (expansion: symmetric), (breath sounds: wheezes : ) abdominal: no(t) soft, no(t) non-tender, bowel sounds present, distended extremities: right lower extremity edema: 2+, left lower extremity edema: 2+, cyanosis, left hand cold, cyanotic skin: not assessed, scrotum macerated neurologic: responds to: not assessed, movement: not assessed, sedated, tone: not assessed pertinent results: 10:00pm blood wbc-22.5* rbc-4.07* hgb-10.3* hct-35.2* mcv-86 mch-25.3* mchc-29.2* rdw-17.9* plt ct-214 04:36am blood wbc-27.2* rbc-4.01* hgb-10.1* hct-34.1* mcv-85 mch-25.2* mchc-29.7* rdw-17.7* plt ct-230 10:59am blood wbc-19.9* rbc-3.52* hgb-9.0* hct-29.3* mcv-83 mch-25.6* mchc-30.8* rdw-18.1* plt ct-177 10:00pm blood pt-32.4* ptt-35.9* inr(pt)-3.3* 04:36am blood glucose-158* urean-53* creat-2.6* na-138 k-6.3* cl-106 hco3-19* angap-19 08:10am blood glucose-128* urean-53* creat-2.7* na-142 k-6.7* cl-113* hco3-15* angap-21* 10:59am blood glucose-177* urean-53* creat-2.7* na-147* k-5.9* cl-115* hco3-20* angap-18 03:20pm blood glucose-197* urean-57* creat-2.8* na-145 k-6.1* cl-109* hco3-16* angap-26* 04:36am blood alt-8270* ast-* ld(ldh)-* ck(cpk)-232 alkphos-248* totbili-2.0* 10:59am blood alt-5994* ast-9210* ld(ldh)-* ck(cpk)-180 alkphos-212* totbili-1.7* 03:20pm blood alt-7280* ast-* alkphos-232* amylase-149* totbili-1.6* 04:36am blood calcium-7.9* phos-6.7* mg-2.4 . imaging: ct chest: impression: 1. mediastinal widening secondary to mild cardiomegaly and lipomatosis, but no mediastinal hematoma. 2. probable left upper lobe and partially resolving left lower lobe pneumonia. 3. multiple chronic right-sided rib fractures. . ct abd: impression: 1. left lower lobe pneumonia. 2. small amount of perihepatic simple ascites. 3. otherwise, no acute intra-abdominal process with no evidence of pneumoperitoneum. . echo: the left atrium is dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy.the left ventricular cavity size is normal. left ventricular systolic function appears grossly borderline preserved but views are technically suboptimal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). the right ventricular cavity is mildly dilated with depressed free wall contractility with some apical sparing of motion (consistent with sign but not specific for pulmonary embolus). there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the aortic valve leaflets are moderately thickened. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: 74 yo male presents with sob, found to have septic shock, mixed acidosis, respiratory failure and acute liver failure failure. in terms of his shock, on admission, lactate was 13. ct chest demonstrated evidence of pneumonia, suggestive of sepsis. he was given aggressive ivf fluid resusciation with ns, follow by nahco3, and norepinephrine. he was treated with vanc/aztreonam/tamiflu. his pressor requirement increased to 5 pressors and his vent setting was at maximum oxygenation. he had liver failure of unclear etiology, but was treated for tylenol overdose with nac in case it was contributing. he was made cmo prior to further workup of his lfts. his family arrived at his bedside and his partner said he never would have wanted aggressive care. he was terminally extubated with his family at the bedside and he quickly passed away comfortably. medications on admission: prednisone 10mg po daily furosemide 20 lorazepam 1mg simvastatin 80mg metoprolol 25 mg hctz 12.5 omeprazole 20mg oxycodone 5-325 fluticasone nasal spray. discharge medications: n/a expired discharge disposition: expired discharge diagnosis: primary diagnosis: septic shock respiratory failure pneumonia hyperkalemia liver failure renal failure discharge condition: n/a expired discharge instructions: you presented to the hospital with pneumonia and sepsis. unfortunately it was terminal. followup instructions: n/a expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified hyperpotassemia acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified long-term (current) use of steroids acute and subacute necrosis of liver unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified acute respiratory failure septic shock rash and other nonspecific skin eruption other and unspecified complications of medical care, not elsewhere classified other and unspecified coagulation defects mixed acid-base balance disorder other dependence on machines, supplemental oxygen unspecified adverse effect of other drug, medicinal and biological substance aromatic analgesics, not elsewhere classified, causing adverse effects in therapeutic use blood sampling as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to