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: cough and congestion major surgical or invasive procedure: none history of present illness: 73 year-old man with history of stomach/bladder cancer s/p recent chemo at va, dm, cad presentes wit 2-3 days of productive cough with green sputum and sob with exertion, fatigue and lethargy. per girlfriend, patient had decreased po intake and mild confusion during that time. patient with witnessed fall day prior to admission without head trauma. patient denied dysuria, fevers, frequency. in er patient noted to have bilateral pneumonia, uti, hyperglycemia. patient was started on insulin drip, ivf levaquin and transferred to the icu for management of hyperosmolar ketoacidosis. no recent med changes. past medical history: bladder ca stomach ca dm2 on insulin cad s/p mi recent admit for chemo tx 6 weeks ago impotence mrsa htn anemia lacunar cva crf glaucoma cognitive decline urinary incontinence, chronic social history: history of alcohol abuse in past no drugs, no smoking family history: non-contributory physical exam: vs: temp: 102.4 bp: 170/91 hr: 93 rr: 20 99% rm air general: somnolent but aaox3 heent: mmm, no jvd, no virchow's node, no nuchal rigidity lung: rales at bases heart: rr, s1 and s2, no murmurs, rubs or gallops abd: +b/s, soft, non-tender, non-distended extr: no cyanosis, clubbing or edema, 2+pulses b/l neuro: cnii-xii intact, stregnth in upper extremities, dtr's intact pertinent results: admit labs: 12:12am wbc-9.5 rbc-2.85* hgb-8.5* hct-27.3* mcv-96 mch-29.8 mchc-31.1 rdw-14.6 12:12am neuts-89.3* bands-0 lymphs-7.9* monos-2.5 eos-0.2 basos-0.2 12:12am plt count-242 12:12am pt-15.2* ptt-27.5 inr(pt)-1.5 12:12am glucose-670* urea n-53* creat-2.4* sodium-138 potassium-4.1 chloride-96 total co2-22 anion gap-24 12:12am calcium-9.6 phosphate-3.3 magnesium-1.7 12:12am alt(sgpt)-25 ast(sgot)-28 ck(cpk)-171 alk phos-87 tot bili-0.8 cardiac enzymes: 12:12am ck-mb-3 ctropnt-0.05* toxicology: 11:07am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 08:00am blood acetmnp-neg 03:20am urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg urinalysis: 12:55am urine blood-lge nitrite-neg protein-tr glucose-1000 ketone-15 bilirub-neg urobiln-neg ph-6.5 leuks-sm 12:55am urine rbc-1 wbc->50 clumps seen bacteri-few yeast-none epi-0-2 chest x-ray: upright ap portable chest: the heart size is probably normal given the ap technique. bilateral patchy opacities with some nodular features are more pronounced in the lower lobes. the left upper lobe is relatively clear. no pleural effusion or pneumothorax is detected. the visualized osseous structures are unremarkable. impression: bilateral pulmonary opacities suggesting pneumonia. superimposed pulmonary nodules cannot be excluded. follow-up examination after treatment is recommended to document resolution. head ct: findings: there is concordant prominence of the ventricles and sulci, consistent with generalized volume loss. hypoattenuation in the periventricular white matter most likely represents chronic microvascular infarction. no intracranial hemorrhage, abnormal extraaxial fluid collection, mass effect or midline shift is detected. the basal cisterns are patent. dense atherosclerotic calcifications are noted in the internal carotid arteries. the visualized paranasal sinuses and mastoid air cells are clear. impression: no intracranial hemorrhage or mass effect. brief hospital course: 73 year-old man with bladder cancer, stomach cancer admitted now with nonketotic hyperosmolar state (ketones in ua felt likely secondary to starvation/ketosis-no anion gap on chem 7 and no acidosis on abg), pneumonia, uti. following issues addressed on this admission: (patient admitted to icu initially on and transferred to floor on .) icu course: concerning nonketotic hyperosmolar state: patient initially given insulin drip in er, ivf for glucose in 600's, possible dka. patient was not acidotic, did not have gap, but ketones on ua, felt secondary to starvation ketosis. on transfer to the micu, sugars trended down and iss started, insulin drip d/ced. ivf were continued-d51/2ns. on morning of transfer to floor, patient started on nph dosing along with iss. tid lytes were followed and magnesium, potassium and phosphorus were repleted prn. patient never developed gap or acidosis. fingersticks running high 100's to low 200's on transfer. concerning his pneumonia/uti: patient febrile with elevated white count, infiltrates on chest x-ray and urine with pansensitive klebsiella. maintained on levaquin. blood cultures from with pansensitive klebsiella. feel that levaquin adequate coverage given likely cap and rapid clinical improvement, although did have chemo treatment as inpatient weeks ago. concerning his ms change: patient with waxing and mental status, sometimes disoriented. alert but lethargic on transfer. attributed to hyperosmolar state and infection and possible sundowning. negative head ct, negative metabolic/toxic work-up. lp not felt to be indicated at this time given other explanations. continue treatment of hyperosmolar state and pneumonia/uti. concerning uti: cover with levaquin. urine culture pending. concerning anemia: patient admitted with crit of 27 (appears to be baseline). etiology thought to be related to hematuria secondary to hematoma. then had drop to 20. felt most likely due to hydration/dilution, but given history of cad decision made to transfuse 1 unit on and then additional 2 units on . no evidence of acute bleeding. bladder ca/stomach ca: stable. continue outpt management as per jp va. concerning hypertension: elevated here from 150's to 180's initially. metoprolol titrated up to 50 tid. additionally, captopril 25 tid added with better control, however d/c'ed when outpt meds known. discharged on outpt dose of metop tartrate 50 mg daily. concerning arf: patient admitted with creatinine in 2's (baseline 1.5-1.8). down to 1.4 with hydration. likely component of cri secondary to hypertension/dm. would encourage adequate po hydration. medications on admission: metoprolol 50 dorzolamide/timolol nph mv omeprazole 20 tamsulosin .4 travoprost .004% discharge medications: 1. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 9 days: please take until all pills are gone. . disp:*9 tablet(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 4. tamsulosin hcl 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 5. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 6. multivitamin capsule sig: one (1) cap po daily (daily). 7. insulin 70/30 70-30 unit/ml suspension sig: one (1) subcutaneous twice a day: insulin nph human 100 u/ml inj novolin n inject 6 units under the skin at bedtime and inject 24 units every morning (take as directed by your primary care physician). discharge disposition: extended care facility: - discharge diagnosis: nonketotic hyperosmolar state pneumonia urinary tract infection anemia discharge condition: good discharge instructions: please call your primary care physician or return to the hospital if you experience worsening confusion, buring on urination, or any other symptoms. followup instructions: please follow-up with your primary care physician weeks. procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: pneumonia, organism unspecified anemia, unspecified urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin personal history of malignant neoplasm of bladder other septicemia due to gram-negative organisms vascular dementia, uncomplicated cerebral atherosclerosis personal history of malignant neoplasm of stomach diabetes with hyperosmolarity, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to