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: history of present illness: patient is a 73-year-old man with parkinson's disease, who recently was admitted to the beginning of and found at that time to have a right lower lobe consolidation initially treated with ceftaz and clindamycin. speech and swallow evaluation demonstrated impaired swallowing. was discharged on puree liquids. he presents again with shortness of breath and fever from his nursing home. past medical history: 1. parkinson's. 2. dementia. 3. anemia. 4. benign prostatic hypertrophy. 5. osteoarthritis. 6. bradycardia status post pacemaker. 7. anorexia. 8. constipation. allergies: cephalosporins causes rash. social history: patient resides at nursing home. he has a wife and three daughters. physical exam on admission: blood pressure 94/56, heart rate 84, respiratory rate 32, and o2 saturation 104% on 4 liters nasal cannula. general: diaphoretic, tachypneic. eyes closed. moderate respiratory distress. heent: oropharynx is clear. moist mucosal membranes. neck is supple, no lad. pulmonary: coarse breath sounds anteriorly. heart: regular rate and rhythm, normal s1, s2, no murmur. abdomen is soft, nontender, and nondistended, normoactive bowel sounds. extremities: 3+ pitting edema bilaterally in the ankles. neurologic: alert and oriented times 0, per notes baseline. laboratories on admission: sodium 145, potassium 4.6, chloride 107, bicarb 24, bun 27, creatinine 0.9, glucose 182. white count 27.8 with 15% bands, hematocrit 42.9, platelets 600. lactate 3.6. chest x-ray demonstrated increased consolidation right middle lobe, right lower lobe, and left lower lobe concerning for pneumonia, question aspiration. ekg: wandering pacemaker at 90, normal limit axis/intervals, no st wave changes. hospital course: 1. patient was initially admitted to the medicine course and treated with ceftriaxone, vancomycin, and flagyl. on night of , patient was noted to have a witnessed aspiration with o2 saturations of 84% on a nonrebreather. patient was intubated and transferred to the medical intensive care unit. patient continued on antibiotic treatment and underwent bronchoscopy with thick-yellow secretions in the right lower lobe on . on , patient was extubated, which he initially tolerated well. however, failed again on secondary to inability to handle secretions. given patient's overall poor condition and repeated failed extubations as well as history of recurrent aspiration pneumonias with poor swallow, plan for tracheostomy was made. patient's family was unable to decide if patient would have wanted this intervention to the end of and beginning of . eventually decision were to extubate and try and involve patient and family discussion. this occurred on . patient has tolerated extubation and remains on 50% face tent. he has poor cough at this time. family wishes to reintubate and proceed immediately with tracheostomy if patient fails extubation again. 2. gastrointestinal: patient developed severe c. diff colitis confirmed on culture . patient's ct demonstrated extensive ascites with marked bowel edema. patient was evaluated for surgical intervention. with the patient's overall weakened condition, it was felt that he would not tolerate surgery. plan for medical management and patient continued on antibiotics with iv flagyl and p.o. vancomycin for a 19 and 14-day course respectively. patient was maintained on tpn for nutrition and restarted on tube feeds which he tolerated well. at the time of discharge, the patient will be maintained on dobbhoff feeding. peg could not be placed secondary to remaining ascites. 3. fungemia: patient developed single blood culture positive for yeast on , albicans. patient had central venous lines changed, his tpn stopped, began treatment initially with caspofungin x1 day as well as three weeks of fluconazole given presence in blood and sputum of yeast. patient completed this course on . of note, given patient's poor nutritional status, tpn was restarted and subsequent blood cultures remained negative. 4. renal failure: patient experienced prerenal azotemia during his c. diff colitis due to significant third spacing of fluid. patient ......... to approximately 36 liters of fluid during his intensive care unit stay. continues to have anasarca, which is slowly improving. 5. neurologic: patient was continued on his sinemet and ropinirole throughout hospitalization. 6. anemia: patient has anemia of chronic disease requiring few transfusions of packed red blood cells during icu stay. 7. skin: patient developed an erythematous rash, which was biopsied and felt to be consistent with a hypersensitivity reaction. medication not clearly identified, although per dermatology felt likely to be cephalosporins patient was initially treated with for his pneumonia. patient was maintained on subq heparin prophylaxis as well as proton-pump inhibitor, and h2 blocker throughout hospitalization. 8. access: patient with a right ij replaced for fungemia for a left subclavian line as well as left a-line during icu stay. 9. code status: initially full code. patient is currently dnr, but would want to be reintubated with direct proceeding to tracheostomy. discharge condition: guarded. discharged to: chronic pulmonary care facility. medications on discharge: 1. sinemet 25/100 one tablet p.o. q.i.d. 2. ropinirole 1 mg p.o. q.i.d. 3. aspirin 325 mg per nasogastric q.d. 4. paroxetine 40 mg per nasogastric q.d. 5. albuterol nebulized inhaler q.6h. prn. 6. tylenol 650 mg p.o. q.. prn. 7. oxycodone elixir ml p.o. q.. prn. 8. heparin 5000 units subq q.12h. 9. colace liquid 100 mg p.o. b.i.d. 10. lansoprazole oral suspension 30 mg nasogastric q.d. discharge diagnoses: 1. recurrent aspiration pneumonia. 2. clostridium difficile colitis. 3. sepsis. 4. poor nutrition secondary to inability to swallow. 5. fungemia. 6. anemia of chronic disease. 7. hypersensitivity dermatitis. 8. anasarca. 9. parkinson's disease. , m.d. dictated by: medquist36 d: 14:42 t: 14:41 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus transfusion of packed cells closed biopsy of skin and subcutaneous tissue diagnoses: acute kidney failure, unspecified acquired coagulation factor deficiency other pulmonary insufficiency, not elsewhere classified unspecified septicemia pneumonitis due to inhalation of food or vomitus intestinal infection due to clostridium difficile disseminated candidiasis 

Answer: The patient is high likely exposed to