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: fevers and decreased o2 sats major surgical or invasive procedure: bronchoscopy tracheostomy history of present illness: 62m w/ h/o olt c/b wound infection for which a wound vac was placed was tranferred from his rehabilitation facility for decreased oxygen saturation. he was seen in clinic that day and had his t-tube clamped. noted to have lower extremity edema with lethargy. oxygen saturation was 60-70% on ra with fever to 101.0. in ed was tachycardic to 130 with o2 sats of 91% on 4l nasal canula. was alert and oriented, but reported upper respiratory congestion and cough. abg showed hypoxia and hypercarbia: 7.34/67/65, cxr showed lll consolidation. he recieved levaquin and vancomycin and was admitted to the sicu. past medical history: olt c/b wound infection hcv dm ii esophageal varices bph bipolar d/o heart failure social history: quit etoh 17yrs ago quit tobacco 8yrs ago no illicit drug use divorced, lives alone family history: noncontributory physical exam: admission: t101.2 hr 117 bp128/61 rr22 sat95/5l gen:obese gentleman, nad heent: ncat, perrla, eomi neck: supple, no lad lungs: diminished bs l base w/ rhonchi cv: tachy, reg rythm abd: soft nt, distended, vac in place ext: le w/ 2+ edema, warmth, no erythema, cyanosis pertinent results: admission labs: wbc-7.1 hgb-9.6* hct-29.5* plt-191 glucose-53* urean-23* creat-1.2 na-142 k-3.7 cl-101 hco3-31* angap-14 alt-11 ast-18 alkphos-86 amylase-50 totbili-0.3 albumin-2.9* calcium-8.6 phos-3.4 mg-1.7 discharge labs: wbc-9.9 rbc-3.45* hgb-9.4* hct-29.4* mcv-85 mch-27.4 mchc-32.1 rdw-16.4* plt ct-199 glucose-115* urean-51* creat-1.2 na-145 k-5.0 cl-105 hco3-35* angap-10 alt-9 ast-11 ld(ldh)-203 alkphos-93 amylase-28 totbili-0.5 08:07am type-art po2-80* pco2-72* ph-7.33* calhco3-40* base xs-8 cultures: bcx- neg ucx- neg sputum- klebsiella (multi-resistant, to meropenem) legionella culture (final ): no legionella isolated. immunofluorescent test for pneumocystis carinii (final ): pneumocystis carinii not seen. fungal culture (final ): no fungus isolated. acid fast smear (final ): no acid fast bacilli seen on direct smear. this is only a preliminary result. if ruling out tuberculosis, you must wait for confirmation by concentrated smear. due to quantity not sufficient concentrated smear result not available. l scv cvl- no significant growth. brief hospital course: mr was admitted to the sicu and placed on bipap/mask ventilation to manage his hypoxia/hypercarbia. zosyn was started, and he was tranfused 1u prbcs. a cta of the chest, abdomen and pelvis was obtained that did not show a pe, but a lll pneumonia and a r posterior perihepatic fluid collection were visualized. he defervesced on hd#4. by systems: neuro: he was admitted on his outpatient regimen of resperidal for his bipolar disorder. psychiatry was consulted and had no specific recommendations. they did not think the resperidal was diminishing his respiratory drive. neurology consult did not think there was a central inhibition of his respiratory drive. cardiovascular: given the reported history of chf, and findings on his cxr an echo was obtained on . this showed that lv and rv systolic function were normal(lvef>55%). there were no major valvular abnormalities and moderate pulmonary artery systolic hypertension that had increased from the last study. he was diuresed with lasix, for diastolic dysfunction. pa catheter was placed with pa 64/32 and pcwp 24-26 and lasix drip was started. his pa numbers improved and his swan was subsequently removed. pulmonary: treatment was started for lll pneumonia with zosyn. he was maintained on bipap, however he continued to be somnolent and tachypneic with elevated pco2. he was electively intubated and bronchoscopy was performed. this showed mild lmsb deviation c/w lll collapse and minimal secretions. bal was performed and subsequently grew multi-resistant klebsiella. he remained a difficult wean with hypercarbia thought to be driven by lasix diuresis with metabolic alkalosis. pulmonary consult was obtained: thought that pt had pickwickian syndrome with hypoventilation with diastolic dysfunction/chf and needed more agressive diuresis. his pleural effusions continued to worsen so more lasix and diamox were admininstered. his effusions eventually improved and his oxygenation improved, but he continued to have a poor respiratory drive, requiring high pressure support. tracheostomy was performed . trach collar trials were unsuccessful due to hypercarbia w/ pco2 in the 70s. gi: he was started on liquids initially. after intubation he was started on tube-feeds. a post-pyloric dobhoff was placed, and tf were advanced to goal of 120cc/h of strength 1cc/kg formula (currently on impact w/ fibre). liver transplant: lft's and coags were normal on admission. his was held because of persistently high levels. he was switched to cyclosporin (neoral) with good levels. his current regimen includes: mmf 1gram , prednisone 10mg qd, and neoral 200mg . his valcyte and fluconazole were discontinued. he continues on bactrim. he will need full labs, including cyclosporin level twice weekly. the t-tube remained clamped. gu: given his respiratory failure and chf, he was diuresed with lasix, with intermittent diamox to manage metabolic alkalosis. his creatinine peaked at 1.8, and subsequently came down to 1.2 and stabilized. heme: required blood transfusions initially for a borderline/low hct of 28. he otherwise stabilized with no major issues. id: he was started on zosyn emperically, however his bal grew multiresistant klebsiella, sensitive only to meropenem. he completed a 14 day course on , and remained afebrile with a normal wbc count. end: his insulin regimen was adjusted, and his glargine was incresed to 80u at hs. wound: his abdominal wound was managed with a vac dressing, changed every 3 days. the wound was clean and granulating well. medications on admission: lopressor 75 bactrim 1 qd fluconazole 200qd valcyte 450 qd cellcept 1gm hydralazine 75 qid protonix 40qd lantus 58qam riss cardura 2qpm rapamycin 7qd risperidal 4qd lasix 60 colace 100 prednisone 10 qd discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po qd (once a day). 2. mycophenolate mofetil 200 mg/ml suspension for reconstitution sig: 1000 (1000) mg po bid (2 times a day). 3. risperidone 1 mg tablet sig: one (1) tablet po bid (2 times a day). 4. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours). 6. doxazosin mesylate 2 mg tablet sig: one (1) tablet po hs (at bedtime). 7. docusate sodium 150 mg/15 ml liquid sig: one hundred (100) mg po bid (2 times a day). 8. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po qd (once a day). 9. metoprolol tartrate 50 mg tablet sig: three (3) tablet po bid (2 times a day). 10. hydralazine hcl 50 mg tablet sig: two (2) tablet po q6h (every 6 hours). 11. amlodipine besylate 5 mg tablet sig: two (2) tablet po qd (once a day). 12. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day): subcutaneous. 13. cyclosporine modified 100 mg/ml solution sig: two hundred (200) mg po 6pm and 6am (): . dose may change depending on results of -weekly levels. must call transplant center after level sent. 14. insulin glargine 100 unit/ml solution sig: eighty (80) units subcutaneous at bedtime. 15. insulin regular human 300 unit/3 ml syringe sig: sliding scale subcutaneous four times a day. 16. prednisone 5 mg tablet sig: 1.5 tablets po once a day. discharge disposition: extended care facility: & rehab center - discharge diagnosis: end-stage liver disease orthotopic liver transplant respiratory failure left lower lobe pneumonia hepatitis c esophageal varices history of encephalopathy diabetes mellitus heart failure benign prostatic hypertrophy bipolar disorder discharge condition: good discharge instructions: -weekly labs (monday/thursday): cbc, chem10, ast, alt, alk phos, albuimin, t. bili, cyclosporin level 2hours after am dose on the given day. lab results to: trach care/vent wean tubefeeding via dobhoff vac dressing to abdominal wound, change every 3 days. followup instructions: transplant center , / dr . follow-up in days procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring transfusion of packed cells other immobilization, pressure, and attention to wound diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified chronic airway obstruction, not elsewhere classified pulmonary collapse alkalosis complications of transplanted liver pneumonia due to klebsiella pneumoniae disruption of external operation (surgical) wound 

Answer: The patient is high likely exposed to