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: shortness of breath, bloody sputum major surgical or invasive procedure: thoracentesis; chest tube placement, vats with decortication history of present illness: 67 year-old male with history of type 2 diabetes, hypertension presenting with hemoptysis x 3 days, approximately 20cc of gross blood about twice in this time frame. the patient has a two day history of right-sided pleuritic chest pain and sob. he reports geeling generally "sick" for approx 2 weeks prior to the admission. had episode of vomiting. the patient denies fevers, chills, palpitations, dizziness. in the ed, vs: t 101.8 hr 107 bp 202/104 (did not take anti-hypertensives in am) rr 18 o2 sat 91% ra. cta showed rll pna and negative for pe. the patient received tylenol, azithromycin, and ceftriaxone. ros: as above, the patient had one dark stool the morning of admission but denies brbpr. denies du/. review of systems otherwise negative in detail. past medical history: obesity htn type 2 dm crf, baseline 1.2-1.8 gout question adrenal insufficiency (on fludrocortisone) status post radiation therapy for prostate ca history of nephrolithiasis status post cholecystectomy social history: patient owns two restaurents and a bar. lives alone with two dogs. no etoh for last year. remote smoking history. no ivdu. no history of foreign travel, incarceration. family history: daughter with lupus and esrd and pulmonary infarct. father passed away from cancer, unsure of etiology. physical exam: vs: 98.7 80 160/70 20 94%4l gen: nad heent: sclera anicteric, op clear without lesions, mmm neck: no jvd, lad heart: rrr, no mrg; pain not reproducible lungs: decreased breath sounds right base to lung, crackles right mid-lung field, egophony and dullness to percussion right base abdomen: obese, nabs, soft, ntnd, ventral hernia rectal: guaiac negative in ed ext: no edema pertinent results: admission labs: 12:30pm wbc-13.6*# rbc-3.41* hgb-10.0* hct-29.3* mcv-86 mch-29.3 mchc-34.1 rdw-14.4 12:30pm neuts-85.9* lymphs-8.3* monos-5.4 eos-0.2 basos-0.3 12:30pm glucose-310* urea n-23* creat-1.5* sodium-136 potassium-4.0 chloride-100 total co2-27 anion gap-13 12:30pm ck(cpk)-48 12:30pm ck-mb-notdone ctropnt-0.01 cta chest - impression: 1. consolidative process within the right lower lobe consistent with atelectasis vs pneumonia. within this region there is a 1.4 cm hyperattenuating focus of unsure etiology seperate from the identified vasculature. the appearence is not typical of a avm although if blood pressure drop observed a urgent chest ct is warrented. close interval follow up of this region is warrented. 2. new moderate-sized right pleural effusion. 3. scattered mediastinal and hilar lymph nodes, the largest measuring 1.1 cm in short axis. 4. small pericardial effusion. ct chest - impression: 1. overall slight decrease in size of moderate loculated right pleural fluid collection following placement of right-sided chest tube. a pigtail pleural catheter also remains in place. 2. although majority of pleural fluid is simple in appearance, a high attenuation focus may represent a hemorrhagic component as discussed with dr. by telephone on the date of the study. 3. atelectatic changes in the right middle and lower lobes adjacent to effusion. underlying infectious consolidation is not excluded. 4. slight decrease in small pericardial effusion. 5. loculated gas collections within right pleural fluids, which are likely related to recent intervention with chest tube and pigtail catheter in place.5. moderate degenerative changes within the thoracic spine. . brief hospital course: pt is a 67 yo m with a history of diabetes and hypertension who presented with hemoptysis and was found to have community acquired pneumonia with effusion. he initially was given levofloxacin that was changed early on to zosyn/azithromycin but cxr showed pleural effusion. bedside thoracentesis was attempted but unsuccessful. a ct guided thoracentesis was done on and fluid was exudative. pleural fluid continued to accumulate and a chest tube was placed by ip and had intermittent drainage. however on he was found to be somnolent and in respiratory distress after receiving 8mg morphine and 2 mg dilaudid for pain at the chest tube site. he required narcan and a transfer to the icu. while in the icu he was treated with vancomycin and zosyn. the vanc was discontinued but the patient had persistent effusions and a vats was done on . he was extubated a few hours after the procedure and has done well since then (except for brief hypotension while on the propofol gtt in the micu). he was restarted on vancomycin on as the pleural fluid from the vats was again g+ cocci and there was a concern in the icu for mrsa. pna: rll community acquired pneumonia. little evidence for aspiration based on history. pt started on levofloxacin and then changed to zosyn/azithromycin. vanc was later added given persistent parapneumonic effusion growing gram (+) cocci. pt required supplemental o2. improved oxygenation and was able to wean 02. had no symptoms at time of discharge. was changed to cefpodoxime given fluid did not grow resistant organisms. ms changes: patient was noted to have mental status changes but this occured in the setting of morphine and dilaudid and the transfer to the icu. once he was out of the icu his mental status was signficantly improved and appeared to be near his baseline at the time of discharge. parapneumonic effusion: loculated/complex effusion likely parapneumonic. did not clear with thoracentesis; thus, chest tube placed by thoracic surgery on . ct showed persistent effusion w/ loculated regions not being drained by chest tube. because of this, pt taken for vats with decortication. a second chest tube was placed at that time. pleural fluid growing gram positive cocci. antibiotics broadened to vanc/zosyn to cover for possible mrsa. however, narrowed on to only vancomycin. pleural fluid grew coag negative staph and was changed to cefpodoxime on discharge respiratory distress: now resolved. pt experienced an episode of acute respiratory distress with hypoxia and mental status changes in the setting of over sedation from narcotics. symptoms resolved as narcotics wore off. hemoptysis: likely due to cap. no risk factors for tuberculosis. no evidence of pe on cta. no evidence of malignancy. no coagulopathy. cardiac etiology unlikely. resolving. small pericardial effusion. no evidence of tamponade. should have outpatient follow up. htn. relatively well controlled on home regimen, which was continued. . diabetes mellitus: he was continued outpatient regimen of hiss and glargine was started. he was also continued on januvia (outpatient medication) and his glucoses were better controlled. however, patient should be transitioned to an all insulin regimen for now. he continued to have elevated glucoses and therefore was sent home with an insulin regimen. he and his daughter were given extensive instructions regarding this regimen from several members of the staff. his daughter and mr. expressed understanding. renal failure. baseline cri with crt 1.2-1.8. pt w/ recent proteinuria--possibly diabetic nephropathy. improved to baseline. dark stool. be due to patient swallowing hemoptysis. no concern for gi bleed at this time. guaiac all stools. outpatient colonoscopy orthostatic hypotension. no active issues. continued fludrocortisone medications on admission: meloxican 15 qd sitagiptin 25 qd diovan/hctz 160/12.5 cartia xr300 qd lipitor 40 daily fludricortisone 0.1 mg qd minoxidil 5 mg effexor xr 75 qd aleve discharge medications: 1. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 2. cartia xt 300 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 3. minoxidil 2.5 mg tablet sig: two (2) tablet po bid (2 times a day). 4. januvia 25 mg tablet sig: one (1) tablet po daily (daily). 5. valsartan 160 mg tablet sig: one (1) tablet po bid (2 times a day). 6. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 7. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 9. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: primary: 1. hemoptysis 2. pneumonia 3. pleural effusion 4. small pericardial effusion secondary: 1. obesity 2. type ii diabetes mellitus 3. hypertension 4. chronic renal failure, baseline creatinine 1.2-1.8 5. gout 6. question adrenal insufficiency (on fludrocortisone) 7. status post radiation therapy for prostate ca 8. history of nephrolithiasis 9. status post cholecystectomy discharge condition: afebrile, vital signs stable. discharge instructions: you were hospitalized with hemoptysis (coughing blood) and found to have pneumonia. you should take cefpodoxime for a total of 14 days for treatment. please contact a physician if you experience fevers, chills, chest pain, increasing shortness of breath, increased cough, or any other concerning symptoms. please take your medications as prescribed. - you should take cefpodoxime for 14 more days - do not take baths for the next 2 weeks. you can shower in 2 days and let the water run over the chest tube wounds. keep the bandages on for now and then change them with dry gauze. keep them covered at all times. please keep your follow-up appointments as below. you also should have a follow up chest x-ray as an outpatient in two weeks. you do this by going to the building on . please make sure that the result is sent to dr. () followup instructions: you have follow up with dr. , but you should follow up with dr. sooner than this, please call monday and make an appointment to see him in the next 7 days. . you should also follow up with the thoracic surgeon dr. ( in weeks. . please follow up with a chest x-ray at the center on the of hospital. you should have it done on any time before 5pm. previously scheduled appointments: follow-up with your primary care physician: : , md phone: date/time: 10:00 provider: , md phone: date/time: 12:45 procedure: insertion of intercostal catheter for drainage fiber-optic bronchoscopy thoracentesis decortication of lung transpleural thoracoscopy diagnoses: pneumonia, organism unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified pleurisy with effusion, with mention of a bacterial cause other than tuberculosis chronic kidney disease, unspecified obesity, unspecified orthostatic hypotension acute pericarditis, unspecified 

Answer: The patient is high likely exposed to