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: lipitor attending: chief complaint: , hypotension major surgical or invasive procedure: none history of present illness: initial history and physical is as per the icu team . ms. is an 84 yo female with dmii, chf (last ef 30%), presenting to the ed with . she was referred to the ed by visiting nurse on vs check. per hx from who last saw her 2 weeks, states that patient had a cough and has chronic sob. she is wheelchair bound secondary to generalized muscle weakness. . in the ed her initial vitals were t 103.5 (rectal), bp 113/73, hr 80, rr 16, with transient increase in rr to 30. her bp then briefly dropped to sbp 70s which returned to >110 with ivfs (1.5l ns). she was satting 93-97% on ra. on cxr, she was found to have a likely rul infiltrate. placement of a right ij line was attempted with the complication of entering the right carotid artery, no hematoma was observed after pressure held. a right ej was placed as well as a left femoral line. . on interviewing the patient, she has no acute complaints except for l lower leg pain which she states is not new. she denies chest pain, shortness of breath, cough, pain with inspiration, abdominal pain, nausea or vomiting. she states that she otherwise is comfortable. . ros: denies ha, cough, chest pain, vomiting, abdominal pain, chills, dysuria. no recent trauma. past medical history: pvd s/p bypass dm2 with complications neuropathy htn cardiomyopathy - systolic chf with ef 35-40% chronic le edema hyperlipidemia osteoporosis gerd s/p appy b12 deficiency vertebral disc surgery - hardware in lumbar spine pacemaker - in for intermittent av block and bradycardia social history: she lives with her son, who has mental illness. denies any tobacco, alcohol or ivdu. her , is a nurse on here at and is her hcp. she has a visiting nurse once weekly, but likely needs a home health aid per her . family history: there is no family history of premature coronary artery disease or sudden death physical exam: t=36.9, bp=105/70, rr=15, hr=71 paced, spo2=100% gen: well nourished, nad heent: eomi. sclera anicteric. no scleral edema. irregular pupil borders, evidence of prior cataract surgery. minimal exudate on oropharynx. moist mucus membranes. upper/lower dentures in place. neck: no lymphadenopathy. palpable carotid upstrokes. right ej in place. no hematoma appreciated cards: distant heart sounds. rrr. systolic murmur heard at llsb. lungs: bronchial breath sounds heard at right apex. otherwise ctab. abd: soft, nontender, nondistended. positive bowel sounds. no organomegaly. ext: 10cm area of superficial ulceration consistent with a tear on medial left shin. bilateraly 1+ pitting edema up to mid-shins; tender to palpation. neuro: hard of hearing with better hearing on left. barely able to raise legs off bed. wiggles toes. psych: alert. knows own name and that of pcp. to state location, but knows she is in a hospital. able to describe weather, but was unable to state current month. pertinent results: 01:00pm wbc-12.4*# rbc-3.84* hgb-12.3 hct-36.0 mcv-94 mch-32.1* mchc-34.2 rdw-14.3 01:00pm neuts-90.8* lymphs-6.6* monos-2.1 eos-0.2 basos-0.2 01:00pm plt count-219 01:00pm glucose-282* urea n-27* creat-1.3* sodium-134 potassium-4.4 chloride-101 total co2-21* anion gap-16 01:10pm lactate-1.6 01:00pm calcium-8.9 phosphate-3.3 magnesium-2.1 01:00pm ck-mb-3 ctropnt-0.04* probnp-* 01:00pm ck(cpk)-297* 08:44pm pt-13.2 ptt-25.3 inr(pt)-1.1 12:45pm urine color-yellow appear-clear sp -1.017 12:45pm urine blood-sm nitrite-neg protein-100 glucose-neg ketone-tr bilirubin-neg urobilngn-1 ph-5.0 leuk-neg 12:45pm urine rbc-* wbc- bacteria-many yeast-none epi-0 ap portable chest, impression: suggestion of right suprahilar or mediastinal airspace process, likely pneumonia. repeat radiography recommended after appropriate therapy. ekg: rate 85bpm. baseline artifact. probable sinus rhythm with atrial sensed and ventricular paced rhythm but baseline artifact makes assessment difficult. since the previous tracing of sinus rate is faster and there appears to be atrial sensed and ventricular paced rhythm. legionella urinary antigen (final ): reported by phone to at 14:25pm on - 4i. presumptive positive for legionella serogroup 1 antigen. urine culture (final ): enterococcus sp.. >100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus sp. | ampicillin------------ <=2 s nitrofurantoin-------- <=16 s tetracycline---------- <=1 s vancomycin------------ <=1 s brief hospital course: 84 year old female with pmh of dm2, chf, s/p ppm in , chronic le edema who presented to the ed after a visiting nurse found her to be febrile. # legionella pneumonia/sepsis: patient had rul infiltrate on cxr with on admission and elevated white count. due to low blood pressure with sbp in the 80s at times, patient received an arterial line yesterday and levophed, which was subsequently weaned. urine culture data is positive for legionella, and patient was given levofloxacin which was started in the ed. blood cultures were negatvie to date. pt instructed to complete 14 day course of levofloxacin as coverage for legionella. . # enterococcus uti: patient's ua in the ed showed many bacteria with few wbc and negative leuk esterase. urine culture grew >100k enterococcus. patient was intitailly on vancomycin in the icu this was changed to ampacillin and the patient was instructed to complete a 7 day course. an attempt was made to discontinue the patient's foley but she was unable to urinate and had a significant amount of urinary retention. an attempt should be made to remove the patient's foley in a few days after antibiotic course completed. . #delirium: patient's mental status seemed to wax and wane at times. was likely related to acute infection. electrolytes were stable. patient did not require any pharmocologic restraint. tsh, free t4, rpr, b12, folate, pending. the patient reportedly has some baseline cognition issues at home and is extremely heard of hearing. patient seen by geriatrics consult team who agrred with our management and recommended frequent reorientation . #chronic systolic chf: patient has history of systolic chf with ef=30% on . bnp= in ed with unknown baseline. multiple cxr are inconsistent with a chf exacerbation. patient did not complain of shortness of breath. stirct i/os were monitored. before discharge the patient was restarted on her beta blocker, ace inhibitor, and lasix. . # left leg ulcer: chronic issue. appears superficial without substantial erythema. wound care with antibiotic ointment, moist barrier w/ sterile gauze. . # dm2: patient was covered with a regular insulin sliding scale. glipizide was restarted at discharge. . #hyperlipidemia: the patient was continued on ezetimibe . # hypothyroidism: patient recently prescribed synthroid by dr. . will continue levothyroxinedose of 25 mcg daily. . # ppx: sc heparin, ppi . # code: full code (confirmed with hcp) . # dispo: pt recommended str but patient refuses to go. patient will be discharged hoe with home vna services. . # contact: () medications on admission: ezetimibe 10 mg qd furosemide 120 mg qd glipizide 2.5 mg qd vicodin 1 tab qid prn pain levobunolol 0.25 % drops - 1 drop in each eye twice a day lisinopril 2.5 mg tablet - 1 tablet(s) by mouth daily toprol xl 25 mg qd tylenol 500 mg qd asa 325 mg qd vitamin b12 1000 mcg qd colace 100 mg qd senna vitamin d 400u qd discharge medications: 1. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 2. furosemide 40 mg tablet sig: three (3) tablet po daily (daily). 3. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po once a day. 4. levobunolol 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 5. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 11. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 12. levaquin 750 mg tablet sig: one (1) tablet po q48h: continue through . 13. ampicillin 250 mg capsule sig: one (1) capsule po q8h (every 8 hours): continue through . discharge disposition: home with service facility: vna discharge diagnosis: legionella pneumonia enterococcus uti discharge condition: good discharge instructions: -complete course of levaquin for legionella pneumonia (take through ) -complete course of ampacillin for enterococcus uti (take through ) -take all other medications as prescribed -vna nursing should attempt to remove you foley on monday (after receiving antibiotics for uti) and ensure that you are able to void. -weigh yourself every morning, md if weight > 3 lbs. -adhere to 2 gm sodium diet. -follow up with your pcp next week follow up with podiatry and the heart failure np as already scheduled. -return to ed if have worsening shortness of breath, chest pain, /chills or other worrisome signs/symptoms. followup instructions: 1. please call on monday and arrange follow up with your pcp . for next week. 2.provider: , dpm phone: date/time: 10:30 3. provider: clinic phone: date/time: 11:00 4. provider: , : date/time: 11:30 md procedure: arterial catheterization diagnoses: other primary cardiomyopathies esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified unspecified acquired hypothyroidism diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes sepsis chronic kidney disease, unspecified other and unspecified hyperlipidemia heart valve replaced by other means osteoporosis, unspecified other specified septicemias chronic systolic heart failure retention of urine, unspecified cardiac pacemaker in situ atherosclerosis of native arteries of the extremities, unspecified delirium due to conditions classified elsewhere chronic total occlusion of artery of the extremities ulcer of lower limb, unspecified pneumonia due to legionnaires' disease 

Answer: The patient is high likely exposed to