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: the patient is a -year-old male without a prior cardiac history who presented with a left hip fracture. the patient fell while walking alone at his nursing home. the patient usually walks without any assistance. there was no loss of consciousness, no witness to the event, and the patient denies any chest pain or shortness of breath. the patient stated to the nursing home that he misstepped and then lost his balance. past medical history: 1. history of depression. 2. schizophrenia. 3. blindness. 4. history of prostate cancer. medications on admission: remeron 30 mg p.o. q.h.s., megace 10 mg p.o. b.i.d. allergies: no known drug allergies. social history: the patient lives at rehabilitation. he has no guardian, family, or spokes person. he denies any alcohol or tobacco use. physical examination on presentation: temperature of 98 degrees, blood pressure 157/65, heart rate 90, respiratory rate 24, oxygen saturation 95% on room air. in general, in no acute distress. head, ears, nose, eyes and throat revealed extraocular muscles were intact. surgical pupils. the oropharynx was clear with mildly dry mucous membranes. cardiovascular had a regular rate and rhythm. normal first heart sound and second heart sound. no jugular venous distention. pulmonary was clear to auscultation bilaterally. abdomen was soft, nontender, and nondistended, positive bowel sounds. extremities revealed no clubbing, cyanosis or edema. dorsalis pedis pulses were 2+ bilaterally. dermatologically, no rash. neurologically, moved all four extremities. pertinent laboratory data on presentation: laboratories at the time of admission revealed white blood cell count 22.4, hematocrit 35.8, platelets 295 (with a differential of 82 neutrophils, 5 bands, 10 lymphocytes, 2 monocytes). sodium 134, potassium 5.2, chloride 100, bicarbonate 21, blood urea nitrogen 44, creatinine 2, glucose 122. pt 12.9, ptt 25.4, inr 1.2. urinalysis revealed 1.025, negative leukocyte esterase, negative nitrites, less than 1 epithelial cell, 0 to 2 red blood cells, less than 1 white blood cell. radiology/imaging: electrocardiogram revealed sinus rhythm at 98 beats per minute, normal axis, normal intervals. no q wave. no st changes. chest x-ray revealed no infiltrate, no effusion. head ct revealed no acute hemorrhage, no midline shift, global age-appropriate atrophy. plain film of the left hip revealed positive intertrochanteric fracture. plain film of the cervical spine revealed marked degenerative changes. no fracture. hospital course: the patient is a -year-old male status post fall with left hip fracture, who by cardiac risk index is a class i, eagle criteria, he has only age as a risk factor. the patient was admitted to medicine for fever workup prior to surgical correction of his hip fracture. 1. musculoskeletal: the patient needed open reduction, internal fixation of his hip fracture. the patient was hospitalized with an initial temperature of 99 degrees to 101 degrees; however, following admission the patient did not demonstrate any further evidence of fever. therefore, once the official consultation had been obtained, the patient was transferred to the orthopaedic service in preparation for surgery. surgical correction of the lip intertrochanteric fracture was performed on ; complicated by perioperative aspiration event, but with an uncomplicated surgical procedure. the patient was extubated in the operating room but was found to have difficulty breathing with stridor and was therefore re-intubated and transferred to the cardiothoracic intensive care unit. while in the cardiothoracic intensive care unit the patient was maintained for the first two hours on a neo-synephrine drip in order to maintain his cardiac status and was provided full ventilatory support. the patient was started on lovenox for postoperative deep venous thrombosis prophylaxis. the patient was also started on flagyl and levaquin for a likely aspiration pneumonia secondary to perioperative aspiration. over the next few days in the cardiothoracic intensive care unit the patient's situation improved. he was extubated without difficulty on and was slowly titrated down on oxygen requirement. the patient was given significant fluid secondary to hypotension in the perioperative period, and subsequently developed congestive heart failure. at the time of transfer from the cardiothoracic intensive care unit back to the medicine service, the patient had been maintaining a normal blood pressure off of pressor support, had been maintaining excellent oxygen saturations on a 50% face mask, and was stable from an orthostatic standpoint. during the remainder of the hospital stay the patient was followed closely by the orthopaedic service for dressing changes and monitoring for postoperative complications. the patient had no further complications of his left hip and was to follow up with orthopaedics as an outpatient. it was also decided to discontinue the lovenox given the patient's risk of bleeding and risk of fall and to continue him only on aspirin therapy. 2. cardiovascular: the patient had no cardiac history at the time of admission and demonstrated a normal electrocardiogram without evidence of cardiomegaly on chest x-ray. following surgical correction of his hip fracture, the patient was noted to develop congestive heart failure which was thought secondary to increased fluid needs due to hypotension in the postoperative period. however, an echocardiogram was obtained in order to evaluate for any unknown cardiac dysfunction. echocardiogram obtained on demonstrated an ejection fraction of 65% to 70% with normal atrial and ventricular size; no wall motion abnormalities; 1+ mild aortic regurgitation; and no pericardial effusion. therefore, it was felt that the patient's postoperative congestive heart failure was most likely secondary to increased fluid use. the patient was diuresed effectively during his hospital stay, and his oxygen was slowly titrated down. the patient maintained excellent blood pressures over the remainder of the hospital stay and had no further cardiac issues. 3. pulmonary: the patient had a normal pulmonary examination on chest x-ray at the time of admission. he was felt to experience an aspiration event in the perioperative period and subsequently developed an aspiration pneumonia which was treated with levofloxacin and flagyl. the patient was also felt to develop congestive heart failure secondary to fluid use in the perioperative period which was diuresed effectively. 4. gastrointestinal: the patient demonstrated poor p.o. intake and was felt to be an aspiration risk; and, therefore, a nasogastric tube was placed and feeding was initiated through tube feeds. the patient was also kept on protonix for gastrointestinal prophylaxis. the patient had normal bowel movements and had no further gastrointestinal issues. 5. renal: the patient maintained a normal creatinine and excellent urine output over the course of the hospital stay. 6. infectious disease: the patient was started on levofloxacin and flagyl in the perioperative period given the likelihood of aspiration event leading to aspiration pneumonia. subsequent chest x-rays obtained for feeding tube placement issues demonstrated significant resolution of the infiltrate at the left lower base. the patient was to complete a 14-day course of levofloxacin and flagyl and will be maintained on aspiration precautions. 7. fluids/electrolytes/nutrition: following the surgical procedure the patient underwent a swallowing test which demonstrated aspiration with swallowing. he was therefore kept on tube feeds through a nasogastric tube during his hospital stay. it was felt that the patient's reason for aspiration was most likely secondary to deconditioning and weakness which was likely to improve over the next few weeks. therefore, it was determined not to consider percutaneous endoscopic gastrostomy placement at this time in the hope that the patient's returning strength over the next few weeks would enable him to be able to swallow food on his own, as the patient had no swallowing issues prior to admission for his hip fracture. discharge status: the patient was discharged to his nursing home in stable condition. medications on discharge: 1. remeron 30 mg p.o. q.h.s. 2. multivitamin 1 tablet p.o. q.d. 3. colace 100 mg p.o. b.i.d. 4. zantac 150 mg p.o. q.d. 5. aspirin 325 mg p.o. q.d. 6. ultracal tube feeds at 70 cc per hour. 7. levofloxacin 250 mg p.o. q.d. times eight days. 8. flagyl 250 mg p.o. q.8h. times eight days. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances open reduction of fracture with internal fixation, femur percutaneous (endoscopic) jejunostomy [pej] diagnoses: congestive heart failure, unspecified aortic valve disorders other persistent mental disorders due to conditions classified elsewhere pneumonitis due to inhalation of food or vomitus seroma complicating a procedure fall from other slipping, tripping, or stumbling legal circumstances closed fracture of intertrochanteric section of neck of femur 

Answer: The patient is high likely exposed to