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: haldol / penicillins / augmentin attending: chief complaint: fever major surgical or invasive procedure: central line placement history of present illness: mr. is an 87 yo male s/p cva, nonverbal at baseline, who presents from rehab with fevers and hyperglycemia. he is non-verbal so unable to obtain further history. family feels mental status and level of alertness has declined over the last week. in the ed, intial vitals were t 106, hr 115, bp 105/70, rr 20, 99% on nrb. he was noted to have abdominal tenderness, so underwent ct abd/pelvis which was unremarkable. he was noted to have rle cellulitis. he he was given vancomycin and levaquin for ?infiltrate on cxr. he was given regular insulin iv for hyperglycemia, though he did not have urine ketones or an anion gap. a bedside echo was performed given low voltages on ekg which showed moderate pericardial effusion though ct abd/pelvis showed only small effusion. on the floor, patient is nonverbal so unable to obtain further history. review of sytems: unable to obtain past medical history: s/p cva left frontoparietal and temporooccipital , nonverbal, s/p peg placement traumatic subdural hematoma x 2 htn type ii dm dementia atrial flutter: off warfarin due to traumatic subdural x 2 social history: lives in health center. supportive daughters and wife. chinese restauranteur. no tobb or etoh family history: nc physical exam: vitals: t: 100.6 axillary bp: 94/68 p:98 r: 18 o2: 99% on ac general: alert, oriented, no acute distress heent: sclera icteric, mm dry, oropharynx w/ oral airway in place, poor dentition neck: supple, jvp not elevated, no lad lungs: coarse breath sounds bilaterally with loud upper airway sounds, no appreciable wheezes or rales cv: tachycardic, normal s1 + s2, no murmurs, rubs, gallops abdomen: obese, distended but soft, bowel sounds present, unable to assess for tenderness to palpation ext: 1+ rle edema, trace lle edema pertinent results: ct head w/o contrast : impression: 1. no evidence of acute intracranial hemorrhage or mass effect. 2. encephalomalacic changes involving the left cerebral hemisphere secondary to remote stroke again demonstrated. 3. unchanged scalp lipoma. ct abdomen w/contrast; ct pelvis w/contrast : impression: 1. moderate stool within the rectum without evidence of bowel obstruction. 2. atelectasis in the left lung base. 3. degenerative changes and spinal stenosis in the lower lumbar spine. chest (portable ap) : impression: retrocardiac opacity likely atelectasis. no other acute abnormality. chest (portable ap) : findings: as compared to the previous radiograph, a central venous access line has been introduced over the right internal jugular vein. the tip of the line projects over the inflow tract of the right atrium. there is no evidence of complications such as pneumothorax. minimally increasing retrocardiac atelectasis, unchanged cardiac enlargement. otherwise, no radiographic changes. unilat (right) lower ext veins : impression: no evidence of right lower extremity dvt. chest (portable ap) : hematology: 12:30pm blood wbc-14.9*# rbc-3.93* hgb-12.9* hct-38.8* mcv-99*# mch-33.0* mchc-33.4 rdw-15.2 plt ct-124* 12:30pm blood neuts-88* bands-0 lymphs-8* monos-4 eos-0 baso-0 atyps-0 metas-0 myelos-0 04:09am blood wbc-10.9 rbc-3.30* hgb-10.6* hct-31.4* mcv-95 mch-32.1* mchc-33.7 rdw-15.0 plt ct-93* 04:09am blood neuts-83.5* lymphs-11.4* monos-2.9 eos-1.9 baso-0.2 coags: 12:30pm blood pt-14.7* ptt-30.6 inr(pt)-1.3* 04:09am blood pt-15.6* ptt-45.5* inr(pt)-1.4* chemistry 12:30pm blood glucose-415* urean-43* creat-1.1 na-157* k-3.8 cl-134* hco3-13* angap-14 04:09am blood glucose-166* urean-42* creat-1.2 na-161* k-3.4 cl-136* hco3-20* angap-8 04:09am blood calcium-6.6* phos-1.6* mg-2.5 iron-40* 09:02am blood glucose-333* urean-38* creat-1.1 na-155* k-4.1 cl-129* hco3-21* angap-9 09:02am blood calcium-6.3* phos-1.9* mg-2.3 02:47pm blood glucose-263* urean-35* creat-1.1 na-155* k-3.7 cl-130* hco3-22 angap-7* 02:47pm blood calcium-7.0* phos-2.0* mg-2.4 cardiac enzymes: 12:30pm blood ck(cpk)-450* 12:30pm blood ctropnt-0.06* 05:45pm blood ck(cpk)-857* 05:45pm blood ck-mb-2 ctropnt-0.07* 04:09am blood ld(ldh)-248 ck(cpk)-939* 04:09am blood ck-mb-6 ctropnt-0.05* 02:47pm blood ck(cpk)-771* 02:47pm blood ck-mb-7 ctropnt-0.04* 06:34pm blood ck(cpk)-715* 06:34pm blood ck-mb-7 ctropnt-0.03* 03:28am blood ck(cpk)-574* 03:28am blood ck-mb-5 ctropnt-0.03* iron studies: 04:09am blood iron-40* 04:09am blood caltibc-90* hapto-253* ferritn-1478* trf-69* lactate trend: 12:33pm blood lactate-2.2* k-4.3 06:05pm blood lactate-1.7 01:11am blood lactate-1.1 brief hospital course: mr is an 87 yo m with a history of stroke, nonverbal, with hypertension, type 2 diabetes mellitus, who presented with fever to 106, likely secondary to extensive lower extremity cellulitis. at the time of admission the pt also had hypernatremia and acute renal failure likely secondary to dehydration. # fever / leukocytosis/ sepsis: the pt's fever was attributed to a right lower extremity cellulitis. there was significant warmth and and erythema over right lower extremity at presentation. after intitiation of antibiotics the pt's wbc decreased from 14 to 10.9 and he was afebrile for the duration of the admission. the pt had a right lower extremity ultrasound that was negative for deep vein thrombosis. the pt was initially on vancomycin and cefepime, and given low suspicion of pneumonia or peg site infection, cefepime was eventually stopped and the pt was discharged to complete a 10 day course of vancomycin for resolving cellulitis. . # hypotension: the pt's initial hypotension was likely secondary to poor po intake over several weeks in addition to sepsis from infection (likely cellulitis). it resolved during the admission and the pt was discharged on his home antihypertensives. . # ventricular tachycardia code: on the pt had an episode of pulseless/unresponsive vt and a code blue was called. cpr was initiated but stopped immediately after initiation due to the pt's spontaneous recovery of pulse. the pt was not defibrillated during this event. the pt was awake and responsive afterward, and a post-code ekg was without st elevations, and per cardiology the pt had not had ventricular tachycardia, but had intermittent atrial tachycardia with baseline bradycardia. the pt's troponins trended down during this admission. electrophysiology and cardiology were asked to see the pt and determined that a pacemaker would not be appropriate given the pt's advanced age, nonverbal status and the fact that there was no evidence that the pt was symptomatic from his rhythm abnormalities. # hypernatremia: the pt initially received normal saline for rehydration. after the pt's hypotension resolved the pt was treated with free water boluses via the peg tube. the pt's sodium improved with q3h 250 cc free water boluses. . # acute renal failure: the pt's creatinine returned to during this hospitalization with intravenous fluids. . # hyperglycemia: the pt is a type 2 diabetic. on this admission there was no evidence of dka. the pt's blood glucose was likely elevated in setting of infection. the pt was initially on an insulin drip and then transitioned to qid sliding scale without complications. . # ams: the pt's daughter on discharge stated that the pt was at his baseline mental status (responds to voice but hard of hearing, speaking in jibberish). head ct showed no acute process. donepezil was continued. . medications on admission: docusate sodium 50 mg baclofen 2.5 mg tid tamsulosin 0.4 mg qhs trazodone 7.5 mg po hs paroxetine hcl 15 mg daily ascorbic acid 90 mg daily thiamine hcl 100 mg daily amlodipine 5 mg daily aspirin 81 mg daily lansoprazole 30 mg daily levetiracetam 500 mg/ml donepezil 5 mg qhs magnesium hydroxide 400 mg/5 ml 30 ml po q6h prn bisacodyl 10 mg daily prn lantus 14 qhs with hiss morphine iv 1-2 mg iv every 4-6 hours prn calcium carbonate 1,250 mg/5 ml(500 mg) tid cholecalciferol (vitamin d3) 400 unit daily acetaminophen 1000 mg tablet tid prn pain morphine 15 mg po q4h prn lisinopril 2.5 mg daily discharge medications: 1. vancomycin in dextrose 1 gram/200 ml piggyback : one (1) g intravenous q 24h (every 24 hours) for 5 days: finish on . 2. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 3. baclofen oral 4. tamsulosin 0.4 mg capsule, sust. release 24 hr : one (1) capsule, sust. release 24 hr po at bedtime. 5. trazodone oral 6. paroxetine hcl 10 mg tablet : 1.5 tablets po daily (daily). 7. ascorbic acid 500 mg tablet : one (1) tablet po bid (2 times a day). 8. donepezil 5 mg tablet : one (1) tablet po hs (at bedtime). 9. thiamine hcl 100 mg tablet : one (1) tablet po once a day: per g tube. 10. amlodipine 5 mg tablet : one (1) tablet po once a day: per g tube. . 11. aspirin 81 mg tablet : one (1) tablet po once a day: per g tube. . 12. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day: per g tube. . 13. levetiracetam 100 mg/ml solution : five (5) po bid (2 times a day). 14. magnesium hydroxide 400 mg/5 ml suspension : one (1) po every six (6) hours as needed for constipation: per g tube. . 15. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed: per g tube. . 16. insulin glargine 100 unit/ml cartridge : fourteen (14) u subcutaneous at bedtime: with humalog sliding scale. 17. calcium carbonate 500 mg (1,250 mg) tablet : one (1) tablet po three times a day: per g tube. . 18. cholecalciferol (vitamin d3) 400 unit tablet : one (1) tablet po once a day. 19. acetaminophen 500 mg tablet : two (2) tablet po three times a day: per g tube. . 20. lisinopril 2.5 mg tablet : one (1) tablet po once a day: per g tube. . discharge disposition: extended care facility: - discharge diagnosis: primary: sepsis due to rle cellulitis acute renal failure secondary: diabetes mellitus type ii, uncontrolled with complications hypertension hx cva discharge condition: stable, breathing comfortably on room air, all intake is via g tube including medications. discharge instructions: mr : you were admitted with fever, high blood sugar and high sodium. you were treated with insulin, fluids and antibiotics and your fever, high blood sugar and high sodium improved. an area on your leg was noted to be hot and red, and we suspect that this skin infection was the cause of your fever. . your home medications are the same. the medication vancomycin has been added. you will take this medication for 5 more days to complete a 10 day course. your morphine has been stopped. you have not required this medication during this admission. . if you develop chest pain, shortness of breath, or any other concerning symptoms, please return to the emergency room. followup instructions: please follow up with your primary care doctor, dr. , in your nursing home. md procedure: venous catheterization, not elsewhere classified arterial catheterization cardiopulmonary resuscitation, not otherwise specified diagnoses: thrombocytopenia, unspecified hypocalcemia unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis atrial flutter other persistent mental disorders due to conditions classified elsewhere pulmonary collapse cellulitis and abscess of leg, except foot septic shock pressure ulcer, lower back diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled sinoatrial node dysfunction hyperosmolality and/or hypernatremia late effects of cerebrovascular disease, aphasia gastrostomy status pressure ulcer, unspecified stage 

Answer: The patient is high likely exposed to