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: penicillins attending: chief complaint: dyspnea major surgical or invasive procedure: none. history of present illness: 81 yo m with dmii, ckd, htn, h/o dvt, recent admission for altered mental status and hypoglycemia, presenting with shortness of breath, wheezing, and confusion. during the past few days, patient has had worsening shortness of breath and wheezing. has known diagnosis of asthma. also agitated and not taking good po. . in the ed, initial vital signs were t 98.3 bp 122/42 hr 120 rr 26 sat 99%/8l. exam was notable for moaning, tachycardia, poor air movement, and bilateral wheezes. ekg unremarkable. labs notable for elevated troponin, acute renal failure. in the ed, the patient became hypotensive, with systolics in the 60s. given 2l ns with improvement in bp. the patient was also given vancomycin 1 gm iv, zosyn 4.5 gm iv (despite known penicillin allergy), methylprednisolone 125 mg iv, tylenol 650 mg pr, magnesium 2gm iv, and asa 300 mg pr. vital signs on transfer t 99 hr 91 bp 95/48 rr 12 97%/4l nc. past medical history: dmii ckd stage iii htn dvt sacral wound asthma hyperparathyroidism osteoporosis b12 deficiency social history: has a temporary guardian, attorney . friend, aka , was made hcp (). family history: non-contributory. physical exam: admission exam gen: agitated. not cooperative with nursing care. heent: mmm no mucosal bleeding cv: rrr no mrg resp: diffuse expiratory wheezes chest: pt with firm, slightly mobile mass around the r breast. abd: soft nt nd no masses ext: no edema skin: stage 2 decubitus ulcers on sacrum and scrotum. neuro: moving all extremities. speaking. not oriented. discharge exam vs: tc 97.3 tm 98.3 122/70 71 18 100%ra gen: cooperative, calm, alert, oriented to person, place, "it's the 1st or the 2nd", thought it was , knows the president heent: mmm, poor dentition, eomi, no erythema neck: supple, no jvd cv: rrr, no m/r/g, noraml s1, s2 lung: diffuse wheezes throughout, no rales abd: soft, nt/nd, +bs, no r/g, no hsm ext: warm, no lower extremity edema, decreasing edema in left upper extremity neuro: cn ii-xii intact, non-focal gu: foley catheter in place skin: stage 2 decubitus ulcers on sacrum and scrotum; no erythema, exudate or signs of infection. pertinent results: # laboratory data admission labs: 02:43pm blood wbc-8.1 rbc-2.96* hgb-8.4* hct-26.8* mcv-91 mch-28.3 mchc-31.2 rdw-15.3 plt ct-419# 02:43pm blood neuts-53.5 lymphs-30.4 monos-7.8 eos-7.9* baso-0.5 02:43pm blood pt-45.2* ptt-43.9* inr(pt)-4.7* 02:43pm blood fibrino-423* 02:43pm blood glucose-79 urean-45* creat-3.5*# na-146* k-5.1 cl-113* hco3-18* angap-20 02:43pm blood alt-15 ast-29 ld(ldh)-322* ck(cpk)-139 alkphos-42 totbili-0.2 11:13pm blood ck-mb-12* mb indx-7.7* ctropnt-0.63* 02:43pm blood ctropnt-0.90* 02:43pm blood ck-mb-8 02:43pm blood calcium-7.6* phos-5.7*# mg-2.2 02:43pm blood hapto-270* 02:54pm blood lactate-1.3 discharge labs 09:55am blood pt-26.7* ptt-37.1* inr(pt)-2.6* # imaging chest xray (portable ap) impression: new bibasilar patchy opacities which could represent aspiration or pneumonia. # microbiology gram stain (final ): <10 pmns and >10 epithelial cells/100x field. gram stain indicates extensive contamination with upper respiratory secretions. bacterial culture results are invalid. urine culture (final ): no growth. mrsa screen (final ): no mrsa isolated blood culture, routine: pending brief hospital course: 81 yo m with dmii, ckd, htn, dvt, asthma, presents with shortness of breath, wheezing, agitation, and confusion. . # dyspnea: secondary to bronchospasm from reactive airways disease and pneumonia seen on cxr. he received albuterol nebulizer treatments and a 3-day burst of steroids (solu-medrol x 1 dose, prednisone 40mg daily x 2 doses) for his bronchospasm, as well as broad spectrum antibiotics (vancomycin, cefepime and azithromycin) for hcap. he was switched to levofloxacin upon transfer to the floor and his symptoms continued to improve. he was continued on his home advair and singulair. satting 100% on room air at time of discharge. . # hypotension: he was briefly hypotensive in the er in setting of hypovolemia due to poor po intake. his hypotension was fluid-responsive, and there were no further episodes of hypotension in the icu or on the floor. . # h/o dvt: patient is on coumadin at home and presented with supratherapeutic inr, 5.6. coumadin was held throughout admission and his inr was 2.6 on discharge. he will need close monitoring of his inr in the context of taking antibiotics. . # acute on chronic renal failure: likely pre-renal given low urine chloride and bland urine sediment. his creatinine improved with hydration. . # delirium: patient was intermittently confused and agitated, however he was generally redirectable. likely related to steroids, infection and starting levofloxacin. steroids were stopped after 3-day burst and patient has 2 doses of levofloxacin remaining. did not receive any sedating medications while in-house. . # elevated troponin: his troponins were elevated in the setting of renal failure with mild ck-mb elevation that was flat. his ekgs were reassuring against acs and the patient denied any chest pain. . # stage 2 ulcers: on sacrum and scrotum. managed with frequent cleaning and dressing changes. no evidence of infection. . # dm2: patient had recent admission for hypoglycemia. glipizide was held while in house. his fingersticks were monitored, and he was on insulin sliding scale while in the hospital. he intermittently refused insulin, however, his blood glucose was controlled in the 100s-200s. . # dvt prophylaxis: systemic anticoagulation (supratherapeutic inr throughout admission). . # communication: has temporary guardian . friend, (aka ), was made health care proxy during this admission. . # code status: full code (discussed with patient & hcp). medications on admission: singulair 10 mg daily albuterol inhaler prn oxycodone 10 mg q4h prn severe pain lisinopril 5 mg daily zinc sulfate 220 mg daily vitamin c 500 mg daily coumadin 5 mg daily aspirin 325 mg daily ferrous sulfate 325 mg daily flonase 2 sprays each nostril daily vitamin b12 1000 mg monthly (due ) fosamax 70 mg weekly vitamin d 800 units daily cardura 4 mg daily advair 250/50 1 puff colace 100 mg lactulose 30 ml daily albuterol nebs q6h prn wheezing or sob multivitamin with mineral 1 tab daily senna 8.6 mg daily prn constipation dulcolax 10 mg suppository prn constiaption fleet enema prn constipation acetaminophen 650 mg q4h prn pain or fever glipizide xl 5 mg daily discharge medications: 1. singulair 10 mg tablet sig: one (1) tablet po once a day. 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation every 4-6 hours as needed for shortness of breath or wheezing. 3. oxycodone 5 mg tablet sig: 1-2 tablets po every four (4) hours as needed for severe pain. 4. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 5. zinc sulfate 220 mg tablet sig: one (1) tablet po once a day. 6. ascorbic acid 500 mg tablet, chewable sig: one (1) tablet, chewable po once a day. 7. coumadin 5 mg tablet sig: one (1) tablet po once a day: 8. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 9. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 10. flonase 50 mcg/actuation spray, suspension sig: two (2) sprays nasal once a day. 11. vitamin b-12 1,000 mcg tablet sig: one (1) tablet po once a month: next dose due . 12. fosamax 70 mg tablet sig: one (1) tablet po once a week. 13. vitamin d-3 400 unit tablet, chewable sig: tablet, chewables po once a day. 14. cardura 4 mg tablet sig: one (1) tablet po once a day. 15. advair diskus 250-50 mcg/dose disk with device sig: one (1) puff inhalation twice a day. 16. colace 100 mg capsule sig: one (1) capsule po twice a day: hold for loose stools. 17. lactulose 10 gram/15 ml solution sig: thirty (30) ml po once a day: hold for loose stools. 18. multivitamin with minerals tablet sig: one (1) tablet po once a day. 19. senna 8.6 mg tablet sig: 1-2 tablets po once a day as needed for constipation. 20. bisacodyl 10 mg suppository sig: one (1) suppository rectal once a day as needed for constipation. 21. fleet enema 19-7 gram/118 ml enema sig: one (1) enema rectal once a day as needed for constipation. 22. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for fever or pain. 23. glipizide 5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 24. ammonium lactate 12 % lotion sig: one (1) appl topical (2 times a day): to affected area. 25. outpatient lab work check bun & cr on , and send information to patient's pcp. 26. levofloxacin 750 mg tablet sig: one (1) tablet po q48h (every fourty-eight (48) hours) for 4 days: due for two more doses: on . tablet(s) 27. outpatient lab work check inr on , and adjust coumadin dose accordingly. discharge disposition: extended care facility: healthcare center - discharge diagnosis: primary diagnoses: # healthcare associated pneumonia # asthma exacerbation secondary diagnoses: # type ii diabetes mellitus # delirium discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: bedbound. discharge instructions: # you were admitted to the hospital for shortness of breath and agitation. you were found to have pneumonia as well as worsening of your asthma. you received nebs, steroids and antibiotics and your breathing improved. # you were also found to have worsening of your kidney function. this improved with iv fluids. # your inr was very high, so we stopped your coumadin. it is very important that you have your inr checked frequently to make sure that it doesn't get too high. the antibiotics that you are currently on can also increase your inr, so it needs to be checked , . # we made the following changes to your medications: - started levaquin (levofloxacin) 750mg every other day, last dose # it is important that you complete your course of antibiotics. # it is important that you keep all of your follow up appointments and your medications as prescribed. followup instructions: you should follow up with your pcp (dr. , ) in the next 1 week. procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified hyperpotassemia abnormal coagulation profile acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other b-complex deficiencies chronic kidney disease, stage iii (moderate) long-term (current) use of insulin osteoporosis, unspecified long-term (current) use of anticoagulants pressure ulcer, lower back personal history of venous thrombosis and embolism hyperparathyroidism, unspecified lump or mass in breast diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled chronic obstructive asthma with (acute) exacerbation anticoagulants causing adverse effects in therapeutic use delirium due to conditions classified elsewhere pressure ulcer, stage ii 

Answer: The patient is high likely exposed to