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: ams major surgical or invasive procedure: none history of present illness: mr. is a year-old man with dementia, dm2, cad, dvt s/p ivc filter, and colonic pseudo-obstructions who presents from with ams and is admitted to the micu for hypotension. . he was last discharged () after presenting with syncope in the setting of a bowel movement and hypotension. lasix was stopped and he was discharged to . he was doing well until this morning when he had acute on chronic abdominal pain followed by a bowel movement and ams with marked hypotension to 67/41. he was nonverbal, responding only to painful stimuli, and placed on a nrb. ns bolus was initiated for hypotension and he was transferred here for further evaluation. . in the ed, vital signs were initially: 96.8 72 78/46 28. he received 4l of ns and bp improved to 95 systolic. a cxr demonstrated ?rml/rll pna and a bedside echo was negative for pericardial effusion, with aorta measuring 1.5 cm. his son was at his side and felt that cvls were acceptable but wanted his father to be dni/dnr. he was given vanc/ceftriaxone/levoflox and a right ij sepsis line was placed. ros was neg for f/c/cp/sob/abdominal pain. pos for np cough that is "new" of unclear duration. past medical history: - hospitalization for pneumonia () - syncope in the setting of above pneumonia - diabetes type ii - hypertension - partial gastric resection with bilroth ii anastomosis for bleeding peptic ulcer () - multiple prior episodes of sbo - atrial tachycardia: recent hypotensive event from atrial tachycardia causing tia like symptoms, no evidence of cva on mri. - peripheral neuropathy - remote etoh - circumcision () - l ankle fracture - l dvt s/p filter , gib on coumadin - pernicious anemia - gerd - osteoarthritis - right leg bakers cyst -? hypothyroidism social history: widowed. lives at . former smoker in distant past family history: non-contributory. physical exam: physical examination: vs: 99.8 rectal 96 106/58 22 99%2l gen:the patient is in no distress and appears comfortable skin:no rashes or skin changes noted heent:no jvd, neck supple, no lymphadenopathy in cervical, posterior, or supraclavicular chains noted. rij in place. chest: decreased bss, basilar rales cardiac: regular rhythm; no murmurs, rubs, or gallops. abdomen: midline scar, soft, rlq ttp, no rebound extremities: 2+ le edema neurologic: alert and appropriate. cn ii-xii grossly intact. bue , and ble both proximally and distally. no pronator drift. reflexes were symmetric. downward going toes. pertinent results: 09:50pm urine amorph-few 09:50pm urine hyaline-* 09:50pm urine rbc-0-2 wbc-0-2 bacteria-few yeast-none epi-0-2 09:50pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:50pm urine color-yellow appear-clear sp -1.012 09:50pm plt count-305# 09:50pm neuts-92* bands-3 lymphs-3* monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 09:50pm wbc-21.5*# rbc-3.00* hgb-9.1* hct-28.3* mcv-94 mch-30.3 mchc-32.1 rdw-14.6 09:50pm urine gr hold-hold 09:50pm urine hours-random 09:50pm albumin-2.6* calcium-7.8* phosphate-4.0 magnesium-1.7 09:50pm ck-mb-3 ctropnt-0.06* probnp-2368* 09:50pm lipase-8 09:50pm alt(sgpt)-17 ast(sgot)-17 ck(cpk)-267 alk phos-104 tot bili-0.5 09:50pm estgfr-using this 09:50pm glucose-112* urea n-32* creat-1.5* sodium-135 potassium-4.1 chloride-101 total co2-20* anion gap-18 10:02pm lactate-3.7* . cxr : marked limitations. as best can be determined, there is question of new opacities in the medial right lung base and at the right hilar region. underlying pneumonia cannot be excluded. aspiration is also a consideration. correlate clinically. . cxr : right ij catheter terminates in the superior vena cava. there is eventration of the left hemidiaphragm with interposition of colon subjacent to the diaphragm. there is atelectasis at the right lung base as well as focal consolidation of the right lower lobe. there is focal consolidation of the right perihilar region as well. there is little change since the prior study. brief hospital course: mr. is a year-old man with dementia, dm2, cad, dvt s/p ivc filter, and colonic pseudo-obstructions who presents from with ams and was admitted to the micu for hypotension. . # septic shock/pneumonia: patient met sirs criteria in the setting of pneumonia with evidence of organ insult (ams and arf). he was transferred to the micu where he required 4l nc, and was started on a 14day course for hap w/ vanc and zosyn, and lisinopril held. he required levophed for pressor support while in the icu until his pressure normalized. he was ruled out for flue and blood/urine cx were w/o growth. his fever defervesced and leukocytosis resolved with treatment. he was transferred to the floor where he was weaned off oxygen. his cough, mental status, blood pressure, and cr improved with treatment. a picc line was placed for antibiotic management. -- please continue vanc/zosyn for hospital aquired pneumonia -- please check a vanc trough after 3rd dose of vanc, with a goal between 15-20 . # arf: in the setting of hypovolemia. his cr improved with ivfs. his medications were renally dosed. cr on discharge was 0.8. . # anemia: patient had a hct drop after receiving ivfs (close to his baseline prior to hospitalization). his hemolysis labs: t bili and hapto were negative. he was continued on his home supplements b12/iron. . #. recurrent syncope: patient has recurrent syncope due to presumed vasovagal effects in the context of large bm's and large hiatal hernia. on this admission, dehydration was avoided. his home ace-inhibitor was held and not restarted on discharge with plan for outpatient follow up. . #. hypertension: given his presentation of shock, requiring pressor support in the micu, patient's lisinopril was held and not restarted at discharge (please see above). . # diabetes type ii: patient was continued on a hiss while inpatient. medications on admission: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever, pain. 2. senna 8.6 mg tablet sig: one (1) tablet po twice a day. 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one tab daily 7. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 8. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheezing. 9. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po q4h: prn as needed for gas. 10. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily 11. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 13. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 14. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 15. novolin n 100 unit/ml suspension sig: as dir subcutaneous as discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). 7. senna 8.6 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. cholecalciferol (vitamin d3) 400 unit capsule sig: one (1) capsule po once a day. 10. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 11. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for gas. 12. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 13. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po every six (6) hours as needed for constipation. 14. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection q8h (every 8 hours). 15. novolin n 100 unit/ml suspension sig: see below subcutaneous see below: as dir: please take as previously directed prior to your hospitalization. 16. piperacillin-tazobactam 2.25 gram recon soln sig: one (1) recon soln intravenous q6h (every 6 hours) for 10 days: to end . 17. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) for 10 days. discharge disposition: extended care facility: - discharge diagnosis: primary: pneumonia septic shock acute renal failure discharge condition: alert and oriented x3 non-ambulatory discharge instructions: you were admitted to the hospital because of your confusion and low blood pressure. we found that you had a pneumonia and acute kidney dysfunction. you were transferred to the intensive care unit because of your difficulty breathing. you improved with iv antibiotics (vancomycin and zosyn), iv fluids, and supplemental oxygen. on discharge your cough, blood pressure and kidney function improved. we have made the following changes to your medications: 1. continue vancomycin 1gm daily and zosyn 2.25gm every six hours via the picc line until for a total of 14 day course. 2. we have stopped your lisinopril because of your low blood pressure. you should follow up with your pcp before starting this medication. followup instructions: we have the nursing staff at . they will coordinate for you a visit from your primary care physician within the next week. we have stopped your lisinopril, your pcp will decide when to restart this. you should have a vancomycin trough checked after 3 more doses with a goal of 15-20. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus septic shock unspecified hereditary and idiopathic peripheral neuropathy pernicious anemia 

Answer: The patient is high likely exposed to