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: fever major surgical or invasive procedure: none history of present illness: 75 year old russian speaking man with diabetes, hypertension, coronary disease and obstructive sleep apnea who presents with fever 102, dysuria and shortness of breath. he notes that he has had some pain and burning with urination but is unable to tell me how long he has had this and states he has had this intermittently. he has a one year history of urinary incontinence and chronic cellulitis on lower extremities. patient states that today he was sitting outside and felt febrile and more short of breath so he came to the ed. he also states that he did have some chest pain 2 days ago, but unable to state for how long, but denies any chest pain today. also had some constipation 2 days ago w/ abdominal pain. no cough. his legs are red and swollen at baseline, and does not feel this has changed. . in the ed, his sbp dropped to 80's and he was given 500cc slow bolus given concern for chf. retaken with larger cuff revealed normal bp. his bp remained normal during the stay. . in the icu, he was treated for a uti with vanc/cipro for a history of enterococcal uti. he was also diuresed for diastolic heart failure exacerbation. the patient was transferred to the floor for further diuresis. past medical history: type 2 diabetes. hypertension. cad s/p cath ' with 60% mid lad and 70% diag history of pulmonary disease ? copd, restrictive disease. currently smoking history of recurrent lower extremity cellulitis. morbid obesity. bilateral knee osteoarthritis. obstructive sleep apnea. status post meningioma with resection of right lateral ventricle. bladder tumor s/p procedure at last year social history: lives in an apartment by himself in apartment complex for elderly. has vna and weekly cleaning person. denies etoh and illicit drug use, extensive tobacco use, and currently smokes approximately 1 ppd. family history: extensive fh of dm physical exam: vitals: 98.2, 126/60, 77, 22, 91% ra gen: awake, alert, up in chair, breathing comfortably, irritated at wait for bed transfer. not dyspneic. heent: perrl, anicteric sclera, op clear, mm sl dry neck: obese, jvp difficult to assess cv: distant s1, s2, rrr ii/vi sm llsb pulm: diffuse wheezing bilaterally abd: (+) bs, soft, obese, (+) suprapubic ttp, no rebound or guarding ext: bilateral erythematous, edematous lower extremities wrapped in gauze with pebbly skin suggestive of chronic venous stasis pertinent results: 04:30pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-tr bilirubin-neg urobilngn-1 ph-7.5 leuk-lg 04:30pm urine rbc-0 wbc->50 bacteria-many yeast-none epi-0 03:00pm glucose-194* urea n-12 creat-0.9 sodium-138 potassium-4.1 chloride-102 total co2-25 anion gap-15 03:00pm wbc-20.4*# rbc-3.94* hgb-11.1* hct-33.9* mcv-86 mch-28.2 mchc-32.8 rdw-15.7* 03:00pm neuts-87* bands-9* lymphs-2* monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 -multiple negative sets of cardiac enzymes. cxr: limited radiograph. there are findings consistent with chf/fluid overload. cannot exclude possibility of pneumonia or pleural effusions on the basis of these films. if indicated, pa and lateral views should be obtained. tte: mild symmetric lvh, normal lvef 55%, suboptimal technique therefore difficult to assess for wma. trace ar. cxr pa/lat: improving status. some persistent features of volume overload. brief hospital course: 1. dyspnea: the patient presented with worsening of baseline dyspnea. he was treated in the icu for fluid overload with iv lasix, to which he responded very well. upon arrival to the floor, he continued to be treated with lasix and round the clock nebulizer treatments. on the day of discharge, he reported feeling much better. he was discharged with a home nebulizer and prescriptions for nebulizer solutions. he used oxygen when in his room, however, was able to use his wheelchair in the hallways without desaturation. he refused to use the nasal cpap machine. . 2. chest pain: several times on the floor the patient complained of chest pain. repeated ekgs and cardiac enzymes were unrevealing. his home medical management of coronary disease was continued. his chest pain responded well to nebulizer treatments and minimally to sublingual nitroglycerin. it is likely his chest pain was related to underlying lung disease. . 3. uti: at admission, he was complaining of dysuria and was found to have a urinary tract infection. he was initially treated with vancomycin/ciprofloxacin, because he had a history of enterococcal urinary tract infections. the vancomycin was discontinued and he was discharged to finish a 10 day course of ciprofloxacin. he had a foley while inpatient which was removed at discharge. he has a history of urinary incontinence, however, does not have a chronic foley at home. . 4. chronic lower extremity edema: he was treated supportively for chronic lower extremity edema with triamcinolone cream and daily dressing changes. . 5. diabetes: at admission, it was recorded that the patient took metformin 1000 mg po bid. he repeatedly refused the medication and reported that the metformin had been changed to glyburide as an outpatient. he was changed to glyburide on the day prior to discharge. he refused all sliding scale insulin, believing that it made the oral agents less effective. . 6. constipation: the patient had not had a bowel movement in six days on arrival on the floor. he was treated with colace, senna and dulcolax, and ultimately prune juice. he proceeded to have several bowel movements. . 7. history of meningioma resection: continued on home dose dilantin. . 8. disposition: the patient was discharged home with a home nebulizer and several home services in place. he was full code. communication with the patient throughout the hospitalization was difficult, especially when several attempts at drawing blood were unsuccessful. through the assistance of the russian interpreter, an effective plan was able to be developed and the patient felt considerably better on the day of discharge. medications on admission: dilantin 100 tid isordil 60 toprol 50 mg po qd mavik 1 mg po qday metformin 1000 mg zocor 40 mg qday protonix 40 mg qday plavix 75 mg po qd atrovent prn lasix 40 mg qday asa 325 mg qday discharge medications: 1. nebulizer home nebulizer 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. trandolapril 1 mg tablet sig: one (1) tablet po daily (daily). 9. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po bid (2 times a day). 10. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical daily (daily). disp:*qs * refills:*2* 11. nitroglycerin 0.3 mg tablet, sublingual sig: tablet, sublinguals sublingual prn (as needed) as needed for chest pain. 12. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 13. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours) as needed for sob, wheeze. disp:*30 neb* refills:*0* 14. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob, wheeze. disp:*30 neb* refills:*0* 15. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 16. furosemide 40 mg tablet sig: one (1) tablet po once (once) for 1 doses. tablet(s) discharge disposition: home with service facility: abp best home care agency, inc discharge diagnosis: primary: urinary tract infection diastolic heart failure exacerbation secondary: coronary artery disease congestive heart failure obstructive sleep apnea tobacco abuse urinary incontinence s/p bladder tumor resection s/p meningioma resection diabetes mellitus hypertension discharge condition: afebrile, hemodynamically stable. discharge instructions: please return to the ed if you develop fevers, chills, chest pain, or shortness of breath. . please make and keep all follow up appointments. please take all medications as prescribed. please finish all antibiotics. followup instructions: please make an appointment with your primary care physician, . , , for within 1-2 weeks of hospital discharge to discuss your hospitalization. procedure: non-invasive mechanical ventilation diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified acute and chronic respiratory failure cellulitis and abscess of leg, except foot morbid obesity other constipation personal history of noncompliance with medical treatment, presenting hazards to health diastolic heart failure, unspecified diabetes with unspecified complication, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to