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: hypotension major surgical or invasive procedure: none history of present illness: m with history of afib, dchf ef 55%, cad s/p 3v-cabg, htn, dmii, pvd, hl presents from pcp office for severe fatigue and cough over the last 2 weeks. he has a long standing (>2 year) dry cough that became productive 2 weeks ago after grandkids, who were sick with uri type symptoms, visited. he became more drowsy, and had more doe. he is able to cooks simple meals for himself, but was becoming tired walking to bathroom for the past few days. he also reported developing left side chest pain yesterday- pleuritic, non-radiating. he reports having calf pain, which has been going on for years. in clinic, he was noted to be very drowsy, bradycardic, and hypotensive so was referred to the ed. baseline bp usually in 110-130s. in the ed, initial vitals were 96.9 37 68/31 16 98%. he was given 500cc bolus of ivf with marginal response in hemodynamics to bp of 75/40. peripheral dopamine was started with a good increase in his hr and bp. cvl was subsequently placed. dopamine dosing was as high as 15, but was weaned to 5 by the time he was transferred to the floor. given his cough, he was initially given a dose of levofloxacin and clindmycin. cxr was a poor study. he had recently been undergoing aggressive diuresis for leg edema as an outpatient. his primary cardiologist had been worried about primary bradycardia (was in 40-50's) and had ordered an event monitor, which does not appear to have been performed yet. at the time, there was also concern for tia, so mri head was obtained which showed no vascular occlusion, stenosis, or an aneurysm >3 mm. vitals prior to transfer were: 90, 130/60, 15, 98% 2-3l on cardiac review of systems, he denies chest pain, dyspnea, orthopnea, pnd, syncope, presyncope, and palpitations. no other pertinent positives on general review of systems past medical history: -cad: severe 3 vessel disease s/p 3v cabg (svg=>d1=>lad, svg=>om1=>om3, svg= >am). svg=>d1=>lad was stented . repeat cath showed inoperable disease. during admit , had cp a/w some dynamic st segment depressions in anterior leads, medically managed with aspirin, plavix, ace, imdur, and betablocker. lvef >55% on echo done -incarcerated paraesophageal hernia s/p laparoscopic repair with fundoplication in ; associated gastric outlet obstruction resolved with surgical repair -lower gastrointestinal bleed secondary to hemorrhoids and colonic polyps, admit -hypertension with mild symmetric lvh -afib, first noted post-op during admission post op after paraesophageal hernia repair, converted to nsr on 11/. off coumadin significant bleeding issues. -hyperlipidemia -diabetes type ii -by mri/mra: left posterior parietal infarct, chronic periventricular microvascular ischemic changes, moderate disease resulting in 60-70% stenosis of the right precavernous and cavernous ica -s/p bilateral carotid endarterectomy -peripheral vascular disease status post left toe amputation, followed by dr. of prostate cancer status post radiation therapy -cataracts social history: no history of tobacco, no illicit drugs, no etoh use. walks without a walker at home. lives with his wife and son who is active in his care. retired physical therapist, musician and barber. independent of adls except for showering. wife does the bills. he does his own medications and his son supervises. 3 children, 3 grandchildren and 7 great grandchildren. last fell and was admitted to family history: father died at 78 due to probable mi. mother died at 86 due to probable mi. physical exam: on admission: 94 82 133/63 81 16 98% on 4l general: drowsy, oriented x3. heent: ncat. sclera anicteric. perrl, eomi. neck: supple without elevation of jvp cardiac: irregularly irregular rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. bilateral crackles r>l on anterior lung exam abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. neuro: aaox3, cnii-xii intact, poor effort with exam. moving all extremities. sensation to lt symmetric. on discharge: vitals: 98.5 bp 126-135/63-71 hr 69-82 rr 18-20 98% ra i's/o's: 8 - 120/500+1, 24 - +2bm general: no acute distress heent: mucous membs moist, no lymphadenopathy, jvp non elevated chest: crackle base. cv: s1 s2 normal in quality and intensity, no murmurs rubs or gallops abd: soft, non-tender, bs normoactive. ext: wwp, no edema. dps, pts 2+. not able to palpate thrill in fistula. neuro: 5/5 strength in u/l extremities. speech clear, pt answering questions appropriately. skin: no rash . pertinent results: on admission: 06:00pm blood wbc-5.8 rbc-2.77* hgb-8.2* hct-24.2* mcv-87 mch-29.6 mchc-33.8 rdw-16.4* plt ct-66* 06:00pm blood neuts-75* bands-3 lymphs-14* monos-6 eos-0 baso-0 atyps-0 metas-2* myelos-0 03:05am blood wbc-8.7# rbc-3.58*# hgb-10.3*# hct-30.2* mcv-84 mch-28.9 mchc-34.2 rdw-15.9* plt ct-69* 03:05am blood neuts-79* bands-4 lymphs-8* monos-8 eos-0 baso-0 atyps-1* metas-0 myelos-0 05:59am blood wbc-11.9*# rbc-3.63* hgb-10.3* hct-32.6* mcv-90 mch-28.5 mchc-31.7 rdw-15.9* plt ct-84* 06:00pm blood pt-13.2* ptt-36.0 inr(pt)-1.2* 06:00pm blood glucose-92 urean-67* creat-2.2* na-137 k-4.3 cl-100 hco3-23 angap-18 06:00pm blood alt-45* ast-47* ck(cpk)-73 alkphos-121 totbili-0.4 06:00pm blood ck-mb-8 ctropnt-0.06* probnp-2261* 06:00pm blood albumin-3.6 calcium-9.1 phos-5.1* mg-2.2 06:00pm blood tsh-5.3* 05:09am blood cortsol-53.0* 05:24am blood type-art po2-68* pco2-35 ph-7.41 caltco2-23 base xs--1 02:51pm blood type-art temp-38.0 rates-/14 fio2-50 po2-127* pco2-32* ph-7.40 caltco2-21 base xs--3 intubat-not intuba comment-cn 05:07pm blood type-art temp-38.2 fio2-50 po2-110* pco2-38 ph-7.38 caltco2-23 base xs--1 intubat-not intuba comment-c.n 06:13pm blood lactate-1.2 cardiac enzymes: 06:00pm blood ck-mb-8 ctropnt-0.06* probnp-2261* 05:09am blood ck-mb-33* mb indx-15.6* ctropnt-1.32* 12:02pm blood ck-mb-24* mb indx-13.8* ctropnt-2.20* 05:00pm blood ck-mb-18* mb indx-11.3* ctropnt-1.72* 05:09am blood ck(cpk)-211 12:02pm blood ck(cpk)-174 05:00pm blood ck(cpk)-160 tte : imaging: the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal inferior and infero-lateral walls. the remaining segments contract normally (lvef = 55%). the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild mitral regurgitation is seen.there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study dated (images reviewed), the wall motion abnormalities described above were present but not reported on the prior echocardiogram. brief hospital course: hospital course: m with afib, dchf ef 55%, cad s/p 3v-cabg, htn, dmii, pvd, hl presents with severe fatigue and cough found to be hypotensive to 60s and bradycardic to 30s due to sepsis from pneumonia. active issues: #. community-acquired pneumonia complicated by severe sepsis- the patient presented to his primary care provider hypotensive to 70's/30's, bradycardia to high 30's, and marketly lethargic. he was urgently tranfered to the ed and was admitted to the ccu for an inital diagnosis of cardiogenic shock given his bradycardia. this is a patient of dr. and the patient has been priously bradycardic to the low 40's but minimally symptomatic. on arrive to the ed he was bradycardic to as low as the high 30's, but typically in the mid 40's/50's. given a new productive cough, opacities on chest x-ray, it was felt that the hypotension and lethargy was likely related to pneumonia and less likely due to a cardiogenic process. he was given levofloxacin in the ed. after transfer to the ccu, the patient was increasing tachypnic and abg was concerning for hypoxemic respiratory failure. the patient was started on meropenem (given penicillin allergy) and vancomycin. he was started on bi-pap. he was also started on dopamine. hypotension was likely due to sepsis from pneumonia. he had been noted to be bradycardic in recent past but this seems to be unrelated. tsh mildly elevated but unlikely to be cause of his hypotension. cortisol was normal. however, pt improved with antibitoics and was copntinued only on levofloxacin (days ). he improved dramatically, came off pressors and face mask. we f/u blood cultures, but there has been no growth to date. legionella, mrsa, resp cultures were all -ve. pt was stable on ra at dc. #. bradycardia ?????? resolved with hr in 70-80s after resolutiuon of pna. inactive issues: #. afib - chads2 score of 6. however, she is not on coumadin secondary to prior gi bleeds. on and plavix. #. dchf ?????? had not been on home betablocker given bradycardia. we held betablocker and dc/ed the pt on home po lasix #. cad: stable on medical therapy. we dc/ed pt on home , imdur, lisinopril, lasix, simva. #. thrombocytopenia/anemia- the patient has a long standing anemia likely secondary to anemia of chronic inflammation per hem-onc records. the thrombocytopenia is new, which could be related to septic physiology vs. mds vs. other. improved with overall clinical stabilization. #. type 2 dm- last a1c was 7.5 on sitagliptin at home. we continued hiss in-house and dc/ed on home sitagliptin . # elevated lfts: they were elevated possibly due to hypotension, and improved with mangment of pneumonia. #. ckd, stage 3: baseline cr 1.1-1.4. cr stable at 1.7 on dc. dc/ed on home po lasix. #.hl: we continued home simvastatin #.pvd: stable. #. code status: full transitional issues: - may need to be abck on beta blocker if not bradycardic at some point. - outpatient repeat thyroid function studies - outpatient repeat lfts medications on admission: brimonidine 0.1 % drops, both eyes clopidogrel 75 mg daily dorzolamide-timolol 2%-0.5%, both eyes folic acid 1 mg daily furosemide 20 mg daily go2 personal fingertip pulse oximetry isosorbide mononitrate 60 mg daily latanoprost 0.005 % topically qhs leuprolide - dosage uncertain lisinopril 7.5 mg daily nitroglycerin 0.4 mg sl prn simvastatin 40 mg daily sitagliptin 50 mg daily acetaminophen - 500 mg q6h prn pain aspirin 81 mg daily calcium carbonate-vitamin d3 500 mg (1,250 mg)-400 unit, 1 tablet daily multivitamin 1 tablet daily psyllium 1 tsp daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 4. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 5. lasix 20 mg tablet sig: one (1) tablet po once a day. 6. imdur 60 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 7. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 8. leuprolide intramuscular 9. sitagliptin 50 mg tablet sig: one (1) tablet po once a day. 10. acetaminophen 500 mg capsule sig: one (1) capsule po every six (6) hours as needed for pain. 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. calcium carbonate-vitamin d3 500 mg(1,250mg) -400 unit tablet sig: one (1) tablet po once a day. 13. multivitamin tablet sig: one (1) tablet po daily (daily). 14. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 15. lisinopril 2.5 mg tablet sig: three (3) tablet po once a day. 16. nitroglycerin sublingual 17. psyllium 1.7 g wafer sig: one (1) po once a day. discharge disposition: extended care facility: senior healthcare of discharge diagnosis: community acquired pneumonia diastolic heart failure atrial fibrillation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear mr , it was a pleasure taking care of you here at the . you presented with a slow heart rate and low blood pressure and were found to have a pneumonia. you were given a 7 day course of antibitoics and you responded very well. you were discharged to rehab in a stable condition. no changes were made to your medications. followup instructions: department: neurology when: at 11:00 am with: , md building: sc clinical ctr campus: east best parking: garage department: cardiac services when: at 1 pm with: dr. building: sc clinical ctr campus: east best parking: garage department: podiatry when: friday at 1:40 pm with: , dpm building: ba ( complex) campus: west best parking: garage procedure: arterial catheterization central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified subendocardial infarction, initial episode of care anemia, unspecified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) acute respiratory failure other specified cardiac dysrhythmias cardiogenic shock diastolic heart failure, unspecified personal history of irradiation, presenting hazards to health 

Answer: The patient is high likely exposed to