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: lipitor attending: chief complaint: hypotension major surgical or invasive procedure: cvl a-line history of present illness: 71 yom w history of cll, esrd on hd (mwf), on home oxygen (2l nc), now presenting with a fever and sob. according to the patient, he was in his usual state of good health until yesterday after dialysis. he completed his dialysis session (removed 3l), and felt sob upon going home. this persisted through the evening so his sister decided to bring him to the . according to his sister, he as feeling increasingly short of breath for the past couple of days. he denies recent, fevers, chills, sick contacts, myalgias, chest pain, diarrhea, dysuria (still produces some urine), headaches, neck stiffness, cough, sputum production. he presented to an outside hospital where he was given vancomycin and (?) gentamycin. he was then transferred to the ed for further treatment and evaluation. initial vs in ed: 99.8 102 90/50 28 96% 3l nc labs notable for wbc of 44.1, hct of 31.4 and plt of 59. creatinine was 3.4. lactate of 1.2. cxr showed compared to left lower lobe opacity concerning for consolidation +/- effusion. he was given levaquin. in the ed, the patient received roughly 1 l ns with a good response in his bp (increased transiently to 100-110s). his blood pressure, however, subsequently decreased to mid 90s so he was admitted to the micu. he also spiked a temperature to 101. on arrival to the micu, he complains of some pain in llq, which he says he "always gets after dialysis". feels sob, but no other complaints. vs on arrival: 103 106 98/56 31 96 on 4l nc past medical history: - esrd on hemodialysis mwf (last dialysis day before admission) - left arm av fistula failed and s/p jump av graft - cad (may have had a prior inferior infarction per note by dr. in ) - anemia (baseline hct= 20-23) - peripheral neuropathy - s/p bronchial lymph node biopsy + for cll - hypertension - cataracts - anemia - cholelithiasis - splenomegaly - prior hypovolemic shock - bph social history: retired police officer. lives with son and his family; sister's family lives downstairs. denies alcohol or illicit drug use. quit smoking 40 years ago family history: multiple relatives with dm; brother and sister both died from complications from dm. sister had fatal ovarian cancer. +cad in family. physical exam: admission physical exam: 103 106 98/56 31 96 on 4l nc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: b/l bka. neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact pertinent results: admission labs: 10:54pm type-art temp-37.8 tidal vol-500 peep-5 o2-100 po2-135* pco2-43 ph-7.27* total co2-21 base xs--6 aado2-535 req o2-89 intubated-intubated 10:54pm lactate-2.1* 10:54pm o2 sat-98 10:54pm freeca-1.03* 07:42pm type-art po2-172* pco2-34* ph-7.35 total co2-20* base xs--5 07:42pm lactate-3.1* 07:42pm freeca-1.06* 09:10am wbc-36.1* rbc-2.74* hgb-9.0* hct-27.5* mcv-100* mch-32.7* mchc-32.6 rdw-22.9* 02:36pm glucose-89 urea n-52* creat-3.6* sodium-143 potassium-5.2* chloride-110* total co2-24 anion gap-14 imaging: cxr impression: pulmonary edema and large left sided pleural effusion in the setting of chronic left lower lobe collapse and central lymphadenopathy. echo the left atrium is mildly dilated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. lv systolic function appears moderately-to-severely depressed (ejection fraction approximately 30 percent). however, there is considerable beat-to-beat variability of the left ventricular ejection fraction due to an irregular rhythm. the right ventricular free wall thickness is normal. the right ventricular cavity is moderately dilated with severe global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. there is no pericardial effusion. compared with the findings of the prior study (images reviewed) of , significant right ventricular and left ventricular contractile dysfunction is now present. micro: positive e. coli blood cx x2 positive e. coli urine cx positive gnr in sputum cx brief hospital course: 71 yom with multiple medical problems including dm2, esrd on hd, b/l bkas who presents with sob, fever, respiratory failure. plan: # sepsis: pt was admitted with acute respiratory failure and met sirs criteria. he was intubated soon after admission to micu for hypoxia. cxr was consistent with pna. both blood cultures and urine cultures demonstrated e.coli. he was started on meropenem and double covered with amikacin. he was also started on vancomycin. he required 4 vasopressors to maintain adequate blood pressures within first 24hrs of admission. an aterial line and central venous line were placed. family was contact and confirmed his dnr status. pt's bp continued to drop despite maximal amounts of vasopressors. he became bradycardic and expired on the evening of . # cad: denies chest pain at the moment. metoprolol (given hypotension) and aspirin (given thrombocytopenia). # cll: pt pancytopenia with appears near baseline, however his diff reveals promyelocytes and i am wondering if he has converted to aml. heme/onc did not think this was a blast crisis. # esrd: completed dialysis yesterday. electrolytes wnl. will need to make hd/renal aware. renal was consulted. monitor lytes. # dm2: holding insulin for now. # htn: holding home meds. medications on admission: metoprolol 25 protonix 40mg qd nephrocaps one gabapentin 100 2 cap ferrous sulfate 325 mg qd actos 15mg qd renagel 800 mg tabs t.i.d. after the each meals rocaltrol 0.5 mcg. furosimde 80mg qd (dialysis) aspirin 81mg this am phoslo 667 mg after each meals discharge medications: patient expired discharge disposition: expired discharge diagnosis: patient expired discharge condition: patient expired discharge instructions: patient expired followup instructions: patient expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified acidosis anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere renal dialysis status unspecified pleural effusion severe sepsis pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure septic shock do not resuscitate status diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled below knee amputation status chronic lymphoid leukemia, without mention of having achieved remission septicemia due to gram-negative organism, unspecified 

Answer: The patient is high likely exposed to