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: septic shock pnemonia major surgical or invasive procedure: none, arrived intubated with cvl in place from osh history of present illness: chief complaint: respiratory failure . history of present illness (of note, much of the hx is obtained from family as the pt was intubated): mr. is a 83 yo m with hld, cad s/p mi (unknown intervention hx), and rcc metastatic to liver and ?bone, who presented this morning to hospital complaining of 1 day of nausea and vomiting. as per the patient's family, the pt was found in the am having had vomitted numerous times o/n. the pt denied any cough or fever, but did endorse chills, fatigue, and recent loss of appetite. the friend that found the pt noted him to be quite pale, and brought him to the . at the osh ed, he was found to have a wbc of 14 with 40% bands, cxr showed pna. he was given levofloxacin 750 mg, azithromycin 500 mg, subsequently developed respiratory failure, was intubated, given 4l ns and transfered to . during his transfer his sbp was low and he was started on norepinephrine. . in the ed, initial vs were: t 97, hr 73, bp 85/73, on a vent. patient's antibiotics were broadened to vanc/zosyn, a rij was placed, he was given 500 ml ns and admitted to the ccu. . on the floor, the patient is intubated and unable to answer questions. past medical history: past medical history: hld cad s/p mi (before the age of 40) rcc metastatic to liver/bone marrow social history: social history (unable to obtain): - tobacco: unknown - alcohol: unknown - illicits: unknown family history: family history (unable to obtain): unknown physical exam: physical exam: vitals: t: bp: 98/59 p:93 r: 31 o2: 96% on vent general: intubated and sedated heent: ncat neck: rij c/d/i lungs: coarse breath sounds and crackles noted r>l, no wheezes cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present ext: cold, poorly perfused, 2+ pulses in femorals, unable to feel pulses in radials and dps, no edema neuro: intubated and sedated, no response to noxious stimuli pertinent results: 10:23pm type-art rates-24/16 tidal vol-500 peep-5 o2-100 po2-224* pco2-45 ph-7.16* total co2-17* base xs--12 aado2-464 req o2-77 -assist/con intubated-intubated 10:23pm glucose-156* lactate-6.0* na+-134* k+-3.9 cl--106 10:23pm hgb-9.0* calchct-27 o2 sat-99 carboxyhb-0.9 met hgb-0.3 10:23pm freeca-0.98* 09:59pm ph-6.97* comments-green top 09:59pm glucose-60* lactate-7.8* na+-141 k+-3.9 cl--108 tco2-16* 09:59pm hgb-9.8* calchct-29 o2 sat-74 carboxyhb-1.8 met hgb-0.2 09:59pm freeca-0.92* 09:45pm urea n-26* creat-2.6* 09:45pm estgfr-using this 09:45pm alt(sgpt)-38 ast(sgot)-96* alk phos-77 tot bili-0.8 09:45pm lipase-8 09:45pm ctropnt-0.47* 09:45pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:45pm wbc-19.8* rbc-3.44* hgb-9.1* hct-30.0* mcv-87 mch-26.5* mchc-30.5* rdw-23.8* 09:45pm neuts-68 bands-13* lymphs-7* monos-8 eos-0 basos-0 atyps-0 metas-3* myelos-1* 09:45pm hypochrom-2+ anisocyt-2+ poikilocy-2+ macrocyt-1+ microcyt-1+ polychrom-1+ ovalocyt-1+ target-1+ schistocy-1+ burr-2+ 09:45pm pt-20.1* ptt-54.4* inr(pt)-1.9* 09:45pm plt count-207 09:45pm fibrinoge-319 brief hospital course: mr. is a 83 yo m with hld, cad s/p mi (unknown intervention hx), and rcc metastatic to liver and bone marrow, who presented to hospital complaining of 2 days of nausea and vomiting found to have pna, who was transferred to for further management after developing respiratory failure. his family arrived the following morning and goals of care were shifted to comfort. pressors discontinued and the pt expired shortly thereafter. his family declined a post-mortem examination. . #. pna/ respiratory failure: patient found to have pna at osh, subsequently developed respiratory failure, was intubated and started on norepinephrine on transfer. admission cxr revealed large right mid-lower lobe consolidation. he was treated with vanco/zosyn and mechanical ventilation was continued until he expired. . #. septic shock: patient presented developed hypotension on transfer from the osh and started on norepinephrine. on admission ph 7.16 and lactate of 7.8. lactate improved with fluid resuscitation. pressors discontinued when goals of care were focused on comfort. . #. metastic rcc: prior to pursuing comfort, confirmed pt's previously guarded prognosis from an oncologic perspective with his onocologist, dr. . medications on admission: crestor sutent (sunitinib) 25 mg po daily discharge medications: n/a discharge disposition: expired discharge diagnosis: lobar pneumonia hypoxic resp failure septic shock metastatic renal cell carcinoma discharge condition: deceased discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: pneumonia, organism unspecified acidosis coronary atherosclerosis of native coronary artery malignant neoplasm of liver, secondary acute kidney failure with lesion of tubular necrosis unspecified septicemia severe sepsis malignant neoplasm of kidney, except pelvis other and unspecified hyperlipidemia acute respiratory failure cardiac arrest septic shock old myocardial infarction examination of participant in clinical trial secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to