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: fall on from bed to floor major surgical or invasive procedure: none. history of present illness: the patient is an 85 yo man with h/o cad, chf ef 25%, cri admitted on status post fall at home on . pt. stated he "slipped" out of bed onto carpeted floor landing on buttocks, denies hitting head or losing consciousness. pt. felt weak and "couldn't move" for 4 hours. denies feeling lightheaded, dizzy, no cp. no numbness, tingling, fecal/urinary incontinence, ha or blurry vision. no diaphoresis, palpitations or weakness prior to fall. in ed found to have acute on chronic renal failrue cr of 3 with leukocytosis. pt states did notice some 'racing heart rate' on , otherwise was in usoh. he presented with questionable lower extremity cellulitis with known psoriatic lesions. past medical history: psurgh: cabg x 2 pmh: 1. cardiac cabg years ago with a redo in 9/91 at the va. had a ddd pacemaker placed. s/p mvr (metalic). details unknown - no chart available. developed a flutter causing chf - cardioverted an dig and amio started - - followed by 2. psoriasis 3. cataract 6. congestive heart failure 25% ef 7. gout 8. anemia 9. hypercholesterolemia 10. chronic renal insufficiency baseline 1.7-2 11. subacute ischemic colitis 12. osteoporosis 13. hypothyroidism 14: olgilvies syndrome 15. mvr (mechanical), on coumadin 16. history of poly vt, parox afib social history: does not smoke or drink alcohol. lives alone in retirement community. family history: noncontributory. physical exam: pe on admission: t=98.3 bp 110/68 p=76 rr=18 88% ra, 96% 2l o2 gen: nad, aox 3 heent: dry mucous membranes, min. react. perla, eomi, no carotid bruits cv: no jvd, rrr, grade ii/vi systolic, diastolic murmur, best heard at apex pulm: bibasilar crackles, r>l, o/w clear abd: distended, active bs, nt back: extensive psoriasis ext: psoriatic scaly lesions bilaterally, lle blood lesion, warm, crusty, erythematous, cyanosis in digits, no clubbing, rle psoriatic, dry, erythema, warm, no pus. non-palpable pulses bilaterally, not cold to touch. +2 pitting edema to knees. neuro: lle weakness 3/5, rle , cn ii-xii intact pertinent results: 08:51am lactate-3.3* 05:45am urine color-yellow appear-clear sp -1.016 05:45am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:45am urine rbc-0 wbc-0 bacteria-none yeast-none epi-0-2 05:45am urine hyaline-0-2 04:50am glucose-114* urea n-57* creat-3.0* sodium-139 potassium-5.1 chloride-103 total co2-20* anion gap-21* 04:50am calcium-9.7 phosphate-2.9 magnesium-2.6 04:50am osmolal-311* 04:50am wbc-17.6*# rbc-3.46* hgb-10.9* hct-33.5* mcv-97 mch-31.6 mchc-32.7 rdw-15.1 04:50am neuts-74* bands-10* lymphs-8* monos-8 eos-0 basos-0 atyps-0 metas-0 myelos-0 04:50am hypochrom-normal anisocyt-1+ poikilocy-normal macrocyt-1+ microcyt-normal polychrom-normal ovalocyt-occasional 04:50am plt smr-low plt count-133* 04:50am pt-28.7* ptt-39.8* inr(pt)-5.4 portable abdomen 2:10 am ng tube is in fundus of stomach. there is gaseous distention of the colon essentially unchanged since the prior study of , 04. right pleural thickening/calcification. chest (portable ap) 8:11 am chest, ap: the ngt is seen entering the stomach with the tip at the distal stomach or proximal duodenum. massively dilated large bowel is again noted. the cardiac, mediastinal and hilar contours are stable in appearance. diffuse bilateral patchy infiltrates are again noted and stable in appearance. the left side of the chest is not included with the view of the image. the osseous and soft tissue structures are stable in appearance. impression: ngt with tip at distal stomach or proximal duodenum. overall unchanged radiographic appearance of the chest and abdomen compared to prior study. renal u.s. 4:43 pm the left kidney measures 8.5 cm. the right kidney measures 7.8 cm. there is no evidence of hydronephrosis. a simple cyst is seen at the upper pole of the right kidney measuring 1.7 cm. a simple cyst is seen at the lower pole of the right kidney measuring 3.0 cm. two simple cysts are identified at the upper pole of the left kidney measuring 3.8 and 3.5 cm respectively. impression: no evidence of hydronephrosis. unchanged examination when compared to . chest (pa & lat) 12:09 pm the patient is status post median sternotomy and coronary artery bypass surgery. a permanent pacemaker remains in place with leads unchanged in position. there is stable cardiac enlargement and stable mediastinal widening. vascular engorgement and perihilar haziness are again noted. there has been overall increase in degree of perihilar haziness and worsening of thickened septal lines. an asymmetrical area of confluent opacity in the right perihilar region is also noted adjacent to an area of calcified pleural thickening. there is probably also an associated right pleural effusion. within the imaged portion of the upper abdomen, distention of the stomach and adjacent bowel loops is noted. comparison is also made to older chest radiographs dating back to . the bilateral mediastinal widening and calcified pleural thickening were present on the older radiograph. impression: worsening congestive heart failure. it is difficult to fully exclude an area of pneumonia in the right lower lobe and follow-up radiographs are recommended following diuresis. echo study date of conclusions: 1. the left atrium is moderately dilated. the right atrium is moderately dilated. 2. the left ventricular cavity is moderately dilated. there is severe global left ventricular hypokinesis. lv systolic function appears depressed. 3. the right ventricular cavity is dilated. right ventricular systolic function appears depressed. 4. a bileaflet mitral valve prosthesis is present. the mitral prosthesis appears well seated, with normal leaflet motion and transvalvular gradients. 5. severe tricuspid regurgitation is seen. knee (ap, lat & oblique) left 2:02 pm left knee three views ; the bones are diffusely demineralized. there is a small suprapatellar joint effusion. no evidence for fracture dislocation. vascular calcification and clips are noted. no erosions. diffuse subcutaneous edema appears to be present. brief hospital course: 1. cardiac: chf: the patient's lasix was initially held secondary to depleted volume status on exam and acute on chronic renal failure, possibly pre-renal. htn: the patient was continued on captopril, isosorbide dn, and a beta-blocker. cad: the patient was continued on a statin, b-blocker, and isosorbide dn. mvr: the patient's coumadin was initially held as the patient was supratherapeutic at 5.4 inr. an echo was obtained which revealed severe tr and severely depressed systolic function. arrhythmia: the patient was continued on amiodarone for paroxysmal afib. 2. neuro: ct head negative for acute thrombosis/bleed. he had no focal deficits on exam, and his weakness was thought to be overall global weakness related to deconditioning and chronic microvascular infarcts. 3. renal: mild acute on chronic renal failure likely pre-renal, gently replete fluids given h/o chf. his lasix was originally held. 4. derm: psoriasis: the patient initially refused treatment of his psoriasis. dermatology was asked to consult on the patient and recommended topical treatment which he agreed to. cellulitis: the patient was started on cefazolin 1 gm iv q12 on empirically 5. endocrine: hypothyroidism: continue levothyroxine. 6. musculo: pt, ot c/s'd on re: weakness, fall precautions, risk stratification. -history of gout and his uric acid was elevated. the left knee was tapped and found to have urate crystals and elevated wbc - could not rule out septic arthritis. colchicine o.6 mg was given on . salumedrol and prednisone were started on with taper. 9.derm: recommended by dermatology to have bacitracin to left shin wound and take davonex ointment for psoriasis -which he should receive as an outpatient. 10. gi - history of olgivie's kub showed distended bowel. his lfts and lipase were mildly elevated with a mild elevation in ck. as a result, his statin was discontinued. the patient should be continued on zetia as an outpatient. 11. dnr/dni. pt was transferred to micu on for acute hypoxic respiratory distress and increasing abdominal distension. he was placed on bipap, started on natrecor for chf, ngt and rectal tubes placed for decompression, pressors (dopamine) for hypotension, empiric abx to cover pulm and gi sources. pt developed worsening arf from atn (likely from hypotension). on team met with family and pt was made cmo. the patient passed away on . discharge medications: 1. furosemide 80 mg tablet sig: one (1) tablet po qd (once a day). 2. levothyroxine sodium 88 mcg tablet sig: one (1) tablet po qd (once a day). 3. oxazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime) as needed. 4. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. disp:*1 * refills:*0* 5. fleet glycerin (adult) 3 g suppository sig: one (1) rectal (). 6. glycerin (adult) 3 g suppository sig: one (1) suppository rectal prn (as needed). 7. amiodarone hcl 200 mg tablet sig: 0.5 tablet po qd (once a day). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service discharge diagnosis: deconditioned state leading to global weakness, lower extremity cellulitis discharge condition: deceased. discharge instructions: deceased. followup instructions: deceased. procedure: non-invasive mechanical ventilation arthrocentesis insertion of (naso-)intestinal tube injection or infusion of nesiritide diagnoses: pneumonia, organism unspecified acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified atrial fibrillation other specified intestinal obstruction candidiasis of mouth cellulitis and abscess of leg, except foot mechanical complication due to cardiac pacemaker (electrode) 

Answer: The patient is high likely exposed to