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: history of present illness: the patient is a 33-year-old man transferred from an outside hospital with a diagnosis of bacterial meningitis (presumably strep pneumo), strep pneumo bacteremia, status post acute mi who was having a cocaine use, and ftt suggested of multilobar pneumonia. according to the discharge summary of the outside hospital, the patient had been there on complaining of an earache, headache and mental status changes including garbled speech, inability to walk, and fever of 102.8, initial attempts with p.o. unsuccessful. the patient was empirically started on ceftriaxone and vancomycin. the patient was sent to ct secondary to agitation requiring sedation, paralysis, and intubation. head ct was remarkable for left frontal encephalomalacia and bilateral frontal temporal edema. two out of two blood cultures from admission to the outside hospital grew out strep pneumoniae. lp was successfully performed on and it was most positive for bacterial meningitis. the patient was started on decadron and was transferred on acyclovir prior to the result of the positive blood culture, at the outside hospital patient also for a chest ct which revealed the right lower lobe consolidation, partial left lower lobe and right upper lobe consolidations and small bilateral pleural effusion. on admission to the outside hospital, the patient was in svt and heart rate in the 180s with initial ck and troponin were positive. peak ck was greater than 9000, troponin greater than 50, serum tox screen was positive for cocaine. he had no obvious st elevation on his initial ekg. the patient was transferred to on and noted to have oxygen desaturation requiring an increase in his fio2. medications on transfer: 1. ceftriaxone 2 gm q.12 h. 2. vancomycin 1 gm q.12 h. 3. decadron 15 mg iv q.8 h. 4. pepcid 20 mg q.d. 5. aspirin 325 mg q.d. 6. heparin subcu 70/500 mg p.o. b.i.d. 7. nitro drip. 8. ativan drip. 9. morphine drip. 10. tube feeds. physical examination: on admission, temperature 101.2, heart rate 103, blood pressure 116/54, respirations 14, saturation 96% intubated. certainly, the patient is obese, young man, intubated, sedated, and nonresponsive. heent, normocephalic, atraumatic. pupils 1- to 2-mm bilaterally sluggish but reactive. no corneal reflex. heart regular rate. normal s1 and s2. no murmurs. lungs, decreased breath sounds at bases bilaterally, otherwise clear territorially. abdomen was benign. the patient had good distal pulses. decreased dtrs throughout with equivocal babinski's bilaterally. laboratory data: labs on admission, the patient had an elevated white count at 17.4. brief summary, past medical history the patient was admitted to the fenard icu for 1 week followed by transfer to the floor for the following week. while in the intensive care unit, the patient continued to have respiratory failure secondary to pneumonia, he was successfully extubated on , and was transferred to the floor on the following day. when he was in the icu, the patient was continued on ceftriaxone. the vancomycin was discontinued. on arrival to the floor, the patient was afebrile and tachycardic to 102. other vitals were stable. hospital course: infectious disease. on arrival to the floor the patient was clinically improving from strep pneumo infection. his mental status was clear and pneumonia was resolving. head ct showed old changes but no abscesses. chest x-ray showed only a retrocardiac density which is likely atelectasis. the patient was continued on ceftriaxone for total of 14-day course. he used an incentive spirometer and continued to improve throughout the remaining weeks of his hospital admission. of note, hiv testing was done and was negative. during his hospitalization, the patient was incontinent of stool and urine. however, stool and urine cultures were positive and the patient was also negative for c-diff. his symptoms improved at the time of discharge. history of myocardial infarction: the patient had an acute myocardial infarction secondary to cocaine use. he remained hemodynamically stable with down trending cks. he was started on aspirin and labetalol. an echocardiogram done at the outside hospital showed a low ejection fraction of 40 percent with some hypokinesis. the patient is to have outpatient cardiology followup with a repeat echocardiogram in the near future. psychiatry: the patient has a strong history of alcohol and cocaine abuse. social work consult was done in-house to help patient with these issues. left shoulder weakness. this has been a new complaint. the patient will have an outpatient mri to further evaluate this. history of anemia: iron studies were negative for iron deficiency anemia. discharge diagnoses: pneumococcal meningitis. myocardial infarction. cocaine abuse. pneumonia. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. labetalol 600 mg p.o. b.i.d. 3. lisinopril 5 mg p.o. q.d. discharge instructions: the patient is to follow up with his primary care doctor dr. in 2 to 3 weeks. he also is to follow up with having an mri as an outpatient. he was instructed to attend aa, not to use drugs or alcohol. , md dictated by: medquist36 d: 13:14:39 t: 20:36:27 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: subendocardial infarction, initial episode of care unspecified essential hypertension cocaine abuse, unspecified acute respiratory failure morbid obesity infection and inflammatory reaction due to other vascular device, implant, and graft pneumococcal septicemia [streptococcus pneumoniae septicemia] pneumococcal pneumonia [streptococcus pneumoniae pneumonia] pneumococcal meningitis 

Answer: The patient is high likely exposed to