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: mr. is a 76 year old caucasian male with a history of asbestosis and restrictive lung disease who was recently admitted to this hospital from through for right lung decortication and pleurectomy. he is now representing with complaints of increased shortness of breath since his prior discharge. during the previous hospitalization, his hospital course was complicated by exacerbation of his congestive heart failure requiring natrecor. the patient also had two brief episodes of hypotension and syncope. in addition, the patient was discontinued home with a foley catheter due to the fact that when the foley catheter was removed prior to discharge the patient was unable to urinate. the patient was to have the foley catheter removed by the services at his home, however, before that has happened the patient is returning to the hospital today. with regards to his current symptoms, the patient states that right after returning home, however, before that as it happened the patient is returning to the hospital today. with regards to his current symptoms, the patient states that right after returning home from his prior discharge he started to develop gradually increasing shortness of breath and weakness. in particular, the symptoms have worsened over the last 48 hours. he also complains of decreased appetite and decreased p.o. intake. he also states that he had intermittent chest pain in a band like fashion across the chest which is worse with activity, however, he states that it is not pleuritic chest pain. he denies any cough, fevers or chills. he denies any nausea, vomiting, diarrhea or abdominal pain. the patient states he has chronic lower extremity edema and has not noticed any change in that in the recent days. with regards to his shortness of breath, the patient specifically notes that it is significantly worse when he is sitting up and therefore has spent most of the previous day lying supine. past medical history: 1. asbestosis and restrictive lung disease: the patient is status post recent right lung decortication and pleurectomy. 2. dilated cardiomyopathy: the patient's ejection fraction is measured at 35%. 3. history of supraventricular tachycardia. 4. pericarditis. 5. fatty liver. 6. alcoholic hepatitis. 7. status post cholecystectomy. 8. status post tonsillectomy. 9. history of positive ppd. medications on admission: digoxin .125 mg q. day; aspirin 325 mg q. day; protonix 40 mg q. day; colace 100 mg b.i.d.; dulcolax prn; ambien prn; percocet prn; flomax .4 q. day; lasix 40 mg b.i.d.; diovan 160 mg q. day; ciprofloxacin for a five day course. in addition, the patient was previously taking coreg 6.25 mg b.i.d., however, this discharge he had been off of coreg as it was not included in his discharge medications although he is not certain why. allergies: 1. penicillin causes a rash; 2. shellfish causes anaphylaxis. social history: the patient has no recent alcohol abuse history and denies any tobacco use. physical examination on admission: temperature 97, pulse 92, blood pressure 132/96, respiratory rate 18, oxygen saturation 100% on 3 liters. in general, the patient is alert and oriented but appears tired and chronically ill. head, eyes, ears, nose and throat examination: pupils are equally round and reactive to light. the sclera are anicteric and not injected. the oropharynx is clear with slightly dry mucus membranes. neck examination: there is no jugulovenous distension or carotid bruit. lung examination: the patient has bibasilar crackles with decreased breath sounds at the left base, upper fields have better air movement and no crackles. there are no wheezes throughout the lung fields. cardiovascular examination: there is a regular rate and rhythm with normal s1 and s2. no murmurs or rubs. abdominal examination: soft, nontender, nondistended. the liver edge is 3 cm below the costal margin, positive bowel sounds. extremity examination: there is 3+ pitting edema of bilateral lower extremities. the feet are warm to the touch with 2+ dorsalis pedis pulses. there is no calf tenderness. neurological examination: though the patient is limited by his shortness of breath, he has a grossly intact neurological examination. laboratory data: on admission laboratory data revealed complete blood count showing a normal white count of 8.0, with a decreased hematocrit of 30.4, platelets 295. chem-7 is significant for a sodium of 128. digoxin level was .6, tsh was within normal limits. urinalysis was within normal limits. chest x-ray shows left pleural effusion which was unchanged. it also shows right and left mid lungs on opacities. there is no evidence of congestive heart failure. electrocardiogram, low voltage limb leads, normal axis, normal intervals and t wave flattening isolated to v2. no st or other t wave changes. hospital course: 1. shortness of breath - the patient was clearly exhibiting ....................<as he had significant increase in shortness of breath while upright and could not tolerate this for more than a few seconds. the most likely causes of his shortness of breath are his congestive heart failure, pneumonia, pleural effusion, and myocardial infarction. the patient was ruled out for an myocardial infarction by cardiac enzymes. it was thought that initially his most likely etiology was congestive heart failure exacerbation. therefore he was diuresed with lasix. the day after admission he showed significant improvement in his symptoms, however, subsequently he began to gradually worsen. at this point it was felt that the symptoms were not only due to congestive heart failure, a computerized axial tomography scan was obtained which showed a loculated effusion in the right lung and a loculated smaller effusion in the left lung as well as a questionable right upper lobe ground-glass opacity. as the patient was worsening and there was this opacity seen on the x-ray there was a concern that there might be a pneumonia contributing to the patient's symptoms. therefore, he was started on levaquin initially for the treatment of community acquired pneumonia. when his symptoms again worsened, he was also started on vancomycin given that he had recently been in the hospital and could have a methicillin-resistant staphylococcus aureus infection. it was felt that the patient's symptoms most likely were due to his significant pleural effusion, especially on the right side. therefore he was scheduled for a pigtail catheter to be placed in the right pleural effusion for drainage. this was done by radiology. when this catheter was placed, there was a sanguinous drainage initially and that subsequently became serosanguinous. after the patient's pigtail catheter placement due to the bloody drainage he was having, he was transferred to the medicine intensive care unit for closer monitoring. he had an uncomplicated medicine intensive care unit course where he received blood product transfusions both for clotting and for maintenance of his hematocrit. he did well in the medicine intensive care unit and after the placement of the pigtail catheter had a significant improvement in symptoms. he is able to sit forward with minimal shortness of breath. several days after the initial pigtail catheter placement and an inferior infusion, the patient went back to radiology for a thoracentesis of the right anterior loculated infusion. after this drainage, the patient did report mild symptomatic improvement though not as significant as after the previous drainage. prior to discharge, the patient's pigtail catheter continued to produce approximately 300 cc of serosanguinous output per 24 hours. the plan was to maintain the catheter in place until the drainage tapered off. 2. pneumonia - though there is no definite evidence of pneumonia, given the patient's continuous respiratory status, it was felt that he would benefit from treatment. so, he was started on levaquin and vancomycin as stated above. he would continue on both of these for a total of 14 days. 3. wound infection - several days into the hospital admission it was noted that the patient's surgical wound from his prior admission on the right posterior torso was producing exudate as well as a foul odor. thoracic surgery debrided this wound. there was also material sent off for culture which grew out methicillin-resistant staphylococcus aureus bacteria. as the patient was already started on vancomycin, this was continued for the treatment of his wound infection. at no point did the patient present signs of advancing infection such as bacteremia or sepsis. 4. congestive heart failure - although the patient was initially treated for his congestive heart failure with more aggressive diuresis with lasix, it is unlikely that he had any significant congestive heart failure exacerbation. he was continued on digoxin and lasix initially. he was also restarted on his coreg at a lower dose of 3.125 mg b.i.d. after several days the lasix was discontinued as the patient had limited p.o. intake and did not require any diuresis. he was maintained on a 2 gm sodium diet and fluid restriction. 5. hematology - the patient had an elevated inr prior to his pigtail catheter placement. he required transfusion of fresh frozen plasma in order to perform the procedure. he had also previously been on aspirin due to his heart disease. this was held several days prior to the procedure and was restarted due to continued serosanguinous drainage from his pigtail catheter. 6. fluids, electrolytes and nutrition - the patient was hyponatremic on admission, however, this was a chronic condition for him, likely secondary to congestive heart failure. his sodium level remained stable throughout the hospital admission and no further workup or treatment was initiated for this. 7. code status - the patient was do-not-resuscitate, do-not-intubate on admission and on discharge. discharge status: the patient is to be discharged to a pulmonary rehabilitation facility. discharge condition: the patient is in good condition, he is afebrile, hemodynamically stable and tolerating p.o. and able to tolerate light activity with assistance. discharge medications: 1. coreg 3.125 mg b.i.d. 2. levaquin 500 mg q. 24 hours to be continued for a total course of 14 days. 3. protonix 40 mg q. day. 4. digoxin .125 mg q. day. 5. vancomycin 1 gm intravenously q. 12 hours to be continued for a total of 14 days. 6. ambien 5 to 10 mg p.o. q.h.s. prn 7. colace 100 mg p.o. b.i.d. 8. dulcolax 10 mg p.o. q. day prn follow up instructions: the patient will be followed up at his pulmonary rehabilitation. he will also follow up with his primary care provider, . and with cardiothoracic surgery and dr. . this discharge summary will be addended in a future dictation. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified thoracentesis nonexcisional debridement of wound, infection or burn transfusion of packed cells transfusion of other serum diagnoses: pneumonia, organism unspecified other primary cardiomyopathies other postoperative infection unspecified pleural effusion congestive heart failure, unspecified hyposmolality and/or hyponatremia acute on chronic diastolic heart failure pulmonary collapse asbestosis 

Answer: The patient is high likely exposed to