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: bacitracin attending: chief complaint: transferred for management of hypotension, dyspnea major surgical or invasive procedure: left arterial line placement right internal jugular central venous line placement. history of present illness: this is a 79 yo man w/h/o pes, , copd on 2-3lnc outpt, who p/w 4-5days of sob and nonproductive cough. most of hx is given by pt's son who notes that the sob began ~2 weeks ago. at that time, he was febrile w/productive cough. he was treated w/2 weeks of levofloxacin and a zpak, course complete last fri. since then, pt notes that his breathing was slightly better, but upon following up with his pcp this past , she noted that he was fluid overloaded. they had been increasing the outpt dose of lasix, but both son and pt are unable to recall what the most recent dose was. pt's dry weight is ~210lbs, and most recently he weighed 215lbs outpt. pts son notes that has been checking vitals daily and day pta his father's o2 sat dropped to mid 70's on 5l o2 which improved w/son's cpap to 93%. he has otherwise been afebrile. denied recent cp/palpitations, notes + orthopnea, pnd, doe. they presented to where he received ceftriaxone and levofloxacin and was started on pressors for sbp 70s/50s. . in the ed, right ij was placed to continue levophed. vitals were t 100.6 bp 96/56 hr 96 rr 28 sat 99% on nrb. . ros: the patient denies any nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia, urinary frequency, urgency, dysuria, lightheadedness, gait unsteadiness, focal weakness, vision changes, headache, rash or skin changes. . past medical history: # dyslipidemia # hypertension # systolic heart failure- ef 35% # aortic stenosis- moderate to severe # pe: junction right upper and right middle lob artery; also pe of rml, rll, lll distal vessels # extensive mural thrombus of aortic arch and descending abdominal aorta # rle dvt # prostate ca s/p radiation # hypercholesterolemia # copd # hx of etoh abuse social history: positive for alcohol and tobacco use: 6beers and 2 shots/day, 60pack year hx. lives with his son. family history: family history: no family history of early mi, otherwise non-contributory. physical exam: tmax: 37.1 ??????c (98.7 ??????f) tcurrent: 35.8 ??????c (96.4 ??????f) hr: 103 (93 - 109) bpm bp: 66/39(50) {66/39(50) - 121/59(79)} mmhg rr: 16 (11 - 31) insp/min spo2: 98% heart rhythm: st (sinus tachycardia) wgt (current): 100 kg (admission): 100 kg general appearance: sleeping and obtunded eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: rhonchorous: ), coarse abdominal: soft, non-tender, bowel sounds present extremities: right: 2+, left: 2+ neurologic: no(t) attentive, no(t) follows simple commands, responds to: verbal stimuli, movement: not assessed, tone: not assessed pertinent results: 04:41am blood wbc-7.1 rbc-2.92* hgb-9.2* hct-27.9* mcv-96 mch-31.3 mchc-32.8 rdw-14.6 plt ct-192 08:50pm blood neuts-85.8* lymphs-8.9* monos-4.5 eos-0.7 baso-0.1 04:41am blood pt-34.2* ptt-47.9* inr(pt)-3.5* 04:41am blood glucose-91 urean-52* creat-2.1* na-136 k-5.1 cl-97 hco3-29 angap-15 04:24am blood alt-19 ast-22 ld(ldh)-164 alkphos-38* totbili-1.9* dirbili-0.6* indbili-1.3 04:24am blood probnp-* 04:41am blood calcium-8.5 phos-5.1*# mg-2.1 01:01pm blood type-art po2-69* pco2-70* ph-7.28* caltco2-34* base xs-3 11:20am blood type-art temp-37.0 rates-/14 fio2-50 po2-91 pco2-72* ph-7.28* caltco2-35* base xs-3 intubat-not intuba 09:01pm blood glucose-134* lactate-0.9 na-136 k-5.0 cl-94* calhco3-32* 10:02am blood o2 sat-71 09:01pm blood freeca-1.06* tte the left atrial volume is markedly increased (>32ml/m2). the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is severe global left ventricular hypokinesis (lvef = xx %). there is no ventricular septal defect. the right ventricular cavity is moderately dilated with moderate global free wall hypokinesis. the aortic root is mildly dilated at the sinus level. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are moderately thickened. there is moderate to severe aortic valve stenosis (area 0.8-1.0cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. there are no echocardiographic signs of tamponade. impression: severe global lv hypokinesis with moderate lv dilatation. moderate to severe aortic stenosis. mild to moderate aortic and mitral regurgitation. compared with the prior study (images reviewed) of , the left ventricle is now dilated. the inferior and inferolateral segments, which previously had relatively preserved function are now hypokinetic. the valvular pathologies are similar. the degree of pulmonary artery systolic hypertension is slightly lower. brief hospital course: mr. is a 79 year old gentleman with a pmh significant for copd on 2-3l home o2, recent pe on coumadin s/p ivf filter placement, and recent medically managed admitted for days of sob, nonproductive cough, and hypotension. the patient was found to have decompensated heart failure and started on dobutamine, dopamine, and lasix gtt. the patient's condition continued to deteriorate and the decision was made in conjunction with his entire family to make the patient comfort measures only and died shortly thereafter. 1. hypotension: this most likely represents decompensated heart failure/cardiogenic shock and less likely sepsis. pt echo shows reduced ef (20-25%) and severe global hypokinesis. bnp was >36,000. cardiology was consulted and recommended diuresis and attempting to wean pressors. pt negative 400cc yesterday. potential infectious sources include urosepsis versus pneumonia. the patient had worsening cxr showing possible retrocardiac opacity concerning for effusion versus pneumonia, although patient with recently treated cap as outpatient with azithromycin. the patient was continued on dobutaime and dopamine. he was diuresised on a lasix drip, but his output was limited by his hypotension. the patient was also started on broad spectrum antibiotics for pneumonia, vancomycin, zosyn and levofloxacin. on in the morning the patient was found to be more lethargic and confused. a blood gas showed that he had hypercapneic respiratory failure and was placed on bipap. the patient refused intubation. he did not improve on bipap and given his clinical deterioration the patient and family decided to pursue comfort measures only. all additional interventions and treatments were suspended and the patient was only given morphine and placed on a nrb. he died shortly thereafter. 2. dyspnea: likely multifactorial including fluid overload due to decompensated systolic heart failure (bnp >36,000), possibly secondary to arf (cr trending down from 2.1, baseline 1.0) and baseline copd although without signs of exacerbation including wheezes. 3. cad: recent that was medically managed. ecg without evidence of acute ischemia and patient without chest pain. 4. arf: feurea 21.3%, suggesting that acute renal failure is due to pre-renal azotemia consistent with decreased renal perfusion/forward flow from decompensated heart failure. baseline creatinine 1-1.2. 5. uti: treated with ceftriaxone until patient made cmo. 6. anemia: baseline hct of 30-40, now with hct of 27.9 after 1u prbc with unknown etiology to acute decrease. pt haptoglobin (230) and tbili mildly elevated. ldh normal. 7. pulmonary embolism: patient with multiple pe in currently on coumadin with mildly supratherapeutic inr. continued on coumadin during admission. 8. etoh abuse: past history of etoh use. continued on thiamine and folate. 9. code status: as above, patient made cmo after discussion with family. medications on admission: coumadin as directed metoprolol 12.5 mg twice a day plavix 75 mg daily aspirin 81 mg daily lisinopril 5 mg daily zocor 80 mg daily folic acid thiamine protonix 40mg discharge medications: patiend died. discharge disposition: expired discharge diagnosis: patiend died. discharge condition: patiend died. discharge instructions: patiend died. followup instructions: patiend died. procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart non-invasive mechanical ventilation arterial catheterization diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of prostate mitral valve insufficiency and aortic valve insufficiency acute respiratory failure cardiogenic shock surgical or other procedure not carried out because of patient's decision alcohol abuse, continuous subendocardial infarction, subsequent episode of care acute on chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to