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: amantadine hcl / zocor attending: chief complaint: osh transfer for sepsis major surgical or invasive procedure: brochoscopy history of present illness: 75 y/o m with hx type 2 dm c/b esrd and failed renal tx started on hd 3 months ago, cad s/p cabg, pvd, afib on coumadin who is transferred from osh for sepsis. . he had been in usoh until when after hd he began to experience fatigue, malaise, weakness and shaking chills. at osh ed, he received ctx 1 gm iv x1, azithromycin 500 mg iv x1, vanc 1 gm x1, lantus 12 u x 1. no other medications were given including home meds. blood cx drawn x 2 (one from hd line). cxr c/w mild volume overload or possible pneumonia. he underwent hd and was noted to be more lethargic. he was subsequently transferred to icu at osh for declining mental status and t 104. his hd line was removed at osh. per family request, he was transferred to . currently, he reports feeling much better. he denies any pain,n/v/diarrhea/uri/hematuria/dysuria. he does endorse mild non productive cough. he denies any cp, palpitations, sob, doe. at baseline at home he walks 1 mile/day. past medical history: # diabetes: insulin dependent c/b esrd, neuropathy -- rarely has low glucose readings at home, but recently had low readings in hospital # hypothyroidism # esrd s/p failed cadaveric renal transplant in now on hd (m/w/f) # left av graft placement in the past # toe ulcers s/p toe amputation # chf: ef 35%, presumed ischemic # biventricular icd pacemaker # s/p myocardial infarction with cabg # chronic atrial fibrillation on coumadin # hypertension # dyslipidemia # pvd with revascularization procedures including stents in his sma for intestinal ischemia last year. # s/p appy for acute appendicitis social history: lives with his wife and spends time in smoking: remote 20 pack year hx, but quit 40 years ago etoh: social illicits: none family history: the patient notes a brother with coronary artery disease as well as a coronary artery bypass graft. the patient also notes a mother with coronary artery disease. father died at age 70 of colon cancer. physical exam: vitals: t: 101 bp: 130/51 p:61 r: 18 o2:99% 2lnc general: alert, oriented x3, lethargic heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: coarse crackles at bases r>l cv: paced, 1/6 sem, no rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no edema pertinent results: 5:06 pm bronchoalveolar lavage bronchial fluid. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. respiratory culture (final ): no growth, <1000 cfu/ml. legionella culture (preliminary): no legionella isolated. potassium hydroxide preparation (final ): test cancelled by laboratory. patient credited. this is a low yield procedure based on our in-house studies. if pulmonary histoplasmosis, coccidioidomycosis, blastomycosis, aspergillosis or mucormycosis is strongly suspected, contact the microbiology laboratory (7-2306). immunoflourescent test for pneumocystis jirovecii (carinii) (final ): negative for pneumocystis jirovecii (carinii).. fungal culture (preliminary): no fungus isolated. nocardia culture (preliminary): no nocardia isolated. acid fast smear (final ): no acid fast bacilli seen on direct smear. no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): viral culture: r/o cytomegalovirus (preliminary): blood culture , ngtd at discharge urine negative rsv culture pending, cmv vl pending 03:31am blood wbc-8.8# rbc-4.07* hgb-12.6* hct-37.6* mcv-92 mch-31.0 mchc-33.6 rdw-16.7* plt ct-108* 05:20am blood wbc-5.0 rbc-3.97* hgb-11.8* hct-36.7* mcv-92 mch-29.6 mchc-32.1 rdw-16.4* plt ct-124* 03:31am blood neuts-79.8* lymphs-13.7* monos-5.5 eos-0.6 baso-0.3 03:31am blood pt-18.7* ptt-31.6 inr(pt)-1.7* 05:20am blood pt-16.3* ptt-30.2 inr(pt)-1.4* 03:31am blood glucose-71 urean-46* creat-2.8* na-137 k-3.6 cl-100 hco3-28 angap-13 05:20am blood glucose-130* urean-96* creat-4.1* na-134 k-3.9 cl-96 hco3-22 angap-20 03:31am blood calcium-8.0* phos-3.3 mg-1.7 05:20am blood calcium-8.4 phos-4.4 mg-2.1 11:15am blood vanco-10.1 07:50pm blood b-glucan-pnd 07:50pm blood aspergillus galactomannan antigen-pnd 06:45am urine color-yellow appear-hazy sp -1.020 06:45am urine blood-tr nitrite-neg protein-500 glucose-tr ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-neg 06:45am urine rbc-0-2 wbc-0-2 bacteri-many yeast-none epi-0 05:06pm other body fluid polys-60* lymphs-6* monos-4* macro-30* cxr the lungs are hyperinflated and diaphragms are flattened, consistent with copd. there is borderline cardiomegaly with left ventricular configuration. the patient is status post sternotomy, with mediastinal clips. the two lower sternotomy wires may be fractured, but are unchanged compared with . the aorta is calcified and slightly unfolded. icd device with 3 leads is unchanged. lucencies are seen crossing several of the wires associated with the leads, but this is also unchanged compared with . there is patchy opacity in the right suprahilar and perihilar region and to a lesser extent in the right cardiophrenic region and possible minimal atelectasis at the left base. there is minimal blunting of right and ? left costophrenic angles, consistent with a small amount of pleural fluid and/or thickening. impression: compared with one day earlier and allowing for technical differences, patchy perihilar opacity is probably unchanged. osh cultures ( hospital) hd line tip coag neg staph (grew ), to gent, vanc, tetra, rifampin only blood cultures 6/11 ngtd brief hospital course: 75 y/o m with cad s/p cabg, chf (ef 20%) with icd, severe pvd, dm c/b esrd s/p failed transplant now on hd presents with pneumonia. . # fever: etiology is most likely line infection vs pneumonia. cxr consistent with pneumonia. urine legonella and strep pneumo negative at the osh. covered empirically with vancomycin, ceftriaxone, and azithromycin but was broadened to vanco, cefepime, and cipro for hcap coverage given that he is at dialysis centers. beta glucan and galactomannan were sent. brochoscopy was performed for bal on hd#2, and samples were negative at time of discharge. patient remained afebrile in the icu and was transferred to the floor on hd #2. his hd line tip from the osh grew coag neg staph (see sensitivities on previous page). his fevers were therefore thought most likely to be due to a line infection (without bacteremia as blood cultures were still negative) and pneumonia. he was switched to vancomycin and levofloxacin only at time of discharge to complete a 10-day course. patient remained afebrile on the floor. . # esrd s/p failed tx: renal was following along. patient was continued on cellcept and steroids, as well as bactrim prophylaxis. after blood cultures were negative for 48 hours, a tunneled line was placed by ir on the right side on given plans for eventually av fistula on the left. . # htn: bp medications held while in the icu. these were restarted on the floor. . # dm: lantus 12 units qam and humulog ss ac only . # afib on coumadin: coumadin held while awaiting new hd line. it was restarted at discharge. . # pvd: on fenofibrate, hx statin intolerance . # cad/?ischemic cardiomyopathy: ef 35%; currently appears euvolemic. torsemide restarted prior to discharge. . # hypothyroid - continued lt4 75 mcg daily . # bone health: on chronic immunosuppression and known osteopenia. he has fallen a few times his past year, but no fractures. continued calcium. . # code: full, discussed with family and patient in icu medications on admission: medications on transfer: ctx 1 gm x 1 azithro 500 x 1 vanc 250 x 1 per report: zosyn and bactrim (not in papers from osh) lantus 12 qam . home medications: synthroid 75 mcg daily torsemide 40 mg daily lantus 12 units qam + humalog ss calcium carbonate 600 mg coumadin 2.5 mg daily carvedilol 25 mg amlodipine 10 mg daily asa 325 fenofibrate 48 mg daily bactrim ds m/w/f cellcept mg prednisone 5 mg daily discharge medications: 1. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 2. torsemide 20 mg tablet sig: two (2) tablet po daily (daily). 3. insulin lantus 20units in the morning resume home humalog sliding scale 4. calcium carbonate 600 mg (1,500 mg) tablet sig: one (1) tablet po twice a day. 5. warfarin 2.5 mg tablet sig: one (1) tablet po once daily at 4 pm: take as directed by your coumadin clinic. 6. carvedilol 25 mg tablet sig: one (1) tablet po twice a day. 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. fenofibrate micronized 48 mg tablet sig: one (1) tablet po daily (). 10. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po q m/w/f (). 11. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 12. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 13. vancomycin in d5w 1 gram/200 ml piggyback sig: one (1) gram intravenous hd protocol (hd protochol): continue through . 14. levofloxacin 750 mg tablet sig: one (1) tablet po once for 1 doses: take on . disp:*1 tablet(s)* refills:*0* 15. levofloxacin 500 mg tablet sig: one (1) tablet po q48h for 3 doses: start on . disp:*3 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: -pneumonia -line infection secondary -esrd on hd -t2dm -cad -atrial fibrillation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to because of fever and concern of infection while you were at dialysis. you were found to have a pneumonia and an infection of your dialysis catheter. your dialysis catheter was removed at and you were started on antibiotics. you had a new dialysis catheter placed at on . while you were here, some of your medications were changed. you should continue antibiotics through : vancomycin (to be given at dialysis) levaquin orally continue all other medications as prescribed by your doctors. be sure to follow-up with your doctors at the below. weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: department: when: friday at 9:40 am with: , m.d. building: campus: east best parking: garage department: pat-preadmission testing when: tuesday at 8:30 am with: pat-preadmission testing building: cc campus: west best parking: garage department: transplant center when: tuesday at 9:20 am with: , md building: lm campus: west best parking: garage md, procedure: hemodialysis venous catheterization for renal dialysis closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified end stage renal disease renal dialysis status coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified septicemia unspecified acquired hypothyroidism atrial fibrillation aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes peripheral vascular disease, unspecified personal history of tobacco use sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified forms of chronic ischemic heart disease long-term (current) use of insulin old myocardial infarction long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other and unspecified infection due to central venous catheter complications of transplanted kidney diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other toe(s) amputation status disorder of bone and cartilage, unspecified chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to