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: antidepressants o.u. classifier attending: chief complaint: sob major surgical or invasive procedure: intubation in icu history of present illness: 53 y/o m with hx of copd, osa, ocd, add, bipolar disease and dm presents today with worsening congestion. reported to ed that he has about a month of sinus congestion and then 2-3 days of worsening symptoms, including cough and dyspnea. had run out of his combivent at home. initially seen in the ed this morning with sob and congestion. was treated for copd flare with azithro and solumedrol. refused admission and left ama with po meds. he denied fevers, chills, nausea, vomiting, headache, fainting, falls, chest pain or other complaints (per ed report). . he returned later this evening with continued symptoms of sob. in the ed, initial vs were t 97.1, p 77, bp 145/78, r 20, 96% on unknown o2 sat. patient was given methylprednisone 125 mg iv x1, levofloxacin 750 mg iv x1 and albuterol nebs. at that time, was satting appropriately until he started to have a depressed mental status. he was placed on bipap and his co2 was 7.38/60/81. he remained on bipap for an hour but his mental status did not improve. his repeat gas was 7.31/69/90. he was intubated easily and place on a fentanyl and versed gtt for sedation. . in the micu, the patient was intubated and aggitated despite being on fentanyl and versed. he was extubated the next day and did well. he had one episode of desaturation and his abg at that time was worse than prior to extubation, but he was likely hyperventilated on the vent. pt. continued to be talkative, no sob. he was weaned to 3l nc and placed on bipap () overnight. icu team spoke with - program director for his apartment building, obtained med list. according to , he takes the clonazepam 4 times per day. he does not have a hcp, mother is still involved, but pt. asked to contact as opposed to his mother. . past medical history: psychiatric history: dx: per pt and his mother: , add, ocd since teenage years. hosps: first age 15, last 3 years ago, for bipolar symptoms. says total of "three dozen." previous treatments; ect x 3, last 7 years ago. reports becoming manic on "all the antidepressants." outpt: dr. for psychopharm and therapy, in . denies h/o sas/sib or violence to others. lives in independent housing, attends house. . past medical history (include history of head trauma, seizures, or other neurologic illness): urinary incontinence, wears "diapers" htn copd osa lbp type ii diabetes . allergies (include reaction, if known): nkda social history: lives alone in family and social services apartment in brooline ( ). says that he has a undergrad degree from suny and took some master's level courses in pol science and history. mother lives in , . he speaks to her by phone several times per day and she provides him some financial support. on ssdi. no arrest history. has not worked since being a social studies and english teacher in the -80s. - tobacco: 1 ppd x many years - alcohol: denies - illicits: denies family history: father, sister, . aunt with bipolar. physical exam: vitals: t: 95.8, bp: 142/70, p: 120, r: 18, o2: 93% 2l general: nad, cooperative neck: supple, jvp not elevated, no lad lungs: b/l mild wheeze otherwise ctab cv: rrr, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, nd, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 04:30pm blood wbc-8.1 rbc-4.97 hgb-14.4 hct-43.9 mcv-88 mch-29.1 mchc-32.9 rdw-13.2 plt ct-309 10:10pm blood wbc-9.0 rbc-5.08 hgb-13.9* hct-43.3 mcv-85 mch-27.4 mchc-32.1 rdw-13.1 plt ct-270 05:35am blood wbc-13.4* rbc-4.80 hgb-14.0 hct-42.4 mcv-88 mch-29.1 mchc-33.0 rdw-13.3 plt ct-279 04:30pm blood neuts-57.4 lymphs-31.8 monos-7.0 eos-2.7 baso-1.2 04:40am blood neuts-80.6* lymphs-13.9* monos-4.1 eos-1.0 baso-0.4 04:40am blood pt-13.4 ptt-26.0 inr(pt)-1.1 04:30pm blood glucose-62* urean-13 creat-0.8 na-143 k-4.7 cl-101 hco3-35* angap-12 05:35am blood glucose-95 urean-21* creat-0.7 na-143 k-4.4 cl-102 hco3-38* angap-7* 04:40am blood alt-11 ast-15 alkphos-63 totbili-0.2 05:35am blood calcium-9.5 phos-3.9 mg-2.0 10:10pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:00am urine color-yellow appear-clear sp -1.021 02:00am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-neg 02:00am urine . . . stool clostridium difficile toxin a & b test-final inpatient - negative sputum gram stain-final; respiratory culture-final inpatient mrsa screen mrsa screen-final inpatient urine legionella urinary antigen -final inpatient - negative blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending emergency . . brief hospital course: 53 y/o m with complicated past psychological history, copd, osa and dm who presents with worsening congestion, sob and potential copd flare vs. pneumonia. . # respiratory distress: likely from a copd flare (not on home o2) with superimposed lll collapsed and likely pna. initially needed intubation for 1 day due to hypoxia and respiratory failure. received solumedrol 125 mg iv q8 hrs in icu, then stopped, no need for taper. initially had swallowing difficulty when extubated but s+s has since cleared pt. we started fluticasone inhaler and sent him home to finish levoquin for a total 10 days. . # diarrhea: new onset overnight when pt came to the floor. unclear etiology. reported to be guiaic pos but hct stable. pt was c diff neg and diarrhea resolved. . # leukocytosis: wbc trending up. likely secondary to solumedrol. no other signs of infx. . # osa: has hx of severe osa on bipap at home. pt should continue his home bipap (). . # bipolar: has hx of bipolar disease. on clonazepam 1 mg , clozapine 250 mg daily, depakote 1500 mg , and thiothixene 10 mg daily. spoke with outpt psychiatrist and program director who both said pt was safe to go home and had enough supports. . # urinary incontinence: apparently chronic due to bph. cont terazosin . . # communication: patient intubated; (pt's program director) (w) (c) , psychiatrist dr. # code: full (presumed) . medications on admission: # clonazepam 1 mg prn - pt. takes on a regular basis # clozapine 200 mg daily # depakote 1000 mg # terazosin 2 mg daily # combivent inhaler # thiothixene 10 mg daily # xalatan eye drop 0.005% 1 drop each eye qhs discharge medications: 1. clonazepam 1 mg tablet sig: one (1) tablet po (4 times a day). 2. thiothixene 5 mg capsule sig: two (2) capsule po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. combivent 18-103 mcg/actuation aerosol sig: puff inhalation every six (6) hours as needed for shortness of breath or wheezing. 5. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 6. clozapine 100 mg tablet sig: two (2) tablet po daily (daily). 7. divalproex 500 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day). 8. terazosin 1 mg capsule sig: two (2) capsule po hs (at bedtime). 9. levofloxacin 250 mg tablet sig: three (3) tablet po q24h (every 24 hours) for 7 days. disp:*21 tablet(s)* refills:*0* 10. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 11. nicotine (polacrilex) 2 mg gum sig: one (1) gum buccal q1h (every hour) as needed for craving. discharge disposition: home discharge diagnosis: primary: copd exacerbation pna . secondary: osa dm bph add bipolar discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted due to pneumonia and copd exacerbation. you were intubated and in the icu for one day. you improved with antibiotics and steroids and were transferred to the medical floor. you are to finish your antibiotic course as prescribed. you are to also start taking fluticasone inhaler. there were no other changes to your medications. . please take all medications as prescribed. please follow up with all appointments. please do not hesitate to return to the hospital if you have any concerning symptoms at all . followup instructions: please follow up with your primary care provider and psychiatrist in the next 14-21 days. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified obstructive sleep apnea (adult)(pediatric) tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled obstructive chronic bronchitis with (acute) exacerbation pulmonary collapse hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) acute respiratory failure diarrhea urinary incontinence, unspecified other bipolar disorders obsessive-compulsive disorders attention deficit disorder without mention of hyperactivity 

Answer: The patient is high likely exposed to