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: patient recorded as having no known allergies to drugs attending: chief complaint: osh transfer for gib major surgical or invasive procedure: none history of present illness: 84 year old male with a pmh of colon ca s/p hemicolectomy , chronic anemia (baseline hct 30s), and ckd (cr 1.8-2.2) who was transferred from an osh having presented there on with symptoms of anemia and two episodes of melena. one week ago, mr. passed "black diarrhea." subsequently, he began feeling light headed, fatigued, and dizzy. he was also not eating very much, but states he was able ot keep up with his fluid intake. his bowel habits returned to until 3 days ago when he had a further episode of black stool. since then, his fatigue and dizziness have worsened. he felt short of breath with minimal exertion. he had no further black bowel movements, but when his wife began to experience similar symptoms, they presented to . there, he was found to be guaiac positive with a hct of 13. he received 1 unit prbcs. he was transferred to for further care. . in the ed, vitals were 98.7, 110, 98/62, 22, 98%2l nc. a cxr showed a lll opacity c/w evolving pneumonia. blood cultures were sent and he received a dose of vancomycin and ceftriaxone. ekg showed lateral st depressions c/w a strain pattern. initial labs were notable for pancyopenia with wbc of 1.5 (anc 1090, 74% pmns with 2% bands), a hct of 16.9, and platelets of 35. potassium was 6.6 and lactate was 4.6. inr was 1.5. troponin was elevated at 0.25 (was 0.15 at osh with normal cks). he was given protonix, ceftriaxone, azithromycin, vancomycin, and he was typed and cross-matched. . currently he denies any epigastric pain, nausea or vomiting. he took an ibuprofen dose 2 days ago for his dizziness, but denies any other nsaid use. past medical history: # colon ca - stage b, s/p resection in , no evidence of disease recurrence, last ct abdomen was done in # htn # macrocytic anemia, on oral b12, hct 33.6 in # ckd (baseline cr 1.8-2.2) # increased igm kappa monoclonal protein with polyclonal increase in iga. he has declined bone marrow aspiration and biopsy. # chronic elevation of alkaline phosphatase, no hepatic pathology # gout social history: he drinks a 7 oz beer each day. lifelong smoker until yesterday, ppd x 70 years lives with wife, is independent in function and adls. family history: non-contributory physical exam: t: 96.5 bp: 135/63 p: 103 rr: 22 o2 sat: 98% 2l gen: elderly, pleasant, nad heent: ncat, perrl, eomi neck: jvp flat cv: rrr no mrg, nl s1, s2 resp: ctab abd: nabs, soft, ntnd, no guarding/rigidity/rebound back: no cva tenderness rectal: guaiac: positive per ed exam ext: no cce, 2+/4 symmetric pedal pulses neuro: grossly non-focal pertinent results: 02:50pm blood wbc-1.5* rbc-1.49* hgb-5.6* hct-16.9* mcv-114* mch-37.5* mchc-33.1 rdw-20.6* plt ct-35* 02:50pm blood neuts-74* bands-2 lymphs-18 monos-4 eos-0 baso-0 atyps-2* metas-0 myelos-0 02:50pm blood pt-16.5* ptt-26.7 inr(pt)-1.5* 02:50pm blood glucose-150* urean-87* creat-3.1* na-140 k-6.6* cl-108 hco3-15* angap-24* 02:50pm blood alt-27 ast-37 ld(ldh)-342* alkphos-123* totbili-0.7 02:50pm blood ctropnt-0.25* 06:45pm blood ck-mb-5 ctropnt-0.20* 03:46am blood ck-mb-6 ctropnt-0.22* 03:46am blood vitb12-1235* folate-greater th hapto-340* 03:12pm blood lactate-4.6* . micro: 1:47 am influenza a/b by dfa source: nasopharyngeal aspirate. **final report ** direct influenza a antigen test (final ): negative for influenza a viral antigen. direct influenza b antigen test (final ): positive for influenza b viral antigen. reported by phone to dr. 3:15pm. . cxr impression: 1. left lower lobe opacity likely representing atelectasis, however, early pneumonia cannot be excluded. right pleural effusion noted. 2. if clinically feasible, dedicated pa and lateral views could be helpful for further evalution. . cxr impression: marked interval progression with now massive bilateral pulmonary edema and moderate bilateral pleural effusions. previously noted left lower lobe focal consolidation is discernable; however, difficult to characterize in the presence of diffuse background parenchymal changes. echo the left atrium is normal in size. the estimated right atrial pressure is 10-20mmhg. the left ventricular cavity size is normal. there is moderate to severe global left ventricular hypokinesis with more severe mid to distal septal/anterior/inferior and apical hypokinesis/akinesis (lvef = 30 %). right ventricular chamber size is borderline dilated with depressed free wall contractility. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: 84m with distant h/o colon ca now p/w gi bleed, found to have pna and influenza. pt presented to osh with hct of 13, bumped to 16 after 1 unit prbcs. at icu, placed on iv ppi and transfused 2 units prbcs. also received 2 units of ffp to reverse mild coagulopathy and 1 unit of platelts for thrombocytopenia. pt confirmed dnr/dni status on admission. gi consulted and deferred endocscopy given pt's relative hemodynamic and noted troponin leak with ekg changes c/w demand strain. was also given ctx and azithro for cap. a dfa was positive for influenza b. shortly after transfusion of 2nd units of rbcs, pt noted to be hypoxic and in worsening respiratory distress and exam was c/w pulmonary edema. iv lasix and morphine were administered with mild improvement. pt did not tolerate cpap so was given supplemental o2 via face tent. nebulized bronchodilators and iv solumedrol were given for possible copd exacerbation given pt's smoking history. an echocardiogram showed moderate to severely depressed lvef of 30%. repeat cxr showed massive pulmonary edema. a large iv lasix challenge was given with 200mg iv, and pt did put out urine to this, but continued to have worsening pulmonary edema. pt's family was present throughout and requested only that the pt be kept as comfortable as possible. liberal iv morphine was used to this effect with good results. on the morning of , pt expired peacefully with family at bedside. family declined autopsy. medications on admission: lopressor 50 mg po bid allopurinol 300 mg po daily folic acid 1 mg po daily vit b12 250 mcg po daily aleve 220 mg prn discharge medications: n/a discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: n/a followup instructions: n/a md, procedure: transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: pneumonia, organism unspecified hyperpotassemia subendocardial infarction, initial episode of care congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified obstructive chronic bronchitis with (acute) exacerbation chronic kidney disease, unspecified blood in stool personal history of malignant neoplasm of large intestine hypoxemia other and unspecified coagulation defects 

Answer: The patient is high likely exposed to