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: penicillins attending: chief complaint: sob. major surgical or invasive procedure: none history of present illness: 81 yo russian-speaking man with pmh sig for chf (ef 65% 6/03), copd (fev1 .86, fvc1 .78), htn, and kyphotic scoliosis presents with sob upon waking on . pt fell down but denies loc or any trauma to his head. pt noted palpitations and an sbp of 200. denied cp at that time. ems found him with b/l inspiratory wheezes and tachypnia with a rr of 40. pt was given 4 sl ntg and was brought to . past medical history: 1. chf (ef 65% 6/03), 2. copd (fev1 .86, fvc1 .78) 3. htn 4. kyphotic scoliosis with restrictive lung dz 5. bladder instability 6. aaa 7. s/p appe 8. bph 9. colonic polyps 10. osa (not on cpap) social history: denies tob or etoh use. lives with wife. family history: pos fh of htn. denies fh of lung dz. physical exam: o: tm: 99.0 tc: 98.1 bp: 151/63 hr: 77 (56-77) rr: 20 o2sat: 91% ventimask i/os: 380/740 (tot net neg 950 cc) gen: comfortable, nad, russian-speaking. heent: nc/at. b/l catarics. anicteric. mmm. neck: supple. no masses or lad. no jvd. lungs: ctab, sever scoliosis, good air movement. no wheezes noted. cardiac: rrr. s1/s2. iii/vi diastolic murmer heard best lsb abd: soft, nt, nd, +nabs. no rebound or guarding. palpable pulsatile mass in his abd. extrem: no c/c/e. dp pulses intact b/l pertinent results: 08:23am po2-84* pco2-43 ph-7.40 total co2-28 base xs-0 08:23am lactate-1.5 07:26am glucose-126* urea n-19 creat-1.0 sodium-142 potassium-5.2* chloride-102 total co2-29 anion gap-16 07:26am ck(cpk)-177* 07:26am ctropnt-<0.01 07:26am ck-mb-3 07:26am wbc-18.2*# rbc-5.51 hgb-16.7 hct-49.1 mcv-89 mch-30.3 mchc-34.0 rdw-13.9 07:26am neuts-83* bands-1 lymphs-9* monos-5 eos-0 basos-0 atyps-2* metas-0 myelos-0 07:26am plt smr-normal plt count-207 07:26am pt-12.3 ptt-24.5 inr(pt)-1.0 cxr: limited study; possible new left retrocardiac infiltrate cxr: marked deformity of the thorax due to kyphoscoliosis. allowing for this, there is no definite pneumonic consolidation or chf. brief hospital course: 1. respitory distress. in ed the patient was found to be hypoxic with sats of 72-86. he was placed on a nrb without improvement. he was then put on cpap and his resp symptoms improved. he received 1 neb tx and 125 mg of solumedrol. an abg done in the ed revealed 7.4/43/84. he was diuresed 600 cc of urine, however his sbp dropped to the 70??????s and he was subsequently given an ivf bolus. the pt was transferred to the icu and remained hemodynamically stable on a 40% ventimask. the etiology of his resp distress was thought to be mulifactorial. his acute decompensation was thought to be due to an infectious process considering his fever and leukocytosis -- pna vs bronchitis. no definite pneumonic consolidation was identified on cxr, however it may have been masked by his marked kyphoscoliosis. the pt was treated with iv ceftriaxone and azithromycin and his symptoms and leukocytosis improved. he was changed to po levo to complete 10 days. bld cx's remained neg to date. his urine cx grew corynebacterium which was thought to be a contaminate. his sputum cx was contaminated with orophyarngeal secretions. his o2 sats were kept >90% initially on 5l nc on the floor. he was unable to be weaned off o2 and he was sent home with vna services to help with home o2, pt, and home safety. he required 1-2 l nc at rest and 4 l nc with ambulation prior to d/c. during his stay he received chest pt and used incentive spirometry. 2. copd -- thought to be secondary to large airway obstruction secondary to kyphoscoliosis. (no h/o smoking). pulmonary function tests done in past revealed a mixed obstructive and restrictive ventilatory defect (fev1 .86, fvc1 .78). this acute episode is unlikely to be related to copd exacerbation given lack of wheezing and good air movement. pt was given 125 mg of iv solumedrol in ed. steroids may be contributed to his leukocytosis. pt was continued on bronchodilators. 3. chf. chf exacerbation secondary to diastolic dysfuntion (ef 65%) may have contributed to acute resp distress. however, pt appeared volume depleted based on initial hemoconcentration and bun/cr >20:1. also there was no evidence of chf on cxr. 4. htn. pt's antihypertensives were initially held secondary to drop in bp after lasix. atenolol, moexipril, and nifedipine were restarted on . pt's sbp remained between 100-110. his nifedipine was d/c'ed prior to d/c. 5. aaa. his bp was well controlled. 6. bladder instability. treated with oxybutynin. 7. hypercholesterolemia. treated with lipitor 10 mg. medications on admission: 1. univasc 2. atenolol 100 mg tablet po qd 3. oxybutynin chloride 5 mg tablet po tid 4. atorvastatin calcium 10 mg po qd 5. nifedipine 6. asa 7. zyrtec discharge medications: 1. univasc 15 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 2. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 3. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*2 inh* refills:*2* 4. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q1-2h () as needed. disp:*2 inh* refills:*2* 5. atenolol 100 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 6. oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: family & services discharge diagnosis: community acquired pneamonia. discharge condition: fair discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet call your primary care doctor if your breathing gets worse or any other problems arise. followup instructions: provider: , .d. where: date/time: 9:00 provider: , .d. date/time: at 1:30 pm procedure: non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified chronic airway obstruction, not elsewhere classified aortic valve disorders hypotension, unspecified other diseases of lung, not elsewhere classified other kyphoscoliosis and scoliosis 

Answer: The patient is high likely exposed to