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: dyspnea major surgical or invasive procedure: bipap history of present illness: 76 yo m w pmh of ipf, recent admission for sob associated with a plane flight r/o for pe, who was at his baseline of 6l o2 at home when he developed worsening sob and cp at home. he reports slow decline in his baseline sob and increase need for o2 in the past few months, though this has acutely worsened in the last 2-3 days. this was accompanied by general fatigue and some chills, but he denies fevers, cough, sputum production, sore throat, arthralgias/myalgias, abd pain, diarrhea, dysuria. he did have some nonpleuritic rightsided chest pain that was related to exertion and resolved after about 20 minutes. it did not radiate and resolved with morphine in the ed. . he went to hospital where there was concern for a new lll pna. he was given 750mg of levofloxacin and 125mg solumedrol iv. he was breathing 24-26x/min. he was sent here since he is followed by dr. of pulmonology. here, he was breathing 24-30 times per minute, using word sentences. his antibiotics were broadened to vanc/zosyn (only got vanc). he improved on bipap to nrb and satting 92% on 6l. he remained tachycardic, but o/w hd stable. he received about 500cc ivf. his wbc was 12.4 (13 during last admission, thought steroids), lactate 1.4. given concern for his work of breathing, he was admitted to the icu. . prior to his last admission at , he did have an admission in in which he was given linezolid/levo for a pneumonia. . on the floor, he is on a bipap. he is speaking in full sentences and tolerated weaning to facemask. he reports his sob is worse than baseline. past medical history: 1. progressive interstitial lung disease, almost certainly idiopathic pulmonary fibrosis (ipf). 2. significant resting and especially exertional hypoxemia. 3. aortic stenosis with lvh. 4. abdominal aortic aneurysm that is 4 cm in diameter 5. mild pulmonary hypertension. 6. immunosuppressive therapy with prednisone and azathioprine. 7. compression fractures social history: drinks 2 glasses of wine per night. the patient lives with his wife in . he has 4 grown children. he worked for the telephone company. he is also a 45-pack-year smoker, having quit 15 years ago. asbestos exposure at work. he drinks 2 glasses of wine per night. family history: noncontributory. physical exam: vitals: t: 96.5 bp: 121/85 p: 95 rr: 14 o2: 100% on bipap general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: bilateral rales half way up lung fields, no wheezes, rhonchi cv: regular rate and rhythm, normal s1 + s2, 2/6 sem at base, no rubs, gallops abdomen: obese, 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 clubbing, cyanosis. + bilateral pedal edema pertinent results: 06:46am urine blood-neg nitrite-neg protein-25 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 03:05am alt(sgpt)-33 ast(sgot)-20 ld(ldh)-270* ck(cpk)-10* alk phos-63 tot bili-0.4 03:05am ck-mb-1 ctropnt-<0.01 03:05am calcium-9.4 phosphate-3.1 magnesium-1.8 03:05am lactate-1.4 03:05am wbc-12.9* rbc-3.85* hgb-12.6* hct-38.3* mcv-100* mch-32.7* mchc-32.9 rdw-14.9 03:05am neuts-95.1* lymphs-2.9* monos-1.6* eos-0.2 basos-0.1 03:05am plt count-141*# . cxr : impression: 1. new opacity at the left lung base, concerning for pneumonia in appropriate clinical setting; however, atelectasis can have a similar appearance. 2. atelectasis at the right lung base. 3. bilateral interstitial fibrosis. . cxr : impression: advanced interstitial pattern bilaterally consistent with diagnosis of idiopathic pulmonary fibrosis. no evidence of new discrete parenchymal infiltrates. no new major pleural effusions. brief hospital course: this is a 76 year old male with ipf on prednisone and azathioprine, bactrim ppx, exertional hypoxia, as with lvh, aaa, and pulmonary htn, who was admitted for increased sob likely due to an exacerbation of his underlying pulmonary fibrosis. . #. sob- he was admitted to the icu the patient has end stage pulmonary fibrosis on 5l of nc at home and therefore has poor respiratory functional reserve. the patient has had several cxrs this admission which do not show any signs of infection. it is also likely that his mild leukocytosis was due to an increase in his steroid dosing. his sob this admission is likely secondary to an ipf exacerbation which responded to increased steroid dosing with a 3 day burst of prednisone 60mg that was decreased down to his home prednisone 20mg dose prior to discharge. he was started on antibiotics on admission to cover a hospital acquired pneumonia and he was continued on his empiric antibiotics despite minimal evidence of infection given that he has poor baseline pulmonary reserve. he therefore was continued on levofloxacin, linezolid, and cefepime to complete an 8 day course at home. linezolid was chosen after the patient developed an erythemic eruption on his chest and back while being dosed with vancomyin in the ed. he was continued on his home azathioprine and bactrim prohylaxis. he was set up for home pt and home o2 of liters with a face mask upon discharge. . #. thrombocytopenia: felt to be secondary to ppi. resolved since patient has been switched to h2 blocker. . #. pancreatic ductal dilation: per a prior discharge summary, he should be scheduled for an outpatient ct abd/pelvis for further evaluation and monitoring. . #. aortic stenosis: it does not seem like his aortic stenosis is contributing to his current symptoms. continued home asa and lasix. . #. anemia- his hematocrit has drifted down from 40 earlier this month to 38 on admission. he would likely benefit from having as high a hematocrit as possible to give him maximal oxygen carrying capacity in the setting of his chronic hypoxia. continue to monitor closely as an outpatient. . #. anxiety - when the patient develops anxiety, he becomes short of breath, tachypneic, and tachycardic. it was noted that he responded well to lorazepam 0.5mg prn which relieved his anxiety and improved his oxygen saturation. he was discharged with a new prescription for lorazepam 0.5mg q8 prn. . #. access: right sided picc placed . #. emergency contact: wife- . #. code: confirmed dnr/dni medications on admission: azathioprine - 50 mg fluticasone - 50 mcg 2 sprays(s) in each nostril daily furosemide - 40 mg daily oxycodone-acetaminophen - 5mg-325 mg tablet - q6 hours prn pain oxygen - - 4l/min at rest and sleep and 6l/min with exerton prednisone - 20 mg qday ranitidine hcl - 150 mg qday simvastatin - 40 mg qday sulfamethoxazole-trimethoprim - 400 mg-80 mg tablet qday medications - otc ascorbic acid - 1000mg qday aspirin - 81 mg qday calcium carbonate - 500 mg twice a day cholecalciferol (vitamin d3) - 800u qday multivitamin omega-3 fatty acids-fish oil - 300 mg-1,000 mg qday discharge medications: 1. azathioprine 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. fluticasone 50 mcg/actuation spray, suspension sig: two (2) sprays nasal once a day: in each nostril. 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for back pain. 5. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 9. ascorbic acid 1,000 mg tablet sig: one (1) tablet po once a day. 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 11. calcium carbonate 500 mg (1,250 mg) tablet sig: one (1) tablet po twice a day. 12. vitamin d-3 400 unit tablet sig: two (2) tablet po once a day. 13. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever, pain. 14. omega-3 fatty acids-fish oil 300-1,000 mg capsule sig: one (1) capsule po once a day. 15. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. 16. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 17. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed for rash. disp:*1 bottle* refills:*0* 18. levaquin 750 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 19. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 20. cefepime 2 gram recon soln sig: two (2) grams intravenous every twelve (12) hours for 5 days. disp:*qs * refills:*0* 21. oxygen continuous 5-10 liters of oxygen via face mask 22. oxygen please perform a spot check to ensure that the patient is satting above 88% on supplemental oxygen in the range of liters. 23. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: idiopathic pulmonary fibrosis hospital acquired pneumonia . secondary diagnoses: -aortic stenosis. -mild pulmonary hypertension. 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 for evaluation of increasing shortness of breath. you were treated both for an exacerbation of your known pulmonary fibrosis by increasing your prednisone dose and for a pneumonia with several antibiotics. your oxygen requirement improved back to your baseline with these two interventions. you will be able to continue your iv antibiotic at home through your picc line. . the following changes have been made to your home medications: - you will continue of levaquin (levofloxacin), zyvox (linezolid), and cefepime for 5 more days at home. - you will apply miconazole powder to your fungal skin rash. - you will start taking lorazepam 0.5mg three times daily as needed to help relieve anxiety and difficulty sleeping followup instructions: please follow-up with all of your outpatient appointments listed below: . 1. primary care doctor appointment when: , :30am name: , l. location: center address: , , phone: . 2. *we are working on an appointment for you to see dr. . the office will contact you with an appointment. if you do not hear from them or have questions, please call . procedure: venous catheterization, not elsewhere classified injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified anemia, unspecified aortic valve disorders other chronic pulmonary heart diseases postinflammatory pulmonary fibrosis abdominal aneurysm without mention of rupture other specified diseases of pancreas other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to