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: metformin / aspirin attending: chief complaint: sob, fatigue x1 day major surgical or invasive procedure: none history of present illness: 87 yo male with copd, dm, htn here s/p sob. he is s/p admit for malaise/sob/uri and thought to have copd flare. treated with prednisone, azithro, and nebs. also with possible chf and was diuresed. it was noted in last d/c summary that pt likely has multiple non-compliance issues with mdis, bp meds etc. also noted to have episodes of mat on last admit. per pts son since his d/c he had a better appetite but noticed new cough yesterday and "couldn't stop", and was wheezing. had one low bg at 38 at 5 pm and got oj(missed lunch). tried to go to the bathroom and was sweaty with sob, doe as well. ros negative for cp, no dysuria, or ha. +weakness/fatigue. + loose stools. in ed he got nebs, solumedrol 125, d50, and azithro/ceftriaxone. * patient was admitted to the medical service, and spend approximately 10 days on the medical floor. he was felt to have bilateral pna's and placed on vanc/ceftaz/azithro/flagyl. his pleural effusion was tapped and felt c/w transudative effusion. he was transferred to the micu after repeated episodes of severe sob, intially responsive to iv lasix, now requiring bipap for hypoxia. past medical history: 1. insulin dependent diabetes on nph and glyburide 2. h/o syncope with past admissions to work this up. followed by dr for this and most recently seen in . + tilt table testing 2. history of falls in . 3. gout. 4. history of colonic polyps and colonic surgeries. 5. depression on zoloft. 6. hypertension. 7. corneal transplant on the right. 8. anemia(baseline hct=30) 9.cri(baseline cr=1.6). 10. copd 12. lactose intolerance. social history: retired from laundry, then restaurant business in . 40 pack yr smoking history, but quit in . no alcohol. no herbal medicines/teas. no vitamins. no drugs. lives with wife and son. family history: daughter and son with asthma. parents unknown cause of death. physical exam: initial vitals: t=97.0, 165/61(from 210/40), 95, 20s, 98% on 5lnc gen:tired, tachypneic, chinese male heent:surgical r eye, l reactive. op clear. using neb neck:jvp at 8 cm. supple cv:tachy, reg, distant hs. no murmur abd:well healed scars. nabs. non-tender ext:tr pitting edema b. nt. neuro:grunting his answers. semi-cooperative. cn exam intact. finger to nose intact. a&ox3. 5/5 strength in ues/les. pertinent results: 11:00pm blood wbc-34.2*# rbc-3.89* hgb-11.4* hct-35.2* mcv-91 mch-29.4 mchc-32.4 rdw-16.7* plt ct-294 11:00pm blood neuts-91.6* bands-0 lymphs-6.0* monos-2.2 eos-0.1 baso-0.1 11:00pm blood pt-12.7 ptt-24.0 inr(pt)-1.0 11:00pm blood glucose-64* urean-44* creat-1.8* na-138 k-5.8* cl-103 hco3-27 angap-14 11:00pm blood ld(ldh)-456* ck(cpk)-85 10:00am blood ck(cpk)-41 11:00pm blood ctropnt-0.11* 05:00am blood ctropnt-0.09* 10:00am blood calcium-8.6 phos-4.6* mg-1.9 12:29am blood type-art po2-69* pco2-35 ph-7.44 calhco3-25 base xs-0 ---- cxr :impression: 1) stable mild cardiomegaly. no congestive heart failure. 2) mild left lower lobe atelectasis vs possible early infiltrate. 3) stable bilateral small pleural effusions vs pleural thickening. ---- cxr pa/lat :impression: no definite evidence of congestive heart failure. left lower lobe consolidation vs. atelectasis. brief hospital course: 1.pulm/sob: pt returned to the hospital after being discharged last week after copd flare with mild amt of chf. he felt well for a few days, but returns with worsening sob as well as new cough and wheezing. he had been on a steroid taper and was almost tapered off. unclear whether he was taking his inhalers as directed at home. this admit, initially found to have probable lll pna and small copd exacerbation. intially treated him with azithromycin and ceftriaxone for cap. sputum cx ordered, but pt unable to produce adequate specimen. he did have wbc ct of 34 on admission. patient required nrb for o2 support, with intermittent bipap. chest ct was felt to be c/w aspiration pna. he was given nebs as well as steriods given copd history. because of increasing hypoxia he was diuresed, however, this diuresis was complicated by rising creatinine. his antibiotic regimen was changes to vanc/zosyn because of his clinical worsening. * 2.cri: initially at his baseline of 1.9, but his cr continued to rise in the setting of diuresis. after consultation with nephrology and numerous family meetings, it was felt per patient's family that there was no role for hemodialysis. * 3.dm: pt on 48 units nph qam and glyburide qpm at home. glucose low at home and here, likely secondary to not eating but continuing his normal meds. we held his glyburide and continued nph with hiss at meals. * 4.mat/chf: the patient was determined to be intermittently in mat on his last admission. he again had multiple episodes of mat on tele while here, which was felt to possibly causing chf and worsened hypoxia. he was also felt to have a component of diastolic dysfunction as well. numerous medication changes were made to control his rate while maintaing appropriate bp, including afterload reduction, iv diltiazem, and metoprolol. * 5.troponin elevation: had small elevation in troponin, with no change in ck or mb values. likely demand related with his hypertension and mat in the setting of worsening renal failure. he was continued on asa. * 6.goals of care: after numerous family meetings with a cantonese interpreter, the patient was made dnr/dni during his micu course. given patient's clinical deterioration, worsening hypoxia, and multisysten organ failure, it was felt that comfort should be the goals of care. antibiotics were held and the patient was placed on prn morphine and ativan. at the 3:10pm, he was noted to be noresponsive to pain, had fixed & dilated pupils, and was without spontaneous respirations or pulse and was declared dead. the family declined post-mortem. immediate cause of death was felt to be mulifocal pneumonia. medications on admission: allopurinol 100 qod sertraline 25 qday lisinopril 20 mg qday glyburide 15 qhs asa 81 mg qday advair combivent prn diltiazem er 120 qday prednisone taper, currently at 5 mg qday insulin nph 48 units qam protonix discharge medications: none discharge disposition: expired discharge diagnosis: primary diagnosis: mulifocal pna, renal failure, diastolic chf, multifocal atrial tachycardia secondary diagnosis: diabetes mellitus, gout, hypertension, anemia discharge condition: deceased discharge instructions: none followup instructions: none md procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances thoracentesis non-invasive mechanical ventilation transfusion of packed cells diagnoses: anemia of other chronic disease congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus encounter for palliative care diastolic heart failure, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to