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: bactrim attending: chief complaint: shortness of breath major surgical or invasive procedure: intubation history of present illness: this is a y/o m with h/o htn, hld, dm, who presented to with worsening shortness of breath. history was mainly obtained from daughter. was in usual state of health until days ago when daughter noticed that patient began coughing (non-productive) and appeared more tired. she stated that she noticed he was wheezing but denied any fevers/chills, sick contacts, or recent travel history. this evening, the daughter noticed that the patient had increased respiratory noices after the patient went to sleep. the daughter was concerned and called 911. . when ems arrived, the patient was noted to have an o2sat of 74%. with supplemental oxygen, o2sat's normalized. patient was then taken to the ed. in the ed, initial vs were: t 97.5 bp 127/68 hr 64 rr 10 spo2 95% nrb. patient was given nebulizer treatments. laryngoscopy was completed for inspiratory wheezing and visualized normal vocal cords. cxr was concerning for pulmonary edema v. consolidation and the patient was started given ceftriaxone and levaquin for cap coverage. . of note, cbc in ed indicated hct of 25 (down from baseline in mid 30s). stools were maroon appearing and were guaiac positive. patient was started a protonix gtt and was crossed for 2 units of blood prior to transferring to the icu. additionally, lactate on admission was 4.0. . on encounter, the patient was feeling better. he endorsed some sob and nausea but denied any cp, dizziness, lh, vomiting, or diarrhea. patient was immediately given 20mg iv lasix and was started on the prbc infusion. past medical history: 1. htn 2. hypercholesterolemia 3. borderline dm 4. hx of prostate cancer - receives hormone or chemotherapy every 3 months 5. legally blind - macular degeneration 6. gerd 7. hearing difficulty question of copd social history: lives at home with 2 daughters, and . also has 2 sons, lives in , ma and other son lives in . pt has a significant tobacco hx: started smoking as a teenager, smoked at least 1ppd, quit smoking over 25 years ago. denies etoh use. used to be men's clothing buyer. pt does not currently have a hcp as he has not had any mental status issues and remains cognitively intact. family history: pt denies any hx of malignancies in his family members physical exam: vitals: t: 95.2 (axillary) bp: 112/37 p: 75 r: 18 o2: 90% 2l nc general: alert, oriented, no acute distress heent: sclera anicteric, dry mucuous membranes, left pupil larger than right pupil, oropharynx clear neck: supple, jvp elevated to angle of mandible, no lad lungs: diffuse rhonchi and wheezes, no wheezes, rales, ronchi cv: regular rate and rhythm, difficult to assess heart sounds given lung exam abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: cool feet, warm hands, +2 dp and radial pulses b/l, trace to +1 edema in lower extremities b/l pertinent results: 10:03pm wbc-13.8* rbc-3.18* hgb-9.4* hct-27.5* mcv-87 mch-29.6 mchc-34.1 rdw-16.0* 10:03pm plt count-259 11:26am type- ph-7.43 11:26am lactate-2.7* 11:26am freeca-1.09* 11:05am voidspec-clotted 10:47am wbc-14.4* rbc-3.30* hgb-9.6* hct-28.2* mcv-85 mch-29.2 mchc-34.2 rdw-15.8* 10:47am plt count-258 06:42am type- po2-37* pco2-31* ph-7.39 total co2-19* base xs--4 06:42am lactate-4.5* 06:42am freeca-1.07* 06:07am glucose-153* urea n-42* creat-1.9* sodium-140 potassium-3.8 chloride-111* total co2-18* anion gap-15 06:07am calcium-7.5* phosphate-2.8 magnesium-2.6 06:07am wbc-14.9* rbc-2.73* hgb-7.9* hct-24.1* mcv-88 mch-29.0 mchc-32.8 rdw-15.8* 06:07am plt count-277 06:07am pt-13.8* ptt-24.6 inr(pt)-1.2* 04:12am urine hours-random urea n-248 creat-36 sodium-96 potassium-26 chloride-111 04:12am urine osmolal-348 12:30am urine color-yellow appear-clear sp -1.023 12:30am urine blood-neg nitrite-neg protein-25 glucose-neg ketone-tr bilirubin-sm urobilngn-1 ph-5.0 leuk-neg 12:30am urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0-2 11:52pm comments-green top 11:52pm glucose-241* lactate-4.0* na+-138 k+-4.6 cl--105 tco2-18* 11:45pm glucose-251* urea n-44* creat-1.9* sodium-138 potassium-4.6 chloride-107 total co2-20* anion gap-16 11:45pm estgfr-using this 11:45pm ck(cpk)-45* 11:45pm ctropnt-less than 11:45pm ck-mb-2 11:45pm calcium-8.3* phosphate-4.3 magnesium-2.5 11:45pm wbc-20.7*# rbc-2.88*# hgb-8.1*# hct-25.0*# mcv-87 mch-28.2 mchc-32.5 rdw-16.2* 11:45pm neuts-84* bands-6* lymphs-7* monos-2 eos-1 basos-0 atyps-0 metas-0 myelos-0 11:45pm hypochrom-2+ anisocyt-normal poikilocy-1+ macrocyt-normal microcyt-normal polychrom-occasional ovalocyt-occasional burr-occasional teardrop-occasional 11:45pm plt smr-normal plt count-371# echo the left atrium is mildly dilated. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). the estimated cardiac index is normal (>=2.5l/min/m2). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. mild to moderate (+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is an anterior space which most likely represents a prominent fat pad. chest xray: cardiomediastinal silhouette is unchanged. the patient was extubated. there is significant interval improvement in widespread parenchymal opacities consistent with interval improvement of pulmonary edema. still significant abnormalities within the parenchyma are seen, widespread. the right picc line tip is at the cavoatrial junction brief hospital course: mr. is a y/o m with prostate ca, borderline dm, ckd, who presented with dyspnea likely pulmonary edema v. pna, also found to be anemic likely gi bleed. #) hypoxemic respiratory failure: pt was initially admitted with shortness of breath. he was intubated on hospital day 2 for increased work of breathing. pt improved with diuresis on lasix gtt. he was also treated for possible pna with levquin/ceftriaxone. pt likely had cardiac event at home prior to admission, resulting in worsening diastolic dysfunction and mitral regurgitation, leading to pulmonary edema. pt was extubated on without complication and was satting well on nc at the time of transfer out of the micu. los negative 5l at the time of transfer on . on the floor pt continued to be clinically euvolemic though required 2.5l nc. home dose of metoprolol was restarted. in anticipation for discharge pt attempted ambulation trial on though had desaturation down to 83% with recovery to mid 90's at rest (off of oxygen). pt continued to have mild leukocytosis and a cxr on showed residual pulmonary edema though improved as well as some concern of bony lesions possibly related to his rostate ca. on pt continued to improve from a respiratory standpoint. pt was discharged with services (pt and vna), on home oxygen. #) hypotension: pt was hypotensive initially, which improved with diuresis. no evidence of septic physiology. he was also started on amlodipine for afterload reduction. #) acute on chronic renal insufficiency: cr 1.9 on admission, up from baseline around 1.5. likely to poor forward flow, as cr improved with diuresis. cr 1.7 on transfer from the micu. cr continued to improve until when it started to climb up to 1.8 by . at this point lasix was stopped and pt was bolused with ns. on cr improved to 1.6. #) anemia: pt with hct 24.1 on admission, down from baseline in mid30s. he was transfused 2units prbcs on admission. likely source was gi bleed, as patient had melanotic, guaiac+ stools initially. hct has improved to 30, and the patient has remained hemodynamically stable. discussed with patient and family regarding egd/colonoscopy for evaluation of gib, but they deferred given his age and other medical conditions. #) prostate ca: currently on ketoconazole, hydrocortisone, and leuprolide as an outpatient. last psa 114.1. restarted on ketoconazole and hydrocortisone when taking po after extubation. #) diabetes: diet-controlled as outpatient. iss while hospitalized. #) code status: dnr/dni medications on admission: leuprolide 22.5mg sc q 3 months imdur 120mg (2 60mg tabs) po qam metoprolol 50mg po bid asa 325mg po daily norvasc 5mg po daily zantac prn heartburn tylenol pm 1 tab po qhs for insomnia hydrocortisone 20mg qam and 10mg qafternoon ketoconazole 400mg po bid discharge medications: 1. ketoconazole 200 mg tablet sig: two (2) tablet po bid (2 times a day). 2. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. 4. hydrocortisone 5 mg tablet sig: four (4) tablet po qam (once a day (in the morning)). 5. hydrocortisone 5 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 6. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 7. imdur 120 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po qam. 8. aspirin 81 mg tablet sig: one (1) tablet po once a day. tablet, delayed release (e.c.)(s) 9. oxygen 2l continuous pulse dose for portability. pulmonary edema and pneumonia. 10. ocean nasal 0.65 % aerosol, spray sig: one (1) spray each nostril nasal three times a day as needed. disp:*2 bottles* refills:*0* discharge disposition: home with service facility: discharge diagnosis: pneumonia, anemia 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 and spent time in the icu as well as the medical floor. you were treated for pneumonia which caused you to have shortness of breath. you also had a likely episode of bleeding from your gastrointestinal tract and you received 2 units of blood. per your wishes, you did not have any scope or further work-up of your bleed. your symptoms improved and your antibiotics were switched to oral antibiotics. a medication called lasix was added to your regimen as your lungs had fluid in them. we also prescribed a nasal spray to help with dryness caused by your oxygen tube. please note that we decreased your aspirin dose to 81mg daily (from 325mg). otherwise please continue all your home medications. a chest xray showed abnormalities in the bones of your chest which may be related to your prostate cancer. please follow up with your primary care docotr regarding these findings. followup instructions: please see your primary care physician 2-4 days. in addition please see: name: , md location: cardiology associates of greater address: , phone: appointment: tuesday 11:30am department: hematology/oncology when: thursday at 10:00 am with: , md,phd building: sc clinical ctr campus: east best parking: garage md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube laryngoscopy and other tracheoscopy central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified acidosis esophageal reflux pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of tobacco use chronic kidney disease, unspecified acute respiratory failure blood in stool malignant neoplasm of prostate unspecified hearing loss do not resuscitate status acute diastolic heart failure legal blindness, as defined in u.s.a. dual sensory impairment 

Answer: The patient is high likely exposed to