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: history of present illness: the patient is a 70-year-old male with a complicated past medical history, including panhypopituitarism, diabetes mellitus type 2, renal cell the request of his primary care physician due to hyperkalemia. the patient has had an increase in his creatinine from 1.5 to 2.1, and hyperkalemia to 5.8, noted on his laboratories over the last two weeks. the patient reports increased fatigue over the last week. the patient saw his primary care physician, . , yesterday, who told him to come to the emergency department. the or vomiting. in the emergency room, the patient was noted to have difficulty breathing. an arterial blood gas showed 7.22, 67, 90 on 4 liters nasal cannula. repeat arterial blood gas revealed 7.12, 86, 102, and the patient was intubated electively. chest x-ray revealed dense opacities of the lower two-thirds of the left lung. chest ct revealed large areas of collapse on the left, with peribronchial opacity noted. abdominal cuts showed extremely large sigmoid colon, rectum which was dilated and filled with stool, and the maximum diameter was about 24 cm. past medical history: 1. coronary artery disease status post myocardial infarction, with an ejection fraction of 45 to 50% on an echocardiogram done in 2. coronary artery bypass graft x 4, status post sternal dehiscence, status post partial sternotomy 3. renal cell cancer status post left partial nephrectomy in , left rfa in 4. history of panhypopituitarism due to pituitary adenoma 5. urosepsis, 6. history of c. difficile 7. history of deep venous thrombosis, on coumadin 8. hypertension 9. diabetes mellitus 10. history of atrial fibrillation status post dccv 11. history of lower gastrointestinal bleed due to rectal ulcer 12. chronic renal insufficiency, baseline creatinine 1.5 13. hypercholesterolemia 14. spinal stenosis with a t10 compression fracture medications on admission: atenolol 25 mg once daily, nph 24/6, cozaar 25 mg once daily, ambien as needed, amiodarone 200 mg daily at bedtime, androgel, aspirin 81 mg once daily, coumadin 5 mg once daily, famotidine, lipitor, prednisone 7.5 mg once daily, synthroid. allergies: lasix produces a rash. social history: the patient is widowed. he is active. the patient is a retired engineer. he lives alone, and denies alcohol or tobacco use in the past. physical examination: temperature 97.6, pulse 46, blood pressure 132/59, respiratory rate 14, oxygen saturation 100% on 80% fio2. in general, prior to intubation, patient speaking in clipped sentences, using accessory muscles, fatigued. head, eyes, ears, nose and throat: pupils equal, round and reactive to light and accommodation, mucous membranes moist. neck: no jugular venous distention. cardiovascular: normal s1 s2, no murmurs, gallops or rubs. respiratory: decreased breath sounds bilaterally at the bases, decreased air movement at the bases, no dullness to percussion, no tactile fremitus. abdomen: obese, positive bowel sounds, soft, nontender, nondistended. extremities: 1+ non-pitting edema. neurological: alert and oriented x 3, no gross deficits. laboratory data: white blood cell count 6.9, hematocrit 39.6, platelets 163. inr 3.4. urinalysis negative. sodium 144, potassium 5.4, chloride 111, bun 78, creatinine 2.2, bicarbonate 26, glucose 87. arterial blood gas post-intubation: 7.38, 37, 151 on 80% face mask. electrocardiogram revealed sinus tachycardia, no change from baseline, no st or t wave changes. chest x-ray revealed a large left-sided opacity. ct of the chest: left upper lung consolidation, left pleural effusion. hospital course: the patient was electively sent to the medical intensive care unit, where he was intubated and started on levaquin and flagyl for a presumed aspiration pneumonia. sputum cultures were taken that revealed only oropharyngeal flora. the patient had a bronchoscopy which was done, which revealed mucous plugging. bronchoalveolar lavage was done as well as that time, but did not reveal results which could guide antibiotic therapy. the patient did well in the medical intensive care unit, was followed by surgery due to his problems with dilated colon and persistent stool in the bowels. the patient had a rectal tube placed, and was given numerous enemas and stool softeners, which resulted in five to six large bowel movements. the patient's renal failure gradually improved with intravenous fluids and hold of his cozaar. the patient's heart rate had been noticed to be decreased during his admission, with heart rates between the 80s to the low 60s. at that time, it was decided to hold his amiodarone until further needed. the patient was transferred to the floor, where he did fairly well. one day after his discharge out of the medical intensive care unit, he developed problems with persistent tachypnea. a chest x-ray was done, which revealed elevated left hemidiaphragm with very large dilated colon pressing up against the left lung. stool was still left in the colon. it was thought at that time that the patient's removal of his rectal tube probably caused increased abdominal distention and distention o his colon, which impinged his already tenuous pulmonary status. the patient was transferred back to the medical intensive care unit for a short stay, during which time he was reassessed by gastroenterology. a rectal tube was replaced. he was given miralax, go-lytely, milk of molasses enemas, and fleet's enemas. the patient produced four to five more large bowel movements. it was thought at that time that the patient's decompensation was probably due to his acute renal failure and his inability for his kidneys to compensate for his pulmonary difficulties. the patient's renal function continued to do well. he was taken off his ace, which had been put on in the medical intensive care unit since there was a concern that his hyperkalemia and his acute renal failure would return. the patient returned to the floor, did quite well, was followed by dr. from pulmonary, who recommended an outpatient sleep study since he thought that the patient had a flail chest status post his sternotomy and his wound dehiscence at that area. it was thought that rest on bipap overnight would allow for better oxygenation, and the patient was placed on bipap during his last three to four days of hospitalization, and noted some mild improvement in his oxygenation. the patient's heart rate remained under good control, between 80s and 90s off the amiodarone, and he did not have any events of tachycardia or arrhythmias. it was decided that his amiodarone would be restarted as an outpatient. the patient also drank two further gallons of go-lytely, with resulting in two to three more large bowel movements. it was decided by gastroenterology to continue him on miralax, lactulose, as well as his as needed stool softeners to permit his bowels to continue to work and prevent them from getting distended, as they were this time. the patient did quite well, and ambulated the day prior to discharge without oxygen, and had very little oxygen requirement. the patient was to be discharged home, and to have close pulmonary and gastroenterology follow up. discharge diagnosis: 1. acute respiratory failure: multifactorial in origin 1. dilated aigmoid colon 2. acute renal failure 3. probable sleep apnea discharge condition: good. discharge medications: 1. levothyroxine 50 mcg by mouth once daily 2. testosterone patch 5 mg transdermal once daily 3. levaquin 500 mg by mouth every 24 hours for seven days 4. warfarin 2.5 mg by mouth once daily 5. famotidine 20 mg by mouth twice a day 6. insulin 24 units every morning, 6 units daily at bedtime 7. flagyl 500 mg by mouth three times a day for seven days 8. prednisone 7.5 mg by mouth once daily 9. lactulose 30 mg by mouth three times a day 10. docusate sodium one capsule by mouth twice a day 11. colace 100 mg by mouth twice a day 12. miralax three to four teaspoons once daily 13. aspirin 81 mg by mouth once daily 14. lipitor 10 mg by mouth daily at bedtime discharge plan: 1. the patient was to see dr. within one week, to have his creatinine and potassium levels checked. 2. the patient was to see dr. in pulmonary, to have his pulmonary function tests checked since there is a question that amiodarone may have possibly caused his decrease in pulmonary function status. dr. was to orchestrate a sleep study within one to two weeks. 3. the patient was to follow up with dr. in gastroenterology in one to two weeks for his syndrome. , m.d. dictated by: medquist36 d: 19:07 t: 00:41 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube closed [endoscopic] biopsy of bronchus diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation other specified intestinal obstruction acute respiratory failure pneumonitis due to inhalation of food or vomitus unspecified sleep apnea personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to