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: fever, hypotension. major surgical or invasive procedure: transthoracic echocardiography. history of present illness: 71m with t2n0m0 soft palate squamous cell ca, undergoing adjuvant chemoradiation week of low dose /taxol and daily xrt, admitted from heme/onc (dr. clinic with hypotension 72/47, tachycardia 115; presumed dehydration. pt on antihypertensives. reports diarrhea 2x daily and decreased usage of jevity tube feeds (not keeping up). family helps him with this when they can but he lives alone. he is denying cp/sob/n/v/abd pain/fevers/chills or other acute symptoms. reports feeling lh today while standing but no syncope or falls. rt received 500cc ns en route. . onc hx: presented : difficulty swallowing/globus. throat. saw dr. (ent) who visualized squamous cell carcinoma of soft palate, biopsy confirmed dx. staging done with a pet ct scan: no regional lymphadenopathy or systemic disease. referred to dr. for radiation. started chemoradiation on , plan for 7weeks in total for curative intent. past medical history: 1. hypertension, denies prior mi 2. bilateral carotid artery disease 3. brain aneurysm (repaired ) 4. s/p g-tub insertion to maintain nutrition pre-chemo/xrt . social history: retired florist. he lives alone in . family involved. 50pkyrs, quit 8weeks ago. reports heavy etoh in the past, quit 15years ago. family history: father with aml physical exam: pe: tm 99, hr 84, 98/55 (in office 72/47), 93%ra gen: nad heent: perrl, hoarse, losing hair, op: dry mm, mucositis with ulcerations. facial and neck erythema neck: erythema, no swelling/lad cv: reg rate, s1, s2, no mrg pulm: ctab abd: soft, g-tube site c/d/i, mild distention, nt ext: no cce pertinent results: 09:43pm urine color-yellow appear-clear sp -1.010 09:43pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-8.0 leuk-neg 09:43pm urine rbc-0 wbc-0 bacteria-none yeast-none epi-0 10:15am urea n-43* creat-1.7* sodium-136 potassium-4.1 chloride-92* total co2-28 anion gap-20 10:15am phosphate-2.4*# magnesium-2.0 10:15am wbc-1.2*# rbc-3.12* hgb-9.8* hct-28.6* mcv-92 mch-31.3 mchc-34.1 rdw-14.7 10:15am plt count-169 10:15am gran ct-980*. . ua neg stool cx pend sputum : op flora blood pend imaging cxr : lll multilobar infiltrate ap & lateral chest: the heart size is within normal limits. mild pulmonary edema has decreased. small to moderate bilateral pleural effusions and bibasilar pulmonary opacities are unchanged. impression: 1) decreased mild pulmonary edema. 2) unchanged bilateral pleural effusions and bibasilar opacities. echocardiograph poor echo windows.the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is probably mildly depressed. basal to mid antero-septal and inferior hypokinesis is suggested, but not confirmed. right ventricular chamber size and free wall motion appear normal. the aortic root is moderately dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. compared with the report of the prior study (tape unavailable for review) of , regional lv systolic dysfunction is now suggested. if clinically indicated, a repeat tte with contrast (definity) may better characterize lvef and regional lv function. discharge laboratories: 06:30am blood wbc-5.0 rbc-3.09* hgb-9.8* hct-28.5* mcv-92 mch-31.6 mchc-34.3 rdw-16.6* plt ct-281 06:30am blood glucose-116* urean-23* creat-0.9 na-138 k-3.6 cl-102 hco3-26 angap-14 06:30am blood calcium-7.7* phos-3.9 mg-1.7 brief hospital course: this is a 71 year old gentleman with t2n0m0 soft palate squamous cell ca, undergoing adjuvant chemoradiation week of low dose /taxol and daily xrt. he was iniitally admitted on with hypotension, tachycardia, arf. felt to be dehydrated at that time. he was hydrated with ns and then developed fevers and was noted to have lll opacity. he was initially given cefepime, fluconazole (concern for esophagitis), flagyl. this was then switched to levo and vanco. later, flagyl was re-started. he had frequent desaturations that were found to be secondary to mucus plugging and which resolved with deep suctioning. his sputum cultures then grew back coag + staph sensitive to oxacillin and vanco was switched to oxacillin. . on pt respiratory status deteriorated to the point he could only maintain adequate oxygenatin on non-rebreather. by this time he had been getting significant amounts of fluid with a daily fluid balance positive 500-1000ml per day. cxr's have also shown progressive pulmonary edema in , pt. did not require intubation. it was felt his resp distress was secondary to pulm edema/volume overload and we was therefore diuresed with prn lasix 40 mg. over los in he was roughly -1.2 l. an echocardiogram revealed the patient had deteriorated lv function and new wall motion abnormalities. his resp. status did improve such that he was saturating adequately on 40% fm. he had been afebrile and otherwise hemodynamically stable and was therefore transferred back to the floor. over the subsequently few days of his hospital course the pt. felt his breathing had improved and he had no fevers, chest pain, or cough. his volume status returned to euvolemic state. he was slowly weaned from oxygen support and by discharge was down to 3l face mask. repeat cxr revealed stable lower lobe infiltrates but almost complete resolution of pulmonary edema. aggressive diuresis was no longer pursued. external radiation therapy for his oral squamous cell ca was resumed. on discharge, the patient remained afebrile and hemodynamically stable. he was to continue 5 more days of levo/flagyl, oxacillin was discontinued. he was transferred to a rehabilitation hospital to enable further improvement of his respiratory status and for reconditioning. in summary, this is a 71 year old gentleman with oral squamous cell carcinoma on radiation therapy who was admitted for fever and finding of lower lobe lung infiltrates. he developed respiratory distress from a combination of pneumonia, new chf seen on echocardiography, and mucus plugging and required a brief stay in intensive care but not intubation. he did well with diuretic therapy for his chf, antibiotics for his mssa pneumonia and was transferred to a rehabilitation hospital to enable further improvement of his respiratory status. . issues and plan arising from this hospitalization: 1) respiratory failure/hypoxia- now appears resolved. secondary to combination of pna, chf exacerbation, ? mucus plugging. no intubation was required. - albuterol/atrovent nebs q4h. - chest pt, aggressive suctioning as needed - aggressive diuresis no longer needed. 2) chf. now with apparently worsened ef, new wall motion abnormalities - will need oupatient follow up with cardiology. - continue lasix, lisinopril, and metoprolol. - watch for signs of overload (weight gain, edema) . 3) rll and lll multilobar pna: initially with lll opacity with sputum cultures growing mssa. also satrted on levofloxacin and flagyl for possible aspiration pna after developing rll opacity. currently afebrile with normal, wbc. - continue flagyl and levofloxacin for broad coverage for 5 days . 4) squamous cell ca of mouth: chemoradiation. last dose chemo (taxol/carboplatinum) per dr. will not continue chemo. pt will continue xrt. -mucositis: improved during admission. cont kbl, aspiration precautions, nystatin, roxicet. -continue aquaphor 5) anemia: hematocrit remains stable. pt is s/p 2 units prbc for hct 22.6, likely chemo related. 6) fen: tube feeds at goal.. . 7) prophylaxis: aspiration precautions, hep sc . 8) code status remains full. . 10) disposition: rehabilitation facility. medications on admission: . metoprolol 150mg 2. prazosin 2mg 3. dyazide 37.5/25 qd 4. imodium prn 5. comapazine prn 6. kbl (magic mouthwash) 7. roxicet prn 8. procrit qweek 9. asa 81mg discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. ipratropium bromide 0.02 % solution sig: one (1) nebulizer inhalation q4h (every 4 hours). 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 6. albuterol sulfate 0.083 % solution sig: one (1) nebulizer inhalation q4h (every 4 hours). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 10. nystatin 100,000 unit/ml suspension sig: five (5) ml po tid (3 times a day). 11. mineral oil-hydrophil petrolat ointment sig: one (1) appl topical tid (3 times a day) as needed. 12. medication maalox/diphenhyrdamine/lidocaine 15-30 ml three times a day 13. flagyl 500 mg tablet sig: one (1) tablet po three times a day for 5 days: per g-tube. 14. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 5 days: per g-tube. 15. prochlorperazine 5 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary diagnosis congestive heart failure left lower lobe pneumonia hypoxia from mucus plugging secondary diagnosis oral squamous cell carcinoma on radiation therapy. chronic g-tube discharge condition: fair. respiratory status much improved saturating 97-99 on 3 l face mask. otherwise afebrile and hemodynamically stable. beginning to work with physical therapy to ambulate more frequently. discharge instructions: please return pt to hospital if respiratory status begins to deteriorate or if chest pain starts to develop. please continue all current medications. please have patient follow up with oncologist. patient should also have follow up with a cardiologist. followup instructions: please have patient follow up with his oncologist, dr. of , at (. please have patient schedule an appointment with a cardiologist, he may schedule one with cardiology (. provider: felt, rn phone: date/time: 11:00 provider: 7 date/time: 11:00 provider: vascular (nhb) date/time: 8:30 procedure: enteral infusion of concentrated nutritional substances other radiotherapeutic procedure diagnoses: anemia, unspecified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus dehydration gastrostomy status other staphylococcus pneumonia malignant neoplasm of soft palate 

Answer: The patient is high likely exposed to