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: cc: transferred from osh for management of respiratory failure major surgical or invasive procedure: bronchoscopy history of present illness: pt is a 69 yo m with h/o myelofibrosis, hepatosplenomegaly, copd who is transferred here from for further management of his hemoptysis, chf, leukocytosis, and thrombocytopenia. he initially presented to with complaints of weakness, inability to walk and shortness of breath x 1 week. in the ed, he was found to have a wbc of >100,000 and platelet count of 28,000. he was followed by heme/onc and pulmonary. he was started on hydrea and allopurinol and wbc responded decreasing to the 30's. he was also noted to have a rll opacity on cxr thus was started ceftriaxone on . sputum culutre grew out klebsiella pneumonia and he was switched from ceftriaxone to avelox on . he then developed hemoptysis in the setting of thrombocytopenia, however per family he has had small amounts of hemoptysis for the past 6 months. from a respiratory standpoint he was still saturating well at this point, however ct chest on showed extensive ground glass infiltrates in the right lung field and scattered on the left. given the worsening hemoptysis concern was for dah vs chf vs pna. he was started on iv solumedrol, diuresed and initially improved. he had persistent hemoptysis and required blood and platelet transfusions. . then on he had acute onset of respiratory distress. cxr showed patchy infiltrates with no obvious chf. because of his respiratory status he required intubation. he underwent bronchoscopy which showed bal with blood from rml, and bal sent for multiple studies including cultures, fungal, afb, pcp, , cytology, cell count. pa catheter was placed which demonstrated pcwp of 14, pa 44/20. started on ps for vent settings. cxr showed pulm edema vs ards. past medical history: myeloproliferative disorder/myelofibrosis with anemia and thrombocytopenia, leukocytosis followed by dr. (). bm biopsy in c/w myeloproliferative, myelofibrosis and myelodysplasia. anemia - b12 deficiency, on epogen copd hepatosplenomegaly hypertension colon polyps bladder carcinoma s/p resection hemoptysis congestive heart failure leg edema thrombocytopenia leukocytosis lung fibrosis social history: past smoking history x 50 years, no etoh or smoking currently. lives with wife. 2 daughters live in area. family history: nc physical exam: t 97.8 bp 122/55 hr 96 rr 14 o2sats 97% vent: ac/14/500/70%/peep 10 pip 27 gen: sedated no response to noxious stimuli heent: perrl, dry mm neck: + right ij, unable to assess jvd lungs: rhoncherous throughout right greater then left heart: rrr + s1/s2 no m/r/g abd: soft, + bs, + hsm ext: + pitting edema in his le and ue and sacrum, + petechea neuro: sedated, moving all 4 extremities pertinent results: cxr- diffuse fluffy infiltrate on the right side in upper and lower fields, left lower lobe infiltrate. pa catheter in zone 2 . ecg- nsr- 93, nl axis, nl intervals, twf in iii, ii, avf (old), no st, tw changes from old ecg . cxr: diffuse interstitial infiltrates bilaterally and fluffy alveolar infiltrates in the right lung, small left pleural effusion. . echo ef 65% nl lv, av sclerotic, trace mr, rv nl . right upper quadrant ultrasound: the gallbladder is not distended and there is no evidence of stones or sludge. there is a mild amount of pericholecystic fluid. there is mild gallbladder wall thickening. the common bile duct measures 7 mm, which is age appropriate. the liver demonstrates no focal textural abnormalities. the portal vein is patent with appropriate hepatopetal flow. visualized portions of the right kidney and pancreas are unremarkable. impression: 1. gallbladder wall thickening. while this can be seen in cholecystitis, there are no other findings to support this (such as gallstones or gallbladder distention) the differential diagnosis includes hypoalbuminemia, chf, cirrhosis, pancreatitis and hepatitis. further evaluation could be performed with hida scan if warranted. brief hospital course: 69 year-old man with history of myelofibrosis, copd and hepatosplenomegaly who was initially transferred to from for management of hemoptysis, chf, respiratory failure, leukocytosis, and thrombocytopenia and who is now being transferred to the for tracheostomy and peg placement. . the patient initially presented to on with complaints of weakness, inability to walk and shortness of breath for one week. in the ed, he was found to have a wbc of >100,000 and platelet count of 28,000. he was followed by heme-onc and pulmonary consult services. he was started on hydrea and allopurinol, with his wbc decreasing to the 30's. he was also noted to have a rll opacity on cxr and on was started on ceftriaxone. a sputum culutre grew out klebsiella pneumonia and he was switched from ceftriaxone to moxifloxacin on . he then developed hemoptysis in the setting of thrombocytopenia, although according to family members he has had small amounts of hemoptysis for the past 6 months. a ct chest on showed extensive ground glass infiltrates in the right lung field and scattered on the left. given the worsening hemoptysis, there was a concern for dah vs chf vs pna. he was started on iv solumedrol, diuresed and initially improved. he had persistent hemoptysis and required blood and platelet transfusions. . on he had the acute onset of respiratory distress with new hypoxia. cxr showed patchy infiltrates with no obvious chf. he required intubation and subsequently underwent a bronchoscopy which revealed blood from rml. a bal was sent for multiple studies including cultures, fungal, afb, pcp, , cytology, and cell count. a pa catheter was placed which demonstrated pcwp of 14, pa 44/20. started on ps for vent settings. cxr showed pulm edema vs ards. . in the , the patient was continued on the ventilator and eventually weaned and extubated on . sputum cultures from grew mrsa and he was started on vancomycin and zosyn on . a bronchoscopy was performed on which revealed diffuse alveolar hemorrhage. pcwp remained elevated in 14-15 range, suggesting coexisting congestive heart failure and the patient was diuresed. after extubation he had stable oxygen saturations on 4l and he was called out to the floor, but at that time had another episode of respiratory distress and stayed in the . he did well until when had tachypnea and hypoxia and was reintubated. he was continued on zosyn and vancomycin and is currently on day 20, though continues to spike fevers. he was recently placed on a lasix drip on for volume overload, with reasonable urine output but this was stopped today due to hypernatremia and hypokalemia. he didn't tolerate lasix drip previously related to hypotension. he was transferred to the micu for trach and peg by the surgical service. however, oncology noted the extrememly poor prognosis from his underlying disease, as well as the lack of realistic treatments other than bone marrow transplant for which he is not a candidate. a family meeting was held and the decision was made to withdraw care the next day on . he was extubated and died within an hour with his family at bedside. medications on admission: moxifloxacin 400mg qday(started ), vancomycin 1gm q12hrs (started ), riss, nph 5units q12hrs, epogen qsat, lasix 40mg iv bid, metoprolol 5mg iv q6hrs, propofol gtt, protonix 40mg iv qday, solumedrol 1gm qday, lorazepam 2mg prn, morphine 2mg prn discharge disposition: expired discharge diagnosis: primary: respiratory failure myeloproliferative disorder/myelofibrosis with anemia and thrombocytopenia, leukocytosis secondary: anemia - b12 deficiency, on epogen copd hepatosplenomegaly hypertension colon polyps bladder carcinoma s/p resection hemoptysis congestive heart failure leg edema thrombocytopenia leukocytosis lung fibrosis discharge condition: dead discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus transfusion of packed cells transfusion of other serum transfusion of platelets infusion of vasopressor agent diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified infection with microorganisms resistant to penicillins hypopotassemia acute and chronic respiratory failure methicillin susceptible pneumonia due to staphylococcus aureus hyperosmolality and/or hypernatremia pneumonia due to klebsiella pneumoniae 

Answer: The patient is high likely exposed to