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: shirtness of breath major surgical or invasive procedure: hemodialysis history of present illness: pt is a 50 y/o m who presents from home with c/o sob after missing his session the day prior (monday). by report pt "didn't feel well" x 24 hours with 1 day of sob. he intially denied subjective fevers/chills or cp in ed, but later states he noted subjective fevers/chills since last night with myalgias. also with a new nonproductive cough, althought he noted minimal blood-tinged sputum. . in the ed a nd noted to have a k+ of 8.1 (hemolyzed), and was given 10u insulin, 1 amp d50, and 1 amp calium gluconate. his o2 sat was 88% on ra, and his cxr was noted to have areas of frank consolidation with air bronchograms. by report this was most c/w pulmonary edema and superimposed aspiration or other infection. he was also noted to be very hypertensive with a bp of 220/136 and was placed on a ntg drip and sent urgently to . . at 3.3l of fluid was removed, and pt was continued on a ntg drip up to 60mcg for bp control. pt denied c/o chest pain. he was then transferred to icu for further evaluation. past medical history: 1. alport's syndrome: c/b esrd on hd and deafness 2. esrd: s/p failed renal transplant x 2 ( and ), now on hd m/w/f 3. malignant hypertension 4. h/o chf w/ dilated cardiomyopathy: now w/ recovered fxn, echo w/ ef>55%, 1+ mr 5. svt s/p ablation 6. h/o seizures: likely metabolic etiology per notes 7. restless legs syndrome 8. anemia of chronic disease 9. h/o respiratory failure secondary to pulmonary edema 10. pruritis: treated w/ prednisone, mirapex social history: divorced w/2 children, and he lives with his son and daughter. 3 pack yr hx. occ etoh. hx marijuana and cocaine, none x 2 yrs. no ivdu. family history: mother with alport's syndrome, father with cad and cabg at age 60, brother died at 16 yrs old from esrd pertinent results: cxr: there is a diffuse parenchymal abnormality in the lungs. on the left, this has a micronodule or interstitial quality. on the right, there is greater radiodensity including many small nodules ranging up to 7 or 10 mm in diameter and areas of frank consolidation with air bronchograms. findings are most consistent with pulmonary edema and superimposed aspiration or other cause of infection. moderate enlargement of the cardiac silhouette is longstanding and could be due in part to pericardial effusion. there is no appreciable pleural effusion. 12:59pm type-art po2-62* pco2-36 ph-7.52* total co2-30 base xs-5 intubated-not intuba 06:30am glucose-69* urea n-111* creat-18.1*# sodium-135 potassium-8.1* chloride-89* total co2-15* anion gap-39* 06:30am calcium-8.3* phosphate-7.2* magnesium-2.3 06:30am wbc-9.5 rbc-3.88*# hgb-12.2* hct-37.2* mcv-96 mch-31.5 mchc-32.8 rdw-20.6* 06:30am neuts-73.5* lymphs-21.1 monos-4.3 eos-0.1 basos-1.1 brief hospital course: hypoxia/fevers: pt with a clinical history which appears to correlate with chf after missing hd session. his cxr, however, appears to have findings to suggest pna +/- chf. he underwent hd the day of admission but still had an o2 requirement and was febrile. he was initially placed on ctx and azithro for cap, and placed on flu precautions. f/u dfa was positive for influenza a, and given the acute nature of his symptoms he was given renally dosed tamiflu. after several hd sessions pt resumed his m/w/f hd schedule, and no longer had an o2 requirement. he was changed to levofloxacin to complete a 10 days course. . renal: pt missed his outpt hd session b/o influenza/pna, but later resumed his m/w/f hd schedule. he was scheduled as an elective oupt for ir procedure on , but b/o misunderstanding pt was not able to have this done while in the hospital. he should f/u with dr and dr for rescheduling of this procedure. his av fistula was functional during his hospitalization. . htn: pt has long h/o malignant hypertension, which in the past has improved after hd sessions. he initially was placed on a ntg drip, which was weaned off. he did require several doses of iv hydralazine, but then was stabilized on short acting acei and bb. this was then transitioned to lisinopril 40mg qd and toprol 100 qd which he tolerated well the day of discharge. his blood pressure at discharge was systolic 160. . cardiac: he had subtle ekg findings and troponin leak in the setting of malignant htn and esrd. he had previously been scheduled for stress test wheich he couldn't tolerate secondary to claustrophobia. given his h/o recurrent flash pulm edema and troponin leak, he may benefit from elective cath vs stress. as this episode is likely demand ischemia in the setting of influenza/pna, he was continued on an asa and will see his outpt cardiologist which was previously scheduled in 3 weeks' time. his prior cholesterol panels have been well within normal limits, so no statin appears to be indicated at this time. . follow-up: he was given an appointment to see his pcp, , less than one week after discharge. medications on admission: lisinopril 20mg qd pramipexole 0.125 mg hs hydroxyzine hcl 25 mg prn sevelamer 800 mg tid pantoprazole 40 mg qd asa 325 qd quinine sulfate 260 mg tablet hs toprol 50mg qd nephrocap 1 qd discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 4. sevelamer 800 mg tablet sig: three (3) tablet po tid (3 times a day). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 6. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 7. lisinopril 40 mg tablet sig: one (1) tablet po daily (daily). 8. oseltamivir phosphate 75 mg capsule sig: one (1) capsule po daily (daily) for 2 days. disp:*2 capsule(s)* refills:*0* 9. levofloxacin 250 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 4 days. disp:*2 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: pneumonia, hypertensive urgency, influenza, chf secondary: esrd secondary to alport's, svt s/p ablation , h/o seizures, anemia of chronic disease, pruritis discharge condition: good discharge instructions: please continue previous medications as prscribed including your toprol dose (100mg) and increase your lisinopril to 40 mg once a day. you will also complete a course of tamiflu and levofloxacin for the flu and pneumonia. try not to miss session as worsens your blood pressure and shortness of breath. be sure to check your blood pressure at home, and discuss a cardiac work up with dr next week. -weigh yourself every morning, md if weight > 3 lbs, and adhere to 2 gm sodium diet -if you develop an episodes of chest pain/pressure, lightheadedness, nausea/vomiting, fevers/chills, or any other new or concerning symptoms please seek further medical attention. followup instructions: provider: ,md phone: date/time: 10:00 provider: west,room five gi rooms date/time: 10:00 provider: , md phone: date/time: 3:00 provider: . phone: date/time: 10:30 please be sure to make a follow-up appointment with dr from nephrology, as well as with dr for evaluation of your fistula. procedure: hemodialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease anemia in chronic kidney disease end stage renal disease congestive heart failure, unspecified other convulsions surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other extrapyramidal diseases and abnormal movement disorders complications of transplanted kidney influenza with pneumonia other specified congenital anomalies 

Answer: The patient is high likely exposed to