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: no known allergies / adverse drug reactions attending: chief complaint: hypoxia, fever major surgical or invasive procedure: ct abdomen lumbar puncture history of present illness: 51 year old male who initially presented to with 3 days of dizziness, malaise, and fever/chills. the patient states that symptoms began with sudden onset one day following initiation of a new welding job. the patient states that he replaced a coworker who became suddenly ill (requiring hospitalization) on the same job site the day prior to starting work. he denies known toxic exposures, drug use, or other sick contacts. on admission to the osh, the patient was found to be hypoxic, tachycardic to 160s, febrile to 105.2. blood pressure was stable. the patient received 4l ns for tachycardia. admission ekg consistent with aflutter. labs , cxr demonstrating lll pna. the patient underwent head ct that was negative for acute process. he underwent lp that was reportedly normal. ct abdomen was remarkable for a mild ileus, distended bladder, and lll pna. the patient was started on vanco/ctx/doxy/amp/levofloxacin for broad antimicrobial coverage. he was started on cardizem drip and heparin drip for new onset aflutter. during the patient's 1d hospital course, he had continued fevers to 104-105 on standing tylenol and cooling blanket. his cr trended down to 1.8 from 2.4 with improving uop. however, his hypoxia worsened, requiring escalation from 2l nc to nonrebreather following abg of 7.4/20/52. the patient was transferred to for further evaluation and management. his most recent vital signs prior to transfer were 133/59 130 26 98%nrb. on arrival to , initial vital signs 42 133 139/86 33 99%. patient continues to have dyspnea at rest. he complains of fever, chills, diaphoresis. he also describes a recent history of diarrhea. he denies pain. on review of systems, patient denies recent weight loss or gain. denies headache, rhinorrhea or congestion. denies cough or wheezing. denies chest pain, chest pressure. denies nausea, vomiting, constipation, or abdominal pain. denies dysuria, frequency, or urgency. denies rashes or skin changes. past medical history: no prior medical problems social history: divorced, lives alone, has 2 kids; works as a welder; denies tobacco, etoh, illicits family history: non-contributory physical exam: admission physical exam: vitals: 42 133 139/86 33 99% general: alert, oriented, tachypneic - speaking in short sentences on non-rebreather heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: tachycardic, irregular s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses discharge physical exam: vs: tc/tm 98.7/99.2, 132/80, 78, 18 96 ra general: lying in bed in nad heart: rrr, no mrg, nl s1-s2. lungs: clear to auscultation and percussion with good air movement. no w/r/r abdomen: soft/nt/nd, no masses or hsm, no rebound/guarding. extremities: wwp, no edema b/l. pertinent results: admission labs: 11:51pm wbc-8.0 rbc-4.23* hgb-13.3* hct-35.4* mcv-84 mch-31.4 mchc-37.5* rdw-13.3 11:51pm neuts-91.5* bands-0 lymphs-6.6* monos-1.5* eos-0.3 basos-0.1 11:51pm plt smr-low plt count-119* 11:51pm fibrinoge-1228* 11:49pm type-art po2-210* pco2-24* ph-7.51* total co2-20* base xs--1 11:49pm lactate-1.4 11:51pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 11:51pm triglycer-253* hdl chol-11 chol/hdl-9.2 ldl(calc)-39 11:51pm %hba1c-5.1 eag-100 legionella urinary antigen (final ): presumptive positive for legionella serogroup 1 antigen. (reference range-negative). performed by immunochromogenic assay. clinical correlation and additional testing suggested including culture and detection of serum antibody. cxr : volume of moderate left pleural effusion and severity of left lower lobe consolidation have increased slightly since , but the difference could be due to transient findings such as retained secretions and a sympathetic pleural exudate. nevertheless careful followup is recommended, to confirm treatment response and the absence of clinically significant bronchial occlusion. right lung is clear. heart size is normal. tip of the right pic line is in the mid to low svc. discharge labs: 07:30am blood wbc-8.0 rbc-3.54* hgb-10.8* hct-30.0* mcv-85 mch-30.4 mchc-35.8* rdw-12.9 plt ct-443* 07:30am blood pt-17.8* inr(pt)-1.6* 06:05am blood glucose-108* urean-20 creat-1.7* na-133 k-3.6 cl-101 hco3-23 angap-13 legionella urinary antigen (final ): presumptive positive for legionella serogroup 1 antigen. reference range-negative). performed by immunochromogenic assay. brief hospital course: 51 year old male who initially presented to with 3 days of dizziness, malaise, and fever/chills, found to have legionella pneumonia and atrial flutter with rvr. he was admitted to the micu and then transferred to the floor. active issues: #. legionella pneumonia: he was admitted with hypoxia and required non-rebreather initially. he had a dramatic lll consolidation with a-a gradient on admission >400. he was started on vancomycin, ceftriaxone, and levofloxacin to cover for cap. his urine legionella antigen was positive and he was narrowed to levofloxacin. his oxygenation slowly improved and he was called out of the micu. on the floor, his pulmonary symptoms improved and he did not have an oxygen requirement at discharge. #. fever: patient admitted with persistent fevers >105. in the osh, he had marked leukocytosis with bandemia. he was treated with standing acetaminophen and cooling blankets. he was treated for infection as above and his fevers were presumably due to legionella. serum and urine tox were negative. he continued to have persistent fevers for ~3 days after he demonstrated significant clinical improvement. his fevers were presumed to be secondary to legionella, however, he was also started on doxycycline for 10 days for possible concomitant anaplasma infection. #. /ckd: patient was admitted to osh with creatinine of 2.4 that improved with ivf. was likely prerenal secondary to fluid losses in setting of acute illness. his cr stabilized to 1.7 prior to discharge and his kidney disease was thought to be secondary to underlying untreated hypertension. #. atrial flutter: he presented with atrial flutter with variable block and tachycardia to 160s in setting of fever. he was initially treated with a diltizem drip and then weaned to oral nodal blockade. he was also anticoagulated with a heparin drip. he spontaneously reverted back into sinus rhythm. however, given the unknown duration of his atrial tachycardia, he was started on anti-coagulation that he will continue for a month. #. uti: the patient was admitted with a ua that could be consistent with uti but ucx at osh was negative. he was treated with levaquin as above for pneumonia. #. mild transaminitis: patient admitted with mildly elevated lfts, likely due to legionella. over the course of his hospitalization, his lfts normalized. #. hematuria: during the hospitalization, the patient developed gross hematuria that was likely secondary to foley trauma in the setting of anticoagulation. however, after the heparin was discontinued his hematuria resolved. . #. anemia: in the setting of bleeding from his lower gu tract, the patient was noted to have a normocytic anemia. with resolution of his hematuria, his hematocrit has been trending back up and was stable at discharge. ================== transitional issues: the patient does not have a pcp and therefore has not had regular, routine care. has not had age-appropriate cancer screening (colonoscopy). is currently working to get residence in in order to obtain mass health. medications on admission: none discharge medications: 1. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 12 days. :*12 tablet(s)* refills:*0* 2. amlodipine 10 mg tablet sig: one (1) tablet po once a day. :*14 tablet(s)* refills:*2* 3. warfarin 2 mg tablet sig: 2.5 tablets po once a day: take as instructed by your pcp. :*60 tablet(s)* refills:*2* 4. labetalol 300 mg tablet sig: one (1) tablet po three times a day. :*42 tablet(s)* refills:*0* 5. doxycycline hyclate 100 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 7 days. :*14 capsule(s)* refills:*0* 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. outpatient lab work please check inr on . a standing order has been placed in the omr. discharge disposition: home discharge diagnosis: primary diagnoses: legionella pneumonia atrial flutter htn chronic kidney disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure caring for you during your recent admission. you were found to have legionella pneumonia and improved with antibiotics. you should continue treatment with antibiotics as prescribed for the full course of therapy. while you were in the hospital, your rapid heart rate converted back to a normal heart rhythm without any intervention. however, because we are uncertain of how long you were in this rapid heart rhythm, we started a regimen to anticoagulate you to prevent you from developing blood clots that could cause a stroke. this anticoagulation regimen will continue for 1 month. the thinness of your blood (inr) will need to be monitored closely. please have this level (inr) checked at at . on friday . you may have to pay out of pocket for this test if you do not have insurance at that time. also, your kidney function was noted to be elevated and we attributed that to the underlying infection along with likely long-standing untreated high blood pressure. while you were here, we controlled your blood pressure with specific medications that we would like you to continue after you leave. in the future always avoid nsaids (ie ibuprofen, advil, aleve) at the time of discharge please call , , to register as a patient with dr. as your pcp. follow up with , a medical social worker, on friday to discuss your financial issues and application for mass health or free care. she will help you get into contact with () to further discuss your insurance status. please make the following changes to your medications: -start amlodipine 10mg by mouth everday -start doxycycline 100mg by mouth twice a day for the next 8 days -start levofloxacin 750mg by mouth everyday for the next 12 days -start labetalol 300 mg by mouth three times a day -start warfarin 5mg by mouth once a day please bring this paper work with you to your doctors that they are made aware of your recent hospitalization. followup instructions: name: , md , md location: center address: , , phone: *it is recommended that you see a primary care doctor. if you would like to go to center, please call the above number to register and book an appointment. they can also help you apply for masshealth insurance. procedure: central venous catheter placement with guidance diagnoses: thrombocytopenia, unspecified unspecified pleural effusion urinary tract infection, site not specified acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial flutter sepsis chronic kidney disease, unspecified alkalosis disorders of phosphorus metabolism retention of urine, unspecified hypoxemia hematuria, unspecified nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] malnutrition of moderate degree pneumonia due to legionnaires' disease 

Answer: The patient is high likely exposed to