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: penicillins / enalapril attending: chief complaint: sepsis, pna major surgical or invasive procedure: cvvh line placement, left femoral vein intubation history of present illness: pt is a 67 yo m with esrd (on hd mwf), esld polycystic liver disease who presented to after 3 days of myalgias, cough, sob, and not able to get out of bed. he had been in his usoh prior to this. at osh, t 101.3, he was noted to have cxr with lll pna and received levaquin and 250cc ivf. at that time, sbp 70-90's with normal bp 100's. . he was transferred to due to bed shortages at osh. in ed, t98.7; hr 120-130's; bp 63-77/50's; rr89% ra and 100% nrb. lactate 1.3. given low bp, a cvl was sterilely placed and he was started on levophed. cvp was 15 once levophed on board. ekg with afib and lateral st depressions. he also received a dose of clindamycin in ed. . upon arrival to icu, he is currently feeling comfortable in no distress. he denies any chest pain, sob, pleuritic pain, abdominal pain, or any other symptoms. he does note that for past few days he had orthopnea, which is new for him. per his wife, last week he also had one episode of severe lower abdominal pain. he went to hd at that time and there was some concern for a ruptured liver cyst; however, his wife does not think he had any imaging at that time. this pain has since resolved. past medical history: - atrial fibrillation - esrd: on hd, mwf - esld: never had paracentesis - s/p colectomy and ileostomy in place - s/p parathyroidectomy - hx of ? mi and arrhythmia requiring defibrillation (per wife) social history: married, retired printer smoking: quit 15 yrs ago, but prior has 80 pack year (5ppd since age 8 until 50's) etoh: none for many years illicits: none family history: mother: d. pancreatic ca father: d. mi age 65 brother: brain tumor sisters: dm physical exam: pe: 96.7 115-140's 101/72 25 97% nrb gen: nad, in very mild resp distress, but otherwise fairly comfortable heent: perrl, clear op, mmm neck: supple, no lad, jvp difficult to assess as rij in place cv: tachy, irreg, irreg; difficult to auscultate murmurs lungs: cta ant and laterally abd: soft, area of hard, cystic masses on r ext: no edema. 2+ dp pulses bl. fistula in left with palp thrill skin: no lesions neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation throughout. 5/5 strength throughout. + reflexes, equal bl. normal coordination. pertinent results: 11:25am blood wbc-10.4# rbc-3.55* hgb-11.1* hct-35.0* mcv-99* mch-31.2 mchc-31.6 rdw-15.5 plt ct-158 11:25am blood neuts-93.8* bands-0 lymphs-3.5* monos-2.3 eos-0.2 baso-0.1 11:25am blood pt-27.1* ptt-43.3* inr(pt)-2.7* 12:32am blood fibrino-366 11:25am blood glucose-74 urean-41* creat-6.5*# na-135 k-5.6* cl-97 hco3-24 angap-20 11:25am blood alt-8 ast-10 ck(cpk)-158 alkphos-82 amylase-57 totbili-1.8* 12:00am blood alt-1710* ast-3118* ld(ldh)-2352* alkphos-88 totbili-2.8* 04:04am blood alt-1311* ast-1089* ld(ldh)-588* alkphos-100 totbili-3.2* 09:52am blood alt-859* ast-547* ld(ldh)-400* alkphos-102 totbili-3.4* . rads tte the left atrium is markedly dilated. the right atrium is markedly dilated. the left ventricular cavity is unusually small. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function appears mildly depressed (lvef= 50%), but could not be fully evaluated because of technical limitations. the right ventricular cavity is moderately dilated with severe global free wall hypokinesis. there is abnormal septal motion/position. the number of aortic valve leaflets cannot be determined. the mitral valve leaflets are mildly thickened. tricuspid regurgitation is present but cannot be quantified. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: dilated right ventricle with severe rv systolic dysfunction. probable mild left ventricular systolic dysfunction. heavily calcified valves. if clinically indicated, a full transthoracic study with doppler is recommended. . tte the left ventricle is not well seen. the left ventricular cavity is unusually small. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). the right ventricular cavity is moderately dilated with severe global free wall hypokinesis. there is abnormal septal motion/position. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. compared with the prior study (images reviewed) of , the image quality is no better. the estimated pulmonary artery systolic pressure is slightly lower but is probably unreliable given poor image quality. the other findings are similar. . cta impression: 1. no evidence of pulmonary embolism. 2. cardiomegaly with prominence of the right heart and enlargement of the main pulmonary artery suggestive of pulmonary hypertension. 3. right lower lobe consolidation/volume loss. left lower lobe with consolidation or volume loss and occluded left lower bronchus. 4. diffuse emphysematous changes. 5. small bilateral pleural effusions. ascites. anasarca. 6. massively enlarged multicystic liver. status post bilateral nephrectomy. 7. cystic changes in both femoral heads and acetabula. differential includes changes secondary to secondary hyperparathyroidism. comparison is recommended with old studies if available. 8. mediastinal nodes, largest measuring 16mm. 9. sigmoid diverticulosis without definite evidence of diverticulitis. 10. cholelithiasis without definite evidence of cholecystitis. 11. right lower quadrant diverting ileostomy. no evidence of obstruction. 12. ng tube and et tube in proper placement. brief hospital course: the patient is a 67 y/o m hx of esrd on hd and esld polycystic liver/kindey disease who presented after 3 days of myalgians, fever, cough, new infiltrate on cxr and hypotension requiring pressors. brief course: he was transferred here on bed shortages at osh. he arrived and was stable but developed a fib to 140s and decompensated requiring intubation, his af was eventually controlled with amiodarone bolus and drip as well as esmolol. pt was found with influenza a, c/b vap. he was successfully extubated, but had persistent oxygen requirement. he was continued on broad spectrum antibiotics for possible vap. he was found to have severe rv dilation and hypokinesis. he was initiated on cvvh for fluid overload which resulted initially in improved blood pressures. he tolerated weaning from three pressors to one. throughout his hospitalization he had persistent pressor requirement despite negative blood and sputum cultures. in setting of patients grim overall prognosis a palliative care consult was initiated to assist the family with end of life care and transition to cmo status. the patient was made cmo on , pressors and cvvh were discontinued and expired shortly thereafter. medications on admission: warfarin 5 mg m/w/f/sun; 4mg t/th/sat digoxin 0.125 daily lomotil 0.25 daily prn nephrocaps 2 daily colchicine 0.6 daily tums folic acid oxycodone qhs neurontin 200 mg qhs discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis arterial catheterization insertion of other (naso-)gastric tube transfusion of other serum diagnoses: acidosis thrombocytopenia, unspecified end stage renal disease obstructive sleep apnea (adult)(pediatric) acute and subacute necrosis of liver severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases pulmonary collapse acute respiratory failure septic shock paralytic ileus other sequelae of chronic liver disease calculus of gallbladder without mention of cholecystitis, without mention of obstruction ileostomy status diverticulosis of colon (without mention of hemorrhage) pneumonia due to hemophilus influenzae [h. influenzae] venous (peripheral) insufficiency, unspecified congenital cystic disease of liver septicemia due to hemophilus influenzae [h. influenzae] 

Answer: The patient is high likely exposed to