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: zocor attending: chief complaint: fever major surgical or invasive procedure: central venous line placement endotracheal intubation arterial line placement history of present illness: -- per admitting hospitalist -- 74 year-old man presents with fatigue, chills, and poor po intake over one month. patient reports that two months ago, he was able to walk 30 minutes/day with weights, but over the few weeks prior to admission, he has felt fatigued and is more easily fatigued. he has daytime somnolence and night insomnia. he denies any localizing symptoms. he denies nausea, vomiting, anorexia, abdominal pain, melena, brbpr, new lymphadenopathy, meningismus. patient denies weight loss, but on review of the records, patient has lost 10 pounds over one month. he reports lightheadedness and dizziness with standing for several weeks. of note, he presented to his pcp with fatigue and weakness. he was found to have a low normal tsh (0.46) and low free t4 (0.9). he was referred to endocrinology for evaluation of central hypothyroidism. he was also found to be anemia to hct of 30 with his last checked hct 41.6 six years prior with anemia labs consistent with anemia of chronic disease. in ed, his vitals were t 103.5, hr 125, bp 96/ 52, rr 18, 98% on ra. he was found to be markedly dehydrated. a right groin line was placed and he was given 7l of ivf. he remained hypotensive at 81/46, so he was started on levophed 0.2. he was given vancomycin, ceftriaxone, and decadron as he was initially alert and oriented x3 but tangential in thought for concern for meningitis. his mental status improved with hydration therefore lp was not pursued. past medical history: coronary artery disease s/p cardiac cath in hypertension chronic renal insufficiency hyperlipidemia benign prostatic hyperplasia insomnia social history: patient is a former smoker, quit at age 42. used to drink beer or wine twice daily but has not drank for a month due to fatigue. family history: mother died at 95 secondary to cad. father died at 85 secondary to pancreatic cancer and had known colon cancer. he is married with three children. physical exam: vs: t: 97.9, bp 122/84, rr 15, 98% on 2lnc gen: no acute distress heent: eomi, sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad chest: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abd: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly skin: no rash ext: warm, well perfused, 2+ pulses, trace pedal edema neuro: alert and oriented x3, cn 2-12 intact, strength 5/5 bue/ble, sensory intact, fluent speech psych: calm, appropriate pertinent results: wbc-4.3 rbc-2.69* hgb-7.9* hct-24.7* mcv-92# plt ct-184 neuts-66 bands-2 lymphs-14* monos-13* eos-0 baso-0 atyps-5* metas-0 myelos-0 pt-15.4* ptt-32.4 inr(pt)-1.3* glucose-159* urean-46* creat-2.4* na-133 k-4.6 cl-100 hco3-21* angap-17 alt-21 ast-36 ck(cpk)-12* alkphos-139* totbili-0.9 alb 2.2 totprot-6.3* calcium-8.5 phos-4.6* mg-1.8 lactate-2.6* k-4.5 lipase 21 abg 7.49 / 67 / 35 serial troponins negative rheum: 1:40 crp-110.4* esr-142* endo: t4-3.3* free t4-0.87* 07:45am blood cortisol-11.0 02:00pm blood cortisol-24.2* heme: iron 15, tibc 146, hapto 263, ferritin 1532, trf 112, retic 1.9 vit b12 767, folate 14.7, methylmalonic acid 280 spep elevated igg id: blood cultures all no growth to date urine cultures negative sputum culture negative hiv negative monospot negative lyme serology negative mrsa screen negative rpr non-reactive fungal culture pending ebv igm ab pending cmv igg igm pending hbsag pending hbsab pending hbcab pending hcv ab pending cxr impression: no definite pneumonia, but pa/lateral recommended when clinically feasible given tenting along right hemidiaphragm. ct abd/pel : 1. faint pulmonary ground-glass opacities may represent atypical infection or small airways inflammation. 2. splenomegaly. 3. bilateral adrenal nodules. 4. severe atherosclerotic disease, with likely high-grade stenosis of the left renal artery origin. 5. small fusiform dilatation of infrarenal aorta. 6. small hypoattenuating renal lesions, too small to characterize by ct criteria. vq lung scan : impression: intermediate-level suspicion (30-40%) for pe. cta chest : 1. no pulmonary embolism or acute aortic pathology. 2. mild subpleural inter- and intra-septal thickening with lower lobe predominance but without honeycombing, raising suspicion for interstitial lung disease such as nsip or early uip. recommend followup in six months with hrct in prone position. 3. ap-elongation of upper trachea and lunate-shaped lower trachea, incompletely assess but suspicious for tracheobronchomalacia. recommend followup with dedicated ct trachea if clinically indicated. 4. marked coronary artery calcification. 5. right adrenal nodule, grossly unchanged. bone marrow bx : 1. markedly hypercellular (80-90% cellular) myeloid dominant bone marrow with dyserythropoiesis and dysmegakaryopoiesis, see note 1. 2. increased iron stores with decreased sideroblast suggestive of anemia of inflammatory block. 3. mild plasmacytosis, see note 2. note 1: in a patient with cytopenias, the marrow findings of hypercellularity and dyspoiesis raise the possibility of involvement by a myelodysplastic process. please correlate with clinical findings to exclude other secondary causes of marrow insults which may lead to dyspoietic changes; suggest follow-up and repeat biopsy, if cytopenia persists in the absence of identifiable secondary causes. please correlate with cytogenetic findings. note 2. plasma cells are 3% of aspirate differential and 10-15% of marrow core biopsy cellularity by cd138 staining. however, by immunoglobulin light chain staining, plasma cells appear polytypic with a slight lambda predominance, and morphologic findings diagnostic of a plasma cell myeloma are not seen in material evaluated. please correlate with clinical, other laboratory (e.g. spep, upep etc) and radiologic findings. ct head impression: no hemorrhage, edema, or evidence of acute process. echocardiogram : the left atrium is normal in size. the estimated right atrial pressure is 0-10mmhg. left ventricular wall thicknesses and cavity size are normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve, but cannot be fully excluded due to suboptimal image quality. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no masses or vegetations are seen on the mitral valve, but cannot be fully excluded due to suboptimal image quality. trivial mitral regurgitation is seen. no masses or vegetations are seen on the tricuspid valve, but cannot be fully excluded due to suboptimal image quality. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a promient fat pad. compared with the report of the prior study (images unavailable for review) of , posterior wall hypokinesis cannot be definitively identified. no vegetations identified, but the images are suboptimal. if clinically indicated, a transesophageal echocardiographic examination is recommended. right temporal artery biopsy : temporal artery with intimal hyperplasia. no arteritis seen. mri brain and pituitary impression: - multiple punctate bifrontal and left parietal acute embolic infarcts, without significant mass effect or associated shift of midline structures. - no abnormality of the pituitary gland is seen. - left mastoid opacification. brief hospital course: 74 year old man who presented with one month of fatigue and fuo. initially admitted to icu with hypotension, treated with pressors and ivf, which then were successfully weaned off. patient was called out to floor. patient underwent an extensive fever workup for hematologic, infectious, rheumatologic, and endocrine sources, none of which revealed a definitive diagnosis. the patient developed altered mental status during the admission; imaging of the head demonstrated multiple acute embolic infarcts. a tte/tee showed no evidence of vegetations. no other cause for thromboembolic phenomena was identified. the patient's neurological status continued to decline on the floor, and he became tachypneic / dyspneic but remained stable on oxygen. during one night of admission on the floor, the patient became acutely unresponsive and was found to be asystolic. a code blue was called and the patient underwent cpr for pea/asystole for approximately 20 minutes, after which the patient was brought back into nsr with a palpable pulse. he was re-admitted to the icu and underwent the arctic sun cooling protocol. following rewarming, the patient remained unresponsive and with a persistent vasopressor requirement. additional infectious workup continued to be negative. repeat mri brain was suggestive of watershed infarcts possibly sustained during cardiac arrest. after extensive discussion with the patient's family, including his wife, it was decided that comfort measures only would be pursued. vasopressors were withdrawn, the patient was extubated and expired quietly thereafter at 3:05 pm on . medications on admission: atorvastatin 20 mg daily nitroglycerin 0.3 sl prn chest pain toprol 25 mg xl daily zestril 10 mg daily zolpidem 10 mg qhs aspirin 325 mg daily discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a discharge condition: n/a discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung diagnostic ultrasound of heart insertion of endotracheal tube biopsy of bone marrow arterial catheterization transfusion of packed cells biopsy of blood vessel diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified anemia in chronic kidney disease coronary atherosclerosis of native coronary artery acute kidney failure, unspecified hyposmolality and/or hyponatremia unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure cardiac arrest bacteremia cardiogenic shock fever, unspecified infection and inflammatory reaction due to other vascular device, implant, and graft cerebral artery occlusion, unspecified with cerebral infarction other malaise and fatigue mixed acid-base balance disorder 

Answer: The patient is high likely exposed to