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: history of present illness: the patient is a 71-year-old man with past medical history significant for type 2 diabetes, cirrhosis, alcohol abuse and hypertension who was in his usual state of health until two days prior to admission when he developed increasing fatigue, nonproductive cough and decreased p.o. intake. the patient also noted some neck stiffness. in addition, he had some baseline pain secondary to vocal cord surgery approximately one week prior to admission. for his neck stiffness and his vocal cord pain he was taking mainly tylenol but also aleve. in addition his home is not air conditioned and he was dehydrated. also of note is that the patient had several episodes of hypoglycemia over the past three days. at approximately 12:30 p.m. on the day of admission he was found by his daughter short of breath at home with a complaint of left-sided chest pain and left arm pain. at this time he was noted to be taking rapid shallow breaths. she called his primary care physician, , who recommended that the patient be taken to for further evaluation. when ems arrived the patient's heart rate was in the 180's. he was given 25 mg of iv diltiazem and became hypotensive. upon arrival at the his vital signs were checked and his heart rate was found to be in the 140's. the patient was again treated with 25 mg of iv diltiazem and his systolic blood pressure dropped to the 60's. he was treated with six liters of normal saline. chest x-ray showed a left upper lobe pneumonia for which he received a dose of levaquin and was eventually intubated for worsening abg's. the patient remained hypotensive with maps less than 60 and a heart rate in the 140's. he was started on _______, dopamine and vasopressin. he received an additional four liters of intravenous fluids, vancomycin and stress dose steroids. due to persistently low maps and being unresponsive to intravenous fluids on three pressors, the patient was cardioverted with 200 joules. this temporarily improved his hemodynamics. a groin line was placed for better access. the patient denied history of cardiac disease. at baseline he can climb two flights of stairs without difficulty. review of symptoms: significant for worsening cough. he denied fevers, chills, nausea or vomiting. he denied history of gastrointestinal bleed. he did have some chest pain when his daughter initially found him. past medical history: cirrhosis secondary to alcohol abuse. diabetes. hypertension. vocal cord polyp removal. drop foot. abdominal hernia. pseudothrombocytopenia. bilateral cataract surgery. zoster six months ago. allergies: no known drug allergies. medications on admission: 1. metformin 500 mg b.i.d. 2. lexapro 40 mg b.i.d. 3. hydrochlorothiazide 25 mg q. day. 4. doxazosin 4 mg q. hs. 5. spectravite q. day. 6. vitamin b1. 7. lactulose 15 ml q. day. family history: mother with diabetes. no family history of liver or kidney disease. social history: the patient lives with his wife who is house- bound in a wheelchair. he has three daughters and two sons. his daughter, , is his health care proxy. has a remote 50 pack year history of smoking. he has a significant alcohol history. physical examination: temperature 98, heart rate 110, blood pressure 110/70, respiratory rate 25, vented on assist control of 700 x 25 satting at 100 percent. general: intubated sedated male nonresponsive. heent: sclerae anicteric. pupils equal, round and reactive to light. cardiovascular: regular, tachycardia, no murmurs, rubs or gallops. lungs: rhonchi on the left. clear on the right. abdomen soft, non-distended, non-tender, normoactive bowel sounds, large ventral reducible hernia, obese. extremities: no clubbing, cyanosis or edema, 1 plus dorsalis pedis and posterior tibialis pulses. neurological: the patient withdraws to pain. hospital course: pneumonia: upon admission the patient's chest x-ray was significant for a left upper field pneumonia. upon hydration the radiographic findings were markedly worse. the patient was started on vancomycin, levofloxacin and flagyl. respiratory cultures were sent. these grew out strep pneumoniae. at this time the patient was switched to ceftriaxone. the following day's sensitivities revealed that this bacteria was sensitive to penicillin. ceftriaxone was then discontinued and the patient's antibiotic therapy was then switched to penicillin. incomplete dictation , m.d. dictated by: medquist36 d: 12:58:32 t: 13:23:57 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis percutaneous abdominal drainage atrial cardioversion diagnoses: acute kidney failure with lesion of tubular necrosis severe sepsis atrial fibrillation acute respiratory failure septic shock methicillin susceptible pneumonia due to staphylococcus aureus pneumococcal septicemia [streptococcus pneumoniae septicemia] pneumococcal pneumonia [streptococcus pneumoniae pneumonia] 

Answer: The patient is high likely exposed to