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: hemoptysis major surgical or invasive procedure: endotracheal intubation femoral line placement bronchoscopy right bronchial artery embolization history of present illness: 52m w/ hx of treated tuberculosis (3 years ago, in , 3 meds, cannot recall names, treated for 9 mos) w/ 1 episode of hemoptysis earlier this evening. reports coughing up a handful of blood, all blood, no sputum. over last week or so, has had a cough productive of whitish sputum. no sick contacts. fevers, no night sweats, no weight loss. approx 1 mo ago, had a uri. in er: had repeat episode. hemodynamically stable. ct chest was performed noting abnormal findings possibly consistant with reactivated tuberculosis. pulm c/s service notified. ros: -constitutional: wnl weight loss fatigue/malaise fever chills/rigors nightweats anorexia -cardiac: wnl chest pain palpitations le edema orthopnea/pnd doe -respiratory: see hpi -gastrointestinal: wnl nausea vomiting abdominal pain abdominal swelling diarrhea constipation hematemesis hematochezia melena -skin: wnl rash pruritus -musculoskeletal: wnl myalgias arthralgias back pain -neurological: wnl numbness of extremities weakness of extremities parasthesias dizziness/lightheaded vertigo confusion headache past medical history: other than tuberculosis, no medical history. tuberculosis was found on routine screening prior to migrating to us. he has never experienced respiratory symptoms. he received nine months of therapy. social history: now living in us, son is hcp and primary contact . patient is a non-smoker. family history: no sick contacts. family members with active tuberculosis. physical exam: exam: vs: t 97.2 p 60 bp 101/56 o2 98%ra gen: well, no acute distress, awake, alert, appropriate, and oriented x 3 skin: warm to touch, no apparent rashes. heent: no conjunctival pallor, no scleral jaundice,op clear, no cervical lad cv: rrr no audible m/r/g lungs: clear to auscultation abd: soft, nt, normal bs ext: no c/c/e neuro: strength and sensation intact bilaterally. exam on discharge: 97.1 hr 72 bp 115/68 rr 20 99% ra gen: well, no acute distress, awake, alert, appropriate, and oriented x 3 skin: warm to touch, no apparent rashes heent: no conjunctival pallor, no scleral jaundice,op clear, no cervical lad cv: rrr no audible m/r/g lungs: clear to auscultation abd: soft, nt, normal bs ext: no c/c/e neuro: strength and sensation intact bilaterally pertinent results: lactate-1.4 glucose-116* urea n-13 creat-0.9 sodium-143 potassium-4.0 chloride-107 total co2-26 anion gap-14 estgfr-using this wbc-6.8 rbc-4.95 hgb-14.1 hct-42.6 mcv-86 mch-28.5 mchc-33.1 rdw-13.2 neuts-64.3 lymphs-27.6 monos-4.6 eos-2.9 basos-0.6 plt count-267 pt-12.1 ptt-29.7 inr(pt)-1.0 labs on discharge: wbc rbc hgb hct mcv mch mchc rdw plt ct 10.7 3.83* 11.0* 32.8* 86 28.7 33.5 13.0 230 glucose urean creat na k cl hco3 angap 106* 13 1.2 139 4.1 107 26 10 calcium phos mg 9.0 2.7 2.4 hiv ab negative aspergillus galactomannan antigen b-glucan pending urine histoplasma ag pending cxr impression: multifocal airspace opacities in the right upper and lower lobes, concerning for active infection. with evidence suggestive of prior tuberculosis, current active tuberculosis infection is not excluded. ct chest impressions: 1. peribronchovascular opacities in the right upper and middle lobes most suggestive of bronchopneumonia. given history of tuberculosis and a partly calcified mass in the right upper lobe which could represent a large granuloma, active tuberculosis is an important differential consideration. hemorrhage is another consideration. 2. calcified nodule in the right lung (20 x 10 mm), probably sequela of prior infection versus a tumor. ct follow-up is recommended to resolution of opacities and surveillance of the lung nodule within three months. if available, comparison to prior studies could also be helpful. pet scanning could also be considered once the more acute process has resolved. urine culture - no growth blood culture pending on discharge brochoalveolar lavage results: gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. respiratory culture (preliminary): 10,000-100,000 organisms/ml. oropharyngeal flora. gram negative rod(s). ~3000/ml. isolates are considered potential pathogens in amounts >=10,000 cfu/ml. staph aureus coag +. ~/ml. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s trimethoprim/sulfa---- <=0.5 s acid fast smear (final ): no acid fast bacilli seen on concentrated smear. legionella culture (preliminary): no legionella isolated respiratory viral culture (final ): no respiratory viruses isolated. culture screened for adenovirus, influenza a & b, parainfluenza type 1,2 & 3, and respiratory syncytial virus. legionella urinary antigen (final ): negative for legionella serogroup 1 antigen. (reference range-negative sputum source: expectorated. gram stain (final ): >25 pmns and >10 epithelial cells/100x field. gram stain indicates extensive contamination with upper respiratory secretions. bacterial culture results are invalid. please submit another specimen. acid fast smear (final ): no acid fast bacilli seen on concentrated smear x 3 and blood culture showed no growth brief hospital course: mr. presented to the ed with a chief complaint of hemoptysis # hemoptysis - chest film demonstrated multifocal opacities in the rul and rll. given the patient's prior history of tuberculosis and the inability to exclude this on presentation, he was admitted to a negative-pressure room. on the floor, he remained hemodynamically stable. he had three negative afbs and was removed from respiratory precautions. he had a ct scan on which showed peribronchovascular opacities and a 1cm x 2cm right lung nodule felt to be chronic granuloma/prior infection sequelae vs. malignancy. on , he again had moderate hemoptysis and reportedly vomited blood and had black stools. pulmonary was consulted, and he was started on ceftriaxone/azithromycin empirically for cap on . durnig his course, he had a recurrence of massive hemoptysis. he was bronched on and found to have substantial bleeding from the posterior segment of right upper lobe. he then went to ir and had embolization of the right bronchial artery and right upper intercostal arterial branch. after the procedure, he was intubated with a dual-lumen endotracheal tube to prevent extravasation of blood into the left lung if bleeding recurred. he remained stable and was extubated on . ceftriaxone was replaced with cefpodoxime on . his pulmonary hemorrhage was attributed to inflammation of prior eroded tissue from old tuberculosis, with a new pneumonia as the precipitant. # elevated creatinine - he also had mild renal insufficiency which was likely secondary to contrast nephropathy after the ir procedure. the patient was transferred to the medical floor on , and his creatinine normalized with iv fluids and time. he demonstrated continued clinical improvement, with small amount of hemoptysis post-procedure. he remained afebrile with normal vital signs after transfer from the icu. he was discharged on and will complete a 7 day course of both azithromycin and cefpodoxime, to be completed on . he will schedule a follow up appointment with dr. , his pcp, the week of discharge. no other medications were started. the patient is a full code. medications on admission: patient takes no medications regularly discharge medications: 1. cefpodoxime 100 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 3 days. disp:*10 tablet(s)* refills:*0* 2. azithromycin 250 mg tablet sig: one (1) tablet po once a day for 2 days. disp:*2 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: hemoptysis pneumonia secondary diagnoses: history of tuberculosis, treated with three drug regimen in in discharge condition: stable and improved, no recurrence of hemoptysis post-procedure discharge instructions: you were admitted to the hospital after coughing up blood. you were treated for a pneumonia with antiobiotics. tests showed that you did not have tuberculosis again. you had another episode of coughing up blood while in the hospital, and you had a short stay in the intensive care unit. at this time, a procedure was performed to help stop the bleeding in your lungs, which was successful. you continued to do well after the procedure, and you were discharged on . please call dr. to set up an appointment this week. you should discuss with him when to have another exam of your chest. this exam of your chest should be within the next 3 months. the following changes were made to your medications: you were not taking any medications before you came to the hospital. you will continue taking two antibiotics: cefpodoxime 200 mg twice a day for two days, finish on tuesday azithromycin 250 mg once a day for two days, finish on tuesday please call dr. or 911 if you have red or black urine, if you cough up large amounts of blood, if you have trouble breathing, if you develop fevers, chills, or chest pain or any other concerning medical symptoms. followup instructions: please call your pcp, . j. , at to set up an appointment in the next week. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube injection or infusion of other therapeutic or prophylactic substance arteriography of other intrathoracic vessels closed [endoscopic] biopsy of bronchus aortography diagnoses: pneumonia, organism unspecified acute kidney failure, unspecified personal history of tobacco use other drugs and medicinal substances causing adverse effects in therapeutic use personal history of tuberculosis 

Answer: The patient is high likely exposed to