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: antidepressants o.u. classifier attending: chief complaint: 50m h/o dm2, htn, copd, bipolar disorder, ?recent pna presenting with sob, cough. major surgical or invasive procedure: intubation w/ ventilation history of present illness: patient is reported to be a very poor historian at baseline. reported called ems from home complaining of extreme fatigue and respiratory distress worsening over several days. denies cp, nausea, vomiting, diarrhea. in the ed, vitals were t 103.6 rectal hr 137 bp 160/72 rr 12 spo2 78-82% on nrb. noted to be confused. he was given combivent nebs and solumedrol 125mg without improvement. due to his ams and hypoxia he was intubated. cxr revealed bilateral infiltrates, given vanco 1gm, ctx 2gm, and azithro 500mg. thick green sputum was suctioned from et tube. ecg without ischemic changes and initial set cardiac enzymes negative; received asa. admitted to micu for further management. past medical history: 1) dm type ii 2) htn 3) copd 4) sleep apnea 5) chronic lower back pain 6) urinary incontinence social history: substance abuse history (include history of d.t.'s, withdrawal seizures, blackouts, detox treatment, i.v. usage): the pt admits to previously smoking 1ppd, now currently smokes 3-4cigarettes/day, denies any alcohol or other illicit drug use. social history (family of origin, childhood, physical/sexual abuse history, education, employment, relationships, sexual history/std risks, military record, legal history, etc.): the pt is currently living in a group home and is unemployed. he completed college and received a masters in history at suny . worked teaching social studies and english at the school level. has 2 sisters with whom he has contact and a mother who is the president of a ny chapter of the alliance for the mentally ill. family psychiatric history: patient states that his father, one of his sisters, and a maternal aunt all suffer from bipolar disorder. family history: family psychiatric history: patient states that his father, one of his sisters, and a maternal aunt all suffer from bipolar disorder. physical exam: t 101.6 hr 132 bp 147/90 rr 23 sao2 95% on ac/1.0/600/16/5 general: intubated, wdwn male, comfortable heent: pupils 2mm and minimally reactive, anicteric sclera neck: supple, trachea midline, no nuchal rigidity cardiac: tachycardic, regular, s1s2 normal, no m/r/g, no jvd pulmonary: coarse bilateral breath sounds (l>r) with decreased breath sounds at the left base, no wheezes abdomen: +bs, soft, nondistended extremities: warm, 2+ dp/pt pulses, no edema neuro: sedated, not arousable to voice or noxious stimuli, toes mute bilaterally, unable to further assess due to sedation pertinent results: 05:34am blood type-art temp-38.7 tidal v-600 peep-5 po2-105 pco2-66* ph-7.38 caltco2-41* base xs-10 02:20am blood albumin-4.0 calcium-9.3 phos-3.8 mg-2.1 02:20am blood ctropnt-<0.01 10:42am blood ck-mb-notdone ctropnt-<0.01 06:36pm blood ck-mb-notdone ctropnt-<0.01 02:20am blood lipase-15 02:20am blood alt-13 ast-21 ck(cpk)-70 alkphos-76 amylase-21 totbili-0.3 02:20am blood glucose-196* urean-15 creat-0.9 na-139 k-4.8 cl-97 hco3-33* angap-14 02:20am blood pt-13.0 ptt-27.3 inr(pt)-1.1 02:20am blood wbc-13.3* rbc-4.60 hgb-13.9* hct-40.6 mcv-88 mch-30.2 mchc-34.2 rdw-13.5 plt ct-258 02:50am urine blood-neg nitrite-neg protein-30 glucose-neg ketone-15 bilirub-neg urobiln-neg ph-6.0 leuks-neg 02:50am urine bnzodzp-pos barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg ecg: sinus tach, 136 bpm, rad, ivcd, delayed rwp, no st-t changes . cxr: opacification of the left lung base and mid zone and mild opacification of the right lung base. these findings are concerning for pneumonia. brief hospital course: a/p: 50m h/o dm, htn, copd, osa, bipolar disorder presenting with sob and cough -> multilobar pna. . # respiratory failure: intubated for hypoxia, ams. noted to have lll infiltrate on cxr suggesting pna (also possible rll infiltrate), supported by leukocytosis and fever. have had recent pna per report, unclear if treated effectively. pt had required intubation by ems to support airway. pt underwent bronchcoscopy which revealed no obstructive lesion. pt r'd/o mi with serial negative cardiac enzymes, sputum cultures + for h.flu. pt had originally been started on vanc/flagyl for broad spectrum, but switched to levo once cultures returned. records indicated severe ohs with chronically elevate pco2 60-70s and low o2 sats. extubated directly to bipap, bridged to nc o2, which was titrated down to ra by the day of discharge, w/ o2 sats of 98%. pts wbc down from 15 to 11 (still on steroids) and bandemia has resolved. - continue levoflox for cap (day ) - combivent combivent nebs prn - continue prednisone taper, due for 20mg x 2 more days daily-to now 10mg daily x 4 - continue progesterone for resp stim in ohs as given by home meds . # hypernatremia: resolved. free water deficit was 3.2l and replaced with free h2o boluses. follow na . has since resolved to normal levels. d/c'd lasix. . # altered mental status: most likely due to hypoxemia and hypercarbia. no evidence of illicit substance ingestion as serum and urine tox screens negative except for benzos. cns infection also on the differential given fevers and mental status changes but less likely now that improved. no concerning findings on neuro exam post-extubation. . # cardiovascular: low suspicion for acs and r/o mi with serial negative cardiac enzymes. risk factors include dm2, smoking, and htn. echocardiogram preserved. asa, metoprolol, statin. . # pulmonary: copd and osa/ohs. no pfts in our system. nebs prn. prednisone per above. restarted progesterone per home regimen. . # dm2: last a1c 6.0% (). hold metformin. hiss and lantus. follow fsbg. . # htn: metoprolol, titrate prn. . # bipolar disorder: continue outpatient psych meds (they were verified at his pharmacy). . # urinary incontinence: followed by dr. urology for overactive bladder. continue detrol. . # hyperkalemia: resolved after kayexalate. peaked at 5.8 without ecg changes. unclear cause as no renal failure and not reported to be hemolyzed specimen. follow daily. . # fen: , cardiac diet # ppx: heparin sc tid, h2b # code: full # communication: (mother) ; , medications on admission: 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. thiothixene 5 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 7. tolterodine 2 mg tablet sig: two (2) tablet po bid (2 times a day). 8. clozapine 50 mg tablet sig: five (5) tablet po hs (at bedtime). 9. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 10. medroxyprogesterone 10 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 11. medroxyprogesterone 10 mg tablet sig: four (4) tablet po qpm (once a day (in the evening)). 12. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 13. valproic acid 250 mg capsule sig: four (4) capsule po qam (once a day (in the morning)). 14. valproic acid 250 mg capsule sig: eight (8) capsule po qpm (once a day (in the evening)). 21. insulin glargine 100 unit/ml cartridge sig: six (6) units subcutaneous qdinner. discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. thiothixene 5 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 7. tolterodine 2 mg tablet sig: two (2) tablet po bid (2 times a day). 8. clozapine 50 mg tablet sig: five (5) tablet po hs (at bedtime). 9. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 10. medroxyprogesterone 10 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 11. medroxyprogesterone 10 mg tablet sig: four (4) tablet po qpm (once a day (in the evening)). 12. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 13. valproic acid 250 mg capsule sig: four (4) capsule po qam (once a day (in the morning)). 14. valproic acid 250 mg capsule sig: eight (8) capsule po qpm (once a day (in the evening)). 15. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 16. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 17. ketoconazole 2 % cream sig: one (1) appl topical (2 times a day). 18. ipratropium bromide 0.02 % solution sig: one (1) inhalation q4h (every 4 hours) as needed. 19. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q4h (every 4 hours) as needed. 20. levofloxacin in d5w 750 mg/150 ml piggyback sig: one (1) intravenous daily (daily) for 4 days. 21. insulin glargine 100 unit/ml cartridge sig: six (6) units subcutaneous qdinner. + riss discharge disposition: extended care facility: & rehab center - discharge diagnosis: multi-lobar pneumonia respiratory distress dm htn copd bipolar disorder discharge condition: stable discharge instructions: you are being discharge from the hospital after an admission for respiratory distress due to a serious pneumonia, or infection of the lung. because of the severity of your difficulty in breathing, you required a tube to be placed into your lungs and for a machine to assist your breathing. with antibiotics, we have successfully treating this infection, were able to remove the tube, and you are now able to breath comfortably. while your breathing has improved, it is important you continue the full course of antibiotics so that the infection does not return. you are being discharge to a rehab facilility so that these intravenous antibiotics can be continued. additionally, because of the duration of time you have been in the hospital and the severity of the infection, it is felt that you will require physical therapy to improve your strength as part of your recovery. you should resume your home medicaitions you had been taking before admission, as listed below. followup instructions: upon discharge from the rehab facility, you should have a follow up appointment within one week with your pcp . of vangaurd. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus diagnoses: hyperpotassemia obstructive sleep apnea (adult)(pediatric) diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified acute respiratory failure hyperosmolality and/or hypernatremia bipolar i disorder, most recent episode (or current) unspecified pneumonia due to hemophilus influenzae [h. influenzae] 

Answer: The patient is high likely exposed to