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: this is a 35 year old male with myotonic dystrophy presenting from hospital originally on , with pneumonia and hypoxia. the patient noted on the morning of presentation that he had fevers, chills, nausea, vomiting and diarrhea where the patient subsequently went to primary care physician's office and was noted to have decreased oxygen saturation and an electrocardiogram was significant for a first time episode of atrial fibrillation. the patient was given 50 mg of cardizem and then 20 mg cardizem for conversion to sinus tachycardia but this could not be maintained and the patient relapsed into atrial fibrillation. vital signs taken at the time were 102.7 temperature, blood pressure 109/65, heart rate 133, respiratory rate 40, oxygen saturation 90% on nonrebreather. the patient was subsequently seen at hospital and was given three grams of ceftriaxone, 100 mg doxycycline and an additional 20 mg of cardizem and transferred directly to the medical intensive care unit at . at the medical intensive care unit, he was treated with a course of vancomycin and levofloxacin and diagnosed with mssa, right middle lobe, right lower lobe septic pneumonia. the patient was subsequently intubated secondary to failure to maintain adequate oxygen saturation. by , the patient was successfully extubated and the atrial fibrillation had spontaneously converted back into sinus rhythm after a period of five days. the patient was subsequently transferred to the floor on . past medical history: myotonic dystrophy. allergies: penicillin and erythromycin which result in - syndrome. medications on admission: essentially nothing. social history: significant for being a mutual fund manager with a wife and daughter. family history: noncontributory. physical examination: on presentation to the floor, the patient was temperature 98.9, blood pressure 147/79, heart rate 93, oxygen saturation 95% on six liters. the patient was a thin appearing male in no acute distress, alert and oriented times three. head and neck examinations were clear. cardiovascular - regular rate and rhythm with s4 sound and i to ii/vi systolic murmur. the chest examination was significant for diffuse rhonchi, wet crackles bilaterally, left lobe greater than right lobe, superiorly greater than inferiorly, right lower lobe significant for egophony, dullness to percussion and decreased fremitus. the abdomen was soft, nontender, nondistended with mildly decreased bowel sounds. upper extremities had 4/5 strength of the abductor pollicis and otherwise throughout. the lower extremities were 5/5 strength. all extremities were warm and well perfused with 2+ pulses. the patient was unable to rapidly uncle fist. laboratory data: white blood cell count 11.8, hematocrit 27.0, platelet count 478,000. partial thromboplastin time 57.1, prothrombin time 13.4, inr 1.2. sodium 143, potassium 4.4, chloride 107, bicarbonate 27, blood urea nitrogen 9, creatinine 0.7, glucose 105, calcium 8.5, phosphate 3.6, magnesium 2.1. arterial blood gases 7.53, 83 and 39. hospital course: the patient was subsequently put on telemetry on the floor and monitored. lovenox was given for prophylaxis. echocardiogram and repeat electrocardiograms were unremarkable. levofloxacin was continued at 500 mg on the floor to complete a course of fourteen days. the patient began complaining of dysphagia on , and this was worked up with a speech and swallow study on , which demonstrated significant pharyngeal dysmotility. the patient was subsequently placed npo and nasogastric tube was placed. the patient received tube feeds until the day of discharge, . the nasogastric tube was subsequently pulled and the patient was sent for repeat speech and swallow which showed significant dysmotility but slightly improved swallowing pattern overall. given the patient's much improved respiratory status and his isolated single episode of atrial fibrillation which is thought to be secondary to septic pneumonia, the patient was discharged for follow-up as an outpatient for dysphagia. condition on discharge: stable. discharge diagnoses: 1. septic pneumonia. 2. myotonic dystrophy. medications on discharge: 1. omeprazole oral solution 30 mg p.o. once daily for ten days. 2. aspirin 325 mg p.o. once daily for thirty days. 3. sarna lotion apply twice a day as needed to itchy areas of skin for prescription for swallow therapy as an outpatient. follow-up: the patient was scheduled for a repeat speech and swallow consultation on . the patient has already scheduled primary care physician . the patient will also schedule follow-up chest x-ray in two weeks. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified atrial fibrillation acute respiratory failure examination of participant in clinical trial dyskinesia of esophagus 

Answer: The patient is high likely exposed to