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 an 88-year-old man with a history of metastatic prostate carcinoma and diastolic dysfunction, who was recently discharged from on , where he was admitted for progressive dyspnea. he presented with right arm pain. the patient reported that he had been leaning on the door frame, and slipped and fell onto his right arm. the patient was unable to move his arm and had severe pain, 10 out of 10. he went to the emergency department. he denied chest pain, shortness of breath, palpitations, or increasing edema. he was seen by the orthopedic service and was found to have displaced distal third of the right humerus. the patient's arm was placed in a sling, and pain was controlled. the patient denied any numbness or tingling or loss of sensation. past medical history: 1. prostate cancer in with metastases to the ribs, high psa value, treated with hormone therapy. 2. congestive heart failure with diastolic dysfunction, ejection fraction of 55% and symmetric left ventricular hypertrophy. 3. ostomy status post ileal loop diversion in . 4. status post median nerve decompression. 5. exertional dyspnea evaluated by pulmonary in , who thought this was secondary to congestive heart failure. 6. obstructive sleep apnea. 7. bone marrow dysfunction. 8. anemia. medications on admission: prochlorperazine 10 mg q.6 hours p.r.n. nausea, naproxen 250-500 mg q.8 hours as needed, lasix 20 mg p.o. q.d., colace 100 mg b.i.d., senna 1 tab b.i.d., dronabinol 2.5 b.i.d. for nausea, tizanidine 2 mg h.s. for muscle relaxation, tramadol 150 mg q.6 hours, levofloxacin 250 mg q.d., flagyl 500 mg t.i.d. from previous hospitalization. images: x-ray revealed acute fracture in the midshaft of the right humerus with distal segment angulation medially. impression: this was a man with metastatic prostate and diastolic dysfunction who has had a traumatic humeral fracture. there was concern that the fracture was due to pathologic fracture given the presence of bone lesions seen on a bone scan; however, the lesions were not in the exact region of the fracture. the patient was sent to the operating room and had a right humeral open reduction and internal fixation on . after the procedure, peripheral pulses were intact. there was some sensory dysfunction in the ulnar distribution. this was monitored postoperatively. after the operation, the patient had respiratory distress and hypovolemia and was transferred to the sicu. this was due to worsening congestive heart failure. he was monitored carefully. he was ruled out for myocardial infarction, and he was given careful diuresis. hypoxia was worsened by his history of restrictive lung disease according to past pulmonary function tests. the patient required pressor support on neo-synephrine. he was given frequent intravenous fluid boluses. he was very tachycardiac. this was treated with increasing beta-blockers to maximize his diastolic filling and optimize cardiac output. cvp was found to be low. the patient was given 1 u packed red blood cells. he received bipap at night for his obstructive sleep apnea. the patient had persistent anemia due to blood loss postoperatively during his sicu course. he received a total of 4 u packed red blood cells. the patient was ruled out for adrenal insufficiency. there was no evidence for sepsis. throughout the sicu course, the patient received a large amount of intravenous fluids and had increasing edema throughout his body. the patient was weaned off neo-synephrine and transferred out of the sicu where he was stable but with low blood pressure, off blood pressure medications, requiring 2 l nasal cannula. on the floor, diuresis was continued gently to prevent hypovolemia. the patient was slowly started on ace inhibitor to maximize cardiac output in the setting of congestive heart failure. the patient was then restarted on metoprolol to maximize his diastolic filling and lower his heart rate if possible. he was seen by physical therapy, as well as occupational therapy who recommended rehabilitation. across this time, the patient was noted to be thrombocytopenic, and platelets were stable in the low 60s to high 50s. this was discussed with the patient's oncologist who reported that the patient had been taking a medication called samarian. .................. causes for platelets to be low, but there was no cause being lovenox. on the day of discharge the patient was ambulating well, breathing 96% on room air, voiding via foley, and pain was fully controlled, even during physical therapy. the patient was discharged to rehabilitation for continued management. the patient was instructed to continue all of his medications as prescribed and to the emergency room if he has increasing pain, shortness of breath, or hypotension. discharge diagnosis: 1. fractured right humerus. 2. diastolic dysfunction. 3. metastatic prostate cancer. 4. aspiration pneumonia. 5. status post right open reduction and internal fixation. 6. congestive heart failure. 7. pulmonary edema. 8. hypoxia. 9. thrombocytopenia. 10. anemia due to blood loss. 11. obstructive sleep apnea. follow-up: the patient was instructed to follow-up with dr. in oncology on and to reschedule this. the patient was instructed to see the ostomy nurse in the clinic on , and with the podiatrist on . he was also instructed to see dr. once he is discharged from . discharge medications: compazine 10 mg q.6 hours as needed for nausea, colace 100 mg b.i.d. for constipation, dronabinol 2.5 mg b.i.d. for nausea, tizanidine 2 mg h.s. for muscle relaxation, ambien 5 mg h.s. p.r.n. insomnia, tylenol 500 mg tab p.o. q.6 hours for pain, lovenox 40 mg subcutaneously q.d. until , atrovent 2 puffs 4 times a day as needed for wheezing, ultram 50 mg p.o. q.i.d., lasix 40 mg p.o. q.d., lisinopril 2.5 mg p.o. q.d. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified transfusion of packed cells open reduction of fracture with internal fixation, humerus transposition of cranial and peripheral nerves insertion of two vascular stents diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified pneumonitis due to inhalation of food or vomitus diastolic heart failure, unspecified secondary malignant neoplasm of bone and bone marrow other closed fracture of lower end of humerus 

Answer: The patient is high likely exposed to