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: shortness of breath major surgical or invasive procedure: central venous line placement arterial line placement endotracheal intubation history of present illness: hpi: 77 yo man nursing home resident with parkinsons disease, dementia, found to be acutely sob, per transfer notes: patient was 87% ra, with rales, increased with supplemental o2 and was transferred to osh for managment. in outside ed, patient was tx'd intially for chf with lasix 80, nitro, tried on bipap but failed and intubated (recieved succ/vec/etom/vers/fentanyl), also noted to have brbpr, and was transferred to for further managment. upon arrival: t 98.8 hr 120 bp 104/50 rr 14 o2 100% on ac 500/14/.40/5 wbc 13 w/10% bands, cxr unchanged from prior (hx of lll resection), + uti, ckmb flat, trop 0.16, hct from 35->30 with ivf, ngl clear, brown stool, scant brbpr. intitial lactate was 1.4. past medical history: cad: s/p 3v cabg ', pci to rca ', pca instent stenois seen on cath , patent grafts htn hyperlipidemia chf ef 40%, + mr pvd: s/p l aorto-fem bypass hx of tuberculosis with lll resection in lymphoma s/p xrt parkinsons disease vascular dementia depression diverticulosis bph social history: sh: nh resident. divorced, estranged from children, sister is contact person. was wearing comfort care bracelet, but per attg conversation with sister patient was full code. family history: nc physical exam: tm 99.4 tc 98.8 hr 124 bp 132/45 r 14 o2 100% gen: elderly, non-responsive, paralyzed heent: ncat, ett, ogt, pupils - pinpoint non responsive neck: supple, no bruits, jvp 8cm cvs: tachy, reg rythym, no murmur pul: diminished bs on left, + bl rhonchi abd: soft, + bs, non-distended ext: 2+ dpp bl, no edema neuro: non responsive, paralyzed pertinent results: 10:53pm lactate-1.4 10:53pm hgb-10.0* calchct-30 10:51pm type-art temp-37.1 rates-/14 tidal vol-500 peep-5 o2-100 po2-442* pco2-55* ph-7.23* total co2-24 base xs--5 aado2-226 req o2-45 -assist/con intubated-intubated 10:38pm glucose-195* urea n-32* creat-1.3* sodium-147* potassium-4.0 chloride-115* total co2-23 anion gap-13 10:38pm alt(sgpt)-1 ast(sgot)-16 ck(cpk)-112 amylase-164* tot bili-0.2 10:38pm lipase-72* 10:38pm ck-mb-6 ctropnt-0.16* 10:38pm calcium-7.9* phosphate-4.6* magnesium-1.7 10:38pm wbc-13.8* rbc-3.19* hgb-9.5* hct-28.8* mcv-90 mch-29.7 mchc-32.8 rdw-14.9 10:38pm neuts-77* bands-10* lymphs-6* monos-6 eos-0 basos-0 atyps-0 metas-0 myelos-0 hyperseg-1* brief hospital course: assess: 77 yo man with parkinsons disease, dementia and cad, presents with acute respiratory distress, due to sepsis/chf. patient was initially intubated for respiratory failure and concern for gib. subsequently developed hypotension with sedation, with persistent tachycardia, elevated lactate, stable hct. 1. sepsis/hypotension: cause strongly suspected to be urosepsis, outside urine culture from grew e. coli sensitive to ceftriaxone. the patient initially received ceftriaxone at and a dose of vanc, levo, and flagyl here. after hd #1 only vanc and ceftriaxone were continued. the patient was agressively fluid recussitated, initially requiring levophed for bp support. by am of hd#1, this was able to be d/c. bp was further supported with fluid boluses titrated to keep uop >30cc/hr. steroid therapy was started empirically for suspected sepsis. this was continued only transiently. initially hct fell to <25, the patient had presented to with hx of brbpr. his hct appropriately responded to transfusion. he was intubated initially for support and was successfully extubated on . he was given a 5-day course of vancomycin (for gpc in sputum) and 14-day course of ceftriaxone (for e. coli in urine). his wbc continued to trend down, he remained afebrile, and was clinically improved at time of discharge. all cultures remained negative (only positive culture was from ; e. coli to ceftriaxone, resistant to quinolones). he received a picc prior to discharge for completion of his iv antibiotic course. he remained hemodynamically stable, and his bp meds were restarted. he was additionally diuresed with lasix (for chf and s/p fluids given in unit for sepsis). he was stable at time of discharge). 2. demand ischemia: mb flat, trop +, likely demand. he was managed medically on asa, metoprolol (which was titrated up with good success), plavix, zocor, and lisinopril. he was discharged on this medical regimen. he had no events on tele while in-house, and his ekg remained stable. 3. chf: pt with an ef=40%. he was given large volume fluid resuscitation on presentation for sepsis and became quite volume overloaded. when he was stable hemodynamically, he was diuresed with lasix with good success. he was discharged on a standing dose of lasix (40 mg po) to maintain clinical euvolemia by ins/outs. 4. gib: hct decrease to 28. baseline: 32-34. he was initially transfused and had a stable hct since that time. as per gi, he will have outpatient gi follow up and will likely need an outpatient colonoscopy. after the initial episode of brbpr, he was guaiac negative subsequently. 5. ams: likely sedation for intubation, lingering effect given poor baseline with dementia and parkinson's. head ct was without any acute event/mass. he was at his baseline (according to family) at time of discharge). his donepezil and sinemet were continued throughout hospitalization. 6. access: r femerol groin line, r subclavian sepsis line placed. these were d/ced and he had a right picc placed on discharge for completion of his antibiotic course. 7. code: full per osh ed attg's discussion with family. 8. proph: sq heparin, iv ppi were continued in-house 9. dispo: pt to return to nursing home, to complete 14-day course of antibiotics (ceftriaxone). he was stable at time of discharge. he was cleared by speech and swallow for po's (thin liquids/ground solids). he will need assistance with feedings, hob elevated during and post meals. pills can be crushed if necessary or taken whole with liquids. medications on admission: metoprolol 25mg po bid asa 81mg po qd plavix 75mg po qd lisinopril 5mg po qd lasix 20mg po qd imdur 30mg po qd lipitor 80mg po qhs sinemet 25-250 tid aricept 10mg po qhs megace 200mg po bid protonix 40mg po qd flomax 0.4mg po qhs artificial tears erythromycin opth ointment qhs neomycin/poly/dex 0/1% eye solution qhs zithromax - albuterol prn (since starting z-pack) calcium w/vit d500mg po qd flonase mvi, colace, senna, discharge medications: 1. carbidopa-levodopa 25-250 mg tablet sig: one (1) tablet po tid (3 times a day). 2. donepezil hydrochloride 10 mg tablet sig: one (1) tablet po hs (at bedtime). 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). 4. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 5. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid prn as needed. 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 9. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 10. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 11. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). 12. insulin regular human 100 unit/ml solution sig: as directed injection asdir (as directed): for bs 150-200, give 2 u, for bs 201-250, give 4 u, for bs 251-300, give 6u, for bs 301-350, give 8 u, for bs 351-400, give 10 u. 13. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 14. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 15. erythromycin 5 mg/g ointment sig: ophthalmic qid (4 times a day) for 12 days: until . 16. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 17. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 18. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 19. furosemide 40 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 20. ceftriaxone 1 gm iv q24h 21. ceftriaxone sodium 1 g piggyback sig: one (1) intravenous once a day for 7 days: until . discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: urosepsis secondary: hematochezia cad parkinson's disease discharge condition: stable discharge instructions: 1. please take all medications as outlined in the discharge instructions. you will need to complete a 14-day course of ceftriaxone for your urosepsis (continue until ). we added standing lasix to your medication regimen. this might need to be titrated based on your in's/out's status. your ins/outs should be well recorded. goal for 1 week should be 1l negative. goal should then be decreased to 500 cc negative, and then euvolemia when your peripheral edema is resolved. we also increased the dose of your metoprolol for better management of your cad 2. you should follow up with gi; you had some gi bleeding in the hospital, but your hematocrit remained stable after that isolated event. you will need a colonoscopy as an outpatient. 3. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1.5 l/day 4. call your pcp/let md's at nh know if you are experiencing chest pain, shortness of breath, fever/chills, or with any other concerns followup instructions: 1. follow up with the md's at your nursing home. your lasix dosage should be titrated as described above. 2. please follow up with clinic (appt scheduled) procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances arterial catheterization transfusion of packed cells diagnoses: anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia severe sepsis coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status acute respiratory failure blood in stool septic shock personal history of tuberculosis 

Answer: The patient is high likely exposed to