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: beta-blockers (beta-adrenergic blocking agts) / terazosin attending: chief complaint: shortness of breath major surgical or invasive procedure: endotracheal intubation history of present illness: 88 m admitted to with cap and atrial fibrillation with rvr on . he was treated with levaquin and then changed to ctx/azithro/flagyl and subsequently transferred to icu for hypoxia thought to be due to acute heart failure. tte showed preserved systolic function but did show moderate rv dilation so a cta chest was done which was negative for pe. remained hypoxic and placed on bipap which fell on his head causing laceration, has had 2 cth which were unrevealing for ich. has been on diltiazem gtt for rate control and vss at time of transfer wre 90s on nrb and stable bp and hr. upon arrival to the icu patient comfortable and in no acute distress, speaking in full sentences with clear sensorium. no complaints. patient then became difficult to mantain adequate oxygenation on nrb and subsequently on bipap with saturations in the 90s, patient became progressively delirious and intubation was undertaken. past medical history: atrial fibrillation atrial flutter cad s/p cabg history of pfo ulcerative colitis glaucoma hypertension bph s/p turp social history: lives at home. prior smoker quit several years ago family history: unremarkable. physical exam: general appearance: intubated, sedated eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic cardiovascular: irregular respiratory / chest: rhonchi bilaterally up to abdominal: soft, non-tender, bowel sounds present extremities: no lower extremity edema skin: warm neurologic: intubated, sedated pertinent results: labs on admission: 07:34pm blood wbc-25.3*# rbc-3.02* hgb-9.8* hct-29.7* mcv-98 mch-32.3* mchc-32.9 rdw-13.9 plt ct-308 07:34pm blood neuts-90.1* lymphs-6.8* monos-2.7 eos-0.3 baso-0.1 07:34pm blood pt-15.6* ptt-27.7 inr(pt)-1.4* 07:34pm blood glucose-125* urean-40* creat-1.0 na-150* k-3.9 cl-107 hco3-32 angap-15 07:34pm blood ck(cpk)-309 07:34pm blood ck-mb-11* mb indx-3.6 ctropnt-0.54* 03:52am blood ck-mb-5 ctropnt-0.54* 05:27pm blood ctropnt-0.45* 07:34pm blood calcium-9.4 phos-2.8 mg-2.6 08:18pm blood type- po2-57* pco2-55* ph-7.38 caltco2-34* base xs-5 comment-green top 09:09pm blood lactate-2.1* labs on discharge: micro: studies: echo (): the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with mid- to distal anterior and anteroseptal hypokinesis. the remaining segments contract normally (lvef = 35%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. severe pulmonic regurgitation is seen. there is no pericardial effusion. impression: moderate regional left ventricular systolic dysfunction, c/w lad disease. mild to moderate mitral regurgitation. mild pulmonary hypertension. cxr (): asymmetrically distributed pulmonary edema improved substantially between and and heart size decreased. allowing for lower lung volumes, there has been no subsequent change. since 8:10 p.m. on more confluent areas of pulmonary abnormality in the axillary subsegments of the right upper lobe and right lung base posteriorly, could be pneumonia but could also be asymmetric edema and atelectasis, particularly the latter. there is no appreciable pleural effusion. et tube is in standard placement. nasogastric tube ends in the stomach. no pneumothorax. cxr (): in comparison with the study of , there is continued elevation of pulmonary venous pressure with atelectasis at the left base medially. video swallow study (): **** brief hospital course: 88 year old male with cad s/p cabg, remote smoking history, atrial fibrillation, transferred from with hypoxia after being treated for a cap . # hypoxia: initially intubated given difficulty with oxygenation. tte revealed regional akinesis and hypokinesis, as well as lvef 35%, possibly attributable to acute heart failure. he was placed on furosemide gtt but was intermittently held for hypotension. was placed on empiric antibiotics for cap. was evaluated by speech & swallow therapy, and was believed to be aspirating as well has collecting significant pharyngeal residue, to which he was insensate. this was potentially secondary to irritation of his oropharynx from his brief intubation. his hypoxia improved greatly, and it was felt that his swallow would likely recover over time. a dobhoff was placed for temporary nutrition and med administration. **** . # atrial fibrillation with rvr: placed on diltiazem gtt for rate control. amiodarone was initially held for concern for amiodarone-induced pneumonitis, but this was eventually restarted. warfarin was restarted on . dilt was switched over to po and increased to 60qd with good rate control. at dishcarge his home dose of verapamil sr was restarted. . # cad s/p cabg/chf: added lisinopril to home regimen.**** . # htn: well controlled on home regimen. medications on admission: amiodarone 200 mg daily. accupril 5 mg daily. ursodiol 300 mg t.i.d. levothyroxine 25 mcg daily. sulfadiazine 100 mg b.i.d. coumadin. verapamil sr 180 mg daily. xalatan eye drops. discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 2. metipranolol 0.3 % drops sig: one (1) drop ophthalmic qd (). 3. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 4. warfarin 2 mg tablet sig: one (1) tablet po once daily at 4 pm. 5. accupril 5 mg tablet sig: one (1) tablet po once a day. 6. ursodiol 300 mg capsule sig: one (1) capsule po three times a day. 7. levothyroxine 25 mcg tablet sig: one (1) tablet po once a day. 8. verapamil sr 180 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: multifocal pneumonia discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: you were transferred to for better managment of your low oxgyen levels which had required intubation at the outside hospital. it was determined that you had a complicated pneumonia, which responded well to antibiotics. it was determined that you need tube feeds to temporarily protect your wind pipe while your swallowing is not strong. the following changes were made to your outpatient regimen: your warfarin was changed to 2mg per day. followup instructions: as needed with rehab facility md provider , md phone: date/time: 11:15 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: acidosis congestive heart failure, unspecified unspecified essential hypertension unspecified protein-calorie malnutrition atrial fibrillation acute on chronic diastolic heart failure coronary atherosclerosis of unspecified type of vessel, native or graft unspecified glaucoma atrial flutter pulmonary collapse acute respiratory failure hypotension, unspecified long-term (current) use of anticoagulants hypoxemia ulcerative colitis, unspecified hyperosmolality and/or hypernatremia bacterial pneumonia, unspecified 

Answer: The patient is high likely exposed to