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: lisinopril / macrobid attending: chief complaint: lightheadedness major surgical or invasive procedure: none history of present illness: hpi: 75 yo spanish speaking m w/ dm, cad, diastolic chf, prostate ca, esbl ecoli uti presents with arf and hypotension. he was recently admitted for the same. most recently, he c/o generalized weakness and light headedness x 2days. he also notes decreased urine output today. in the ed: initial vitals were: 97.5, 100/50, 64, 20, 97 on 3l. he initially complained of a headache and neck pain. there was some concern for meningitis and he as given meningeal doses of ceftrioxone and vancomycin. however, on further hx. it was discovered that his head and neck pain (due to laying in the bed uncomfortably) are chronic. additionally, in the ed, he was transiently hypotensive to the 60's which has now improved to the sbp of 90's with 3l of ivf. his labs are notable for a crt of 4.3 from a recent baseline of 1.5. he has known obstructive renal failure for which he has required a foley in the past and has been evaluated by urology. per ed report and recent pcp note, he is supposed to straight cath at home and has not been compliant. after placement of the foley in the ed, approx. 1500cc of urine was recorded in the foley bag. ros: + fevers 2 days ago (not recorded), denies chills, chest pain, sob. he has some mild epigastric abd pain, no dysuria, +constipation, slight le swelling. on transfer to the floor, patient is resting comfortably without complaint. our initial communication was limited due to a language barrier, but he only complains of pain in his feet at this time. he denies pain in his chest, abdomen, difficulty breathing or with urination. he has had a bm today. past medical history: adenocarcinoma of the prostate- biopsy ( 9+10 prostate cancer recently started on casodex will be transitioned to lupron) benign prostatic hypertrophy s/p turp with greenlight copd low back pain type ii diabetes - not on insulin diastolic congestive heart failure - echo with ef 55%, resting regional wall motion abnormalities include basal inferior akinesis. coronary artery disease: mild, reversible inferior wall defect on stress mibi hypertension gerd obstructive sleep apnea on cpap (intermittently) migraine headaches hypercholesterolemia social history: the patient has never smoked. he previously used alcohol but quit many years ago. he is married and lives with his wife. previously worked in aggriculture but is now retired. family history: his mother is deceased and had heart disease. his father is also deceased but had no health problems to the patient's knowledge. physical exam: pe: t 96.5 bp 94/51 hr 69 rr 17 o2sat 95 gen: elderly male sitting comfortably in bed heent: mmm, poor dentition neck: no jvd cv: rrr, no murmurs resp: cta bilaterally, poor effort abd: obese, soft, nt/nd, bs normoactive ext: wwp, l>r 12+ edema in le. pertinent results: 07:00pm urine rbc-21-50* wbc-21-50* bacteria-mod yeast-none epi- 07:00pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-sm urobilngn-1 ph-5.0 leuk-sm 06:30pm glucose-116* urea n-50* creat-4.3*# sodium-135 potassium-3.7 chloride-96 total co2-25 anion gap-18 06:30pm wbc-8.5 rbc-3.70* hgb-10.0* hct-30.0* mcv-81* mch-27.0 mchc-33.3 rdw-13.4 discharge labs: 05:25am blood wbc-8.2 rbc-3.84* hgb-10.2* hct-31.2* mcv-81* mch-26.7* mchc-32.8 rdw-13.0 plt ct-378 05:52am urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-tr brief hospital course: 75 yo m w/ pmh of urinary obstruction due to prostate cancer and esbl ecoli uti being treated with meropenem. 1. hypotension: the patient was initially hypotensive to sbp ~ 60s in the ed. he was given fluid and transfered to the micu where he was started on meropenem for an esbl e. coli uti. once transferred to the floor he was without issue. 2. acute on chronic renal failure: the patient presented with a cr of 4.3. with hydration and diuretic administration it returned to his baseline of 1.2. his antibiotics were renally dosed. the foley was removed once transferred to the floor and the patient resumed voiding with supplemental straight catheterizations. his technique was witnessed and improved upon with nursing assistance such that he was allowed to return home on discharge. 3. uti: the patient was treated on meropenem for 4 days for an esbl e. coli uti. he was discharged on ertapenem once daily dosing with visiting nurses to administer the drug. he was asymptomatic at discharge. 4. prostate cancer: no active issues during this stay. discussions with dr. (urology) and dr. (pcp) yielded the following plan: the patient is to follow up with dr. the end of the month. he did not need to be seen in house. dr. will follow the patient as well and coordinate outpatient imaging to evaluate the progression of his disease. in addition, appointments were initiated on the patient's behalf at the cancer center and with dr. of hematology/oncology. 5. cad: the patient's home regimen of asa & anti-htn were continued after stabilization without incidence. 6. hyperlipidemia: the patient was maintained on home lipitor. 7. chf: the patient's lasix & metalozone were held until his creatinine normalized at which time he was restarted without incident. 8. asthma: the patient was maintained on his home inhaler treatments without incident. 9. peripheral neuropathy: the patient was maintaned on his neurontin without incident. 10. diabetes mellitus type 2: the patient was maintained on an insulin sliding scale. he was restarted on metformin prior to discharge. medications on admission: albuterol puff q4hrs prn fluoxetine 20 mg po daily fluticasone 50 mcg 1 spray qdaily advair 500-50 mcg/dose 1 inh doxazosin 2mg lipitor 40mg po daily spireva 18 mcg qdaily aspirin 81 mg daily acetaminophen 325 mg po q6hrs prn furosemide 40mg lisinopril 10mg qdaily (although pt has a recorded allergy) toprol 50mg qdaily metolazone 10mg qdaily montelukast 10mg qdaily metformin 500 mg neurontin 100 casodex (recently stopped to side effects) discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation 1puff (). 4. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 9. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 11. furosemide 20 mg tablet sig: two (2) tablet po once a day. 12. metolazone 5 mg tablet sig: two (2) tablet po daily (daily). 13. doxazosin 1 mg tablet sig: two (2) tablet po bid (2 times a day). 14. gabapentin 100 mg capsule sig: one (1) capsule po q12h (every 12 hours). 15. ertapenem 1 gram recon soln sig: one (1) g injection qday () for 10 doses. disp:*qs * refills:*0* 16. line care picc line care: per neht protocol, saline & heparin flushes 17. outpatient lab work please draw cr through picc line on monday & thursday. all results should be sent to dr. @ fax: ( 18. pull picc line please pull picc line after last dose 19. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnoses: 1. acute renal failure 2. urinary tract infection 3. hypotension secondary diagnoses: 1. asthma 2. prostate cancer 3. hypertension discharge condition: stable. discharge instructions: you have been admitted with acute renal failure and a urinary tract infection. while here you were in the intensive care unit because your blood pressure was low. your condition improved with antibiotics. you will be discharged on antibiotics for 10 days by iv. please continue to catheterize yourself nightly regardless of daily urine output. please return to the ed for chest pain, shortness of breath or any other medical concern. followup instructions: i have called the care center on your behalf. they can reached at . they should call you to make an appointment. i have called dr. on your behalf. they will call you to make an appointment. they can be reached at (. provider: , md phone: date/time: 2:20 provider: , md phone: date/time: 3:30 procedure: venous catheterization, not elsewhere classified diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of prostate chronic kidney disease, unspecified retention of urine, unspecified chronic diastolic heart failure 

Answer: The patient is high likely exposed to