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: the patient is a 65 year old male with past medical history of hypertension, diabetes mellitus and hypercholesterolemia, who was admitted on , to the medical intensive care unit with the chief complaint of fever and cough. he was found on admission to be hypoxic and with bilateral infiltrates on chest x-ray, diagnosed as heart failure versus pneumonia. he was treated with levofloxacin initially in the unit and improved rapidly, was called out to the floor the next day, however, transferred back to the medical intensive care unit the following day for progressive hypoxia. at that point, his antibiotics were ceftriaxone and azithromycin and he was diuresed gently for question of congestive heart failure. an echocardiogram on , showed an ejection fraction of 30 to 35% and multiple wall motion abnormalities which were new findings. his hypoxia slowly improved until he was stable in room air. his course in the medical intensive care unit was also complicated by acute renal failure and a mixed gap and nongap acidosis. he was called out to the floor on , in stable condition. past medical history: 1. diabetes mellitus type 2. 2. hypertension. 3. hypercholesterolemia. medications: 1. glipizide 10 mg p.o. once daily. 2. lipitor 10 mg p.o. once daily. 3. diltiazem 120 mg p.o. once daily. 4. actos 30 mg p.o. once daily. allergies: no known drug allergies. social history: the patient lives with wife at home, enrolled in a day care program, immigrated from twenty years ago. positive smoking history. positive remote alcohol history. family history: noncontributory. physical examination: examination on admission to the floor revealed a temperature of 96.0, heart rate 64, blood pressure 110/60, oxygen saturation 95% in room air. in general, the patient is easily arousible in no acute distress. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. moist mucous membranes. jugular venous pressure is seven centimeters. no lymphadenopathy. cardiac is regular rate and rhythm, ii/vi systolic murmur at the left lower sternal border, no gallops. the lungs revealed diffuse expiratory wheezing. the abdomen is soft, nontender, nondistended, no hepatosplenomegaly, normoactive bowel sounds. extremities revealed no edema. laboratory data: white blood cell count 13.9, hematocrit 37.8, platelet count 327,000, differential 76% neutrophils, 17% lymphocytes. sodium 142, potassium 4.0, chloride 108, bicarbonate 21, blood urea nitrogen 43, creatinine 2.2, glucose 256. chest x-ray on , showed bilateral interstitial infiltrates, improved from admission. echocardiogram on , showed ejection fraction of 30 to 35%, regional left ventricular wall motion abnormalities including an akinetic apex. no valvular abnormality. electrocardiogram showed sinus tachycardia at 120 beats per minute, normal axis and intervals, st depressions in i and avl, minimal st elevations in v2 and v3, st depressions in v5 and v6, no old electrocardiogram for comparison. hospital course: assessment is that of a 65 year old male with hypertension and diabetes mellitus presenting with pneumonia and questionable congestive heart failure. 1. community acquired pneumonia - the patient was treated with antibiotics, levofloxacin initially and then switched to ceftriaxone and azithromycin for progressive hypoxia. he never required intubation while in the unit. he rapidly improved over a few days and at discharge is stable in room air. 2. congestive heart failure - the patient had bilateral interstitial infiltrates on examination which were read as bilateral pneumonia versus congestive heart failure. an echocardiogram was obtained on , which showed an ejection fraction of 30 to 35% and multiple wall motion abnormalities including apical akinesis. this cardiomyopathy has not been previously diagnosed. given his low ejection fraction, he was started on afterload reduction with isordil and hydralazine. after his renal failure resolved, he was transitioned to an ace inhibitor and his creatinine has been stable on low dose ace inhibitor. he was also started on beta blocker. his volume status throughout his admission was near euvolemic and he was not diuresed after leaving the unit. consideration of anticoagulation for apical akinesis was brought up, however, on discussion with the primary care physician, was deemed that he was not an anticoagulation candidate because of a fall risk. he will be discharged on his new cardiac regimen to be titrated as an outpatient. 3. acute renal failure - multifactorial - the patient had baseline renal insufficiency with a creatinine around 1.8. his peak creatinine was 2.7 during this admission. the renal failure was multifactorial. he was thought to be prerenal given initial improvement with intravenous fluids. his ck was elevated to around 3000 with an unclear etiology with large blood on dipstick but no red blood cells on microscopy. it was thought that he might have mild rhabdomyolysis as well. his course was also complicated by urinary retention secondary to haldol which was given in the unit after an episode of agitation. a foley was placed temporarily but after removal, the patient had been voiding on his own with good urine output. at the time of discharge, his creatinine is back to his baseline of 1.8. 4. acidosis - the patient has mixed gap and nongap acidosis. upon admission, his gap acidosis was due to his evolving peptic physiology at the time of his admission. his nongap acidosis resolved after his renal failure resolved. 5. diabetes mellitus - the patient is on glipizide and actos. these were held temporarily due to renal failure and congestive heart failure but will be resumed as an outpatient. 6. psychiatric issues - the patient has history of mild dementia and agitation. he has been on klonopin as an outpatient and this was held during his hospitalization. he did have an episode of agitation in the medical intensive care unit which was blamed on klonopin withdrawal and the klonopin was resumed with subsequent oversedation. therefore, on the floor, his klonopin was held and he has had no withdrawal symptoms. we will not discharge the patient on klonopin. 7. disposition - the patient was evaluated by physical therapy and deemed safe to return home with his wife. is enrolled in a day care program and has done well with this per the primary care physician. 8. code status - the patient was full code during this hospitalization. the patient was discharged home in stable condition. discharge activity: ad lib. discharge diet: diabetic diet. discharge services: vna for safety evaluation and medication supervision. medications on discharge: 1. zestril 2.5 mg p.o. once daily. 2. toprol xl 25 mg p.o. once daily. 3. glipizide 10 mg p.o. once daily. 4. actos 30 mg p.o. once daily. 5. aspirin 325 mg p.o. once daily. discharge follow-up: the patient is to follow-up with primary care physician, . . dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified acidosis congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia acute respiratory failure rhabdomyolysis other specified retention of urine 

Answer: The patient is high likely exposed to