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 a 75-year-old male with a history of diabetes, who originally presented to the c-med service on with epigastric pain/pressure/diaphoresis, in addition to nausea, vomiting, and shortness of breath. he was found to be initially hypotensive to 85/33 with a pulse of 60. the patient was treated at an outside hospital with one-half dose of tpa, in addition to receiving heparin, nitroglycerin, and dopamine. the patient's ekg, at the time, was 100% v paced. his ck peaked at 233 with an mb of 19, an mb index of 35.6, and a troponin of 44.8. the patient went to catheterization on . at catheterization, he had right atrial pressures of 14, rv pressure of 35/10, pa pressures of 35/17, and a wedge of 22. patient was noted to have a mid left circumflex 90% occlusion, status post insertion of drug eluding stent with resultant timi-3 flow. patient was also noted to have moderate diffuse disease in the lad, and a small mild diffuse disease in the rca. echocardiogram on showed an ef of 60%, asymmetric lvh, and hypokinesis of the inferior and posterior walls, in addition to mild pulmonary artery hypertension. on , the patient was asked to be evaluated by the ccu team. he had spiked a fever up to 102.8. at that time, he flipped into atrial fibrillation with rates up to 130. the patient was noted to have an episode of respiratory distress and chest tightness times 90 minutes. patient was never hypoxic. patient received iv lopressor times two. the patient continued in atrial fibrillation at a lower rate of 90-100, but was noted to have mean arterial pressures of 50-60. currently, the patient is symptom free. he denies any headache, neck stiffness, cough, chest pain, shortness of breath, pleuritic pain, abdominal pain, diarrhea, gu symptoms, rash, joint pain. chest x-ray from was clear, ua was negative, and blood cultures were drawn. the patient was started empirically on vancomycin and levofloxacin for fear of sepsis. he also received a total of 2.5 liters of normal saline. the patient's blood pressure did not initially respond to the fluids on the floor and, for this reason, he was transferred up to the ccu. past medical history: 1. diabetes. 2. sick sinus syndrome, status post pacemaker placement in , replaced in , patient is av paced. 3. chf with peripheral edema. 4. hard of hearing. 5. hiatal hernia. 6. glaucoma. 7. history of dvt/pe. medications: 1. dilantin, 200 mg po b.i.d.. 2. nitroglycerin, p.r.n.. 3. lasix, 40 mg po q d. 4. aldactone, 50 mg po q d. 5. metformin, 500 mg po q h.s.. 6. glyburide, 5 mg po q a.m.. 7. xalatan. allergies: no known drug allergies. social history: the patient has a 10 pack year history of smoking, quit in the 's. patient has rare alcohol use. family history: negative for cad, although the patient has one brother with diabetes. physical examination: vitals: temperature 97.7, pulse 83, blood pressure 91/51. oxygen saturation 97% on room air. in general, the patient is in no apparent distress, no respiratory distress or use of accessory muscles. heent: mucous membranes moist, perrla, eomi. lungs: clear to auscultation bilaterally, no wheezes, crackles or rhonchi. cardiovascular: irregularly irregular, no murmurs. abdomen: soft, nontender, nondistended, normoactive bowel sounds. extremities: no cyanosis, clubbing or edema. neuro: alert and oriented times three. laboratory/diagnostics: white count 6.2, hematocrit 33.8, platelets 149. sodium 132, potassium 4.0, chloride 98, bicarbonate 22, bun 12, creatinine 0.7, glucose 154, calcium 8.7, magnesium 1.7, phosphorus 2.8. urinalysis: moderate blood, 0-2 red blood cells, 0-2 white blood cells, 0-2 squamous epithelial cells. blood cultures from : no growth. urine culture from : no growth. hospital course: in short, this is a 75-year-old male with diabetes, sick sinus syndrome, status post inferior mi with drug eluded stenting of the left circumflex artery, who now presents with fever up to 102.8 with hypotension, change from av pacing to atrial fibrillation which is new. 1. cad: as already noted, patient is status post imi. ekg showed q waves in the inferior leads. the patient was continued on aspirin, plavix, and lipitor. with this acute fever and hypotensive episode, in addition to the new atrial fibrillation, the patient's ck rose up to 790, but with a negative mb. the patient was able to be started on beta blocker which was titrated up. 2. hypotension: it is still somewhat unclear why the patient became hypotensive. the most probable explanation is that he became transiently bacteremic with a drop in his svr. there was no bleeding at the right femoral catheterization site. the patient did not initially respond to fluids on the floor but, after getting about three liters, he was able to keep his mean arterial pressure greater than 60. the patient never required pressors for blood pressure support. 3. rhythm: the patient was noted to be in new onset atrial fibrillation. this was likely secondary to his transient bacteremia. the patient initially had a rapid ventricular response, but responded well to lopressor, in addition to fluids. the patient spontaneously converted out of atrial fibrillation and was, once again, av paced. he was initially started on heparin for the atrial fibrillation. while we cannot totally rule out that the patient does not have paf, we did not feel like he needed long-term anticoagulation at this point. this should be readdressed as an outpatient. 4. id: patient spiked a fever up to 102.8. there was no localizing source of infection, no elevated white blood cell count. given the hypotension, he was empirically started on levofloxacin and vancomycin. given the negative culture data times 72 hours, the vancomycin was stopped. the patient was continued on a seven day course of levofloxacin. other sources of fever were considered but, given the rigors and the high temperature, bacteremia is most likely. condition on discharge: good. discharge medications: 1. tylenol, 325 mg po q 4-6 hours p.r.n.. 2. aspirin, 325 mg po q d. 3. xalatan. 4. lipitor, 10 mg po q d. 5. dilantin, 200 mg po b.i.d.. 6. plavix, 75 mg po q d times 12 months. 7. lopressor, 12.5 mg po b.i.d.. 8. levofloxacin, 500 mg po q d through . 9. metformin, 500 mg po q a.m.. 10. glyburide, 5 mg po q a.m.. 11. aldactone, 50 mg po q d. discharge instructions: the patient should follow-up with his pcp, addition to his cardiologist, dr. , within one week. the patient was instructed to see a doctor if he experienced any chest pain, shortness of breath, fevers or chills, nausea or vomiting, excessive sweating or dizziness. patient's lopressor dose should be titrated up as tolerated. in addition, he should be started on an ace inhibitor, given that he is post mi. diagnoses: 1. status post inferior mi, status post cardiac catheterization with stenting of left circumflex artery. 2. hypotension secondary to presumed transient bacteremia. 3. transient atrial fibrillation. 4. diabetes. 5. sick sinus syndrome, status post pacer. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor arterial catheterization insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia atrial fibrillation acute myocardial infarction of inferolateral wall, initial episode of care cardiac pacemaker in situ 

Answer: The patient is high likely exposed to