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: bactrim / procardia attending: chief complaint: status post fall. major surgical or invasive procedure: orif of hip fracture. history of present illness: 85 year-old male s/p fall at rehabilitation facility with left intertrochanteric hip fracture, s/p orif the day of transfer, admitted to micu for hypercarbic and hypoxemic respiratory failure post-procedure. please see admission note by dr. for more details of initial presentation. briefly, pt sustained a l intertrochanteric hip fracture after a mechanical fall. he went to the or the day of transfer. for an orif. postoperatively, he was extubated and developed hypercarbic respiratory failure. per the rn, his mental status was reasonable at the time of extubation - he was able to respond, lift his head up off the bed, and squeeze a hand. over the next 30-45 minutes after extubation, he became more lethargic, and sats dropped to 91%. repeat abg was 7.05/81/75 (baseline while intubated for surgery: 7.30/47/245). pt was reintubated, which was described as somewhat difficult and needed a bougie. rn notes that she suctioned thick tan sputum. past medical history: type 2 dm h/o known thoracic pseudoaneursym of aorta htn diverticulosis, s/p partial colectomy depression cri (1.3-1.7) parkinson's disease dementia-vascular on mri pacemaker social history: denies tobbaco,alcohol,ivda; currently lives in rehab facility family history: non-contributory physical exam: vs: 101 65 108/44 18 98% ac 550x18/0.6/5 gen: intubated, sedated heent: perrl cv: rrr, nl s1/s2, 2/6 systolic murmur pulm: crackles and coarse breath sounds anteriorly abd: soft, nt/nd, +bs, no masses ext: l hip dressing in place, serosanguinous fluid on dressing; good distal pulses . pertinent results: imaging: chest (single view) 2:16 pm impression: unchanged saccular aneurysm arising from the aortic arch. no evidence of acute cardiopulmonary process. . pelvis (ap only) 1:53 pm impression: left intertrochanteric femoral fracture. . ct c-spine w/o contrast 1:37 pm impression: 1. no evidence of fracture or malalignment of the cervical spine. 2. extensive multilevel degenerative change, unchanged compared to previous examinations. 3. heterogeneous, enlarged thyroid gland with dominant nodule. if clinically indicated, this may be further characterized by dedicated thyroid son. . ct head w/o contrast 1:37 pm impression: no evidence of intracranial hemorrhage. no evidence of fracture. . chest (portable ap) 5:14 pm improved inspiration is visualized on the current study compared to . there are no new focal consolidations visualized. the pulmonary vascular markings are within normal limits. again seen is a prominent aortic knob. pacemaker hardware wires and tips are unchanged. . chest (portable ap) 10:37 pm portable ap chest radiograph: there has been interval advancement of the ng tube, and the sidehole is beyond the ge junction. the left pleural effusion, and left subclavian aneurysm are stable, and the remainder of the study is not significantly changed from the prior exam from the same day. . portable abdomen 8:40 pm impression: ng tube with its sidehole projecting over the gastric body and its tip projecting over the distal gastric body. . chest (portable ap) 11:21 am impression: mild fluid overload, but no overt pulmonary edema. bibasal lung consolidations. . micro: all blood, urine, sputum cultures: ngtd labs: 01:05pm blood wbc-8.7# rbc-4.53* hgb-13.2* hct-39.5* mcv-87 mch-29.2 mchc-33.4 rdw-15.3 plt ct-186 09:37pm blood wbc-12.6*# rbc-2.70* hgb-8.0* hct-24.4* mcv-91 mch-29.7 mchc-32.8 rdw-15.2 plt ct-114* 01:55am blood wbc-9.7 rbc-2.32* hgb-6.9* hct-20.4* mcv-88 mch-29.7 mchc-33.8 rdw-15.2 plt ct-129* 06:55am blood wbc-7.4 rbc-2.64* hgb-7.8* hct-24.0* mcv-91 mch-29.6 mchc-32.5 rdw-15.4 plt ct-159 07:25am blood wbc-10.1 rbc-3.41* hgb-10.3* hct-30.7* mcv-90 mch-30.4 mchc-33.7 rdw-16.1* plt ct-237 01:05pm blood pt-13.5* ptt-25.5 inr(pt)-1.2* 09:37pm blood pt-14.0* ptt-31.3 inr(pt)-1.2* 03:05am blood pt-13.9* ptt-33.5 inr(pt)-1.2* 07:55am blood pt-12.8 ptt-29.1 inr(pt)-1.1 07:25am blood pt-12.9 ptt-29.4 inr(pt)-1.1 01:05pm blood glucose-210* urean-20 creat-1.1 na-144 k-4.1 cl-106 hco3-28 angap-14 09:37pm blood glucose-170* urean-30* creat-1.4* na-143 k-4.1 cl-114* hco3-20* angap-13 03:05am blood glucose-178* urean-38* creat-1.6* na-144 k-4.1 cl-112* hco3-25 angap-11 07:25am blood glucose-180* urean-27* creat-1.1 na-145 k-4.0 cl-110* hco3-26 angap-13 01:05pm blood ck(cpk)-81 01:55am blood ck(cpk)-838* 07:02pm blood ck(cpk)-975* 03:05am blood ck(cpk)-920* 01:05pm blood ctropnt-<0.01 07:05am blood calcium-8.7 phos-3.5 mg-2.4 04:14am blood albumin-2.5* calcium-7.4* phos-3.0 mg-1.9 07:55am blood calcium-8.8 phos-2.7 mg-2.4 07:25am blood calcium-8.7 phos-2.8 mg-2.2 03:50pm blood hapto-230* brief hospital course: 85 year old with diabetes, dementia, chronic renal failure, intertrochanteric hip fracture s/p orif with hypercarbic and hypoxemic respiratory failure post-procedure. . # respiratory failure: the patient was reintubated post-procedure and tolerated extubation the day after the procedure. the patient's hypercarbic respiratory failure was likely secondary to altered mental status after surgery and patient inability to ventilate properly. the patient likely metabolizes anesthetics slowly in the setting of his renal failure and advanced age. the patient's hypoxemic respiratory failure was likely due to left-sided pneumonia and fluid overload. the patient was given lasix for diuresis. he was febrile with sputum production and is being treated for hospital-acquired pneumonia with vancomycin and zosyn. this was later switched to augmentin. blood cultures remain negative. . # left hip fracture: intertrochanteric, patient is s/p several falls in the past. s/p l orif on . the patient was followed by orthopedics and physical therapy, and will require rehab. the patient was given dvt prophylaxis with lovenox . . # anemia: hematocrit dropped intra- and post-procedure from bleeding into hip. the patient was transfused for hematocrit < 21 and received a total of three units prbc. the patient's hematocrit subsequently remained stable. no signs or symptoms of compartment syndrome and patient's ck trending down post-procedure. the patient had no evidence of gi losses; ng lavage negative and no stool ouput. patient has baseline anemia from anemia of chronic disease and chronic renal failure. . # blood pressure: the patient's antihypertensives were held for transient hypotension which responded to fluid boluses. the hypotension was likely due to blood loss. this unlikely represented sepsis or adrenal insufficiency. the patient was restarted on his bb and ace prior to dc. he was not restarted on his ccb prior to discharge, and this will need to be readded as needed. . # chronic renal insufficiency: stable; baseline creatinine 1.4-1.7. the patient's medications were renally dosed. . # dementia/parkinson's disease: the patient was continued on pramipexole, donezipil, seroquel, and lexapro. patient failed his first speech and swallow evaluation with repeat giving approval for ground solids and nectar-prethickened liquids. ng tube was kept in place as the patient has waxing/ mental status. . # type 2 diabetes mellitus: the patient's glyburide was held while npo. the patient was maintained on qid fs, ssi. . # fen - ground solids and nectar-prethickened liquids . . after discussion with the patient and the medical staff, all were in agreement that mr. was a suitable candidate for discharge. medications on admission: metoprolol tartrate 25 mg donepezil 10 mg qhs protonix 40 mg daily oxycontin 10 mg q 12 hr oxycodone prn colace 100 mg hep sc celexa 20 mg daily norvasc 5 mg daily iron 325 mg daily lisinopril 20 mg daily pramipexole 0.125 mg-- tablet qid discharge medications: 1. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 2. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 3. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. pramipexole 0.125 mg tablet sig: one (1) tablet po qid (4 times a day). 8. insulin lispro (human) 100 unit/ml solution sig: one (1) subcutaneous asdir (as directed). 9. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours) for 30 days. 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 11. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 12. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 13. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 14. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 15. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 3 days: started on . 16. quetiapine 25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 17. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for nasal irritation. 18. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp < 110 or hr < 60. 19. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily): hold for sbp < 110. 20. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: primary: left hip fracture pneumonia secondary: type 2 dm h/o known thoracic pseudoaneursym of aorta htn diverticulosis, s/p partial colectomy depression turp s/p hernia repair cri (1.3-1.7) parkinson's disease dementia-vascular on mri pacemaker discharge condition: afebrile, hemodynamically stable, tolerating pos, ambulating with assistance. discharge instructions: please take all medication as prescribed. keep all appointments listed below. if you have chest pain or shortness of breath, get medical attention immediately. if you have fever, pain or any general medical questions, please call your doctor or go to the emergency department. followup instructions: please follow up with your pcp 2 weeks: pcp: , . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances open reduction of fracture with internal fixation, femur transfusion of packed cells computer assisted surgery with fluoroscopy diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture unspecified fall depressive disorder, not elsewhere classified paralysis agitans cardiac pacemaker in situ dementia in conditions classified elsewhere without behavioral disturbance dementia with lewy bodies nonspecific low blood pressure reading closed fracture of intertrochanteric section of neck of femur 

Answer: The patient is high likely exposed to