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: patient recorded as having no known allergies to drugs attending: chief complaint: anemia, fever, dyspnea major surgical or invasive procedure: arterial line history of present illness: 50 year old male with cad s/p cabg (and lvef=15-20%), dmii, pulmonary mucor and esrd s/p lrrt (from son), who presented on with 24 hrs of fevers, body aches and cough. seen in nephrology/transplant clinic on and noted to have hct 18 (recently 18-22 but baseline hct 26-30) and cr of 3.6 (recent baseline ). given his new anemia, ebv & parvo b19 were sent and remain pending from . in the er he was tachycardic and sbp dropped to 78/30. he received ns 2 l, hr 110s and his temp spiked at 103. he then became sob, with ivf, but sats remained stable. ekg was without ischemic changes. he was admitted to the micu for further w/u & management. past medical history: * esrd dm2/htn/post-cabg atn s/p lrrt from son * mucormycosis pulmonary infection when neutropenic from high-dose immunosuppression for lrrt * cad s/p acute anterior mi, 4v cabg at in * ischemic cardiomyopathy with tte showing ef 15-20% with severe global hypokinesis, 2+ mr, 1+ tr * htn * dmii, last hba1c 6.8 * anemia * thrombocytopenia * sinusitis * right inguinal hernia repair post-transplant social history: indian man from , emigrated 11years ago. studied electrical engineering at , currently on leave from work. he has 5 healthy children, the oldest son is 24years old and donated his kidney. former tobacco use, quit . runs two restaurants. has 5 children. social etoh twice a month family history: father died at age 64 from colon cancer. mother is alive, has had diabetes x30 years. sister and children are healthy. otherwise no family history. his mother has diabetes. his father died of stomach cancer. maternal gf died at age 48 of likely mi physical exam: vitals general appearance heent cor lung abd ext neuro pertinent results: 08:36pm lactate-1.9 08:30pm glucose-213* urea n-48* creat-3.6* sodium-136 potassium-4.4 chloride-107 total co2-15* anion gap-18 08:30pm lipase-19 08:30pm ck-mb-2 ctropnt-0.04* 08:30pm wbc-6.0# rbc-2.03* hgb-6.1* hct-18.3* mcv-90# mch-30.0 mchc-33.3 rdw-18.1* 08:30pm neuts-96.6* bands-0 lymphs-2.4* monos-0.7* eos-0.2 basos-0.1 08:30pm hypochrom-normal anisocyt-3+ poikilocy-3+ macrocyt-2+ microcyt-2+ polychrom-1+ ovalocyt-3+ schistocy-occasional teardrop-occasional 08:30pm plt smr-low plt count-113* 09:50am glucose-188* 09:50am urea n-40* creat-3.0* sodium-140 potassium-6.0* chloride-110* total co2-18* anion gap-18 09:50am alt(sgpt)-15 ast(sgot)-14 tot bili-0.4 09:50am albumin-4.4 calcium-9.3 phosphate-3.4 09:50am fk506-5.5 09:50am urine hours-random creat-120 tot prot-28 prot/crea-0.2 09:50am wbc-3.0*# rbc-2.00* hgb-6.3* hct-19.5* mcv-98 mch-31.7 mchc-32.5 rdw-22.4* 09:50am plt count-137* 09:50am urine color-yellow appear-clear sp -1.014 09:50am urine rbc-<1 wbc-1 bacteria-none yeast-none epi-<1 brief hospital course: he received 3 units of prbcs, had an a-line was placed. his prograf was continued, but given his anemia his mmf was initially held. his mmf was restarted yesterday, and his hydrocort was discontinued.. he was given 30ml of kayexylate today for a k of 5.4; repeat k currently pending. id was consulted who agreed with above recommendations; they are concerned for a possible klebsiella pna. he is being called out to the - service for continued management. . mr. is a 50 year old male with cad s/p cabg, esrd s/p living donor transplant in with post op course complicated by mucor pulmonary infection and acute rejection in admitted with pneumonia, bacteremia & anemia. 1)pneumonia/e.coli bacteremia - on chest xray he has rml/rll infiltrate with e.coli bacteremia. he was initially admitted to the micu given fever and hypotension. he was also treated with hydrocort 100 iv q8 given his relative hypotension on admission, although his blood pressure did respond to ivf. he was improving on iv antibiotics, initially treated with cefepime, azithromycin, and vancomycin. once blood cultures returned his vancomycin and azithromycin were discontinued and he was transferred to the floor on ceftriaxone. he also has known mucor pulmonary infection but this appears stable on posiconazole. dfa & legionella were negative. he was discharged with picc and vna to continue ceftriaxone for one more week (last dose 3/9) then start ciprofloxacin for one week to complete 3 week course of antibiotics. he will f/u with dr. as an outpatient. 2)anemia: likely esrd. guaiac negative in the ed. hemolysis labs negative. he has been transfused 4u prbc over the course of his admission with good response in hct. parvo and ebv were negative. his mmf was initially held on admission due to his anemia, however was restarted prior to transfer to the floor. his severe anemia likely due to chronic kidney disease. he was continued on procrit 10k mwf. 3) pulmonary mucormycosis - medication compliance has been an issue in the past, no active issues on this admission. he was continued on qid dosing of posaconazole. 4) esrd s/p transplantation with rejection since : rejection thought patient stopping posiconazole and subsequent decrease in immunosupression levels. creatinine currently stable at current baseline ~3. his fk 506 levels, were followed daily with goal of . he was continued on mmf, bactrim ss and valgancyclovir. 5) type i dm:he was continued on his home dose of glargine 10 units qhs, hiss. 6) cad s/p cabg: no acute issues, he was continued on atorvastatin, asa, and carvedilol. 7)chronic systolic heart failure: echo from showed ef of 25%, slightly improved c/w . 8) hyperlipidemia: -cont lipitor 9) htn: stable, continue carvedilol 10)code status: full medications on admission: trimethoprim-sulfamethoxazole 80-400 mg po daily pantoprazole 40 mg tablet one tablet po q24h atorvastatin 40 mg one tablet po daily mycophenolate mofetil 500 mg one tablet po bid folic acid 1 mg tablet po daily valganciclovir 450 mg po 2x/week (,we) carvedilol 12.5 mg po bid posaconazole 200 mg po qid with meals tacrolimus 0.5 mg po q12h asa daily procrit 20k (recently increased from 10k) weekly florinef 0.1 mg po daily calcium/vitamin d discharge medications: 1. ceftriaxone-dextrose (iso-osm) 1 gram/50 ml piggyback sig: one (1) gram intravenous q24h (every 24 hours) for 6 days. disp:*7 gram* refills:*0* 2. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous once a day for 6 days: 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily. disp:*qs qs* refills:*0* 3. sodium chloride 0.9 % 0.9 % syringe sig: ten (10) ml injection daily (daily) as needed for 6 days: 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily . disp:*qs ml(s)* refills:*0* 4. midline care per protocol 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days: do not start this medication until monday , once you finish the iv antibiotics. disp:*7 tablet(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. atorvastatin 40 mg tablet sig: one (1) tablet po once a day. 8. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 10. sodium bicarbonate 650 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 11. tacrolimus 0.5 mg capsule sig: one (1) capsule po q12h (every 12 hours). 12. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 13. os-cal 500 + d 500 (1,250)-400 mg-unit tablet sig: one (1) tablet po once a day. 14. posaconazole 200 mg/5 ml suspension sig: two hundred (200) mg po qid (4 times a day). disp:* mg* refills:*2* 15. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). disp:*15 tablet(s)* refills:*2* 16. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 17. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 18. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous at bedtime. 19. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 20. epoetin alfa injection 21. carvedilol 6.25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: critical care systems discharge diagnosis: primary diagnoses: 1. pneumonia 2. bacteremia 3. anemia secondary - end-stage renal disease due to diabetes/hypertension/post-cabg acute tubular necrosis status post renal transplant from son complicated by chronic rejection - mucormycosis pulmonary infection when neutropenic from high-dose immunosuppression for renal transplant - coronary artery disease status post acute anterior myocardial infarction, cabg - congestive heart failure with ef 25% - hypertension - type 2 diabetes - thrombocytopenia - sinusitis - right inguinal hernia repair post-transplant discharge condition: afebrile, vital signs stable. discharge instructions: you were admitted to the hospital because you were having fever and cough. you were found to have a pneumonia in your right lung. you also had bacteria in your blood which likely came from the pneumonia. you were treated with intravenous antibiotics and your symptoms improved. you will continue intravenous ceftriaxone for six days and then take ciprofloxacin orally to complete a 21-day course. in addition you had a low red blood cell count on admission. you were transfused 4 units of blood total during your admission. your blood count has remained stable. please contact a physician if you experience fevers, chills, chest pain, shortness of breath, increased cough, or any other concerning symptoms. please take your medications as prescribed. - you should take ceftriaxone 1 gram intravenously once daily for six days. - you should then take ciprofloxacin orally to complete a total 21-day course of antibiotics. the first dose of ciprofloxacin will be . - you should continue posaconazole indefinitely. - you were started on sodium bicarbonate because of low levels in your blood. - your epoeitin dose was increased as an outpatient and you should continue as per previous. for you heart failure: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. no fluid restriction. followup instructions: you had the following appointments scheduled: 1. provider: , md phone: date/time: 3:00 please keep your already scheduled appointments: 1. provider: , md phone: date/time: 9:30 2. provider: , md phone: date/time: 9:00 md procedure: arterial catheterization transfusion of packed cells diagnoses: thrombocytopenia, unspecified anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified forms of chronic ischemic heart disease bacteremia pneumonia due to escherichia coli [e. coli] accidents occurring in other specified places surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled chronic diastolic heart failure 

Answer: The patient is high likely exposed to