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: aspirin / seroquel attending: chief complaint: respiratory distress major surgical or invasive procedure: none history of present illness: mr. 62 yo with h/o hcv, dm, parkinson's and bipolar disorder who was admitted to deac4 for . he was seen by medicine consult yesterday for clearance, at which time he was found to have borderline low bps (recommended hydration)and hematuria of unknown significance. he underwent this morning which by report of the anesthesiologist went well, he had received brevital and succinylcholine peri-procedure, the was not particularly violent and he recovered well in the post ictal period. he returned to the floor at 11;30 am. at approximately 1pm he was noted to be shaking, believed to be his parkinsons and he was given his ativan and sinemet, both of which had been held for . at 2:30pm he was found to be rigoring, have temp 103, and respiratory distress with rr 40s. a trigger was called and he was evaluated by med consult team, who found him to be rigid and not responding to questions with o2 sat in the 60s. abg was drawn but since pt was on 4, where there was no tube system, this could not be sent for about half an hour. he was placed on nrb mask with o2 sats in the high 90s-100. cxr was taken and shows new perihilar and bibasilar infiltrates likely c/w aspiration vs atypical pna. he was transferred to the micu immediately for respiratory distress due to nursing constraints on 4. . per the medicine consult note, apparently the pt has had a prolonged hospitalization since initially admitted for altered mental status. his labs icluding cbc and chem 10 as well as eeg and tox screens were negative, as was ct head. mri head was limited by movement. he had recently had an increase in seroquel dose, which brought concern for nms, with one episode of dystonia on treated with benadryl. altered ms was thought to be largely due to psychosis and he was transferred to 4. a second attempt to increase seroquel resulted in dystonia, since which time ativan was added, and elevated transaminases and ck, which resolved with ivf. . on he had an episode of unresponsiveness for which he was transferred to neurology. neuro believed this was due to exacerbation of underlying mood disorder with excited catatonia in combination with dose alterations of sinemet. he continued to have agitation and altered mental status but no further unresponsive episodes. on he was seen by medical consult service who felt him to be low to intermediate risk for . the patient could not have until guardianship was obtained, which took some time. two days ago his wife was made legal guardian and he was transferred to 4 to initiate . he was seen again yesterday by the medicine consult, as mentioned above, for clearance for . past medical history: 1. hcv- last vl 8,590,000 on , followed by dr. , on colchicine week 146 in the copilot study, last biopsy with gr 2 inflammation and stage 4 cirrhosis, gr i/ii varices 2. type ii diabetes, last hga1c 8.7 3. parkinson's disease, followed by dr. 4. post-traumatic stress disorder, followed by dr. 5. last colonoscopy with adenomatous rectal polyp and sigmoid diverticulosis 6. s/p cholecystectomy 7. s/p r inguinal hernia repair () 8. bipolar affective disorder social history: veteran. rare tobacco, per notes denied etoh and ivdu. lives with wife and son. family history: father died of unknown cause at age , brother died in 60s of alcoholic liver disease, mother still alive, no cancer in the family physical exam: t 104.3 rectal, p 127, bp 123/71, rr 20, 100% o2 sat on 100% nrb gen: tachypneic, conversant, oriented to self, place and but wrong year (), eventually speaks freely and somewhat appropriately heent: pupils small and minimally reactive, sclerae nonicteric, mm dry neck: supple, flat jvp, no lad cor: regular, tachy, no murmurs pulm: decreased over r middle and r base, otherwise ctab anteriorly abd: soft, ntnd, +bs, well healed ccy scar in luq ext: no c/c/e, bilateral feet cool but legs and upper extremities wwp. neuro: moves all four, follows commands, 5/5 strength in legs bilat, 5/5 strength in grips and arms bilat. no rigidity noted, mild tremor r hand>l hand. pertinent results: cxr ap (): new poorly defined perihilar and basilar opacities, for which a differential diagnosis includes atypical infection, aspiration, and early/mild fluid overload. dedicated pa and lateral chest radiographs may be helpful for more complete evaluation when the patient's clinical condition permits. . 02:17pm blood wbc-6.1 rbc-4.62 hgb-14.5 hct-42.7 mcv-92 mch-31.5 mchc-34.0 rdw-13.7 plt ct-178 02:17pm blood neuts-57 bands-15* lymphs-16* monos-2 eos-1 baso-2 atyps-5* metas-2* myelos-0 02:17pm blood glucose-252* urean-17 creat-1.0 na-134 k-4.2 cl-98 hco3-22 angap-18 02:17pm blood ck(cpk)-111 02:11pm blood type-art po2-66* pco2-25* ph-7.40 caltco2-16* base xs--6 02:47pm blood type-art po2-139* pco2-34* ph-7.43 caltco2-23 base xs-0 intubat-not intuba 02:11pm blood glucose-230* lactate-9.0* na-136 k-4.2 cl-105 02:47pm blood lactate-3.0* 05:38am blood lactate-1.6 brief hospital course: the patient was initially admitted to the 4 psych unit. soon after undergoing , the patient was noted to be rigoring, temp to 103 with a desaturation and poorly responsive (likely catatonic depression). he was transferred to the micu. . on arrival to the micu, he was started on empiric levo/flagyl due to concern for aspiration pneumonia. his supplemental oxygen was quickly weaned down to room air. he has continued to spike fevers, though culture data has been negative. all neuroleptics have been held due to concerns about worsening his catatonia and he has been kept on both standing and prn ativan. also of note, while in the micu, he had persistent ventricular bigeminy on telemetry. . he was called out to the floor on where his antibiotic regimen was continued. the patient had improved oxygen saturation on room air. neuroleptics were further held as above. the patient was cleared medically for return to the 4 inpatient psych unit on . medical clearance for further was affirmed by medicine attending, dr. , and notated in her note dated . medications on admission: riss ketoconazole shampoo docusate sodium 100 mg po bid bisacodyl 5-10 mg po daily:prn lorazepam 1 mg po bid (held for this am) thiamine hcl 100 mg po daily senna 1 tab po bid:prn gabapentin 300 mg po tid carbidopa-levodopa (25-100) 2 tab po tid aluminum-magnesium hydrox.-simethicone 30 ml po q4h:prn milk of magnesia 30 ml po q8h:prn acetaminophen 650 mg po q4h:prn pain discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. carbidopa-levodopa 25-100 mg tablet sig: two (2) tablet po tid (3 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 7. ketoconazole 2 % shampoo sig: one (1) appl topical asdir (as directed) as needed for seborrheic dermatitis. 8. lorazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day). 9. lorazepam 0.5-1 mg iv q4h:prn agitation 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 11. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 12. insulin sliding scale and fixed dose nph insulin: 15u qam, 10u qhs humalog insulin: correction sliding scale. 13. levofloxacin 500 mg tablet sig: one (1) tablet po daily (daily) for 5 days: last dose . 14. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 days: last dose . discharge disposition: extended care facility: - discharge diagnosis: aspiration pneumonia . secondary diagnoses: bipolar disorder with catatonic depression parkinson's disease diabetes mellitus discharge condition: stable. saturating greater than or equal to 95% on ra, afebrile. discharge instructions: you were admitted because of fevers and oxygen desaturation after electro-convulsive therapy. it is likely that this occurred because of aspiration. you showed a very good response to antibiotics with no further fevers and good oxygen saturations on room air. please complete a course of antibiotics for a likely aspiration pneumonia. . you must continue electro-convulsive therapy for your psychiatric problems. . take all medications as prescribed. . you will continue to receive care on deaconness 4 for your electroconvulsive therapy. . call your doctor or return to the hospital for any new or worsening fevers, chills, nightsweats, productive cough, nausea, vomiting or loss of consciousness. followup instructions: provider: , clinic date/time: 9:00 provider: . phone: date/time: 10:00 provider: scan phone: date/time: 1:45 procedure: other electroshock therapy diagnoses: cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled paralysis agitans pneumonitis due to inhalation of food or vomitus alkalosis volume depletion, unspecified bipolar i disorder, most recent episode (or current) depressed, unspecified 

Answer: The patient is high likely exposed to