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: productive cough, fever major surgical or invasive procedure: intubation bronchoscopy history of present illness: mr. is a 61-year-old male w/ recently diagnosed multiple myeloma during an admission to an osh for pneumonia who currently presents with productive cough (yellow/brown and bloody), subjective fever, chillls x 3 days. admits to increased fatigue and increased shortness of breath (which has never been this bad before) but denies myalgias, nausea, vomiting, abdominal pain, diarrhea, chest pain, palpitations. says he feels exactly like he felt in when he had pna. recently discharged from for treatment of hypercalcemia to multiple myeloma. had been feeling well when discharged but returned to work monday which is when he began to fell ill. . in ed, had cxr suspicious for lul and rll pna. given 1 dose of levaquin 500 mg iv, 1 dose of vancomycin 1 g iv, 80 meq kcl, and motrin 400 mg po. admitted to medicine for treatment of pna. past medical history: -multiple myeloma with hypercalcemia diagnosed -muscle invasive bladder ca status post radical prostatectomy and cystectomy in with creation of neobladder -hypertension -aaa with slight interval increased size, last measured -h/o mi and cad s/p rca stenting in -ef of 60-65% -dvt in his upper extremity in -copd -tobacco use 51 pack/year history -pneumonia in , (lul) -recently diagnosed afib on for which he is on coumadin. -basal cell carcinoma on his right cheek -spinal stenosis -b12 deficiency social history: he lives in and works as a bartender. he has been married for 21 years. he has a daughter who is 19 years old and lives with him. he has two other daughters that are estranged from him. he smoked a pack per day since but claims to only smoke cigarettes a day currently. he drinks two to three rum drinks a day, he uses marijuana daily. family history: significant for a mother who is deceased with breast cancer and after mi at age 60. his father died at age 71 and had alzheimer's disease. he has one brother with diabetes, hypertension and coronary artery disease. physical exam: vs: t 96.7 (100.0 in ed) p 72 bp 140/64 rr 20 pox 98% ra gen: slightly uncomfortable with sob, irritable, bloody mucus in tissue in trash can at bedside. heent: perrl, anicteric sclerae. oropharynx moist without erythema, lesion, or thrush. neck: supple. cv: rrr no mgrc. lungs: poor air movement diffusely, lul + rhonci, lml/lll + rhonchi/wheezes. abd: + bs, s/nt/nd ext: no edema, cyanosis, or clubbing. skin: generalized rosy complexion. warm, dry, and intact. no rashes noted. neuro: cn 2-12 grossly intact pertinent results: cxr pa/lat (): the heart size is normal. the mediastinal and hilar contours are normal. there is increased opacity within the left upper lobe and a smaller degree within the right lower lobe, which suggest pneumonia. there is no pleural effusion or pneumothorax. osseous structures are unremarkable. . ct abd (): consolidation in bilateral lung bases, query aspiration pneumonia. stable appearance of infrarenal abdominal aortic aneurysm. nonobstructive stone within the left kidney. no evidence of hydronephrosis or hydroureter in either kidney. stable appearance of neobladder without evidence of perforation, however, evaluation of the lower pelvis is limited by streak artifact from surgical clips. diverticulosis without evidence of diverticulitis. . viral screen (): positive for influenza a by dfa brief hospital course: upon his initial arrival to the floor, he became tachypnic to the 30's and 40's with increasing dyspnea, spiked a fever to 103.0 and had an increasing oxygen requirement. he was given several courses of albuterol nebs which resulted in temporary improvement of symptoms, but serial abgs revealed worsening alkalosis. he was transferred to the micu for further management. . in this first micu stay, he was continued on vanco and levaquin for pneumonia. the differential diagnosis considered included atypical pneumonia, pcp, , vasculitis, diffuse alveolar hemorrhage. he was on bipap for an unspecified period of time. he was also given nebs and started on solumedrol. coumadin was held. by the next day he was much improved and was called out to the floor that night. he was on 2l nc at that time, and was satting 95-96% on room air by the following morning. . on , after transfer to the floor, he was lying on his l side in bed and coughing up thick mucus when he suddenly became acutely short of breath. initially, o2sat 85% on 2l, 87% on 5l, not much improved on face mask, and low 90s on nrb. he was given nebs without improvement. he was suctioned by respiratory, but only small amounts secretions suctioned. chest pt was tried (as the patient had a strong cough) with some success. he was also treated with nitro, morphine, and lasix with some improvement. . on arrival back to the micu, he was started on broad antimicrobials (vanco, zosyn, bactrim, and voriconazole). with his immunosuppression from mm in the setting of an acute infection, he was given 2 doses of ivig. on , he was intubated in anticipation of inability to sustain high minute ventilation. bronchoscopy and bal were performed and were positive for influenza a by dfa. serial bronchial lavages were increasingly blood-tinged, raising concern for alveolar hemorrhage. he was given vitamin k to reverse his inr, and his hct was monitored closely. dfa returned positive for influenza a. bal bacterial and fungal cultures were negative, so all antimicrobials were discontinued on . he was diuresed with improvement in his oxygenation and was extubated on . since, he has had continued improvement in his respiratory status, currently breathing well on 3l/min nasal cannula. of note, he has had some hallucinations while in the icu which have been treated with prn haloperidol. . he was transferred back to the floor on where he was weaned off of his supplemental oxygen. he was cleared by pt/ot for discharge home with home pt. due to his continued hemoptysis and the patient's concern, his warfarin continued to be held and he was not put on a heparin drip (since his only risk factor for thromboembolization was a-fib); he will discuss resuming this with his pcp. medications on admission: - aspirin 81 mg tablet - metoprolol tartrate 12.5 mg - warfarin 5 mg tablet po 4x/week (,mo,we,fr); 7.5mg 3x/week(tu,th,sa) - amlodipine 2.5 mg qd discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ipratropium bromide 17 mcg/actuation aerosol sig: one (1) puff inhalation every six (6) hours. disp:*1 inhaler* refills:*2* 5. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis: influenza viral pneumonia with subsequent ards . secondary diagnoses: multiple myeloma, history of bladder cancer, atrial fibrillation, hypertension, copd, coronary artery disease, b12 deficiency with resultant macrocytic anemia discharge condition: stable discharge instructions: you were admitted to the hospital with a severe viral pneumonia from influenza requiring intubation. your breathing has improved markedly throughout your hospitalization, but due to your deconditioning, you are being sent to rehab to help regain your strength. several medication changes were made to your outpatient regimen, so please take careful note of the medication list included in your discharge paperwork. . please take all medications as prescribed. please attend all follow up appointments. . if you experience high fevers, shortness of breath, chest pain, loss of consciousness, or other concerning symptoms, then you need to seek medical attention. . since you kept coughing up bloody sputum, we temporarily stopped you coumadin (warfarin). you should discuss resuming this with dr. since your atrial fibrillation puts you at risk for a stroke; coumadin will reduce this risk. followup instructions: please call dr. office () to schedule a follow up appointment for sometime in the next 1-2 weeks. . please call dr. office () to schedule a follow up appointment for sometime in the next 1-2 weeks. . provider: chair 1 date/time: 9:00 provider: , rn phone: date/time: 9:00 provider: , rnc date/time: 10:20 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation insertion of other (naso-)gastric tube transfusion of packed cells transfusion of other serum injection or infusion of immunoglobulin diagnoses: acidosis thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status acute respiratory failure personal history of other malignant neoplasm of skin old myocardial infarction personal history of malignant neoplasm of bladder multiple myeloma, without mention of having achieved remission other vitamin b12 deficiency anemia personal history of venous thrombosis and embolism abdominal aneurysm without mention of rupture hyperosmolality and/or hypernatremia hypercalcemia spinal stenosis in cervical region influenza with pneumonia viral pneumonia, unspecified unspecified psychosis other diuretics causing adverse effects in therapeutic use hypogammaglobulinemia, unspecified 

Answer: The patient is high likely exposed to