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: a 76-year-old male with past medical history of schizophrenia, alzheimer's, parkinson's presents for a medical intensive care unit with diagnosis of aspiration pneumonia. the patient was admitted on with fever to 102.2??????, pale, nonverbal. vitals - blood pressure 100/60, pulse of 72, respiratory rate 24, pulse oximetry 88% on 2 liters nasal cannula, taken to the intensive care unit and found to be febrile and systolic blood pressure in the 70s at that time. the patient was started on levofloxacin, flagyl, vancomycin for presumed aspiration pneumonia, was given neo ggt and hydrocortisone. neo-synephrine was able to be stopped several hours later secondary to stable blood pressure. the patient was also given intravenous fluids. as mentioned, chest x-ray was consistent with bilateral pneumonia thought to be aspiration. the patient's stress dose steroids were weaned down. the patient's brother was in who is health care proxy and said patient is dnr/dni. the patient improved in the medical intensive care unit overnight. blood pressure was stable off pressors, became more alert and was called out to the floor. at presentation to the team, the patient able to answer simple questions, to not complain of anything at this time. however, patient with baseline severe dementia. past medical history: 1. schizophrenia 2. alzheimer's disease 3. hypertension 4. hypercholesterolemia 5. status post left and right cataracts 6. glaucoma 7. prolactinoma 8. history of left lower lobe pneumonia 9. parkinson's disease 10. aspiration pneumonia, status post g-tube placement 11. chronic obstructive pulmonary disease on prednisone 12. history of urinary tract infection 13. dysphasia 14. aortic thrombosis on coumadin allergies: no known drug allergies. admission medications: 1. iron sulfate 300 q day 2. lansoprazole 30 q day 3. bromocriptine 2.5 q day 4. sinemet 1 tid 5. calcium carbonate 500 tid 6. atorvastatin 10 q day 7. flagyl 500 intravenous q 8 8. hydrocortisone 50 intravenous tid 9. atrovent and albuterol prn 10. levofloxacin 250 intravenous q day 11. free water 350 ml qid 12. vancomycin 1 gm intravenous q 18 tube feeds: promod with fiber at 75 social history: remote tobacco, no alcohol, nursing home resident. proxy: brother in , phone number (. physical exam on admission to medicine team: vital signs: 97% saturation on 70% face mask, pulse 61, blood pressure 123 to 157/76 to 99. general: pleasant, elderly, essentially nonverbal. head, ears, eyes, nose and throat: anicteric, oropharynx clear. cardiovascular: regular rate and rhythm, s1, s2, distant heart sounds. pulmonary: diffuse rhonchi bilaterally. abdomen: soft, nontender, nondistended, positive bowel sounds, g-tube intact. extremities: no edema. neurologic: alert to commands, answers simple questions. data at admission to floor: white count of 14.8, hematocrit 30.3, platelets 153. inr 4.2, pt 24.7, ptt 56.1. sodium 142, potassium 3.9, chloride 109, bicarbonate 24, bun 27, creatinine 0.8, glucose 129. urinalysis showed moderate blood, negative nitrites, 30 protein, negative glucose, ketones, bilirubin, moderate leukocytes, 0 to 2 red blood cells, 21 to 50 white blood cells, moderate bacteria, no yeast, 0 to 2 epithelial cells. tsh was 0.18. calcium was 7.8. magnesium was 1.6. phos was 2.4. imaging: chest x-ray showed patchy opacity in the right lower lobe. later, chest x-ray also showed patchy opacity in the left lower lobe. assessment and plan: a 76-year-old male with past medical history of schizophrenia, alzheimer's, parkinson's, history of aspiration who presents with aspiration pneumonia. brief summary of hospital course: 1. pulmonary: at presentation to the floor, the patient was saturating moderately well on the 60% to 70% face mask. on the next several days, face mask was not able to be weaned down. patient with significant aa gradient. the patient had arterial blood gases drawn on which showed 7.50, 41, 77 on a 60% face mask. this was consistent with a metabolic alkalosis. the patient had a repeat chest x-ray on which showed patchy opacification in right mid lung zone and bilateral lower lung zones with small left pleural effusion. this was found to be consistent with multilobar pneumonia. at time of dictation, the patient still reliant on face mask and respiratory rate elevated and patient with labored breathing. 2. infectious disease: the patient had blood cultures drawn on . one out of two bottles grew group b strep, pan clindamycin and vancomycin sensitive. blood cultures, one out of two also grew coagulase negative staphylococcus. respiratory culture on grew group b strep. it was thought that the patient's bacteremia was thought to be secondary to group b strep, as it was related to organism cultured in the sputum. infectious disease consult was obtained and the patient was changed from vancomycin, levofloxacin and flagyl to vancomycin, levofloxacin and clindamycin. clindamycin was added to cover anaerobes for possible aspiration pneumonia. levofloxacin was kept on for group b strep coverage. vancomycin was continued for possible methicillin resistant staphylococcus aureus given history of nursing home residents. the patient did have urine culture which grew klebsiella pneumonia, gentamicin, imipenem, zosyn, tobra and bactrim sensitive. it was resistant to other antibiotics. it was thought that this likely represented a colonization given chronic foley and 21 to 50 white blood cells on urinalysis. urinalysis was re-obtained after foley was changed. at this time, white count showed only 14 white blood cells and few bacteria. infectious disease recommended not treating this. 3. hematology: patient with stable hematocrit throughout this period of his hospital stay. patient with elevated inr. coumadin was held and inr drifted down. plan was to restart coumadin once inr less than 3. originally, patient's pt climbed, however it declined and dic work up was negative. 4. endocrine: the patient had tsh and subsequently free t4 checked which were both normal. the patient continued on stress dose steroids and was tapered with po prednisone. patient's was also continued on bromocriptine for past medical history of prolactinoma. 5. fluids, electrolytes and nutrition: patient continued on tube feeds per nutrition and tolerated goal tube feeds with no residuals. 6. access: the patient originally had right internal jugular central line placed in the emergency department. this was changed to a picc line on and right ij was subsequently discontinued. 7. communication: team spoke with health care proxy, his brother , phone number (. brother was emphatic that patient was dnr/dni. in conversation on , brother did not wish patient to go back to intensive care unit for any unusual life prolonging measures. he believed this reflected patient's own attitude towards his life. this dictation will be addended by the following intern who takes over care of this patient on . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnoses: chronic airway obstruction, not elsewhere classified unspecified schizophrenia, unspecified paralysis agitans hypotension, unspecified pneumonitis due to inhalation of food or vomitus alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance tachycardia, unspecified embolism and thrombosis of thoracic aorta 

Answer: The patient is high likely exposed to