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: sulfa (sulfonamides) attending: chief complaint: shortness of breath major surgical or invasive procedure: none history of present illness: pt is a 57yom with pmh significant for chf (ef 50-55%) and mr (1+), parkinsons's disease, presenting with sob. micu admit requested by ed attending due to hypoxemia and fever. . pt states that he has had "cold" symptoms for about one week. two days prior to presentation his neightbor, a pulmonologist came to see him and suggested cough suppressant and afrin. addtionally he was started on levaquin by the physician covering for his pcp that day. the next day the patient developed a fever to 101 f, productive cough with green sputum, and according to his wife was working hard to breath. the pulmonologist neighbor came to his house again, felt his exam had changed markedly, checked an o2 sat which was in the 80s, and suggested he go to the ed. pt also states he had some chest pain on the day of presentation, substernal, w/o rad, , and notes it was reproducible with moving his left arm. denies dizziness, paraesthesias, nausea, vomitting. no diarrhea, abdominal pain, dysuria, rash, visual changes, weakness. . on arrival to the ed for the first several hours (21:00 - 01:00) he was 97% on 3lnc. he received 1 l ns fluid by slow infusion starting at 23:40. at 01:30 after lying flat for central line placement pt c/o sob, was placed on 100% nrb. aslab results returned, the ed physicians had become concerned for impending sepsis given elevated wbc count and fever. of note patient was normotensive and with normal heart rate throughout course. a right subclavian line was placed and cvp was measured to be 13, svo2 69%. over the course of time in ed, antibiotics given included clindamycin, ceftriaxone, azithromycin, vancomycin. around 02:00 pt received lasix 20 mg iv, put out ~ 500 cc urine. tried on 6l nc but did not tolerate -put back on nrb. through the remaining 12 hours in the pt remained on 100% nrb with peripheral o2 sat 97-100%, cvp 12-16. past medical history: 1. mitral valve repair with titanium annuloplasty ring in . postoperative course was c/b progressive dyspnea with bilateral effusions as well as an admission for right ventricular failure of unknown origin that was transient and may have been a -like syndrome. 2. parkinson disease. 3. herniated disk (t7-t8 and c3). 4. status post vasectomy. 5. status post tonsillectomy. 6. urinary calculi. 7. chf (ef 50-55%) social history: the patient is married and lives with his wife. has rare alcohol, and no tobacco use. he denies any drug use. he worked in the publishing field. he has an educational degree from . family history: the patient's brother suffered from a myocardial infarction at the age of 51. the patient's father died at the age of 59 secondary to melanoma. the patient's mother died of breast cancer and had a history of diabetes and coronary artery disease. physical exam: t 98 bp 115/80 hr 80 rr 14 100% on nrb, 95% 3l short breaths, no accessory mm use jvd to mandible rrr 2/6 sem at apex with rad to axilla lungs with bl rales 1/3 up, rhonchi on right> left abd soft ntnd nabs ext trace edema access: right subclavian (placed in ed) pertinent results: cxr at 10pm milf pulm venous congestion, small pleural effsions, patchy consolidation at r upper and lower lobes, left lower lobe. . cxr at 1:00am markedly worsened volume overload . ekg: nsr, no st-t wave changes . labs: see end of note . micro: aspirate with rsv antigen brief hospital course: hypoxia: multifactorial due to pneumonia and chf exacerbation. pneumonia caused by rsv, however ther is possibly a secondary bacterial component. the patient completed a 5 day course of azithromycin as the imaging was also consistent with an atypical bacteria. the legionella antigen negative. he was gently diuresed with lasix iv and then restarted on his home dose. he was euvolemic and satting well on room air at discharge. neuro:pt with long standing parkinson's disease; known meningioma being monitored (no intervention). he was continued on amantadine, sinemet, tasmar, mirapex. chf: last echo in , apparent exacerbation by exam, clinical story, and cxr. likely pt had mild volume overload which was worsened by volume given in the ed and by lying flat during central line placement. he did well with gentle lasix diuresis as above. his lisinopril was continued. a new echo study to evaluate for worsening ef showed worsening mr but it was not changed from prior. for his hypercholesterolemia, he was continued on lipitor. for his depression, he was continued on zoloft and klonopin. the patient's gerd was controlled on protonix here, although he's on omeprazole at home. prior to discharge, he was back to baseline and had received both the pneumovax and the influenza vaccine. medications on admission: levofloxacin amantadine sinemet tazmar zoloft klonopin colace omeprazole lisinopril lasix 20 mg po qd asa 81 lipitor levaquin for 2 days prior to presentation discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 4. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. lactulose 10 g/15 ml syrup sig: thirty (30) ml po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. pramipexole 1 mg tablet sig: one (1) tablet po q3 hours (). 10. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po q 3 hours (). 11. amantadine 100 mg capsule sig: one (1) capsule po daily (daily). 12. tolcapone 100 mg tablet sig: one (1) tablet po tid (). 13. furosemide 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 14. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. disp:*1 cartridge* refills:*1* 15. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: one (1) treatement inhalation every eight (8) hours for 1 weeks. disp:*qs qs* refills:*0* 16. outpatient physical therapy please provide evaluation and physical therapy for deconditioning from hospitalization in setting of chronic parkinson's disease. 17. nebulizer 18. oxygen please provide portable oxygen by nasal cannula at 2 liters/minute discharge disposition: home with service facility: homecare discharge diagnosis: rsv pneumonia parkinsons disease chf discharge condition: good, requiring oxygen only for ambulation discharge instructions: please take all medications as prescribed. you may continue to mount fever over the next 7 days; but do call your pcp if it is persistent. call pcp or return to ed if you have: worsening sob, cp, persistent fever, worsening productive cough, inability to tolerate food or drink. followup instructions: please call your pcp, () and make an appointment to be seen next week. appointment reminders: provider: , np/dr phone: date/time: 8:00 provider: mri phone: date/time: 8:30 provider: , phone: date/time: 10:00 procedure: venous catheterization, not elsewhere classified diagnoses: esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified depressive disorder, not elsewhere classified acute respiratory failure iron deficiency anemia, unspecified diastolic heart failure, unspecified pneumonia due to respiratory syncytial virus 

Answer: The patient is high likely exposed to