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: haldol attending: chief complaint: tracheal stenosis major surgical or invasive procedure: : flexible bronchoscopy with bronchoalveolar lavage and cervical tracheal resection and reconstruction. : bronchoscopy history of present illness: the patient is a 47-year-old gentleman who has had a tracheostomy for some time and has been unable to be decannulated due to a peristomal stenosis. the total length of the abnormality in the trachea was 5 cm, but i thought the central portion of this, which was right at the stoma, was actually only about 2.5 to 3 cm. therefore, despite his ongoing immunosuppression for a kidney transplant, i recommended resection of the stenosis and reconstruction. after an abundant discussion preoperatively, the patient did understand that he is at increased risk for anastomotic complication, including dehiscence, necrosis, and incomplete alleviation of stenosis. most specifically, the immunosuppression prevents healing and he understood that this would potentially complicate his healing of the anastomosis. nevertheless, he did not want to continue with his tracheostomy tube in place and elected to go forward with surgery, despite understanding that the option would be to leave the tracheostomy tube as it was. past medical history: 1. hcv, genotype 1- completed 48 wks ifn () 2. esrd htn and traumatic nephrectomy due to stab wound, on hd (mwf) s/p nephrectomy. s/p cadeveric kidney transplant w/ multiple postop complications (vap, delayed graft function, ms changes) 3. hypertension 4. line sepsis due to left subclavian line with gram (+) cocci 5. central obstruction of venous flow from r and lue 6. multiple vascular admissions including thrombosed and stenosed b/l central veins. lead to hd catheters placed in femoral veins, but complicated by multiple line infx and sepsis. 7. mssa bacteremia of r fem line (removed thereafter). 8. hx leaving ama 9. svc occlusion of all central veins 10. depression 11. obsessive-compulsive disorder social history: + tobacco 1ppd x decades quit , no etoh, or ivdu. orginally from , here in us x 20 years. lives alone in . son involved. children in . unemployed. wife committed suicide. family history: nc physical exam: discharge physical exam: vs: t: 97.3 p: 100 bp: 123/74 rr: 19 o2sat: 98ra gen: wd, wn in nad heent: ncat, eomi, anicteric cv: rrr, +s1s2 w no m/r/g pulm: cta b/l w no w/r/r, normal excursion, no respiratory distress back: no vertebral tenderness, no cvat abd: soft, nt, nd, no mass, no hernia pelvis: deferred ext: wwp, no cce, no tenderness, 2+ b radial/dp/pt neuro: a&ox3, no focal neurologic deficits pertinent results: 06:22am blood wbc-7.5 rbc-3.53* hgb-10.6* hct-33.7* mcv-95 mch-29.9 mchc-31.4 rdw-14.6 plt ct-207 06:22am blood pt-16.8* ptt-32.5 inr(pt)-1.5* 05:00am blood pt-15.4* ptt-59.4* inr(pt)-1.3* 04:59am blood pt-14.1* ptt-48.9* inr(pt)-1.2* 03:15am blood pt-13.6* ptt-68.1* inr(pt)-1.2* 06:22am blood glucose-96 urean-14 creat-1.4* na-137 k-4.6 cl-104 hco3-23 angap-15 06:22am blood calcium-9.2 phos-1.9* mg-1.8 06:22am blood tacrofk-8.0 05:00am blood tacrofk-9.3 12:51pm blood type-art temp-37.3 fio2-50 po2-89 pco2-33* ph-7.40 caltco2-21 base xs--2 intubat-not intuba swallow f/u recommendations: 1. po diet: thin liquids, regular consistency solids. 2. meds whole with water. 3. oral care. 4. please call, page, or re-consult if there are any concerns on this diet. dc cxr on findings: as compared to the previous radiograph, there is no relevant change. left pleural effusions, slightly improved ventilation of the right lower lung. massive cardiomegaly with signs of moderate pulmonary edema. no evidence of newly appeared focal parenchymal opacities suggesting pneumonia. brief hospital course: date of icu admit: procedure/date: tracheal resection and reconstruction abx/date: vanc/cefepime (- ); fluconazole (-); cipro admit wt: cc: s/p tracheal resection and reconstruction hpi: 47m s/p cadaveric kidney transplant with post-tracheostomy stenosis s/p tracheal resection & reconstruction . patient had a complicated hospital course after his transplant about 1 year ago. he required tracheostomy which was complicated by tracheal stenosis. he underwent tracheal resection and reconstruction and is being admitted to the sicu. all: haldol pmh: hcv, esrd(htn/nephrectomy post-trauma)s/p cadaveric kidney transplant , hypertension; svc occlusion(all central veins), depression; ocd psh: cadaveric kidney transplant , mult thrombectomy, extremity veins : mycophenolate mofetil 1000'', prednisone 10, bactrim, tacrolimus 6'', warfarin 4, calcium carbonate, colace, senna micro: mrsa: negative sputum: contaminated imaging: cxr: no ptx cxr: there is a cardiac silhouette enlargement and prominence of the mediastinum; however, this may be due to mediastinal fat. study is very limited due to patient positioning and to the body habitus. cxr: as compared to the previous radiograph, there is no relevant change. left pleural effusions, slightly improved ventilation of the right lower lung. massive cardiomegaly with signs of moderate pulmonary edema. no evidence of newly appeared focal parenchymal opacities suggesting pneumonia. events: : to sicu post-op. called renal transplant recs: mmf 1000 iv bid, methylpred 8 iv daily (instead of prednisone 10'), hold bactrim. : failed swallow eval, video swallow performed- failed as well. pt to remain npo over the weekend. increasing agitation- rec'd ativan, zyprexa, started on dexmedetomedine gtt. creatinine bumped this am, urine lytes pending. : psych consult obtained. hep gtt started. : started vanc/cipro/cefepime for rll infiltrate. failed s&s : weaning dex, clonidine patch started. : passed s&s, started on prior oral meds. precedex stopped and started on seroquel and neurontin. developed tachycardia, started lopressor. foley d/c'd. : bronch in or: severe supraglottic edema, white plaque on vc ? (started fluc), granulation tissue at anastamosis, distal to anastamosis stenosis. ?ent consult. repeat bronch in 1 week +/- stent. d/c'ed cipro. d/c'd neck stitch. decreased coumadin to 2mg while on fluc. lovenox bridge and d/c'd heparin. : d/c vanc/cefepime. po meds. s&s re-eval say ok for reg diet no restriction. pt eval cleared for home w/ new cane. pt can't go to floor with r femoral cvl, midline unable to be placed : femoral cvl removed; discussed discharge instructions w pt regarding limited rom neck. assessment: 47m with post-tracheostomy stenosis s/p tracheal resection & reconstruction neurologic: - clonidine patch, seroquel, and neurontin for agitation cardiovascular: - hds - check daily ekg while getting seroquel pulmonary: - s/p tracheal resection and reconstruction - albuterol nebs prn - likely on vc - fluconazole (- ) - repeat bronch in ~1 week +/- stent. gastrointestinal / abdomen: - zofran prn nausea - famotidine for prophylaxis nutrition: - regular (low sodium) renal: - renal transplant recs: continue current immunosuppressants - baseline cr 1.1-1.7, monitor uop hematology: - coumadin for svc occlusion - lovenox 1mg/kg to bridge until coumadin therapeutic endocrine: - home immunosuppresion resumed: mmf 1000 iv''/pred 10', tacro (goal level ) - riss, goal bs<150 infectious disease: - fluc started for on vc; 200 mg po bid x 2 weeks - home bactrim resumed - discontinued vanc/cefepime for rll infiltrate - () tubes/lines/drains: l femoral cvl (-) d/c'd: r radial a-line ( - ) wounds: neck operative site imaging: - fluids: kvo consults: thoracic surgery, renal transplant, psych, s&s billing diagnosis: s/p tracheal reconstruction prophylaxis: - dvt: boots, lovenox, coumadin - stress ulcer: famotidine - vap bundle: n/a communication: icu consent: in chart code status: full disposition: icu medications on admission: : mycophenolate mofetil 1000'', prednisone 10, bactrim, tacrolimus 6'', warfarin 4, calcium carbonate, colace, senna, tacrolimus 6 mg po bid converted to 1.5 mg iv bid, 1000 mg mmf po bid converted to iv 1:1, 10 mg prednisone po daily converted to 8 mg iv methylprednisolone daily discharge medications: 1. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 2. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 3. bactrim 400-80 mg tablet sig: one (1) tablet po once a day. 4. enoxaparin 100 mg/ml syringe sig: one (1) subcutaneous q12h (every 12 hours). disp:*10 syringes* refills:*2* 5. coumadin 3 mg tablet sig: one (1) tablet po at bedtime. 6. tacrolimus 1 mg capsule sig: three (3) capsule po twice a day: followup transplant labs on thursday to adjust dosing. 7. fluconazole 200 mg tablet sig: one (1) tablet po once a day. disp:*12 tablet(s)* refills:*0* 8. calcium carbonate 500 mg calcium (1,250 mg) tablet sig: one (1) tablet po once a day: as you were taking. 9. colace 100 mg capsule sig: one (1) capsule po twice a day. 10. dilaudid 2 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: tracheal stenosis s/p tracheal resection and reconstruction esrd s/p kidney transplant ocd. obesity brachiocephalic stenosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: mr. , you were admitted for tracheal resection and reconstruction of your tracheal stenosis. please review the following home instructions: you will go home with vna services. call dr. office at if you have fevers greater than 101.5, chills, nightsweats, difficulty breathing, chest pain, decreased urine output, or if your neck incision develops redness, swelling or drainage. pain: take tylenol for pain activity: walk often, use the incentive spirometer. you may shower. medications changes take 3mg of coumadin each night and followup your inr on with dr. . please inject lovenox 100 mg sq twice a day until your inr is 2. tacrolimus: take only 3mg twice a day and followup labs on with kidney transplant clinic, on followup instructions: followup dr. your primary care doctor on at 245pm followup with , md phone: date/time: 1:30 get a chest xray 30 minutes prior to followup. provider: , md phone: date/time: 3:00 go to clinic for labs on thursday . procedure: closed [endoscopic] biopsy of bronchus other repair and plastic operations on trachea local excision or destruction of lesion or tissue of trachea diagnoses: pneumonia, organism unspecified hyperpotassemia unspecified essential hypertension long-term (current) use of steroids unspecified viral hepatitis c without hepatic coma personal history of tobacco use depressive disorder, not elsewhere classified candidiasis of mouth compression of vein personal history of venous thrombosis and embolism obesity, unspecified acquired absence of kidney delirium due to conditions classified elsewhere kidney replaced by transplant obsessive-compulsive disorders mechanical complication of tracheostomy body mass index 33.0-33.9, adult 

Answer: The patient is high likely exposed to