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: ambien attending: chief complaint: s/p open in splint, dyspnea. major surgical or invasive procedure: achilles tendon lengthening procedure. history of present illness: patient is a 80 m with hx of mod-severe copd with hypoxemia, pulm htn, pvd, cri now s/p achilles tendon lengthening procedure who has been persistently hypoxic following procedure. this is likely a continuation of his chronic state. he is being admitted to the micu for monitoring overnight. the patient was followed in ny for his copd. per records, he has been recommeneded to wear o2 20-24 hours daily. pre-op today, his o2 sat was 80% on ra. in records he has ranged from 80-92% on ra in the past. post op he intially desatted to the low 80s on a nonrebreather. throughout the day, he was weaned to nasal cannula, but has been falling to the 70s while sleeping. this is most likely what he does at home, but we will admit him to the micu to watch his sats overnight. the patient feels well on admission the micu team. he is satting in the mid-high 80s on 3l nc. patient got 80cc/hr of lr intraop. he recieved 1mg morphine and 1 percocet post op. past medical history: 1. chronic lung disease with pulm htn and low dlco: spirometry fev-1 85% of predicted fvc 123%, fev1 108%, ratio 87%, tlc 111%, dlco 23%, pormovement with broncodilator 2.peripheral disease: s/p bypass in legs, and on coumadin 3.pulmonary disease 4.chronic hypoxemia - on chronic o2 5.renal insufficiency. 6.ulcerative colitis 7.hypertension 8.seizure disorder 9.peripheral edema associated with his pvd 11.hypertension 12. achiles contraction social history: 90 pack years smoking, quit 15 years ago, denies etoh. family history: dmii, cad physical exam: vitals: t: 94.2 bp: 107/61 p: 73 rr: 13 o2sat: 96 on face mask gen: heent: clear op, mmm neck: supple, no lad, no jvd cv: rr, nl rate. nl s1, s2. no murmurs, rubs or gallops lungs: cta, bs bl, no w/r/c abd: soft, nt, nd. nl bs. no hsm ext: no edema. dopplerable pulse left le, rt leg in cast skin: no lesions neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation throughout. psych: listens and responds to questions appropriately, pleasant pertinent results: 10:22am glucose-125* urea n-20 creat-1.4* sodium-144 potassium-4.2 chloride-110* total co2-26 anion gap-12 10:22am estgfr-using this 10:22am calcium-8.5 phosphate-5.1* magnesium-2.3 10:22am wbc-5.9 rbc-3.62* hgb-10.0* hct-33.7* mcv-93 mch-27.7 mchc-29.8* rdw-14.6 10:22am plt count-229 10:22am pt-13.5* ptt-26.0 inr(pt)-1.2* brief hospital course: . assessment:pt is a 80 y/o m with copd/emphysema here with increased hypoxia postop secondary to aspiration pna s/p achilles tendon surgery. . plan: . hypoxia: this patient has a long standing history of copd and an oxygen requirement at home. pft results from show no exacerbation of underlying emphysema/copd/pulm htn. given interval change of lll opacities on cxrs from to , and decreased bs/egophony on physical exam, and increased oxygen requirements, hypoxia is likely attributed to an aspiration pna s/p surgery, also possibly involving sedation from perioperative opiages. it is less likely that he is in chf given he looks euvolemic/hypovolemic on exam, although did receive ivfs during surgery. no pes noted on cta. he has no shunt on tte/bubble study. no levofloxacin given the new black box warnings on tendon/ligament tears, and patient is s/p achilles tendon lengthening procedure. patient was covered for apsiration pna w/ po cefpodoxime, to be continued for a two week course until . he was transitioned from a ventimask to a high flow nebulizer, and finally to nc. he was satting 85-96% on l nc. he will need follow-up in pulmonary clinic. he was continued on inhaled steroids and given incentive spirometry. he was transfered to the floor. on the floor, spiriva was added as per pulmonary, and patient was in excellent condition, saturating at 97% on 3l nc, with 40% venti mask use at night. . s/p achilles tendon repair: patient stable s/p procedure. he was given tylenol and ultram for post op pain. podiatry is aware of his transfer to the floor and will follow him. . cri: patient had elevated cre up to 1.7, and had an episode of oliguria requirng a straight-cath that returned 250 ccs of fluid. bladder scan revealed no obstruction or residual fluid. he was given maintenance ivfs, and returned back to baseline of 1.2 by . . peripheral disease: continued coumadin and plavix. . ulcerative colitis: stable , continued on asachol. . htn: stable, continued on hctz 12.5 daily, lisinopril 10mg daiy, and amlodipine 5mg daily fen: low sodium diet (thin liquids/soft solids/supervised feedings), lytes daily. . ppx: heparin sc, coumadin, tylenol for pain, bowel reg . code: full . medications on admission: -coumadin daily -asacol 1600mg tid -lyrica 100 tid -norvasc 5mg daily -iron 325 daily -zestril 10mg daily -prilosec 20mg daily -plavix 75mg daily kcl 20meq daily -folic acid -hct 12.5 daily -formoterol fumarate -simvastatin 20mg daily -gatifloxacin eye drops -tamsulosin 0.4 daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. mesalamine 400 mg tablet, delayed release (e.c.) sig: four (4) tablet, delayed release (e.c.) po tid (3 times a day). 9. lyrica 100 mg capsule sig: one (1) capsule po tid (). 10. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 11. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 12. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 13. warfarin 1 mg tablet sig: three (3) tablet po daily (daily). 14. lisinopril 5 mg tablet sig: two (2) tablet po daily (daily). 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 16. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 17. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed. 18. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 19. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 20. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 21. oxygen patient requires 3-4 l nasal cannula during the day for o2 saturations in the low 90's and a 40% venti mask when sleeping at night. discharge disposition: extended care facility: - discharge diagnosis: 1.chronic obstructive pulmonary disorder 2.peripheral disease 3.pulmonary disease 4.chronic hypoxemia - on chronic o2 5.renal insufficiency. 6.ulcerative colitis 7.hypertension 8.seizure disorder 9.peripheral edema associated with his pvd 10.hypertension 11. achiles contraction discharge condition: patient is stable, moving from bed to chair as it is difficult for him to walk status post his achilles tendon surgery. he is on non-weightbearing status for his right leg. his oxygen saturation most recently was 97% on 3 l nasal cannula, still requires a 40 percent venti mask at night to maintain saturation. discharge instructions: -you were diagnosed with an aspiration pneumonia. please continue your antibiotic (cefpodoxime) for two weeks, until . -if you experience any loss of consciousness, severe chest pain, severe dizziness, severe headaches, or begin to cough up blood, please contact your primary care physician (dr. and return to the hospital. followup instructions: 1. provider: , md phone: date/time: 9:45 2. provider: () lmob (nhb) phone: date/time: 1:00 3. provider: , md phone: date/time: 1:45 4. please call podiatry for a follow-up appointment with dr. . podiatry may have already set up an appointment, but please call to check. set up an appointment within 1 week if possible. ( procedure: other change in muscle or tendon length diagnoses: anemia in chronic kidney disease acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases peripheral vascular disease, unspecified personal history of tobacco use chronic kidney disease, unspecified pneumonitis due to inhalation of food or vomitus other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other emphysema epilepsy, unspecified, without mention of intractable epilepsy hypoxemia ulcerative colitis, unspecified other dependence on machines, supplemental oxygen contracture of tendon (sheath) acquired equinovarus deformity 

Answer: The patient is high likely exposed to