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: this is a 79-year-old male who developed a productive cough 3-4 weeks ago. the cough then became more dry and persistent. he saw his doctor a week before admission. was given robitussin and flonase. over the three days prior to admission, he noticed increasing dyspnea on exertion. patient also reported some back pain along with pain around his right scapula. he denies fevers, chills, nausea, vomiting, abdominal pain, diarrhea, or constipation. on admission to the ed, he was 89 percent on room air and was noted to be tachypneic. respirations were in the 30s. using his accessory muscles of breathing. he received ceftriaxone and azithromycin. a chest x-ray revealed a large partially loculated right pleural effusion. there is also a slight left pleural effusion. there is no pneumothorax. past medical history: atrial fibrillation status post pacemaker placement and on coumadin. hypertension. prostate cancer status post xrt. osteoarthritis. history of rectal bleeding in . mild dementia. benign prostatic hypertrophy. allergies: no known drug allergies. medications: 1. aricept 5 mg p.o. q.d. 2. cozaar. 3. coumadin 1 mg p.o. q.d. 4. amiodarone 200 mg p.o. q.d. 5. atenolol 25 mg p.o. q.d. 6. oxybutynin. 7. flomax 0.4 mg p.o. q.d. 8. robitussin. physical examination: general: he is an older gentleman in mild distress. vital signs: temperature is 98.4, heart rate 75, blood pressure 117/52, respirations 36 and labored. oxygen saturation is 91-94 percent on 3 liters. skin was diaphoretic. heent: he had a normocephalic, atraumatic head. pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. sclerae were anicteric. mucous membranes were dry. neck was supple with no jvd. trachea was midline. cardiovascular: regular, rate, and rhythm with s1, s2. lungs had decreased breath sounds at the right base compared to the left. abdomen is soft, nontender, nondistended, positive bowel sounds, no hepatosplenomegaly, no rebound tenderness or guarding. extremities: no cyanosis, no edema, warm with palpable pulses. neurologic: he was alert and oriented times three. laboratories on admission: chemistry: sodium is 134, potassium 4.8, chloride is 100, bicarbonate is 21, bun is 61, creatinine is 2.5. cbc: white blood cells 25.3, hemoglobin is 11.5, hematocrit is 34.5, platelets of 248. chest x-ray: as above. urinalysis was normal. renal ultrasound showed no hydronephrosis and simple cysts in both kidneys. hospital course: patient was admitted on and taken to the operating room two days later for a right vats thoracotomy with decortication. the patient tolerated the procedure well with 250 ml of blood loss. after the surgery, he was admitted to the csru, where he was extubated and sent to the floor on . patient continued to do well on the floor, where he had adequate pain control and ambulated and voided appropriately. on , his chest tube was removed without incident, and the following day, the second chest tube was converted to a drain. he was also changed from iv unasyn to p.o. augmentin. patient was discharged on to an extended care facility in good condition. discharge medications: 1. amiodarone 200 mg p.o. q.d. 2. tamsulosin 0.4 mg sustained release p.o. h.s. 3. donepezil hydrochloride 5 mg p.o. q.h.s. 4. levothyroxine sodium 5 mcg p.o. q.d. 5. docusate sodium 100 mg p.o. b.i.d. 6. senna 8.6 mg p.o. b.i.d. as needed. 7. acetaminophen 325 mg 1-2 tablets p.o. q.. prn pain. 8. olanzapine 2.5 mg p.o. t.i.d. prn agitation. 9. benzonatate 100 mg p.o. t.i.d. prn cough. 10. pantoprazole sodium 40 mg sustained release p.o. q.24. 11. oxycodone/acetaminophen 5/325 1-2 tablets p.o. q.4h. prn pain. 12. polysaccharide iron complex 150 mg p.o. q.d. 13. vitamin c 500 mg p.o. b.i.d. 14. ibuprofen 600 mg p.o. q.6h. 15. warfarin sodium 1 mg p.o. q.d. 16. trazodone 25 mg p.o. q.h.s. prn sleep. 17. metoprolol tartrate 50 mg p.o. b.i.d. 18. amoxicillin/clavulanic acid 500/125 mg p.o. t.i.d. for 10 days. discharge plans: patient was instructed to call for follow- up appointment in weeks with dr. . , m.d. procedure: fiber-optic bronchoscopy thoracentesis decortication of lung transfusion of packed cells transfusion of other serum diagnoses: unspecified pleural effusion acute kidney failure, unspecified atrial fibrillation personal history of malignant neoplasm of prostate hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other persistent mental disorders due to conditions classified elsewhere long-term (current) use of anticoagulants cardiac pacemaker in situ empyema without mention of fistula 

Answer: The patient is high likely exposed to