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: penicillins / codeine / iodine containing agents classifier attending: chief complaint: sob major surgical or invasive procedure: tracheostomy with biopsy history of present illness: 73 yo male with mmp including chf ef 30%, dm2, afib (on coumadin) admitted to on with sob & cough (with clear sputum). he had been treated presumptively for pna with antibiotics/combivent ih since at rehab facility (d/ced to niece's home ) without improvement. he also c/o chest tighteness with inspiration and wheezing. +pnd/orthopnea. of note, he was intubated earlier in and by report he had a difficult intubation with trauma to the trachea at that time. ros: dysphagia with oral secretions- tolerating liquids/solids po without difficulty. hoarseness x 3 days, no wt loss, good appetitie, + wheezing. no brbpr, melena, hematemsis, hemoptosis, heamturia, n/v/abd pain. no bm x 2 days. past medical history: 1. cad 2. chf- ef 30% on echo with min as, 1+ mr, 2+ tr. & severe pulumonary htn 3. dm2 4. afib on coumadin 5. cri - baseline cr 1.8 6. htn 7. hyperchol 8. prostate ca s/p rad prostatectomy with artificial urethral sphincter placement (replaced when c/b erosions) 9. h/o l ventricular thrombus 10. h/o mrsa - blood & urine 11. gastritis 12. diverticulosis with diverticulitis 13. aocd 14. gout 15. depression/ptsd 16. s/p pacer + icd for sss/nsvt 17. s/p lap chole for choledocholithiasis- course c/b perihepatic abscess 18. s/p recent intubation in social history: lives currently with niece () since d/ced from rehab 2 weeks ago. usually lives alone in . minimal smoking history- smoked 1 pack/3 weeks from teen to age 23. distant etoh- no drinks occas. o'doul's. used to work in nightclub and unloading planes. korean vet. family history: mother died vascular disease. sister died valvular heart dx. father died of pna. extensive fam hx of dm, htn physical exam: pe: t 96.8 hr 50s bp 158/80 (110-158/60-80) rr 20 o2 sat 93-98% humidified face mask wt 68.6 kg on gen- awake and alert male with biphasic stridor but breathing comfortably heent- peerl, eomi, anicteric neck- supple, no lad chest- cta b/l, audible biphasic stridor evident cv- irreg irreg rhythm, hsm at lusb abd- nabs, soft, nt/nd, weal healed trochar scars and midline scar ext- no c/c/e, 2+ dp b/l, warm pertinent results: 05:35pm blood wbc-7.5 rbc-3.80* hgb-12.2* hct-34.1* mcv-90 mch-32.1* mchc-35.8* rdw-15.6* plt ct-159 06:50am blood wbc-9.4 rbc-3.18* hgb-10.3* hct-29.0* mcv-91 mch-32.4* mchc-35.5* rdw-16.2* plt ct-121* 05:35am blood neuts-77.6* lymphs-15.1* monos-3.8 eos-3.0 baso-0.5 05:35pm blood pt-18.7* ptt-31.5 inr(pt)-2.3 03:00am blood pt-14.9* ptt-25.8 inr(pt)-1.5 06:50am blood pt-15.5* ptt-42.2* inr(pt)-1.5 05:35pm blood glucose-114* urean-97* creat-1.8* na-141 k-5.2* cl-103 hco3-25 angap-18 06:50am blood glucose-130* urean-135* creat-5.3* na-130* k-4.4 cl-93* hco3-22 angap-19 03:12pm blood anca-negative b 03:57am blood digoxin-1.7 12:47pm blood type-art po2-135* pco2-44 ph-7.33* calhco3-24 base xs--2 intubat-not intuba 04:57pm blood type-art po2-24* pco2-91* ph-7.00* calhco3-24 base xs--13 cxr- am- mild chf- mild cephalization am- cardiomeg with no evidence chf/pna, pacer in place, un changed right hemidiaphram elevation neck ct : findings: there is narrowing in the upper trachea approximately 1.5 cm below the level of the vocal cords. the trachea measures 7 mm in this region compared to 20 mm at the level of thoracic inlet. this narrowing is circumferential without evidence of a distinct dominant mass on the anterior or the posterior aspect of the trachea. the thyroid gland is small but demonstrates no evidence of a definite mass. no definite lymphadenopathy is seen in the neck. degenerative changes are seen in the cervical spine. in the visualized thorax a right pleural effusion is identified with small lymph nodes in the prevascular space and in the pretracheal space. correlation with chest films and ct is recommended. impression: circumferential tracheal stenosis approximately 1.5 cm below the vocal cords. no dominant mass is visualized or evidence of lymphadenopathy seen in the neck. clinical correlation to exclude previous trauma is recommended. findings were discussed with the ent resident at the time of interpretation of this study on . lenis negative : a. thyroid isthmus, biopsy, (a): thyroid tissue, no evidence of malignancy. b. trachea, secretions, (b): mucus, inflammatory cells and bacterial organisms. c. trachea, stenosis, biopsy (c):squamous metaplasia, scarring, acute and chronic inflammation, no tumor seen. renal us: findings: the right kidney measures 10 cm. the left kidney measures 11.4 cm. there is no evidence for masses, stones, hydronephrosis, or perirenal fluid collections. the bladder is decompressed around the foley catheter. brief hospital course: mr. was a 73 yo male who presented with stridor/sob. 1) sob - on the morning following admission, mr. was seen by ent to evaluate for upper airway obstruction, due to stridor on physical exam. laryngoscopy was concerning for a subglottic mass and a ct scan revealed: circumferential tracheal stenosis about 1.5 cm below vocal cords (measures 7 mm c/t 20 mm at level of thoracic outlet). no dominant mass or lad in neck noted. that morning, , mr. was started on decadron iv, humidified o2, and continuous o2 monitoring. in the morning of , the patient had an episode of worsening stridor/sob while eatting breakfast. he felt like he was choking on his "spit" and couldn't swallow it, getting stuck in his lower throat. o2 sats were stable, however he was transferred to the micu for closer monitoring and tracheostomy placement with direct laryngoscopy/bronchoscopy/esophagoscopy. biopsies were taken are revealed only fibrous tissue. he was transferred back to the floor on . he remained intubated, with good o2 with his family at approximately 3 pm on . later that afternoon, at around 4:30 p.m., a pulmonary fellow entered the room to evaluate the patient for his subglottic stenosis and found the patient cyanotic without breath sounds. a code was called and run for approximately 30 minutes before mr. was pronounced dead. at the initiation of the code it was found that his tracheostomy tube had somehow become dislodged from the airway. it was still sutured in place on the surface of the skin. it remains unclear how the tube became dislodged. the patient had complained of feeling uncomfortable at around 4:15 p.m. and the nurse had come in and readjusted him in bed. otherwise he had been without complaint. 2) cad- troponins are chronically elevated in this patient, at 0.16 on admit. he did not have any ekg changes or cp, and there was no clinical suspicion for mi. we continued his asa, nitro, statin, and beta blocker. 3) htn- he was maintained on a bb, hydralazine, and nitrate. 4) afib- coumadin was stopped on for his procedure. he also got 2 units ffp prior to the or. 5) acute renal failure - mr. had a baseline creatinine of 1.8, and went into acute renal failure shortly after administration of iv contrast for his ct scan. it was felt to be contrast induced nephropathy, and was being managed with hydration and observation. he had progressed into the polyuric phase by and was anticipated to begin recovery, however he unexpectedly passed away, as above. medications on admission: meds on transfer to micu: lasix 80 protonix 40 qd asa 81 qd iron 325 qd ca carb 500 tid digoxin 0.125 qd neurontin 300 qhs ntg sl prn mallox -simethicane prn epogen 10k sq mwf combivent ih guafenasin lipitor 20 qd colace 100 prn senna 1 prn ns nasal spray percocet prn back pain dexamethasone 10 iv q8 riss nph 30 qam metoprolol xl 50 qd isosorbide mononitrate 30 qd tyelnol prn metolazone 2.5 qd hydralazine 20 q6 trazadone 50 qhs prn discharge medications: deceased. discharge disposition: extended care facility: deceased discharge diagnosis: subglottic stenosis. acute renal failure. plus multiple medical problems. discharge condition: deceased. discharge instructions: n/a followup instructions: n/a procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances temporary tracheostomy closed [endoscopic] biopsy of larynx transfusion of other serum closed [percutaneous] [needle] biopsy of thyroid gland diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified atrial fibrillation acute respiratory failure cardiac arrest hemorrhage of gastrointestinal tract, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled mechanical complication of tracheostomy stenosis of larynx 

Answer: The patient is high likely exposed to