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: bactrim attending: chief complaint: copd exacerbation major surgical or invasive procedure: none history of present illness: the patient is a 63 year old male transferred from after having increased wheezing, shortness of breath, and continued smoking. he has severe copd, is on home o2, and has had numerous admissions for copd flare with 2 previous intubations, and was recently tapered down to prednisone 20mg daily. on admission, he noted several days of runny nose, sore throat, decreased po intake, and feeling like he "had a cold." no n/v/d, no abd pain, no cp. he stated that his symptoms became worse on the day of admission, and was noted to be hypoxic to 85-90% on 2l. he was brought to the ed and started on bipap. he was also given solumedrol 125mg and levofloxacin 500mg. past medical history: * copd/emphysema - on home o2; numerous flares + 2 intubations; on slow steroid taper. no documented pft's. * asthma * hyperlipidemia * depression * atopic dermatitis * hx of tobacco, etoh use * hx of cad - mi , ef 55% * htn * anemia of chronic disease * hx of seizures, tx with primidone * ? hx of cva * hx of lung nodule on cxr, not seen on ct social history: patient lives at . 40-pack-yr smoking hx, continues to smoke. no etoh. family history: notable for dm and cad. physical exam: on admission to icu: t 95.4, hr 116, bp 151/99, rr 25-35, o2 sat 100% on bipap gen: pt in mild resp distress, using accessory muscles. heent: perrl bilaterally, op clear, nonicteric sclera, mmm, no jvd chest: poor air movement bilat; mild crackles at rlb, prolonged exp phase, end exp wheezes bilaterally cor: distant heart sounds, regular, tachy, no m/r/g abd: s/nt/nd ext: no le edema neuro: ii-xii intact pertinent results: 04:35pm blood wbc-7.4 rbc-6.11 hgb-14.6 hct-44.6 mcv-73* mch-23.9* mchc-32.8 rdw-13.1 plt ct-222 04:35pm blood neuts-77.6* lymphs-12.5* monos-6.3 eos-3.0 baso-0.6 04:35pm blood hypochr-1+ microcy-2+ 04:35pm blood pt-12.8 ptt-23.6 inr(pt)-1.0 04:35pm blood glucose-107* urean-16 creat-0.9 na-137 k-5.7* cl-97 hco3-31* angap-15 04:58pm blood type-art peep-5 o2-40 po2-61* pco2-65* ph-7.31* calhco3-34* base xs-3 intubat-not intuba 05:54am blood wbc-9.6 rbc-4.67 hgb-11.4* hct-33.6* mcv-72* mch-24.5* mchc-34.0 rdw-13.8 plt ct-164 05:54am blood glucose-140* urean-15 creat-0.8 na-139 k-4.5 cl-96 hco3-38* angap-10 05:54am blood calcium-9.0 phos-3.1 mg-2.0 04:35pm blood ck(cpk)-399* 04:47am blood ck-mb-12* mb indx-3.6 ctropnt-<0.01 02:01pm blood ck-mb-10 mb indx-3.7 ctropnt-<0.01 chest xray : cardiomediastinal silhouette is within normal limits. the left upper lobe is particularly lucent, more so than the right upper lung zone, consistent with history of copd. no evidence of pneumonia or pneumothorax. blunting of the left costophrenic angle is stable. brief hospital course: 1) copd exacerbation: the patient responded well to a copd regimen of frequent every 3 hour nebulizer treatment with flovent, serevent, albuterol, and singular as well as solumedrol plus levofloxacin. by the evening of hospital day two, the patient's respiratory improved to where he did not require persistent bipap. there were, however, 1-2 episodes where the patient required a few hours of bipap both of which occurred during minimal exertion from bed to chair after eating. this was attributed to the patient's poor respiratory reserve. by the day of discharge, however, the patient had improved beyond baseline with oxygen saturations 99-100% on his outpatient oxygen requirement of 2 liters nasal cannula. he was tapered from 80 mg methylprednisolone every 8 hours to 60 mg every 8 hours to 50 mg prednisone every day with the thought that the patient will need a very slow steroid taper given his prolonged outpatient dependence. the patient was urged to quit smoking daily and given a nicotine patch to help with cravings. 2) cad: the patient was ruled out times 3. he was continued on aspirin for coronary syndrome prophylaxis in light of the patient's previous myocardial infarction. 3) remote seizure history: the patient was continued on his outpatient dose of primidone. no seizures were noted during his hospital admission. 4) depression: the patient was continued on his outpatient dose of prozac. he did not admit to typical symptoms of depression during his hospital course and reported a stable and good mood. 5) physical therapy: the patient was evaluated by physical therapy who recommended short term rehabilitation during his stay at the . medications on admission: * prednisone 20mg qd * primidone 50mg qd * protonix 40mg qd * singulair 10mg qd * 60mg * asa 81mg qd * lipitor 10mg qd * mvi 1 tab qd * vit d 400u qd * prozac 20mg qd * klonopin 0.25mg * duoneb qd discharge medications: 1. clonazepam 0.5 mg tablet sig: one (1) tablet po qd (once a day). 2. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). 6. multivitamin capsule sig: one (1) cap po qd (once a day). 7. fexofenadine hcl 60 mg capsule sig: one (1) capsule po bid (2 times a day). 8. fluoxetine hcl 20 mg capsule sig: one (1) capsule po qd (once a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (once a day). 11. montelukast sodium 10 mg tablet sig: one (1) tablet po qd (once a day). 12. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 13. fluticasone propionate 110 mcg/actuation aerosol sig: four (4) puff inhalation (2 times a day). 14. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days: end date: . disp:*3 tablet(s)* refills:*0* 15. primidone 50 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 16. ipratropium bromide 0.02 % solution sig: inhalation q3hrs (). 17. albuterol sulfate 0.083 % solution sig: inhalation q3h (every 3 hours). 18. ipratropium bromide 0.02 % solution sig: one (1) inhalation q2prn (). 19. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 20. prednisone 20 mg tablet sig: see below for instructions tablet po as below: please give 50mg (2.5 tabs) qd x 1 week. then 40mg (2 tabs) qd x 1 week. then 30mg (1.5 tabs) qd x 1 week. then 20mg (1 tab) qd x 1 week. then 10mg (0.5 tabs) ongoing. disp:*50 tablet(s)* refills:*1* 21. nicotine 14 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal qd (once a day). disp:*30 patch 24hr(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: * copd exacerbation * severe reactive airway disease * severe emphysema * depression. discharge condition: stable. discharge instructions: 1. please take all your medications, including regular nebulizer treatments, as instructed. 2. please use nicotine patches and stop smoking cigarettes. 3. please seek medical attention if you experience any of the following symptoms: lightheadedness, chest pain, persistent and worsening shortness of breath, severe abdominal pain, upper respiratory congestion, or any other new symptoms. followup instructions: please follow up with your primary care doctor within 1-2 weeks regarding this hospital admission. md, procedure: venous catheterization, not elsewhere classified non-invasive mechanical ventilation diagnoses: anemia of other chronic disease coronary atherosclerosis of native coronary artery unspecified essential hypertension obstructive chronic bronchitis with (acute) exacerbation other chronic pulmonary heart diseases other convulsions other and unspecified hyperlipidemia acute respiratory failure old myocardial infarction 

Answer: The patient is high likely exposed to