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: the patient is a 17 year-old male with a history of hereditary mitochondrial defect and restrictive lung disease secondary to his kyphoscoliosis. the patient had received endobronchial stents on with very increased exercise tolerance mobility after having the stents placed. the patient developed sudden shortness of breath on , became acutely cyanotic and lethargic and presented to center by life flight. on presentation at center the patient had a pco2 greater then 130 and was emergently intubated. the patient's chest x-ray was consistent with right lower lobe atelectasis with left patchy infiltrates. ct is consistent with right sided collapse consolidation, which is chronic in nature. stents appear to be intact as far as ct. the patient was treated in the picu at initially with some improvement. he was started on ceftriaxone and clindamycin, however, he had decreased blood pressures to 80/50 the afternoon of transfer and was started on a dopamine drip. the patient had decreased urine output and was changed to a norepinephrine drip and received lasix gtt. here upon transfer the patient received a 250 cc fluid bolus and was weaned from pressors within 30 minutes. still with minimal urine output. the patient got a 500 cc bolus over one hour with some increase in urine output. the patient had a flexible bronchoscopy at the bedside showing his left stent to be in the appropriate place, the right stent with a question of minimal migration. both stents were patient. the patient had minimal sputum or secretions. past medical history: significant for mitochondrial deficiency, which has not been further characterized, however, appears to be familial as the patient's three brothers seem to have similar deficiency. history of kyphoscoliosis. history of restrictive lung disease secondary to his kyphoscoliosis. impingement on both his main stem bronchi secondary to his scoliotic curvature. history of hypertension. history of hydronephrosis. history of developmental delay and a questionable history of asthma. allergies: no known drug allergies. medications at home: enalapril 2.5 mg po b.i.d. and home oxygen, which the patient has been on 1 liter per minute. medications on transfer: ceftriaxone 1 gram q 24 hours, clindamycin 300 mg intravenous q 8 hours, norepinephrine gtt, ativan prn and zantac 30 mg po t.i.d. physical examination: on presentation the patient was afebrile with a temperature of 99.8, blood pressure 103/59, pulse 124, breathing at 22 times a minute and sating at 96%. the patient was on simv with a rate set at 22, tidal volume of 250, pressure support of 10, peep of 5, fio2 of 3.5. generally, the patient's eyes would open spontaneously, but he was nonverbal. heent pupils are equal, round and reactive to light. his ett tube was in place. chest was notable for decreased breath sounds on the right at the base. chest wall being contracted and his back being kyphoscoliotic. his cardiovascular examination was tachycardic with normal s1 and s2. no appreciable murmurs. of note, the patient's point of maximal impulse is displaced to the right. the patient's abdomen is soft, nontender, nondistended. quiet bowel sounds are present. his extremities, the patient had symmetric dorsalis pedis pulses bilaterally, symmetric radial pulses bilaterally. skin had no rashes. laboratory: on presentation, white blood cell count 15.4, hematocrit 31.5. the patient had platelets that were 310. his inr was 1.4. his ptt was 34.1. his electrolytes on admission were notable for a sodium of 145, k of 4.8, chloride 108, bicarb 28, bun 24 and creatinine 1.0. the patient's glucose was 89. the patient had a urinalysis on admission, which was notable for the presence of uric acid crystals. the patient had an ecg sent from the outside hospital, which was sinus at 120 with normal pr and qt intervals, normal qrs interval, but a right bundle morphology and evidence of left ventricular hypertrophy by voltage criteria. impression: in short, this is a 17 year-old male with hereditary mitochondrial defect who had been the recipient of bilateral main stem bronchi stents seven days prior to admission presenting with acute respiratory collapse the day before admission and the hypotension requiring pressors on the day of admission. hospital course: 1. respiratory failure: the patient was intubated and ventilated upon admission. the patient underwent flexible bronchoscopy at the bedside as noted in the history of present illness. it was arranged for the patient to return to the operating room on the following day for rigid bronchoscopy and reevaluation of stent placement. the patient extubated himself on the night after admission. the patient was found to be hypercarbic, although he looked comfortable and was electively reintubated. the patient went to the operating room for rigid bronchoscopy later in the day. both stents were found to be in place and with no evidence of collapse. as found on the flexible bronchoscopy, the patient had minimal to no secretions and no purulent drainage. further analysis the patient's history suggested that he may have aspirated prior to his respiratory collapse, thus the patient was maintained on ceftriaxone and clindamycin for question of aspiration pneumonia, although there did not appear to be any infiltrate present on his admission x-ray. the patient was extubated within 24 hours after his rigid bronchoscopy and continued to do well. at the time of discharge he was sating 99 to 100% on 4 liters nasal cannula. 2. hemodynamics: the patient was transferred on pressors. the patient was fluid resuscitated upon arrival and weaned off pressors rather quickly. the patient was continued on maintenance fluids. the patient had no further episodes of hemodynamic instability during the course of his hospitalization. 3. renal: the patient presented with an elevated bun and creatinine suggesting prerenal etiology. the patient's urine electrolytes were consistent with this. nevertheless given his history of hydronephrosis and the presence of uric acid crystals the patient was evaluated by the renal service while in house who recommended ct urogram. this study was done without contrast and showed a right cystic kidney, which appears to be congenitally malformed with massive right hydronephrosis, mild to moderate hydronephrosis on the left. the patient's bun and creatinine trended back down toward normal the day prior to discharge and the patient's creatinine was 0.6. 4. infectious disease: the patient was treated presumptively for aspiration pneumonia with ceftriaxone and clindamycin. all cultures sent from this hospital including sputum cultures, blood cultures and urine cultures were negative at the time of discharge. the patient should complete a ten day course of ceftriaxone and clindamycin today is the sixth out of eight days. discharge condition: stable condition back to pediatric service on . discharge medications: ceftriaxone 1 gram q 24 hours, clindamycin 300 mg intravenous q 8 hours, pepcid 20 mg intravenous q 12 hours while hospitalized. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube fiber-optic bronchoscopy non-invasive mechanical ventilation other intubation of respiratory tract diagnoses: unspecified essential hypertension acute kidney failure, unspecified acute respiratory failure hypotension, unspecified pneumonitis due to inhalation of food or vomitus hydronephrosis unspecified intellectual disabilities other kyphoscoliosis and scoliosis 

Answer: The patient is high likely exposed to