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: past medical history: none. medications at home: none. allergies: none. social history: two packs per day of cigarette smoking, alcohol use that was initially said to be occasional and now known to be heavy. the patient is a construction worker who is currently unemployed. his significant other is , phone number or . family history: father with cad. physical examination on admission: vital signs: temperature 100.6, blood pressure 116/76, mean arterial pressure of 91, pulse 108, respirations 14, 99% on ac800/14/5/50%, pa pressure 32/22. the intra-aortic balloon pump with assisted systole of 91, augmented diastole of 112, 1:1. general: intubated and sedated. heent: pupils equal and reactive. anicteric sclerae. the mucous membranes were moist. neck: the patient was lying flat. chest: rhonchorus. vented breath sounds bilaterally. cardiac: tachycardiac, regular, no rubs, gallops, or murmurs. normal s1, s2. abdomen: mildly distended, bowel sounds present, nontender, no organomegaly. extremities: right femoral swan in place with a line. no clubbing, cyanosis or edema. dorsalis pedis pulses were 2+ bilaterally. neurological: he was sedated on propofol and paralyzed with succinylcholine. laboratory data at the outside hospital: white blood count 23,000, hematocrit 51, platelets 295,000. the differential showed 84% polys, 6% lymphs. sodium 138, potassium 4.2, bicarbonate 27, chloride 100, bun 9, creatinine 1.3, glucose 135. inr 1.1, ptt 22. the ekg showed normal sinus rhythm at 104, st elevations in i, ii, avl, v2 through v6 of 5 mm with q waves in v1 through v4. chest x-ray showed evidence of heart failure, no infiltrate. hospital course: from to . the patient is a 43-year-old male with positive tobacco use admitted with st elevation anterior mi with q waves already present and found to have a total occlusion of lad which could not be revascularized. the patient was admitted with cardiogenic shock with an index of 1.3 and increased to 2.2 status post intra-aortic balloon pump and a wedge pressure of 30. 1. coronary artery disease: the patient is status post lad occlusion with no revascularization possible after attempted lytics and ptca. he was continued on aspirin. his beta blocker was started slowly and increased to the current dose of 75 p.o. b.i.d. his cks had peaked at the outside hospital and trended down at his first ck here. pump: the patient had a large anterior mi. his cardiac index was initially down to 1.3 and increased to 2.2 after intra-aortic balloon pump. he was maintained on an intra-aortic balloon pump times 48 hours to rest his ventricle. his cardiac index did increase to 3.2 on the morning after admission. the patient was found to have an ef of 20-25% by echocardiogram with large anterior and apical akinesis and a likely apical thrombus. for this reason, he was started on heparin with the plan to eventually start him on coumadin at a later date. the intra-aortic balloon pump was discontinued on and the patient did well, maintaining stable blood pressures. we will currently increase his dose of captopril as his blood pressure tolerates, is currently at 25 mg p.o. t.i.d. this will be to reduce his afterload. ep: mr. has sinus tachycardia status post his mi and low ef. other contributing factors are also likely alcohol withdrawal and infection. we will continue to give him tylenol, a cooling blanket, benzodiazepines to treat his alcohol withdrawal and captopril to decrease his afterload and increase his cardiac output. we will continue the beta blocker as well and increase that to 100 as tolerated if required. 2. pulmonary/id: the patient initially had a white count and fever on admission and was found to have gram-negative rods which are likely hemophilus influenzae. he was started on vancomycin, and piperacillin/tazobactam initially and the vancomycin has been discontinued when the gram-negative rods were found. he was continued on pip/tazo which can likely be further narrowed in spectrum when he can take p.o. the patient was initially on a ventilator for agitation in the catheterization laboratory with an intra-aortic balloon in place. the sedation required him to be intubated. he was extubated with no adverse problems on . he did tolerate extubation well. 3. alcohol withdrawal: the patient was agitated on admission and required a large dose of benzodiazepines and intubation. he will be continued on standing dose valium for his alcohol withdrawal and be on a ciwa scale. 4. fluids, electrolytes, and nutrition: the patient has had to have his potassium repleted; however, his other electrolytes and renal function have been stable this hospitalization. he will be started on a p.o. diet when he can take p.o. which will likely be on . he is currently euvolemic. 5. prophylaxis: continue the h2 blocker. start the patient on a bowel regimen. continue his heparin drip. 6. tubes/lines/and drains: he has a right radial a line, and foley in place. his right femoral swan has been discontinued. medications at the time of this dictation: 1. valium 5 t.i.d. 2. heparin 2,000 units an hour. 3. lopressor 75 b.i.d. 4. atorvostatin 20 q.d. 5. aspirin 325 mg q.d. 6. famotidine. 7. captopril 25 t.i.d. 8. piperacillin/tazobactam 4.5 q. six hours. the patient has a chest x-ray pending at this time to further evaluate his pneumonia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube implant of pulsation balloon angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care pneumonitis due to inhalation of food or vomitus cardiogenic shock pneumonia due to hemophilus influenzae [h. influenzae] alcohol withdrawal delirium postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to