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: patient recorded as having no known allergies to drugs attending: chief complaint: mr. is a 48-year-old gentleman who has had recurrent pneumonias. he was found to have a near-obstructing anatomic obstruction due to a cartilaginous defect at the takeoff of the left main stem bronchus. major surgical or invasive procedure: resection of left bronchial stenosis through right thoracotomy, carinal reconstruction, bronchoscopy with aspiration and lavage, intercostal muscle flap buttress, and pericardial fat pad buttress. flexible bronchoscopy with therapeutic aspiration for mucous plug. flexible bronchoscopy with therapeutic aspiration for mucous plug. therapeutic bronchoscopy with aspiration and bronchoalveolar lavage for secretions and pneumonia following left carinal reconstruction for bronchial stenosis. mucous plugging,flexible bronchoscopy with bronchoalveolar lavage. retained secretions and pneumonia a flexible bronchoscopy with bronchoalveolar lavage. flexible bronchoscopy with therapeutic aspiration of secretions. flexible bronchoscopy with therapeutic aspiration of secretions. bronchoalveolar lavage right middle lobe. flexible bronchoscopy with bronchoalveolar lavage. flexible bronchoscopy with bronchoalveolar lavage. bedside swallowing evaluation- history of present illness: mr. is a 48-year-oldgentleman who has had recurrent pneumonias. he was found to have a near-obstructing anatomic obstruction due to a cartilaginous defect at the takeoff of the left main stem bronchus. past medical history: pmh includes: . mild mental retardation . htn . heavy tobacco exposure . recurrent respiratory infection and severe pneumonia requiring hospitalization in the past two years, one of them requiring mechanical ventilation and prolonged icu stay . s/p r knee surgery . frequent etoh use social history: lives with his mother who is blind long term hx smoking, approximately pack/per day + etoh ? 3 beers/day up to a case a day. family history: nc physical exam: upon discharge a and o nad avss hypotelorism, anicteric, no jvd rrr no m/r/g cta b/l soft nt/nd no c/c/e neuro grossly intact pertinent results: 06:35am blood wbc-17.1* rbc-2.99* hgb-9.1* hct-24.9* mcv-83 mch-30.4 mchc-36.5* rdw-14.1 plt ct-715* 04:21am blood wbc-18.9* rbc-3.00* hgb-9.0* hct-25.4* mcv-85 mch-30.1 mchc-35.4* rdw-13.6 plt ct-589* 04:13am blood wbc-17.5* rbc-3.17* hgb-9.5* hct-27.7* mcv-88 mch-29.9 mchc-34.2 rdw-13.5 plt ct-545* 02:44am blood wbc-18.8* rbc-3.26* hgb-9.9* hct-28.6* mcv-88 mch-30.4 mchc-34.6 rdw-13.8 plt ct-495* 02:48am blood wbc-18.6* rbc-3.26* hgb-9.9* hct-29.2* mcv-90 mch-30.3 mchc-33.8 rdw-13.8 plt ct-431 02:06am blood wbc-20.0* rbc-3.58* hgb-10.8* hct-32.2* mcv-90 mch-30.2 mchc-33.6 rdw-13.9 plt ct-484* 03:24am blood wbc-18.0* rbc-3.56* hgb-10.8* hct-32.5* mcv-91 mch-30.4 mchc-33.2 rdw-13.7 plt ct-551* 04:38pm blood wbc-34.4*# rbc-4.21* hgb-12.9* hct-38.3* mcv-91 mch-30.6 mchc-33.7 rdw-14.0 plt ct-334 06:35am blood glucose-106* urean-26* creat-0.8 na-137 k-3.8 cl-96 hco3-28 angap-17 04:13am blood glucose-143* urean-26* creat-0.8 na-136 k-4.3 cl-98 hco3-28 angap-14 02:48am blood glucose-117* urean-31* creat-0.7 na-136 k-4.4 cl-99 hco3-26 angap-15 02:06am blood glucose-166* urean-33* creat-0.8 na-134 k-4.6 cl-96 hco3-27 angap-16 02:07am blood glucose-90 urean-15 creat-0.8 na-143 k-3.9 cl-107 hco3-28 angap-12 04:38pm blood glucose-130* urean-15 creat-0.7 na-142 k-4.2 cl-108 hco3-26 angap-12 06:35am blood calcium-9.0 phos-3.8 mg-2.3 04:22am blood calcium-8.5 phos-2.6* mg-1.9 06:23am blood vanco-24.4* 05:54am blood vanco-13.3 07:46am blood vanco-13.8 02:56am blood type-art po2-116* pco2-45 ph-7.44 caltco2-32* base xs-6 02:59am blood type-art po2-123* pco2-38 ph-7.47* caltco2-28 base xs-4 04:06am blood type-art po2-70* pco2-57* ph-7.34* caltco2-32* base xs-2 12:04pm blood type-art po2-104 pco2-55* ph-7.32* caltco2-30 base xs-0 intubat-intubated vent-controlled 02:56am blood freeca-1.20 brief hospital course: operations during admission r thoracotomy & l mainstem bronchoplasty consultations during admission sicu otolaryngology brief hospital course mr. is a 48-year-old gentleman with mild mental retardation who has had recurrent pneumonias in the setting of long term history of smoking. he was found to have a near-obstructing anatomic obstruction due to a cartilaginous defect at the take off of the left main stem bronchus. his hospital course has been characterized primarily by a prolonged icu course secondary to need for reintubation, difficulty weaning off the ventilator secondary to frequent mucus plugging with the need for multiple bronchoscopies, and possible pneumonia. brief course: - he underwent a resection of left bronchial stenosis through right thoracotomy, carinal reconstruction, bronchoscopy with aspiration and lavage, intercostal muscle flap buttress, and pericardial fat pad buttress; he was admitted ti the icu with a epidural infusion for pain control a right chest tube to suction with minimal air leak. started vanco/zosyn/cipro. chest tube to water seal o2 via 50% face mask and 4 liters nc with o2 sats 96% intermittent de-sats to 80% pulmonary toilet help improve o2 sats. low grade fevers 100.2 labile o2 sats on 60% and 4liters nc with sats 89%; given lasix, underwent bronch , acute desat to 60s , improved w/suction; but patient developed increased work of breathing re-intubated and bronchoscopy performed for secretions and mucous plug; reintubated due to poor secretion clearance required another bronch for mucous plug. bronch -> secretions, started tf, kvo, diurese, tighten riss repeat bronch again for thick plugs; replaced a-line, episodic desats requiring suction/chest pt, d/c'd prop, nystatin s&s, advanced ngt, d/c'd lopressor bronchoscopy again for thick plugs; heme stable bronch-thick secretions, tightened riss, started aldactone bronch - thick secretions; lasix drip for cxr with pulm edema; spironolactone increased bronch-thick secretions : d/c'd lasix/aldactone, tightened riss, bronch : changed tf to nutren pulm : bronch -> reduced secretions bronch then extubated ct pulled, pt w/small apical r ptx, passed swallow study for softs/thin liquids, diuresed w/goal 1l negative, started chest pt, got oob to chair stayed in icu for incr secretions, chestpt etc, picc placed, tf dc'd, foley dc'd, picc placed for abx tx to floor, abx dc;d (x2 wks), straight cath'd for urinary retention , straight cath'd for urinary retention agressive pulmonary toilet, nebs, mucomyst : developed diarrhea with increased leukocytosis, c dif sent, started on empiric po vanco po vanco changed to po flagyl, c dif sample sent, patient c/o hoarse voice different from preop, orl consulted orl came to see patient felt there was no further intervention needed medications on admission: accupril discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q6h (every 6 hours). disp:*1 bottle* refills:*2* 2. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 bottle* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain/fever. 5. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 6. guaifenesin 100 mg/5 ml syrup sig: ten (10) ml po bid (2 times a day). disp:*qs 1 month supply* refills:*2* 7. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days. disp:*30 tablet(s)* refills:*0* 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: left main stem bronchial stenosis. discharge condition: stable require aggressive pulmonary toilet discharge instructions: 1. call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production 2. continue aggressive pulmonary toilet and nebulizers with mucomyst to keep secretions loose. 3. diet: thin liquids, soft solids only, take your meds with thin liquids, and always eat sitting up 4. activity: regular walking encouraged, no heavy lifting 5. take your medicines as prescribed 6. if your diarrhea worsens or does not improve, and/or you develop abdominal pain, please call dr. office or come to the emergency room. followup instructions: provider: , md phone: date/time: 11:00am in the building i chest disease center. report to the clinical center radiology department for a chest x-ray 45 minutes before your appointment. please also call as soon as possible to make an appointment with dr. for that day as well to have a possible bronchoscopy. the phone number is . procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus other repair and plastic operations on bronchus other local excision or destruction of lesion or tissue of bronchus diagnoses: unspecified essential hypertension acute respiratory failure pneumonitis due to inhalation of food or vomitus other respiratory complications diarrhea other diseases of trachea and bronchus other specified retention of urine mild intellectual disabilities 

Answer: The patient is high likely exposed to