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: ceftriaxone / bactrim ds attending: chief complaint: transfer to micu for tachypnea, respiratory distress major surgical or invasive procedure: intubated () a-line () history of present illness: pt is a year old male with two vessel cad, copd, cva and hypertension who was presented to ed with worsening dyspnea over the previous few days. . per the patient's fiance, mr. has difficulty breathing at baseline. he was previously weaned off of supplemental 02 while in rehab and is not on o2 at home. his breathing markedly worsened 3-4 days prior to admission. he did not experience any symptoms of cold; denies cough, fever, chills, sputum production, nausea, and vomitting. he was very constipated and took miralax this morning following which he had "incredible diarrhea." . on day of admission, patient was noted by vna to be short of breath while standing and talking, with wheezes and rales on pulmonary exam. was contact and the patient presented to ed. of note, his weight had been stable at home, oxygenating 93% on ra when seen by vna. . initial vitals in the ed were as follows: temp:97.8 hr:84 bp:147/84 resp:18 o(2)sat:99. subsequently he desated to mid-80% and triggered. patient received azithromycin, solumederol, and combivent x3 in the ed (last doses at ~1pm). a cxr and ct chest demonstrated no acute intrathoracic process and unchanged emphysematous changes particularly in the right lung; there were no signs of pe. an ekg was concerning for new twi in v2-v4 and troponin was elevated to 0.08. cardiology was not consulted. mr. stabilized with on o2 sat of 97% on 4l nc and was transfered to the medical floor. . upon arrival to the floor, mr. was 93% on 4l with marked tachynpea (~60 breaths/min) with a nine beat vtach run. he was tachycardic to 130-140s and hypertensive to sbp170-180s. the patient received lasix 40mg iv, combivent neb x2, morphine 1 mg iv. a foley was placed with good urine output. ekg demonstrated no changes when compared to those from the ed. abg showed ph 7.33; pc02 38; p02 83, hco3 21. repeat abg at 1 hr showed ph 7.37; pco2 35, po2 79, hco3 21. mr. was transferred to the micu for further care. . in the micu, he reports slight improvement in his breathing. he was alert and oriented to person, place and time. he did not report chest pain, dizziness but does report shortness of breath. past medical history: cerebrovascular accident cad hypertension anemia chronic obstructive pulmonary disease nph- pt underwent right frontal ventricular peritoneal shunt placement bph pernicious anemia- monthly b12 shots gerd dyslipidemia social history: quit smoking 35 yrs ago, heavy smoker prior, no etoh use, lives by himself, is engaged to his girlfriend who lives in the same building. he has a son who is very involved. he is independent in adls. he is independent of cooking. his fiance and son do the shopping. his fiance does the bills. he walks with a walker or a cane but he states that he walks best with a walker. no recent falls. he does not use his glasses. no hearing aides. + dentures. fiance does his medications. he has a hha who comes 3x per week to shower him. he has a hha who comes 2/month to clean the appt. - son cell: 1 ( family history: he cannot remember what his father dies of. he remembers that his mother was obese but he cannot remember what she died of. he has two children who are healthy. physical exam: vitals: t:98.8 bp:183/103 p:124 r:24 o2:100% 100%nrb general: alert, oriented x 3 in moderate distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: use of accessory muscle and abdominal breathing. moving air. clear to auscultation bilaterally with no crackles or wheezing appreciate. cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 12:43pm blood wbc-10.3 rbc-4.54* hgb-13.4* hct-39.0* mcv-86 mch-29.6 mchc-34.5 rdw-15.1 plt ct-268 12:43pm blood neuts-86.2* lymphs-9.4* monos-3.8 eos-0.3 baso-0.4 12:43pm blood glucose-122* urean-18 creat-1.2 na-138 k-4.3 cl-103 hco3-24 angap-15 cxr (): the patient was intubated in the interim with the et tube being approximately 6 cm above the carina. in addition to the known lucency of the left upper lung, there is interval development of left pneumothorax, moderate with the presence of deep sulcus sign. the right lung is unchanged and the cardiomediastinal silhouette is unchanged, although slight additional shift to the right is noted, most likely due to pneumothorax. ct chest (): large left pneumothorax persists. large left apical component causes resulting lul atelectasis, with second left chest tube now terminating in pleural air collection. left basilar catheter extending along fissure, terminates above basal component of ptx. increased left basilar atelectasis compared to chest cta the prior day. expiratory scan demonstrates tracheobronchomalacia, with focal left lobwer lobe complete bronchial collapse. ct head (): 1. no evidence of acute intracranial process. 2. vp shunt in unchanged position 3. left subdural collection is unchanged in size. brief hospital course: year old male two vessel cad, copd, cva and hypertension who was presented to ed with worsening dyspnea over the previous few days. . # acute respiratory distress: initilaly thought to be flash pulmonary edema in the setting of hypertensive emergency due to acs on the floor. his anginal equivalent for his two disease cad seems to be shortness of breath but no chest pain and v4-v6 as noted by his stress test in . cta negative for pe. cxr not consistent with pneumonia. abg and clinical presentation not consistent with copd exacerbation. improved with nitroglycerin gtt. on around midnight, he was noted to be acutely hypoxic and satting in 50%. anesthesia was called to intubate. he was requiring 100% fio2 and 10 cm peep with peak pressures extremely elevated around 50 but po2 only in 60s. he was noted to have left tension pneumothorax. ip placed two chest tubes with one tube showing persistent air leak. there was concern for bronchopulmonary fistula especially on when he was noted to have worsening of his subcutaenous empysema tracking down to his scrotum and up to his eyes. ip placed a 14 french pig tail catheter. he was weaned down to 50% fio2 and 5 cm peep by . however he required increased fio2 back to 70% on . he continued to have significant air leak and worsening subcutaneous emphysema. family meeting was held with son on , and decision was made to make patient cmo. et tube removed at 4:30pm, and patient expired at 6:15pm. . # two vessel cad/systolic heart failure: ef of 35-45% on tte in 10/. continued on asprin, metoprolol and high dose statin. . # copd: cta consistent with severe copd. continued combivent, spiriva and albuterol nebs prn . # hypothyroidism: continued levothyroxine 25 mcg po qdaily . # bph: continued finasteride 5 mg po qhs medications on admission: albuterol sulfate - 90 mcg hfa aerosol inhaler - sprays by mouth up to qid as needed for rescue symptoms aspirin - 81 mg tablet - 1 tablet(s) by mouth once a day atenolol - 25 mg tablet - one half tablet(s) by mouth at bedtime atorvastatin - 10 mg tablet - 1 (one) tablet(s) by mouth once a day cyanocobalamin (vitamin b-12) - 1,000 mcg/ml solution - inject im 1000 mcg monthly vna to inject starting once a month finasteride - 5 mg tablet - 1 tablet(s) by mouth daily fluticasone - 110 mcg/actuation aerosol - 2 puffs by mouth twice a day ipratropium-albuterol - 18 mcg-103 mcg (90 mcg)/actuation aerosol - 2 puffs twice a day ketoconazole - 2 % shampoo - wash scalp, ears, eyebrows 3 times per week levothyroxine - 25 mcg tablet - 1 (one) tablet(s) by mouth once a day nitroglycerin - 0.3 mg tablet, sublingual - 1 (one) tablet(s) sublingually every 5 minutes x 3 for chest pain then call 911 if pain continues omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day tiotropium bromide - 18 mcg capsule, w/inhalation device - inhale contents of one capsule once a day trazodone - 50 mg tablet - 0.5 (one half) tablet(s) by mouth prior to going to sleep as needed for insomnia bisacodyl - 5 mg tablet, delayed release (e.c.) - 1 to 2 tablet(s) by mouth once a day as needed docusate sodium - 100 mg capsule - 1 (one) capsule(s) by mouth twice a day as needed ergocalciferol (vitamin d2) - 400 unit capsule - 2 capsule(s) by mouth once a day polyethylene glycol 3350 discharge medications: na discharge disposition: expired discharge diagnosis: pt passed away discharge condition: pt passed away discharge instructions: pt passed away followup instructions: pt passed away md procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: acidosis subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified acute kidney failure, unspecified unspecified acquired hypothyroidism personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure iatrogenic pneumothorax anoxic brain damage chronic systolic heart failure personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits other postprocedural status chronic obstructive asthma, unspecified hypovolemia ventilator associated pneumonia empyema with fistula pernicious anemia unspecified hypertensive heart disease with heart failure interstitial emphysema 

Answer: The patient is high likely exposed to