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: codeine / zofran / seroquel attending: chief complaint: hypoxia, cough major surgical or invasive procedure: endotrachial intubation history of present illness: pt is a 70 yo man w/ h/o copd, o2 dependant (on 2l nc at home) presented to ed w/ c/o dyspnea, orthopnea, cough x 1 day. on presentation to , pt noted to be hypoxic to 80% on home o2 --> 90's on 3-4l, bp initially 99 --> 120's w/ ivf, afebrile. noted to be using accessory muscles to breath and was tripoding, improved somewhat w/ non-rebreather, but c/o tiring, so was intubated. peri-intubation, had transient decrease bp to 80's --> 100 w/ ivf. in , pt was evaluated w/ cxr demonstrating r > l infiltrates, so was given cefepime and levoflox. also got solumedrol 125mg iv x 1, combivent nebs for probable copd flare. also had ekg demonstrating 1mm ste in v1, v2, v3. ce noted to be ck 154, mb 13, index 8.4, trop 0.82. cards consulted and decided no intervention in cath lab for now. pt started on heparin gtt, given asa, plavix load, no bb given copd, no nitro gtt b/c no c/o cp and borderline low bps. past medical history: 1) copd on 2l home o2 (fev1 1.17l (35% pred) in ), steroid-dependent 2) htn 3) uc 4) bph 5) nephrolithiasis 6) stage iii ckd cr 1.5 thought due to recurrent nephrolithiasis 7) l sided nephrostomy tube nephrolithiasis 8) ?paroxysmal afib social history: tob: 100pk yr hx; quit 8 yrs ago. etoh: none. no ivdu. currently retired. family history: fh physical exam: vitals - t 97.6, hr 100, bp 105/56, rr 26, o2 98% on ac/fio2 1.0/tv 400/rr 14/peep 5 gen - intubated, resp distress w/ use of accessory muscles, awake, following commands heent - dry mm cvs - rrr, no noted m/r/g lungs - diffuse exp wheezes w/ some exp rhonci/crackles at bases b/l abd - soft, nt/nd ext - + le edmea b/l pertinent results: 02:45pm wbc-22.6*# rbc-3.62* hgb-10.9* hct-34.4* mcv-95 mch-30.0 mchc-31.6 rdw-14.6 02:45pm neuts-93.6* bands-0 lymphs-4.5* monos-1.6* eos-0.1 basos-0.1 02:45pm glucose-77 urea n-19 creat-1.5* sodium-141 potassium-4.4 chloride-101 total co2-25 anion gap-19 02:45pm calcium-9.2 phosphate-4.6* magnesium-2.0 02:45pm ctropnt-0.82* 02:45pm ck-mb-13* mb indx-8.4* 03:20pm urine blood-lg nitrite-pos protein-30 glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 03:20pm urine rbc-21-50* wbc->50 bacteria-many yeast-few epi- brief hospital course: 1. respiratory failure: patient has a history of severe copd, o2 and steroid dependent, and presents with acute worsening sob requiring intubation on presentation. initial cxr demonstrated bilateral lower lobes opacities consistent with multifocal pneumonia. he had dfa sent which was positive for influenza a. he was treated with both a 5 day course of tamiflu as well as ceftriaxone and azithromycin for a possible underlying pneumonia. he was also treated for copd flare, as his lung exam was quite wheezy on initial presentation, so was treated with solumedrol, converted to prednisone taper, as well as combivent mdi. patient underwent extubation during micu course with failure x 2, requiring re-intubation. there was felt to be a volume overload component, as the patient was quite hypertensive peri-extubation, leading to volume overload in his lungs. his bp and volume status were optimized prior to 2nd extubation, but this also faiiled due to tachypnea --> autopeep, requiring re-intubation. he then was tried on permissive hypercapnea, by increasing his sedation, decreasing his respiratory rate, and allowing his paco2 increase (as at baseline patient's hco3 in 30's, so likely lives at paco2 in 60's). his anti-anxiety regimen was also optimized as it was felt that he had a large anxiety component peri-extubation causing tachypnea --> autopeep. 3rd extubation attempt occurred on and was successful. the patient was stable on 5l nc. he is on home 2-4l nc and prednisone 5 mg daily. he was also started on advair 500/50 and spiriva. he was kept on albuterol mdi prn, and taken off atrovent because of mucus plugging. 2. stemi: pt noted to have 1mm ste in leads v1, v2, v3 in ed. also positive cardiac enzymes (elevated index and trop, but ck peak only 157). cardiology notified on presentation and opted not to take patient to cath lab urgently. patient was initially started on heparin drip x 48 hrs (now off), started aspirin 325mg po daily, plavix load given in ed then maintained on plavix 75mg daily, maintained on beta blocker and started on lipitor 80mg daily. echo during hospital course was of poor quality, but demonstrated a depressed ejection fraction of 45-50%, septal hypokinesis, could not assess for focal wall abnormalities. cardiology followed along during hospital course but deferred catheterization. he will need cardiology follow up. 3. hypotension: patient with episode of hypotension in ed, very fluid responsive per report. felt to be due to dehydration given infection, less likely sepsis given nromal lactate in ed, also contribution of intubation/medication given peri-intubation. bp resolved with ivf on day of admission and remained stable/hypertensive (as above) during hospital course. he was continued on his home and started on metoprolol and uptitrated to 75 mg tid. 4. anemia: patient with hematocrit drop from 34 --> 24 on admission. baseline hct appears to be around 30. felt to be hemoconcentrated on admission, dilutional with ivf. hct returned to baseline and remained at baseline during remainder of hospital course. 5. nephrolithiasis/ckd: patient with baseline cr 1.5, at baseline on presentation, remained at baseline throughout hospital course. has left sided nephrostomy tube in place to be follow up as an outpatient. 6. urinary tract infection: patient had positive u/a on admission. urine culture grew e coli and enterococcus, now status post antibiotic therapy. 7. hypertension: managed with diovan and metoprolol, transiently on nitroglycerin drip peri-extubation. 8. atrial fibrillation: patient with history of afib in setting of intubation in past. not anti-coagulated. digoxin was held on admission, patient remained in normal sinus rhythm. he will be treated with a beta blocker and continued on full aspirin. he will need cardiology follow up. 10. anxiety: per history, patient with large anxiety component to shortness of breath, has led to difficulty extubating in past. noted during hospital course with failed extubations as above. managed with zyprexa prn, precedex peri-extubation. had paradoxical reaction to ativan, so benzos were avoided. code status: full communication: wife : (c) (, (h) ( son : (h) (, (c) ( medications on admission: diovan 80 mg flomax 0.4 mg daily spiriva daily calcium 1,500 mg multivitamin daily albuterol neb q 6-8 hrs prn proscar 5 mg daily simvastatin 80 mg daily digoxin 125 mcg daily prednisone 5 mg daily mucinex 600 mg serevent diskus 50 mcg pulmicort flexhaler 180 mcg 2 puff discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. valsartan 80 mg tablet sig: one (1) tablet po bid (2 times a day). 4. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation inhalation q4h (every 4 hours) as needed. 5. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 8. calcium carbonate 1,250 mg/5 ml(500 mg) suspension sig: one (1) tablet po tid (3 times a day). 9. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 10. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 11. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 12. prednisone 10 mg tablet sig: three (3) tablet po daily (daily): please taper slowly over 2 weeks. 13. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation inhalation every six (6) hours. 14. ipratropium 1 nebulizer q6h duration: ongoing 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 16. docusate sodium 50 mg/5 ml liquid sig: one (1) tablet po bid (2 times a day). 17. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 18. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po qhs (once a day (at bedtime)). 19. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po tid (3 times a day) as needed. discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: 1. influenza a 2. hypoxic respiratory failure 3. community acquired pneumonia 4. myocardial infarction discharge condition: stable, patient breathing comfortably discharge instructions: you were admitted with acute respiratory failure and required intubated. your were treated for a copd exacerbation, pneumonia and the flu. your respiratory status has since stabilized. please take all of your medications as prescribed. you were noted to have had a small heart attack while you were here. you were seen by the cardiologist. they discussed cardiac catheterization extensively, but ultimately recommended managing you medically with aspirin, plavix, lipitor and a beta blocker. you should have outpatient follow up with a cardiologist to discuss this plan further. please follow up with your primary care physician within one week of discharge. followup instructions: please follow up with your primary care physician within one week of discharge. provider: , apg (sb) phone: date/time: 2:50 provider: function lab phone: date/time: 3:10 provider: , md phone: date/time: 3:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances transfusion of packed cells diagnoses: acidosis subendocardial infarction, initial episode of care urinary tract infection, site not specified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, stage iii (moderate) acute respiratory failure ulcerative colitis, unspecified dehydration calculus of kidney influenza with pneumonia other artificial opening of urinary tract status 

Answer: The patient is high likely exposed to