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: macrolides past medical hx: laryngeal scc, s/p trach/peg; adenocarcinoma of lung; tuberculosis, treated ,; cva, with r hemiparesis; hen; copd on home o2; cad; h/ , ; ? dementia; ckd, bl creat 1.4-1.6; rectal bleeding,; ?c.diff; depression anemia. pt c/o sob with increasing tracheal secretions. he had a recent for pseudomonas pna. he had a 10d course of cipro. if he required ventilation he has a #7 cuffless trach, it would need to be changed. ros: resp: he required suctioning 5-6 times while in the er, for which they suctioned 5-6 times for alot of thick brown secretion. since he has been here in the micu he has been able to cough up the same thick brown secretions, with one time of deep tracheal suctioning. his rr has been 16-24, o2 sats 98-99% on 50% humidified trach mask. he has been c/o pain around his trach site, trach care done. cardiac: b/p has been 115-130/50's, hr 100-110 sr-st. he had a few pvc's on admission but then they stopped. he has been receiving ns at 100cc/hr. gi: he has a peg. site looks good. he reveives bolus jevity tube feeding at , which we don't have at . he will get a nutrition consult in the am for requimendation for further feeding. his abd is soft and non tender, (+) bs. gu: foley draining clear dark yellow urine. u/o has been adequate. neuro: acting through an interreter he was able to understand he is at . he has been restless in the bed, sitting up on one arm, but so far not trying to climb out of bed. id: his wbc's were 6.4, he was given vanco and levofloxacin in the ew. he has been afebrile here. he is to receive pipercillin but we are awaiting id approval. social: pt speaks russian only. his daughter and granddaughter were in and spoke to the . his daughter is spokesperson, . procedure: enteral infusion of concentrated nutritional substances diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified obstructive chronic bronchitis with (acute) exacerbation chronic kidney disease, unspecified pneumonia due to pseudomonas late effects of cerebrovascular disease, hemiplegia affecting unspecified side malignant neoplasm of other parts of bronchus or lung gastrostomy status tracheostomy status anemia in neoplastic disease neoplasm related pain (acute) (chronic) personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to