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: history of present illness: mr. is a 53-year-old male with a history of chronic obstructive pulmonary disease (not requiring home oxygen), coronary artery disease, and diabetes admitted directly to the medical intensive care unit on for hypoxemic and hypercapnic respiratory failure. mr. was in his usual state of health until the morning of when he developed progressive shortness of breath not relieved by his usual inhalers. prior to the onset of this dyspnea, he relates experiencing a runny nose and a sore throat for several days. however, he denies experiencing chest pain, palpitations, nausea, vomiting, fevers, chills, or a productive cough. after several hours of worsening shortness of breath, tachypnea and diaphoresis, the patient called emergency medical service and was taken to for evaluation and treatment. in the emergency department, the patient was noted to be in severe respiratory distress; only able to speak 1-word sentences. his vital signs were as follows; temperature was 97.9, blood pressure was 239/159, heart rate was 124, respiratory rate was 36, and oxygen saturation of 83% on 100% nonrebreather. the patient was then intubated, placed on a nitroglycerin drip for blood pressure, started on steroids, antibiotics, and nebulizers and admitted to the medical intensive care unit. in the medical intensive care unit, the patient was placed on ventilator assist-control mode. he was intubated for less than 24 hours. on the morning following his admission to the medical intensive care unit, the patient was weaned off the ventilator. his nitroglycerin drip was stopped. his oxygen saturations were found to be greater than 95% on 5 liters nasal cannula, and his blood pressure was well controlled with a systolic blood pressure of 160. the patient was then called out to the floor for further observation. during the intensive care unit stay, the patient was ruled out for a myocardial infarction with cycled enzymes and electrocardiogram. past medical history: 1. coronary artery disease; 3-vessel disease, status post coronary artery bypass graft in . 2. hypertension. 3. diabetes mellitus; complicated by nephropathy. 4. chronic obstructive pulmonary disease; not requiring home oxygen, unknown pulmonary function tests. multiple admissions for chronic obstructive pulmonary disease exacerbations including one in which required intubation. medications on admission: home medications were albuterol, aspirin, flovent, nph insulin, atrovent, levofloxacin, ativan, protonix. allergies: no known drug allergies. social history: the patient is a long-time smoker with greater than a 40-pack-year history; smoking half a pack per day. he admits to occasional alcohol use; four beers on the weekends, but denies any intravenous drug use. he lives alone in and has a girlfriend. review of systems: review of systems as above. physical examination on presentation: vital signs on the floor were as follows; temperature was 98.1, blood pressure was 150/80, heart rate was 86, respiratory rate was 22, saturating 98% on 5 liters nasal cannula. the patient's physical examination in general revealed the patient was a well-developed and well-nourished male, in bed, appeared comfortable, in no acute distress. head, eyes, ears, nose, and throat revealed pupils were equal, round, and reactive to light. sclerae were anicteric. his oropharynx was clear with poor dentition and dry mucous membranes. neck revealed the patient had no jugular venous distention, no lymphadenopathy, and his neck was supple. cardiovascular revealed the patient's heart was regular in rate and rhythm. a soft 2/6 systolic murmur at the left lower sternal border. no rubs or gallops. lungs revealed the patient had decreased breath sounds at the bases, diffuse rhonchi most prominently anteriorly in the right lung, and expiratory wheezes in the right lung. his abdomen was obese, soft, nontender, and nondistended, with good bowel sounds. extremities revealed the patient's extremities were notable for clubbing, tar stains, and cyanosis; but no edema. pertinent laboratory data on presentation: laboratories revealed complete blood count was as follows; white blood cell count was 11.1, hematocrit was 40.4, and platelet count was 234. his chemistry-7 revealed sodium was 140, potassium was 4.1, chloride was 104, bicarbonate was 25, blood urea nitrogen was 20, creatinine was 0.8, blood glucose was 190. calcium was 8.9, magnesium was 1.5, and phosphorous was 4.4. his last arterial blood gas in the unit prior to transfer to the floor was on 4 liters of oxygen by nasal cannula with a ph of 7.4, pco2 was 48, and an o2 of 84. radiology/imaging: a chest x-ray from (on the date of admission) showed cardiomegaly, but no overt congestive heart failure. no consolidations or effusions. hospital course: 1. pulmonary: as previously mentioned, the patient was intubated in the emergency department, started on solu-medrol and levofloxacin, and rapidly weaned off the ventilator to room air on which he was saturating 95% to 98% on discharge. the patient was also treated with albuterol, atrovent, and flovent during his stay in the intensive care unit. sputum culture were sent but were pending at the time of discharge. 2. cardiovascular: the patient was markedly hypertensive on presentation to the emergency department. he was started on a nitroglycerin drip with resolution of the hypertension. the patient was then switched to his regular doses of captopril and lopressor with eventual blood pressures of 160 to 150/80 on discharge. 3. endocrine: the patient was kept on a regular insulin sliding-scale during his stay, and blood sugars were generally between 150 and 300. condition at discharge: condition on discharge was good. discharge diagnoses: 1. chronic obstructive pulmonary disease. 2. coronary artery disease. 3. diabetes mellitus. 4. hypertension. medications on discharge: 1. albuterol meter-dosed inhaler 2 puffs q.6h. as needed for shortness of breath. 2. prednisone 60 mg p.o. q.d. times two days; then 40 mg p.o. q.d. times two days; then 20 mg p.o. q.d. times two days. 3. levofloxacin 250 mg p.o. q.d. (times seven days). 4. flovent 110 mcg meter-dosed inhaler 4 puffs q.a.m. 5. atrovent meter-dosed inhaler 4 puffs q.i.d. 6. zestril 10 mg p.o. q.d. 7. atenolol 10 mg p.o. q.d. 8. nph insulin 25 units q.a.m. and 8 units q.p.m. 9. regular insulin 10 units q.a.m. discharge followup: the patient was arranged for a clinic appointment at his usual clinic (which is the health center in ) for tuesday, , at 2:15 p.m. with where he was to receive education regarding his asthma and his asthma medications; particularly his meter-dosed inhalers. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status acute respiratory failure chronic obstructive asthma with (acute) exacerbation 

Answer: The patient is high likely exposed to