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: shortness of breath major surgical or invasive procedure: endotracheal intubation lumbar puncture history of present illness: 44 y/o m w/no past med hx who was brought by ems to the ed tonight c/o sob and told them he did "a lot of cocaine". per the ed triage note (as pt was unable to give further history once in the ed), he had sob, was c/o feeling "antsy and jumpy", was diaphoretic, and denied chest pain. . his vitals in the ed were 99.4, 142/79 (140s-170s/70s), 94 (90s-110s), 27 (17-27), 92% on unclear amt of oxygen. he was initially given ativan and then valium, but continued to be agitated, trying to kick the staff, requiring four point leather restraints. he received a total of 6 mg ativan and 30 mg valium. due to continued agitation, the decision was made to intubate him. he was given etomidate and succinylcholine. he then had an lp and required vecuronium 10 mg iv x2 during this procedure. at this point he was admitted to the micu. past medical history: none per ed triage note. prior ed visit for cocaine and methamphetamine intoxication social history: used "a lot" of cocaine tonight but not a daily user per ed triage note. remainder of soc hx unobtainable. family history: nc physical exam: t: 97.4 bp: 132/91 p: 84 ac 600x14 0.4 spo2 100% peep 5 gen: intubated/sedatated, does not respond to pain, intermittently moving all extremities heent: nc, at, anicteric, conjunctivae injected, pupils pinpoint, ogt in place lungs: cta anteriorly cv: rrr, no m/r/g abd: soft, nt/nd, +bs ext: no edema, 2+ distal pulses bilaterally pertinent results: 1:58p source: catheter color yellow appear hazy specgr 1.015 ph 5.0 urobil neg bili neg leuk tr bld lg nitr neg prot 30 glu neg ket 50 rbc 339 wbc 68 bact mod yeast none epi <1 05:09a added tnt and ck-mb on at 8.38am 143 107 12 84 agap=12 4.1 28 1.1 ck: 411 mb: 6 trop-t: <0.01 comments: ctropnt: ctropnt > 0.10 ng/ml suggests acute mi ca: 9.3 mg: 2.5 p: 4.1 alt: 23 ap: 53 tbili: 0.6 alb: 4.5 ast: 26 ldh: 234 dbili: tprot: : 133 lip: 27 osms:300 94 14.1 16.2 260 48.3 n:72.3 l:19.3 m:4.6 e:2.4 bas:1.4 pt: 12.0 ptt: 25.8 inr: 1.0 04:36a ph 7.36 pco2 46 po2 87 hco3 27 basexs 0 type:art; intubated; temp:36.3 na:141 k:4.3 cl:105 glu:93 freeca:1.23 lactate:0.9 hgb:16.4 calchct:49 o2sat: 96 02:56a tube no2 csf chemistry protein 25 glucose 73 tube no4 csf wbc 2 rbc 19 poly 0 lymph 75 mono 25 eos comments: csf wbc: clear and colorless csf polys: 16 cell differential tube no1 csf wbc 1 rbc 217 poly 0 lymph 0 mono 0 eos comments: csf wbc: clear and colorless csf polys: unable to perform fluid diff csf polys: qns to remake a new smear due to cells washed out csf lymphs: notified dr. cc7b @ 5:42am csf monos: unable to perform fluid diff 11:15p urine benzos pos urine cocaine pos urine barbs, opiates, amphet, mthdne negative color yellow appear clear specgr 1.020 ph 5.0 urobil neg bili neg leuk neg bld neg nitr neg prot 30 glu neg ket tr rbc 1 wbc bact few yeast none epi 0-2 other urine counts castgr: 1 casthy: mucous: mod sperm: comments: urine sperm: present 9:00p serum asa, etoh, acetmnphn, benzo, barb, tricyc negative 139 101 12 180 agap=27 3.5 15 1.4 comments: na: anion gap verified estgfr: 55/67 (click for details) ck: 92 mb: notdone trop-t: <0.01 comments: ctropnt: ctropnt > 0.10 ng/ml suggests acute mi 94 17.1 d 16.5 302 49.8 n:67.7 l:23.2 m:4.1 e:2.6 bas:2.3 1:58 pm urine source: catheter. urine culture (pending): 8:42 am sputum source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 2+ (1-5 per 1000x field): gram negative rod(s). 2+ (1-5 per 1000x field): gram positive cocci. in pairs and chains. 1+ (<1 per 1000x field): gram positive rod(s). respiratory culture (pending): 2:56 am csf;spinal fluid source: lp. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (pending): viral culture (pending): radiology final report chest (portable ap) 2:20 am chest (portable ap) reason: post tube medical condition: 44 year old man with disphoresis, ?shortness of breath, toxic ingestion now intubated reason for this examination: post tube indication: shortness of breath following toxic ingestion status post intubation. comparisons: none. ap supine chest: the tip of the endotracheal tube terminates 3.8 cm above the level of the carina. the sideport of the nasogastric tube is located in the distal esophagus. the cardiac, mediastinal and hilar contours are normal. lung volumes are low. there are no focal opacities, pleural effusions, or pneumothoraces. the pulmonary vasculature is not congested. visualized soft tissue and osseous structures are unremarkable. impression: 1. side port of the nasogastric tube in the distal esophagus. the tube should be advanced at least 8 cm for optimal placement. 2. standard position of the endotracheal tube. 3. no evidence of pneumonia or chf. findings were discussed with dr. at 5:00 a.m. on . the study and the report were reviewed by the staff radiologist. dr. dr. approved: sun 10:05 am brief hospital course: a/p: 44 y/o m w/no past med hx who presents with cocaine intoxication, now s/p intubation for agitation. . # intubation: pt was intubated for altered mental status given ongoing agitation and requirement for restraints. no difficulties with oxygenation/ventilation, however does have elevated a-a gradient of 140. unclear etiology of his shortness of breath, possibly related to cocaine causing transient myocardial ischemia (although did not have chest pain), no evidence of parenchymal lung abnormalities on cxr. appears to have been hypoxic on presentation, at 92%ra. pt self-extubated in the micu on hd#2 and did not experience/demonstrate any respiratory distress. troponins were negative and an ekg did not demonstrate signs of ischemia. he was stable and eating, and baseline mental status by hd#3. # altered mental status: likely related to cocaine intoxication. tox screen otherwise negative. lp negative, gram stain w/o pmns or organisms. culture is pending. he did not receive empiric abx coverage. he was at baseline at discharge. # elevated anion gap: his ag was elevated on admission but cleared with hydration. medications on admission: none discharge medications: 1. bactrim ds 160-800 mg tablet sig: one (1) tablet po twice a day for 7 days: for urine infection. discharge disposition: home discharge diagnosis: cocaine abuse intubation for altered mental status discharge condition: stable, awake, eating and aware discharge instructions: you should go to a drug/alcohol rehab center. do not use more drugs, they can cause serious medical problems and possibly death. if you have fever, chills, dysuria, shortness of breath or other concerns, please come to the ed. followup instructions: please follow up with your pcp. you do not have a pcp, call . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube diagnoses: cocaine abuse, unspecified acute respiratory failure accidental poisoning by central nervous system stimulants sedative, hypnotic or anxiolytic abuse, unspecified 

Answer: The patient is high likely exposed to