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: stroke major surgical or invasive procedure: echo peg by ir history of present illness: m with hypertension, hyperlipidemia, coronary disease, atrial fibrillation (although in sinus now) admitted /06 to neurology service for new l mca cva. per neurologist patient was doing better overall for the last 3 days and was ready to be discharged to rehab today. he was awake until yesterday and although not able to talk, he was able to slurry speak. for the last 24 h he became more somnolent and with difficulty breathing. he had speech and swallow study yesterday which he did not pass. for this reason a gy tube was placed today. called today by neurologist stating his respiratory status had worsened over the last 24 h. there is no clear history of pulmonary disease . upon evaluation he was breathing at 35 bpm , spo2 was 95 % on nrb mask abgs c ph 7.16 pco2 59 po2 62 hco3 22 . of note patient had a gj tube placed yesterday and tube feeds were started last night. patient's code status was discussed with the family . his health care proxy stated clearly he is dni/dnr , but expressed her wishes to try non invasive measures. he was transferred to micu for eventual non invasive mechanical ventilation. . the pt's wife stated that he has recently been treated with antibiotics (azithromyci for pneumonia as an outpatient) . he seemed to have been improving over the past week, but has complained of generalized fatigue. there is no further history of antecedent illness prior to the event leading to presentation. past medical history: -atrial fibrillation, not on anticoagulation -hyperlipidemia -hypertension -cad with three-vessel disease -mitral regurgitation -metastatic prostate cancer -iron deficiency anemia -chronic renal insufficiency, with baseline creatinine 1.7-2.4 -gout -depression -osteoarthritis social history: lives at home with his wife. history of tobacco, alcohol, or illicit drug use. family history: not elicited. physical exam: vitals: t: 97.1f p: 60 r: 16 bp: 155/76 sao2: 92% 3l fsbs 126 general: awake, nad. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no jvd or carotid bruits appreciated. pulmonary: lungs with rhonchi bilaterally and transmitted upper airway sounds cardiac: rrr, nl. s1s2, iii/vi crescendo-decrescendo hsm at left sternal border radiating into axilla abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: alert, regards examiner. he is able to state his name and the month of the year. he repeats words only, but nothing more complex such as two word phrases. he closes eyes and shows tongue briefly to command, but does not follow more complex commands or appendicular commands. when he speaks, his words are dysarthric. -cranial nerves: olfaction not tested. perrl 2.5 to 2mm. he does not appear to blink to threat on the right. funduscopic exam was technically impossible due to pt cooperation. his extraocular movements are full, but he prefers to look to the left. right facial droop. he prefers to keep head to left, suggesting dysfunction of left sternocleidomastoid. tongue protrudes in midline. -motor: somewhat atrophic musculature throughout. tone is flaccid on the right. he will not cooperate with formal strength testing, but he is plegic on the right and briskly withdraws to noxious stimuli on the left. no adventitious movements noted. -sensory: brisk withdrawal to noxious stimuli on left, no response on right. -coordination: could not test due to pt cooperation. -dtrs: tri pat ach l 2 2 2 2 0 r 0 0 0 0 0 plantar response was extensor on the right, flexor on the left. -gait: deferred. pertinent results: 02:05am pt-13.7* ptt-25.2 inr(pt)-1.2* 02:05am plt count-249 02:05am neuts-80.6* lymphs-15.0* monos-3.0 eos-1.1 basos-0.4 02:05am wbc-8.0 rbc-3.36* hgb-10.5* hct-31.3* mcv-93# mch-31.4 mchc-33.7 rdw-14.4 02:05am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:05am triglycer-152* hdl chol-48 chol/hdl-2.8 ldl(calc)-55 02:05am %hba1c-6.0* -done -done 02:05am albumin-3.6 calcium-8.7 phosphate-4.0 magnesium-2.8* cholest-133 ct: moderate to large left middle cerebral artery early subacute infarct. there is no evidence of herniation. carotid echo: bilateral less than 40% carotid stenosis. cxr: mild improvement but persistent left retrocardiac opacity consistent with improving left lower lobe pneumonia with small adjacent effusion. brief hospital course: yo m c afib , new l sided mca , cad admitted for respiratory failure and acidosis. most likely cause of respiratory failure is aspiration considering the abrupt onset and that he was recently started on tube feeds. he also has a new infiltrate on cxr . worseing mental status can also be contributing to acidosis and hypoventilation. pt met criteria for intubation although dnr/dni. after evaluation of the patient with the team and discussing his case with the family , it was decided to make the patient cmo . this taking into consideration the patient's poor prognosis and his wishes prior to having a cva. case was discussed extensively between dr , the patient's family and health care proxy and myself. patient expired after a few minutes of his icu admission. . medications on admission: asa 81mg po daily atenolol 25mg po daily colchicine prn gout flare fluoxetine 10mg po daily imdur 30mg po daily lasix 40mg po daily lipitor 10mg po daily lupron depot 30 mg injection q4 months nabumetone 500mg po bid pain omeprazole 20mg po daily discharge disposition: expired facility: - discharge diagnosis: left mca stroke gj tube placement hypertension hyperlipidemia coronary artery disease atrial fibrillation depression discharge condition: stable discharge instructions: please take all your medications and follow up with your doctors. ** in days (ie. ) he will need the t fastners removed from the gj tube; ie. cut under the cotton balls ** followup instructions: provider: , phone: date/time: 11:30 neurology f/u: provider: / phone: date/time: 4:30 provider: , md phone: date/time: 3:30 please see your pcp, . , on fri 9am. procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: pneumonia, organism unspecified acidosis coronary atherosclerosis of native coronary artery hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate depressive disorder, not elsewhere classified chronic kidney disease, unspecified other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus iron deficiency anemia, unspecified encounter for palliative care other malignant neoplasm without specification of site cerebral artery occlusion, unspecified with cerebral infarction aphasia arthropathy, unspecified, site unspecified hemiplegia, unspecified, affecting dominant side 

Answer: The patient is high likely exposed to