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: transferred for stenting of right mainstem bronchus major surgical or invasive procedure: intubation bronchoscopy with bronchial stent removal. history of present illness: 80 yo man w/ h/o stage 3b lung cancer (s/p chemo, xrt, and stent placement ), copd on home o2, cad (multivessel disease and 80% lm stenosis), a fib, and lle dvt who presents from osh with obstructed right sided bronchus with post-obstructive pneumonia for possible stenting. on the patient underwent bronchoscopy which showed tumor occluding the stent which was partially removed. after this procedure, the patient went into respiratory distress in the pacu and required intubation. he was also noted to have st elevations on ekg in leads v2 and v3. stat echo revealed ef of 25%, decreased from 60% in . the patient was admitted to the micu at the osh for further management. . on transfer to the micu, the patient was hypotensive to the 70's systolic which responded to iv fluid bolus. cardiology was consulted regarding his st elevations and recommended medical management with addition of plavix for his left main disease. eventually, the patient was also started on low dose metoprolol and captopril after his blood pressure stabilized. the following morning, his st elevations had normalized. cardiology felt that his previous changes were due to myocardial stunning. during his osh micu course, he was also found to have focal neuro deficits (left ptosis, left facial droop) so a head ct was done. this study revealed an old right parietal infarct with moderate chronic small vessel infarcts without evidence of enhancing lesions. . the patient was transferred to for possible stenting of his right sided bronchial occlusion. he was hemodynamically stable on arrival, and denied cp, sob, abdominal pain, headache, or dizziness. cxr was done showing complete whiteout of the right lung to post-obstructive pneumonia. he was started on vanco and zosyn for treatment of pneumonia. chest ct the following day revealed bilateral pleural effusions (r>l), complete rul/rml/rll collapse with apparent obstruction of the bronchial stent within the right main stem bronchus. past medical history: - stage 3b lung cancer: dx ; s/p 8 courses of chemo; s/p xrt; s/p stent in right bronchus ; s/p 5 therapeutic bronchoscopies (for reocclusion of stent) - copd on home o2 - cad: s/p cath showing multivessel disease, lm 80% - a fib: started on digoxin 3 weeks prior to admission - s/p lle dvt: and (s/p hernia repair); treated with coumadin and plavix in the past - s/p cva x 2 - s/p hernia repair - s/p left eye surgery for ptosis (3.5 yrs ago) - s/p cataract surgery social history: lives at home with his wife. social support. 60 pack year smoking history. family history: cad cva - sister and father cancer - brother (smoker) physical exam: 98.4 - 112 - 95/44 - 13 - 99% (ac: 500/14/5/0.35); 79 kg gen: elderly man, intubated, awake and alert, appears comfortable heent: ett in place, perrl, anicteric, bilateral corneal arcus, +left ptosis, mmm neck: right ij in place, supple, no lad, no jvd lungs: course breath sounds, cta on the left, decreased breath sounds on the right, no w/r/r heart: irreg irreg, distant hs, no m/r/g abd: nabs, soft, nt, nd, no palpable masses ext: warm, dry, + pitting edema neuro: cn ii-xii intact with exception of mild left facial droop rectal: guaiac negative brown stool pertinent results: osh labs: wbc=5.0; hct=23.8; plts=154 na=135; k=4.0; cl=110; co2=22; bun=9; cr=0.8; glucose=163 inr=1.0 abg = 7.44/31/87 ck = 30-->26-->25; ckmb = 4.3-->4.6-->3.9; trop 0.45-->0.88-->0.64 . portable cxr @ osh (): improvement in vascular congestion and slight alveolar fluid from yesterday. persistent opacification of the right hemithorax. . ct chest @ osh (): 1) large right sided pleural effusion and moderate size left sided pleural effusion. 2) complete collapse of the rul, rll, and rml with apparent obstruction of bronchial stent within the right main stem bronchus and soft tissue mass in the azygoesophageal recess likely representing patient's known lung cancer. 3) emphysematous changes throughout the lul w/ septal thickening which may be due to scarring, atelectasis although no lymphangitic spread of disease cannot be entirely excluded. 4) areas of compressive atelectasis within the lll. incidental note is made of infrarenal aaa (2.9 x 2.4 cm). . labs on admission to : 11:09pm wbc-6.4 rbc-3.33*# hgb-9.7*# hct-29.3*# mcv-88 mch-29.3 mchc-33.2 rdw-16.9* 11:09pm plt count-164 11:09pm pt-13.0 ptt-30.2 inr(pt)-1.1 11:09pm glucose-94 urea n-9 creat-0.8 sodium-139 potassium-3.9 chloride-109* total co2-22 anion gap-12 11:09pm alt(sgpt)-9 ast(sgot)-15 alk phos-52 tot bili-0.4 11:09pm calcium-7.7* phosphate-2.5* magnesium-1.9 brief hospital course: pt bronched , showing right main bronchus stent frayed at distal end, blocking rul and with thick secretions distally. left bronchus was patent. overnight , patient was was hypotensive; did not respond to ivf bolus and prbcs. low dose dopamine started with improvement of bp. ~20 min after dopamine started, patient went into rvr. dopamine stopped. amiodarone started, patient still tachycardic and hypotensive. at this point, patient underwent synchronized cardioversion (200 and then 300 joules), did not convert to nsr, but rate became more controlled in low 100's. levophed started for bp control, subsequently weaned off , converted to ns on amiodarone drip. pt never weaned off mechanical ventilation through his hospital course. spontaneous breathing trials were poorly tolerated. in addition, his cardiovascular function was tenuous. he had acute drop in blood pressure with cardiac enzyme leak on and throughout his course remained intermittently hypotensive and also bradycardic at times. per family request pressor were not given. it became clear given the patients invasive lung cancer and severe coronary artery disease that the prognosis was extremely poor. on a family meeting was held. the outcome of this was that pt would remain intubated but would also still be dnr and would be given no escalation in care including pressors or antiarrhythmics. the family asked whether it would be possible to send pt home on ventilator so that he may spend his last days at home. such arrangements were made but required that the patient undergo tracheostomy. unfortunately the patient was never sufficiently hemodynamically stable that this procedure could safely be performed. on another family meeting was held. it was explained that tracheostomy was not possible to perform safely and that the patient would probably spend the remainder of his days in the hospital. the daughters decided that care should move toward comfort measures only. efforts were made to pursue care such that the patient would remain alive over the weekend so that he may have visitors. of note the patient was noted to disseminated multi-drug resistant klebsiella infection by blood culture, sputum culture, and urine culture. no antibiotics wore started. comfort measure only care was instituted in full on with the goal of making the patient comfortable. the patient went into respiratory failure on the evening of and expired that night. attending was duly notified. the family was notified. autopsy was declined. in summary mr , is an 80 year-old gentleman with a history of stage 3b terminal lung cancer, atrial fibrillation and severe coronary artery disease who presented with hypoxic respiratory failure requring intubation that was secondary to total r bronchial obstruction and post-obstructive pneumonia. it became clear that efforts to treat his disease proved futile in the setting of his terminal disease, and eventually the patient placed in comfort measure only care and passed away. medications on admission: asa 325 po daily plavix 75 mg po daily digoxin 0.125 mg po daily lopressor 12.5 mg po bid captopril 3.125 mg po tid lipitor 20 mg po daily combivent mdi 2-4 puffs q4h nexium 40 mg po daily colace 100 mg po bid heparin 5000 units sc daily zosyn 2.25 grams iv tid vancomycin 1 gm iv q24h ativan 0.5mg iv/po q4-6 prn discharge disposition: expired discharge diagnosis: stage iiib lung cancer post-obstructive pneumonia hypoxic respiratory failure severe coronary artery disease with 95% occlusion of l main artery and 3 vessel disease. clostridium difficile colitis. extended spectrum beta-lactamase resistant klebsiella pneumonia bacteremia atrial fibrillation. discharge condition: expired. followup instructions: autopsy declined. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances thoracentesis other intubation of respiratory tract transfusion of packed cells bronchial dilation removal of intraluminal foreign body from trachea and bronchus without incision infusion of vasopressor agent diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site chronic airway obstruction, not elsewhere classified atrial fibrillation secondary malignant neoplasm of pleura acute and chronic respiratory failure cardiogenic shock intestinal infection due to clostridium difficile long-term (current) use of anticoagulants mechanical complication due to other implant and internal device, not elsewhere classified malignant neoplasm of other parts of bronchus or lung personal history of venous thrombosis and embolism 

Answer: The patient is high likely exposed to