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: recurrent sob and cough. major surgical or invasive procedure: 1) intubation and mechanical ventilation. 2) cardiac catheterization. history of present illness: 80m recently emigrated from admitted here for dyspnea, productive cough, and profuse sweats. dx with multi-lobar community acquired pna, treated with levofloxacin. pt returned 3 days after discharge on with productive cough, sob, anorexia. no fever/chills/chest pain. per son, patient also with increased frequency of urination, but no dysuria, hematuria. no sick contacts. patient's recent hospitalization from complicated by mild chf, zoster on his right buttock, and acute gout of the right knee. he was also placed in isolation and had 3 successive negative smears for afb due to concern for mtb infection (ct showed apical scarring and evidence of granulomatous disease). afb cultures were still pending at the time of his discharge, but his ppd had been negative. ed course: upon admission on patient was found to be signficantly hypoxic (80% ra) and was intubated in the ed. he was also hyponatremic to 119 which was thought pulmonary siadh from infection, and was corrected with 3% hypertonic saline. past medical history: possible prior pulm tuberculosis, severe ai, htn, chf (ef 35-40% in ), "other heart condition" (dx in and cured with chinese herbs), "stomach problem", gout, asbestosis, recent hyponatremia (likely via pulm siadh). social history: born in . never smoked. previous heavy etoh use. no drugs. retired belt maker. family history: non-contributory. physical exam: t100 bp200/140--> 150/63 hr112-->90 rr35 o2sat 80% ra (100%, intubated) gen - intubated and sedated heent - pupils 2mm bilat, minimally reactive. frothy secretions at mouth., ett in place resp - coarse breath sounds at left/mid lung. decreased breath sounds at base. no wheezes. cv - rr. iii/vi diastolic murmur at usb. abd - soft/nt/nd. bowel sounds present ext - 1+ pitting edema le bilaterally, hands/feet are cool/dry skin- patches of redness (from "coining") over shoulders and upper chest pertinent results: wbc-9.3 hgb-12.3* hct-37.6* mcv-89 plt count-775* neuts-71.4* lymphs-21.8 monos-6.1 eos-0.3 basos-0.5 sodium-118* potassium-4.4 chloride-84* total co2-24 urea n-8 creat-0.8 glucose-141* anion gap-10 calcium-7.7* magnesium-1.9 phosphate-2.6* ck(cpk)-291* ck-mb-8 ctropnt-0.01 amylase-58 lactate-3.2* ph-7.14* pco2-75* po2-454* co2-27 base xs--5 ac 350/25/5/1.0 ph-7.36 pco2-43 po2-147* co2-25 base xs--1 ac 440/25/5/0.6 urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg sputum cx : 3+ gpc in pairs and clusters, 2+ gnr hiv negative ekg: st @113, lvh, ?st depression/twi in inferior leads. cxr: (prelim) multifocal infiltrates cta: (prelim) no pe. mild of right lower lobe opacities. left lower lobe opacities are stable. brief hospital course: mr , who recently returned from and had a recent admission (treated for cap) was initially readmitted this hospital with impending respiratory failure and multifocal pneumonia by chest imaging. he was intubated, started on mechanical ventilation (mv), and admitted to the icu. he was again treated for infectious pneumonia with broad-spectrum antibiotics and was eventually weaned off mechanical ventilation and then did well on room air. 1) hosp-acquired pna (hap): as above, the patient had a pneumonia (and required mechanical ventilation on admission) which was treated as hap as above: vancomycin and zosyn. he had four successive negative afb sputum samples on his previous admission, but the time of this admission, the cultures had grown out afb (which were eventually isolated as mac, and not tuberculosis). thus, given his chronic lung disease, the mac was believed to be only a colonizer of his lungs and not contributing the acute process. nevertheless, before afb organism identification returned, he was empirically treated for tuberculosis with mutli-drug therapy. although preliminary lab data indicated mac, the final results would not return for several months. thus, he was discharged on multi-drug therapy for empiric tuberculosis treatment. of note, given his recent travel to and the new history of direct chicken exposure, there was an initial concern for avian influenza. after speaking with the id team, this concern was later put to rest. upon extubation, the patient required low-level supplemental oxygen and eventually was stable on room air. 2. aortic regurgitation/htn: the patient had known severe ar and a depressed ef. per his family, he did not want to know the extent of his heart disease, despite the possibilty of benefiting form avr. he was continued on afterload reduction and bp control with lisinopril, amlodipine, and metoprolol. of note, the patient had new anterior st elevations while in the icu, on mv. he was urgently taken to for cardiac catherization and had multiple sets of negative cardia enzymes. cardiac cath showed clean coronary arteries and confirmed his noted heart findings (re: ai) as on echo. 5. anemia: his hct was stable in the low 30's. he had a few episodes of heme-positive stool during this hospital stay and reported chronic loose stools. outpatient colonoscopy was recommended. the etiology of the anemia was likely acombination of iron deficiecny (iron was 12), inflammatory anemia and possible chronic low-level hemolysis given severe ai. he was started on folic acid empirically. 6. hyponatremia: the patient had low serum sodium on his previous admission, which was consistent with pulmonary siadh. again, on admission he had low serum sodium (119). this improved with fluid restriction and the treatment of his pneumonia. medications on admission: amlodipine 5mg qd lisinopril 40mg qd ranitidine 150mg levaquin 500mg qd (1 day left) valacyclovir 1g tid (1 day left) ibuprofen 600mg q6h robitussin prn chinese herbal medicine discharge medications: 1. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*2 inh* refills:*0* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. amlodipine besylate 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 6. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. multi-vitamin w/minerals capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*0* 9. ethambutol hcl 400 mg tablet sig: 2.5 tablets po once a day: please take 1000 mg po daily. disp:*75 tablet(s)* refills:*0* 10. isoniazid 300 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 11. pyrazinamide 500 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*0* 12. pyridoxine hcl 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 13. rifampin 300 mg capsule sig: two (2) capsule po once a day. disp:*60 capsule(s)* refills:*0* 14. terazosin hcl 2 mg capsule sig: one (1) capsule po at bedtime. disp:*30 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1) hospital-acquired pneumonia. secondary diagnosis: 2) likely mycobacterial (mac) lung colonization. 3) severe aortic regurgitation. 4) congestive heart failure. 5) hypertension. discharge condition: fair/stable. discharge instructions: 1) please call your doctor or return to the emergency room if you have any shortness of breath, fevers, chills, trouble breathing, sweats, or any other concerning symptoms. 2) please take your medications as instructed. 3) you likely have a chronic infection of the lung from an organism called mac. this infection is similar to tuberculosis, but it is not the same. at this time, you do not need to be treated for mac. as an outpatient, you will be seen by infectious disease doctor and a pulmonary (lung) doctor, who will evaluate this lung infection. 4) there is a small chance that you have tuberculosis in your lungs now. we will know the answer to this in the next three to four weeks, once the final sputum culture results are available. because there is a chance you have tuberculosis, you will continue to take the anti-tuberculosis medications (ethambutol, isonniazid, pyrazinamide, pyridoxine, and rifampin) for the next three to four weeks. they can be stopped once we can rule out tuberculosis definitively. your new infectious disease doctor (dr. will guide you at your next visit. 5) regardless of the results of the pending sputum studies, your family members are not at risk for becoming infected with your current disease. they do not need wear a mask around you. since your immediate family members had recent normal chest x-rays and ppds prior to arriving to the united states (nine months ago), it is not necessesary to repeat these now. if they have further questions, they should speak to their doctors. followup instructions: 1) please see your primary doctor (small, ) on tuesday, at 1:45pm at in , ma. your sma10 (electrolytes and kidney function tests), urinalysis along with your cbc (blood counts) should be checked during that visit. dr. will also decide what medication to use for your gout. she may change your colchicine to allopurinol. she was also evaluate your need for continuing terazosin. you may be able to discontinue this medication once you see her. 2) please see the pulmonary doctors () for an evaluation of your lung disease and possible mac infection for the following appointment: at 1030 am with dr. on the on the of the building, in the pulmonary (lung) clinic. 3) please see your new infectious disease doctor for the following appointment: please see dr , md. where: lm disease phone: date/time: 11:004) 3) here is a list of your other appointments: provider where: cardiac services phone: date/time: 10:00 provider , md where: cardiac services phone: date/time: 10:40. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube enteral infusion of concentrated nutritional substances aortography diagnoses: anemia, unspecified congestive heart failure, unspecified unspecified essential hypertension unspecified protein-calorie malnutrition aortic valve disorders acute respiratory failure other disorders of neurohypophysis bacterial pneumonia, unspecified varicella without mention of complication 

Answer: The patient is high likely exposed to