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: aspiration major surgical or invasive procedure: intubation cvl placement arterial line placement history of present illness: y/o m with a pmh of afib who presents from home after a fall. history is obtained from patient's wife as patient is intubated. per the patient's wife he was in his usoh today, eating a meal when he got up from the table. he usually walks with a walker, however he was not using it at the time. she heard a thud and turned and found her husband on the floor. she does not think that he lost consciousness. there was no witnessed seizure activity. he was not complaining of chest pain, sob, palpitations, abdominal pain or nausea prior to the fall. per the patient's wife he has not been recently ill. ems was called and he was brought to . at the osh he was found to have slowed speech and confusion. he complained of right hip pain. a head ct was attempted and in the scanner the patient had witnessed vomiting, aspiration and respiratory arrest. he was intubated. cxr showed bilateral infiltrates and he was given levo/flagyl and vanco. he also received morphine 2mg, etomodate, versed 1mg x3 and 3l ivf. head ct was then obtained and was reportedly negative. he was then transferred here for further care. . in the emergency department, initial vitals: t 98.4 hr 63 bp 107/47 rr 28. he continued to be unresponsive despite no further sedating medications. due to concern for stroke he was evaluated by neurology who felt that a primary neurologic event was less likely and concern for hypoxic injury was raised. hip films were negative for fracture. he was placed in c-collar for narrowing in his c-spine, however there was no fracture. he was given 1l ivf and admitted to the micu for further management. . review of systems: unable to obtain, patient intubated and sedated past medical history: a fib, not on anticoagulation due to prior ich h/o r occipital ich in spinal stenosis sm. bowel obstruction s/p bowel resection h/o r hip fracture s/p orif macular degeneration arthritis varicose veins h/o kidney stones social history: lives with his wife in a retirement community. retired engineer. smoked for 50 years, quit 20 years ago. drinks one cocktail each evening. independent and active, however walks with a walker. family history: nc physical exam: vital signs: t 98.2 bp 102/72 hr 75 rr 30 o2 86% on vent fio2 100% general: intubated, appears to be in mild distress heent: normocephalic, atraumatic. c-collar in place. pupils pinpoint, minimally reactive. no conjunctival pallor. no scleral icterus. ett in place. cardiac: iregularly irregular, normal rate. normal s1, s2. no murmurs, rubs or . jvp unable to assess due to collar lungs: course sounds throughout the anterolateral lung fields. abdomen: nabs. soft, slightly distended, no hsm, well-healed vertical abdominal scar extremities: no edema, superficial varicosities in b/l le, 1+ dp pulses, 2+ radial pulses skin: no rashes neuro: unresponsive, withdrawls to pain pertinent results: micro: blood cx : pending . ecg: a fib, rate 52, prolonged qt (526), normal axis, . studies: head ct (osh): per radiologist here no acute process . c-spine (osh): cervical canal narrowing at c5/c6 and c6/c7, no fracture . cxr : impression: extensive interstitial and alveolar opacities, slightly improved from the study 3:14 p.m. today. it is unclear to what degree the parenchymal findings are due to underlying chronic disease; however, superimposed component of diffuse edema is presumed in a somewhat ards-like pattern. recommend short interval followups for continued surveillance. . pelvic xray : pelvic alignment is grossly normal and there is no definite evidence of fracture, however the sacrum is not well seen on this study. there are three cannulated screws traversing the intertrochanteric femur and femoral neck, likely fixing cervical fracture that is not well seen on this study. there is callus formation evident it appears along the superior aspect of the femoral neck and greater trochanter. oval radiopaque measuring 2 cm in the left lower abdomen is uncertain in position or etiology. this could represent a lymphnode calcification or less likely a collecting system calcification. this also could be external to the patient. loops of bowel are minimally distended with gas, likely representing colon. brief hospital course: y/o with pmh of a fib who presents with confusion after fall, aspiration and respiratory arrest s/p intubation . #. resp. failure: had a witnessed aspiration at followed by respiratory arrest which is likely precipitant. no reason to believe that it was cardiac in etiology. intubated emergently at osh. had bilateral infiltrates on cxr concerning for aspiration pneumonitis/ards. on arrival to the icu the patient became progressively more hypoxic and difficult to oxygenate on the ventilator. off sedation he was quite uncomfortable with some dysynchrony and he was quickly placed on propofol with some improvement. he was placed on low tidal volume ventilation for ards protocol, however his oxygenation continued to worsen. he was tried on multiple ventilator settings including volume control, pressure control and aprv without improvement. he was continued on levo/flagyl for possible aspiration pna. his oxygentation would briefly improve when he was normotensive, however his bp became more difficult to manage despite multiple pressors. given his quick, progressive decline and grave prognosis the family was called in. after ongoing discussion with the family about his evolving condition, they decided to proceed with making him cmo. the patient's wife expressed that he had clearly stated that he would not want to be kept alive with heroic measures and if he had little chance of a meaningful recovery to good functional status he would not want agressive measures taken. at this point he was transitioned to cmo, placed on morphine drip and life-saving measures were withdrawn. the patient expired comfortably in the presence of his family. . # hypotension: patient developed early sepsis/sirs in setting of aspiration event and severe pneumonitis. lactate rose which suggested infectious cause. no h/o cardiac problems. bp was somewhat labile here. in setting of recent fall this brings up ? of possible autonomic dysfunction. he was presssor dependent, initially with levophed alone, however vasopressin was added for more support. an emergent cvl and a-line was placed. his bp cont. to trend down and he was switched to dopamine. his bp responded well to this however it caused significant ectopy and wide-complex beats and was therefore shut off. dobutamine and neo was eventually started, however his bp and oxygenation continued to worsen. he was eventually made cmo as above and expired in the icu. . medications on admission: lipitor 10mg daily sertraline 25mg daily travatan 0.004% drops both eyes qhs discharge medications: n/a discharge disposition: expired discharge diagnosis: aspiration pneumonitis ards hypotension discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: unspecified septicemia severe sepsis atrial fibrillation pneumonitis due to inhalation of food or vomitus macular degeneration (senile), unspecified spinal stenosis, unspecified region arthropathy, unspecified, site unspecified asymptomatic varicose veins 

Answer: The patient is high likely exposed to