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: respiratory failure, eval for trach major surgical or invasive procedure: ett at osh and extubation picc line placement and removal history of present illness: this is a 32 y/o male with neurofibromatosis, s/p multiple cervical and thoracic surgeries c/b paraplegia , progressive scoliosis, who now p/w progressive respiratory failure. he initially presented to his pcp with symptoms of progressive dyspnea without any associated symptoms of f/c/s, cough, chest pain, or sputum. cxr obtained at that time demonstrated total opacification of the left hemithorax and markedly diminished right lung volume. he was then referred to the ed of the osh for further evaluation. ros positive for 30-lb weight gain over 2 years. abg on admission was 7.38/59/55. he was further admitted to the osh icu for hypoxemic, hypercarbic respiratory failure. he was placed on supplemental o2 and bipap, however could not tolerate this and there was minimal to no improvment in his pco2. his pco2 at its highest is documented at 80. after discussing options, the patient elected for a tracheostomy with nocturnal ventilation. due to difficult airway anatomy, he was transferred to for evaluation by thoracic surgery here at . he was intubated semi-electively fiberoptically prior to transfer to . he also had a right femoral cvl placed on . of note, patient had a klebsiella uti at osh, was started on zosyn on . . patient denies any current symptoms and is comfortable. no f/c/s, sob, chest pain, n/v/abdominal, le pain. past medical history: 1. neurofibromatosis dx 2. h/o multiple thoracic and cervical spine fibromas causing obstruction (, , ) c/b paraplegia in after cervical laminectomy with tumor and hardware removal 3. significant scoliois requiring fusion in , repeat 4. h/o hypothalamic cystic brain tumor, s/p surgery and vp shunt 5. h/o pe in setting of spinal surgery 6. h/o ileus in 7. h/o recurrent uti's social history: lives at home with his father, who is his caretaker. tobacco or etoh. family history: mother passed away from breast ca, also had h/o neurofibromatosis. physical exam: vs: tc 98.4, bp 125/77, hr 85, rr 14, sao2 96%/ ac 450x8, fio2 30%, peep 5 general: obese young male in nad, ao x 3 heent: nc/at, perrl, eomi. intubated, ett in place neck: supple, large, unable to extend the neck chest: diminished bs b/l, l>r cv: rrr s1 s2 normal, no m/g/r abd: soft, obese, nt, nabs ext: no c/c/e, withdrawn and slightly spastic neuro: ao x 3, able to move left arm and wiggle toes. +spastic extremities skin: +multiple neurofibromas pertinent results: 06:56pm blood wbc-8.6 rbc-4.85 hgb-13.2* hct-39.3* mcv-81* mch-27.3 mchc-33.7 rdw-14.8 plt ct-209 03:37am blood wbc-6.5 rbc-4.85 hgb-13.1* hct-40.0 mcv-83 mch-27.0 mchc-32.7 rdw-14.9 plt ct-297 03:10am blood pt-11.2 ptt-24.1 inr(pt)-0.9 03:00am blood glucose-80 urean-6 creat-0.2* na-138 k-3.6 cl-101 hco3-27 angap-14 . 03:29pm blood type-art temp-37 po2-87 pco2-57* ph-7.45 caltco2-41* base xs-12 intubat-not intuba . ct trachea 1) left upper lobe collapse with abrupt termination of the left upper lobe bronchus, most likely due to extrinsic compression from large left lateral thoracic wall neurofibroma. partial collapse of left lower lobe may also be due to this process. if warranted clinically, correlative bronchoscopy may be helpful to exclude any associated intrinsic abnormality. 2) no definite evidence of tracheobronchomalacia, though the intubated portion of the trachea is difficult to assess due to the endotracheal tube. 3) small right pleural effusion. 4) multiple neurofibromas in paraspinal, thoracic wall, and subcutaneous locations. similar mediastinal and retroperitoneal lesions may also represent neurofibromas. extension of paraspinal neurofibromas into the spinal canal could be further assessed by mri if warranted clinically. 5) dilated air filled small bowel loops; please correlate with clinical history, and if needed, imaging of the abdomen to exclude small bowel obstruction. 6) evidence of previous cervical fusion and thoracotomy with rib resections. brief hospital course: a/p - 32 y/o male with neurofibromatosis, s/p multiple cervical and thoracic surgeries, scoliosis, p/w respiratory failure. . # respiratory failure - progressive, hypoxemic & hypercarbic respiratory failure. multifactorial in etiology - obesity, marked scoliois, cervical fusion, paraplegia, and possible pna. s/p unsuccessful bipap, was intubated fiberoptically. pt was placed on pressure support and was weaned. ct chest showed lul collapse liikely from extrinsic compression from large neurofibroma. tte showed normal rv function. thoracics consulted and re-evaluated on after extubation. they felt that given his neck anatomy he would require a partial manubrectomy/sternectomy to place the tracheostomy and he would face long term consequences including granulation tissue formation as well as skin breakdown given the flexed position of his neck. he was extubated successfully on and did well. an abg post-extubation was 7.45/59/87. he was placed on a trial of bipap and night to help rest his pulmonary circuit. he will continue to f/u with dr. from to monitor his pulmonary status. . # klebsiella uti - recorded at osh, resistant to fluroquinolones, started on zosyn on which continued for 7 days (end date ). repeat ucx on was negative. . # f/e/n - po diet as tolerated . # ppx - heparin sc, aggressive bowel regimen . # access - right femoral line , d/c'd , picc placed on and removal on day of discharge. . # code - full . # communication - father, . # dispo - discharged home on home oxygen, nightly bipap. medications on admission: meds on transfer from osh: 1. propfol gtt 2. baclofen 20 mg tid 3. dulcolax 10 mg qod pr 4. colace 200 mg 5. heparin sc tid 6. zosyn 3.375 gm q6 hrs, day #3 discharge medications: 1. baclofen 10 mg tablet sig: two (2) tablet po tid (3 times a day). 2. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). discharge disposition: home discharge diagnosis: neurofibromatosis hypoxemic resp failure due to restrictive lung physiology osa discharge condition: stable to be discharged home in good condition. discharge instructions: you were admitted for evaluation for tracheostomy. while this was not deemed necessary, you were fitted for a bipap mask and are going home with planned nightly bipap to help you breathe in your sleep. please use oxygen as needed and while you sleep as your oxygen level decreases during these times. please take all medications as prescribed follow up as per below seek medical attention immediately if you experience new symptoms including shortness followup instructions: please contact dr. office when you return to to schedule a follow up appointment with a pulmonologist. call to schedule that appointment. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances diagnoses: obstructive sleep apnea (adult)(pediatric) urinary tract infection, site not specified pulmonary collapse acute and chronic respiratory failure personal history of venous thrombosis and embolism obesity, unspecified paraplegia presence of cerebrospinal fluid drainage device arthrodesis status other kyphoscoliosis and scoliosis neurofibromatosis, unspecified 

Answer: The patient is high likely exposed to