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: history of present illness: this is an 82-year-old caucasian male with a history of schizophrenia and aspiration pneumonia, who was transferred from his nursing home with hypoxic respiratory failure after a witnessed aspiration event. per the nursing note, the patient choked on honey thick food at lunch with moderate amounts of food suctioned from his mouth. the patient subsequently became hypoxic with an oxygen saturation of 87% on a 100% nonrebreather mask. patient's heart rate at that time was 154, and his blood pressure was 150/90. he was subsequently transferred to . in the emergency department, the patient was initially thought to be in chf and was given lasix 40 mg iv. he then was given morphine 2 mg and started on a nitroglycerin drip. his heart rate increased to the 180s and it was thought the patient was in atrial fibrillation. diltiazem was given. patient then became hypotensive to a blood pressure of 70/65 and was intubated with plans for cardioversion. the patient's blood pressure subsequently increased to 122/65 and cardioversion was aborted. at this time, the micu was called for evaluation. also in the emergency department, ceftriaxone and flagyl were given for presumed aspiration pneumonia. albuterol inhalers were given and sedation was increased to a versed drip. the patient was then transferred to the micu for further management. past medical history: 1. history of aspiration pneumonia. 2. question of mitral valve regurgitation, echocardiogram in revealed normal left ventricular function and no evidence of valvular disease. 3. atrial fibrillation. 4. prostate cancer status post turp. 5. schizophrenia. 6. status post right total hip replacement. medications: 1. aspirin 81 mg p.o. q.d. 2. zantac 150 mg p.o. b.i.d. 3. seroquel 100 mg p.o. b.i.d. 4. trihexyphenidyl one b.i.d. 5. paroxetine 10 mg p.o. q.d. 6. depakote er 1000 mg q.d. allergies: no known drug allergies. social history: the patient lives at and is dependent on staff for all activities of daily living and is noted at times to be agitated. the patient currently has a corporate guardian who makes all of his medical decisions. the patient's alcohol and tobacco history is unknown. physical exam: vital signs: temperature 99.8, heart rate 120, blood pressure 88/52, respirations 24, and 100% on 100% fio2, pressure support of 20, peep of 10, tidal volumes around 580 with a respiratory rate of 22. general: intubated, sedated, and moving all four extremities. heent: pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. jugular venous pressure could not be assessed. the patient has no teeth. lungs: diffuse wheezing and rhonchi in the anterior lung fields. heart: tachycardic, irregular, no murmurs, but very suboptimal examination. abdomen: obese, soft, nontender. extremities: no evidence of edema, warm, and well perfused. laboratories: white blood cells 15.1, hematocrit 38.3, platelets 226, mcv 89. inr 1.2. sodium 143, potassium 4.3, chloride 103, bicarb 30, bun 18, creatinine 0.9, glucose 133, anion gap of 10. ck 1012, mb 7, troponin less than 0.01. preintubation abg: 7.44/45/105. post-intubation abg: 7.27/57/110. chest x-ray: left lower lobe atelectasis with a small left effusion and possible chf. ekg: mat with a heart rate in the 140s to 150. q waves evident in iii and avf. hospital course during micu stay: 1. hypoxic respiratory failure: the etiology of the patient's hypoxic respiratory failure was likely secondary to his witnessed aspiration event, and the patient was intubated in the emergency department and placed on clindamycin and ceftriaxone for empiric coverage of his pneumonia. the patient was initiated on assist control ventilation, and was eventually weaned to pressure support ventilation, and given several spontaneous breathing trials. the patient required frequent suctioning during his initial days in the micu. in addition, the patient's abdomen was noted to be markedly distended secondary to obstipation, and the patient was disimpacted and maintained on an aggressive bowel regimen. as the patient's abdominal distention resolved and his secretions lessoned, his respiratory status improved. the patient self extubated on , and was immediately placed on a high flow mask with a nasal cannula. the patient was continued on aggressive chest physical therapy and suctioning, and did quite well after self extubation. 2. cardiovascular: the patient's heart rate was noted to convert to multifocal atrial tachycardia in the emergency department in the setting of overdiuresis for presumed chf. the patient was started on a diltiazem drip and his multifocal atrial tachycardia spontaneously resolved. several days later in the icu, the patient's multifocal atrial tachycardia resumed and was somewhat resistant to a diltiazem drip, and eventually was controlled with a beta-blocker. the etiology of the patient's mat was considered likely related to his respiratory failure and it is notable that the patient's mat resolved with improvement and resolution of his pulmonary disease. the patient also was noted to be hypotensive on admission in the emergency department in the setting of overdiuresis for presumed chf. he became normotensive after aggressive fluid resuscitation. his blood pressure was monitored in the intensive care unit with an a line, and the patient was noted to be normotensive throughout his stay in the intensive care unit. 3. altered mental status: the patient was noted on admission to be minimally oriented and somewhat confused. this was considered likely secondary to the patient's underlying schizophrenia as well as possibly related to his aspiration pneumonia. the patient was treated for his aspiration pneumonia with ceftriaxone and clindamycin. once the patient self extubated, he was agitated and abusive to staff members. a psychiatry consult was obtained and the psychiatry consult service felt that the patient was somewhat delirious, although found it difficult to assess given the patient's trouble communicating. the patient was weaned off all sedation and was maintained on valproic acid and paroxetine, his outpatient regimen. his mental status improved dramatically throughout the remainder of his stay in the icu. 4. fen: the patient was on tube feeds while intubated through an og tube, but once he was self extubated, a nasogastric tube could not be placed. a speech and swallow evaluation was obtained, and patient did not demonstrate clear signs or symptoms of aspiration at the bedside with an adequate cough. the speech and swallow consult service recommended starting the patient on puree solids and thin liquids with assistance with feedings and aspiration precautions. patient's electrolytes remained normal throughout the remainder of his stay in the icu and he was scheduled for a video swallow study after transfer to the medicine floor. the remainder of the hospital course and discharge medications, follow-up appointments will be dictated at a later time on discharge from the hospital. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization transfusion of packed cells diagnoses: congestive heart failure, unspecified atrial fibrillation personal history of malignant neoplasm of prostate acute on chronic diastolic heart failure acute respiratory failure other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus unspecified intellectual disabilities paranoid type schizophrenia, chronic 

Answer: The patient is high likely exposed to