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: hypotension major surgical or invasive procedure: right internal jugular central venous catheter placement history of present illness: patient is a 79 yo m with a history of respiratory failure and chronic vent dependence who presented from osh with hypotension coupled with history of fever and leukocytosis. per report the patient was at his facility and found to have febrile and congested treated with lasix as cxr showed fluid overload with possible pneumonia. however, he became hypotensive and required pressor support. there were no micu beds at osh and was transferred to . while in the ed, the patient was treated with pressors (levophed) and ceftazadime as well as kayexelate for hyperkalemia. . upon arrival to the micu, the patient was asymptomatic without shortness of breath, chest pain, headache, fever, chills, nausea or vomiting. he was able to communicate with mouthing words. he became tachycardic to the 140s with atrial flutter with persistent hypotension. for this he was changed to phenylephrine and given iv fluids past medical history: pulmonary hypertension, copd, cva, gout social history: history of tobacco x 50 years, quit 22 years ago, no current alcohol use, prior to admission in lived at home with his wife. family history: nc physical exam: t 100.1 bp:116/56 rr: 26 02 98% vent (ac 550x12 fi02 0.65 peep 10) gen: alert and oriented to hospital, person heent: op clear, mmm neck: right ij placed cv: tachycardic, regular pulm: rhonchi bilaterally with decreased breath sounds on the right abd: soft, nd, nd, peg with slight drainage around are with mild erythema ext: 1+ edema le, rue 2+ edema, lue 1+ edema neuro: moves all extremities on command psych: appropriate pertinent results: 03:03am blood wbc-20.5* rbc-2.65* hgb-8.6* hct-26.6* mcv-101* mch-32.3* mchc-32.2 rdw-19.4* plt ct-153 05:06am blood wbc-22.8* rbc-2.84* hgb-9.2* hct-27.9* mcv-98 mch-32.2* mchc-32.8 rdw-20.9* plt ct-147* 03:03am blood neuts-88* bands-3 lymphs-1* monos-6 eos-1 baso-0 atyps-0 metas-1* myelos-0 03:03am blood pt-24.1* ptt-33.9 inr(pt)-2.4* 03:03am blood plt ct-153 05:05am blood ret aut-1.5 03:03am blood glucose-139* urean-64* creat-1.5* na-147* k-5.7* cl-110* hco3-30 angap-13 05:06am blood glucose-165* urean-33* creat-1.2 na-142 k-4.0 cl-109* hco3-26 angap-11 03:03am blood alt-26 ast-20 ck(cpk)-24* alkphos-57 amylase-90 totbili-0.4 03:03am blood ck-mb-notdone ctropnt-0.03* 01:02pm blood ck-mb-notdone ctropnt-0.07* 03:03am blood albumin-2.3* calcium-8.1* phos-3.2 mg-2.9* 03:53am blood caltibc-129* vitb12-453 folate-11.5 ferritn-1587* trf-99* 04:50am blood vanco-14.2 05:06am blood vanco-22.0* 03:33am blood lactate-2.4* 08:46am blood lactate-1.8 initial kub: findings: nonspecific dilated loops of small bowel are seen, extending up to approximately 4 cm in diameter, which is similar in degree when compared to the study of . a gastrostomy tube is again seen, with the balloon at the tip projecting over what is presumed to be the gastric bubble. no contrast was administered through the tube to verify tube location. there is a somewhat unusual appearance of the left femoral head, presumably secondary to patient positioning. impression: gastrostomy tube balloon and tip projects over what is presumed to be the gastric bubble. higher confidence in localization could be obtained by obtaining a radiograph after injecting the tube with contrast. . ct chest w/contrast 2:55 pm ct chest w/contrast reason: eval for interstitial lung disease vs chf field of view: 40 contrast: optiray medical condition: 79 year old man with unclear history asbestosis and copd, recent pea arrest, difficult to wean vent, readmitted with vap, need to further delineate lung disease reason for this examination: eval for interstitial lung disease vs chf contraindications for iv contrast: none. ct chest reason for exam: difficult to wean from vent. technique: multidetector ct through the chest following administration of iv contrast. five, 1.25 mm collimation images and coronal reformations were provided and reviewed. findings: tracheostomy tube is in standard position. multiple lymph nodes in the prevascular, pretracheal, subcarinal and in the hila bilaterally measure up to 11 mm in the subcarinal station. layering moderate - size bilateral pleural effusions are nonhemorrhagic and associated with adjacent relaxation atelectasis. there is no pneumothorax. the airways are patent to segmental level. very dense calcifications are in the left main, lad, left circumflex and right coronary arteries. there is moderate cardiomegaly. there is no pericardial effusion. the aorta is normal in caliber. ground glass opacity, and interlobular septal thickening in the upper lobes are consistent with interstitial pulmonary edema. ill-defined multifocal areas of consolidation in the right upper lobe are likely infectious in origin. there is paraseptal emphysema. there are no bone findings of malignancy. the imaged portion of the upper abdomen shows no abnormalities. impression: 1. chf. 2. multifocal areas of consolidation in the right upper lobe are likely due to infectious process. 3. bilateral pleural effusions. 3. coronary calcifications. 4. moderate cardiomegaly. 5. reactive lymphadenopathy. . last cxr chest, single view: again there is a right internal jugular catheter with its tip projecting over the distal svc and tracheostomy tube in unchanged standard position. persistent cardiomegaly. nontypical interstitial edema suggesting coexisting emphysema. layering effusions, right greater than left, appear marginally increased on today's study. impression: equivocally increased layering bilateral pleural effusions. essentially unchanged nontypical interstitial edema with likely underlying emphysema. brief hospital course: 79 yo m with copd, vent dependence who presents with pressor dependent hypotension sepsis: patient with persistent hypotension and not responsive to pressors. given leukocytosis with left shift and history of fever, infection is likely. was initiall treated with broad spectrum antibiotics and improved however, pressor requirement again increased several days later and antibiotics were continued. patient was given fluids but began to develop volume overload . #) id: likely secondary to infection in lungs, though other sources of infection cannot be ruled out especially given that the chest x-ray was no significantly different than . sputum culture showed pansensitive pseudomonas aeruginosa stenotrophomonas (xanthomonas) maltophida. . #) cardiac: - rhythm:a fib/ flutter: appears to go in and out of this. continued on amiodarone. - pump: has likely diastolic dysfunction at baseline. does have signs of fluid overload on exam though with low cvp and likely low filling pressures. also with possible hocm on last echo. therefore, may be very preload dependent explaining why patient is sensitive to hypotension. diuresis was attempted but patient did not tolerate it and required fluid boluses - cad: no signs cad currently though does have slight troponin leak. will continue to follow ecgs. . #) pulmonary hypertension/vent dependence: unclear etiology and treatment. appears to be on sidenifil at baseline though pulmonary pressures are not significantly elevated on echo. likely has multifactorial lung disease given appearance of asbestos exposure, pulmonary hypertension and smoking history. suspect copd component as well. these issues ultimitely worsened and given his overall status was difficult to treat . #) anemia: chronically anemic suspect secondary to chronic disease and poor nutrition status. no clear signs bleeding . #) arf: slight increase in creatinine, likely seconary to hypovolemia with prerenal azotemia. . #) history of thrombus: per records, the patient has a left ij, scv clot. was on anticoagulation on admission . #) fen: intravascularly hypovolemic, lytes ok now but was hyperkalemic, will check serially, no tube feeds for now as the patient has poor peg treatments. . #) ppx: therapeutic on coumadin, pneumoboots #) access: right ij, right picc #) dnr: as discussed with patient, no shocks, no cpr, ok with pressors. #) comm with patient, wife. patients overall status continued to decline and the decision was made with the family and patient (who remained intact for most of the end of his life). the decision was made not to escalate care (from vent and 1 pressor). infortunately the patient died on medications on admission: ( gen record) atrovent albuterol beclomethasone 80 mcg pepcid 20 mg nystatin percocet 5/325 sildenafil 25 mg tid reglan 10 mg qid coumadin 1 mg daily amiodarone 400 mg daily metoprolol tartrate 12.5 mg daily linezolid 70 mg sc daily lasix 40 mg daily discharge medications: n/a discharge disposition: expired discharge diagnosis: - copd w/pulmonary hypertension, chronic vent (since ) - pea arrest - chf (ef >75%, diastolic) - anemia with previous transfusions - paf with occasional flutter and mat; s/p cardioversion x3, currently rhythm controlled with amiodarone and on coumadin - asbestosis - gout - stroke in (patient reports no persistent deficits) discharge condition: expired discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnoses: pneumonia, organism unspecified anemia of other chronic disease congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified gout, unspecified atrial fibrillation other chronic pulmonary heart diseases atrial flutter sepsis acute respiratory failure hypoxemia surgical or other procedure not carried out because of patient's decision abdominal aneurysm without mention of rupture hyperosmolality and/or hypernatremia diastolic heart failure, unspecified asbestosis tracheostomy status dependence on respirator, status septicemia due to pseudomonas 

Answer: The patient is high likely exposed to