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 63-year-old male with a history of chronic obstructive pulmonary disease, dependent on home oxygen and chronic steroids, presented to hospital with complaints of increasing shortness of breath over one week with decreased p.o. intake times three weeks. at brochton, the patient became increasingly less responsive. an abg revealed a ph of 7.04, carbon dioxide of 157, and po2 of 138. the patient was intubated for hypocarbic respiratory failure. the patient was also given 80 mg iv lasix to which he diuresed approximately 2.5 l. the patient's blood pressure was found to be 30 mmhg different in each arm, and his chest x-ray revealed what was read as a widened mediastinum. the patient had progressively hypotensive, and there was concern that the patient had an aortic dissection. the patient was transferred to to rule out aortic dissection. a ct of the chest was done which revealed no dissection but revealed right middle lobe collapse. at , the patient was also felt to have 1-2 mm st segment elevations inferolaterally. the patient was taken to cardiac catheterization which revealed normal coronaries. the patient was started on dopamine for hypotension prior to being catheterized. past medical history: 1. chronic obstructive pulmonary disease on home oxygen and chronic steroids. 2. hypotension. 3. nephrolithiasis. 4. osteoporosis. 5. upper extremity spasticity of unclear etiology. 6. history of fatty mass, question lipoma, on chest imaging (unclear as to whether diagnosed by biopsy or ct). allergies: gatifloxacin causes a rash. medications: prednisone, albuterol and atrovent nebs, baclofen 20 mg p.o. t.i.d., multivitamin, calcium carbonate, fosamax, aspirin, b12, flovent, serevent. social history: the patient lives with his wife. has a 50+ pack-year history of tobacco and quit two years ago. the patient reported heavy alcohol use but quit ten years prior to admission. the patient has a history of asbestos exposure. physical examination: vital signs: heart rate 80, blood pressure 80s to 90s over 50s. general: the patient was intubated and sedated. he was in no apparent distress. neck: no jugular venous distention. heart: regular, rate and rhythm. normal s1 and s2. no murmurs, rubs or gallops appreciated. pulmonary: the patient had diffuse expiratory wheezes. abdomen: the patient's belly was soft, nontender, and nondistended. rectal: guaiac positive. extremities: the patient had 2+ pitting edema. laboratory data: the patient's white blood cell count was 9.5, hematocrit 42.1, platelet count 296,000; inr 1.4; chem7 revealed a sodium of 139, potassium 4.6, chloride 94, bicarb 31, bun 9, creatinine 0.6, initial ck was 124; the patient's abg improved to 7.43 with a ph, with a pco2 of 52, and a po2 of 106, once on the vent. ct of the chest revealed no aortic dissection, mildly dilated aorta at 4 cm, right middle lobe collapse, mediastinal shift to the right, axillary mediastinal nodes approximately 1 cm and focal ................. of the right hemidiaphragm. ct of the abdomen was read as unremarkable. ct of the pelvis was read as unremarkable. cardiac catheterization revealed no significant coronary artery disease. ejection fraction was 65%. no wall motion abnormalities. hospital course: this 63-year-old man with severe chronic obstructive pulmonary disease was admitted for hypercarbic respiratory failure and likely chronic obstructive pulmonary disease exacerbation was found to have right middle lobe collapse that was initially concerning for malignancy. 1. pulmonary: the patient was intubated and ventilated. he was given atrovent and albuterol mdis. he was started on solu-medrol 80 mg iv q.8 hours. the patient also received ceftriaxone 1 g iv q.24. sputum cultures were sent. the patient underwent bronchoscopy which revealed no endobronchial masses. brushings revealed no malignant cells, and bronchial washings revealed reactive atypia but could not rule out carcinoma. the patient steroids were tapered over the hospital course. on the fourth day of hospitalization, the patient was tried on pressor support. he was limited by the amounts of tidal volume that he could create, as well as increasing respiratory rate. the patient was aggressively diuresed with lasix and was able to diurese 1-1.5 l/day. he was grossly total body volume overloaded. on the sixth day of hospitalization, he was tried on pressor support and did quite well. he was tried on pressor support 5 and 5 with an abg of 7.45, pco2 56, pao2 81, 95% saturation. the patient was successfully extubated. he was gradually weaned to 3 l nasal cannula. his solu-medrol iv was changed to prednisone 40 mg q.d. the patient's iv ceftriaxone was changed to .............. 400 mg p.o. b.i.d. cardiovascular: the patient required pressors after his heart catheterization. it was also thought that he had some element of autopeeping. his peep was maintained at 5. the patient was weaned off dopamine on the second day of admission. a central venous catheter was placed in the right ij position. his cvps were monitored and ranged from . he was aggressively diuresed for 1.5 l on the average per day. after extubation, the patient experienced hypertension into the 170s and 180s systolic. he was started on thiazide diuretic 12.5 mg p.o. q.d. as hydrochlorothiazide. gi: the patient was found to have a firm, distended belly after admission. he had not had a bowel movement in several days. an aggressive bowel regimen was started after a kub revealed no obstruction and no perforation. the patient responded well to dulcolax. his belly became quite soft after several bowel movements. code status: initial discussions with the family had revealed that the patient had expressed wishes not to be resuscitated and not to be intubated. they also felt that he would not want a tracheostomy. when the patient was extubated, family discussion was held with the patient's two daughters, wife, as well as the patient. at this point, he felt that he would like to be resuscitated should his heart stop, including receiving electric shock and cpr. the patient also expressed wishes to be reintubated, should he fail after extubation. he would also desire tracheostomy if he were to be intubated for the long term. his family was in accordance with these wishes and wished to respect the patient's desires for care. condition on discharge: good. discharge status: the patient will likely be discharged to rehabilitation. discharge diagnosis: 1. chronic obstructive pulmonary disease exacerbation. 2. pneumonia. 3. hypertension. 4. osteoporosis. 5. upper extremity spasticity. discharge status: the patient was discharged to a rehabilitation hospital. he will be arranged to have follow-up with the pulmonary clinic here at . the patient was advised to follow-up with his primary care physician within in one week after discharge. discharge medications: tums 500 mg p.o. t.i.d., albuterol and atrovent nebulizer treatments q.4 hours as needed for shortness of breath and wheezing, prednisone 40 mg p.o. q.d. to be tapered, hydrochlorothiazide 12.5 mg p.o. q.d., cefpodoxime 40 mg p.o. b.i.d. the patient may resume his outpatient regimen of baclofen 20 mg p.o. t.i.d., fosomax 1 mg q.week, flovent mdi, serevent mdi, b12, aspirin, multivitamin. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization angiocardiography of left heart structures other and unspecified coronary arteriography enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure osteoporosis, unspecified 

Answer: The patient is high likely exposed to