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: no known allergies / adverse drug reactions attending: chief complaint: unresponsiveness. major surgical or invasive procedure: 1. endotracheal intubation 2. central venous line placement history of present illness: 84 yo male history of prior stroke with right facial droop, copd on home o2, osa on bipap, pulm htn, htn, mr, and chf with ef 50% who was sent in from the home after being found at 9pm with unresponsiveness and pinpoint pupils. fs was 108. he was non-responsive to narcan given by ems. in the ed, initial vs were: 96.8 176/80 48 100% on "20l". upon arrival to the ed, a right facial droop was noted and there was not a lot of history from the facility or ems so a code stroke was called. initially, he was able to open his eyes to sternal rub, so he was intubated for unresponsiveness and airway protection given concern for an evolving stroke. the ed noted a difficult and inferior intubation. he received atropine 0.5mg prior to intubation for bradycardia to the 30's. he was given fent/versed after intubation. no response to more narcan in ed. more information was then gathered. he had been at rehab for coughing leading to syncopal episodes and rehab after prior strokes. he was intermittently brady at the facility with bp 63/48. patient on alfa-2 eye drops for glaucoma with constrict pupils. portable cxr after intubation noted that the ett was low and was subsequently pulled back cms. a rij was placed for sbp of 80. repeat cxr was ordered. he was given levofloxacin for a uti. a cta of the head and neck was done to rule out stroke. neurology was consulted. neuro consult recs noted: cta attempted, contrast not perfused adequately. transcranial doppler (tcd) done on basilar artery showing flow to 110mm, makes clot unlikely. most recent vitals prior to transfer: afeb 47 103/61 500x14 50%x5. on arrival to the micu, pt is intubated and sedated. his vital signs were stable. of note, the patient's dry weight is 247-252lbs. the patient called his wife this morning to say "goodbye". he has been in the hospice section of nursing home for end stage chf. past medical history: - acs s/p cabg - prostate cancer s/p xrt c/b residual incontinence, condom cath qhs - severe right sided systolic failure - severe phtn (on 2-3lnc) - osa on home bipap - mult cvas w residual r-sided weakness and r-facial droop - recurrent syncope of uncertain etiology (potentially cough) - dm2 - htn - dvt - depression - mild dementia - s/p cataract surgery - internal hemorrhoids social history: married with 5 children, admitted to home for syncopal episodes and rehab. is in the hospice section because "the doctors told his heart is endstage" and for insurance reasons, but is still full code. wheelchair bound at baseline. retired bus driver. previous 20 year smoking history, quit >40 years ago. no etoh or illicit drug use. family history: mother had cancer, patient cannot recall diagnosis. physical exam: admission exam: vs: 58 124/78 general: intubated, sedate, obese, aa male heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: bradycardia, holosystolic murmur best heard at apex lungs: bibasilar crackles abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: foley with yellow urine ext: warm, well perfused, 2+ pulses, no clubbing or cyanosis. trace to 1+ edema in b/l le's. neuro: full admission neuro exam documented in neurology consult stroke team note. baseline is r facial droop and arm weakness. on admission he is intubated and sedated, perrl. discharge exam: vs general: obese male in no acute distress heent: dy mucous membranes neck: supple, jvp not able to be appreciated cv: holosystolic murmur best heard at lower left sternal border, regular rate lungs: diffuse end-expiratory wheezing, poor air movement abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing or cyanosis. 1+ edema in b/l le's. neuro: full admission neuro exam documented in neurology consult stroke team note. baseline is r facial droop and arm weakness. pertinent results: labs on admission: 11:30pm blood wbc-7.1 rbc-5.20 hgb-14.4 hct-44.9 mcv-86 mch-27.6 mchc-32.1 rdw-14.9 plt ct-212 11:30pm blood pt-13.7* ptt-34.2 inr(pt)-1.3* 11:30pm blood urean-33* 11:39pm blood creat-1.9* 11:30pm blood alt-18 ast-35 alkphos-130 totbili-0.4 11:30pm blood lipase-28 11:30pm blood ctropnt-0.04* 05:57am blood albumin-2.3* calcium-7.7* phos-3.8 mg-1.7 11:40pm blood glucose-85 lactate-2.8* na-143 k-3.5 cl-93* calhco3-36* labs prior to discharge: 06:57am blood wbc-7.0 rbc-5.19 hgb-14.3 hct-44.6 mcv-86 mch-27.6 mchc-32.1 rdw-14.7 plt ct-184 06:57am blood glucose-87 urean-22* creat-1.5* na-147* k-3.8 cl-102 hco3-36* angap-13 06:57am blood calcium-8.6 phos-3.4 mg-2.1 urine site: not specified **final report ** urine culture (final ): gram positive bacteria. >100,000 organisms/ml.. alpha hemolytic colonies consistent with alpha streptococcus or lactobacillus sp. blood culture blood culture, routine-pending blood culture blood culture, routine-pending reports: cxr: 1. et tube ends 2.5 cm above the carina, and could be withdrawn a few cm for optimal positioning. 2. moderate pulmonary edema. right upper lobe paramediastinal consolidation, which may represent acute infection or asymmetric edema. cta head and neck: ct head demonstrates no hemorrhage. mild changes of small vessel disease. ct angiography of the head and neck was unsuccessful and no diagnostic ct angiographic information is obtained. exuberant calcifications are seen in the aortic arch and the neck vessels. pleural parenchymal changes are seen in both lungs. - of note contrast extravasated from the iv tubing. cxr: endotracheal tube has been repositioned, now terminating about 5.2 cm above the carina. heart remains enlarged. rapid improvement in pulmonary edema, which is nearly resolved. more confluent opacity in right upper lobe is also improving, but difficult to fully assess due to patient rotation. calcified pleural plaques are present, indicative of prior asbestos exposure. brief hospital course: 84yo m pmhx cva, severe osa, phtn, and chf w chronic 2l o2 requirement admitted with unresponsive episode, etiology uncertain, family not wishing to pursue further workup, being transferred back to nursing facility without a clear etiology to the episode. active issues: # syncope: pt presented w unresponsive episode of unclear etiology; given history of multiple utis, initially thought to be toxic metabolic picture, however no clear source of infection with all cultures negative. initially was intubated in setting of episode, but was quickly extubated without residual acute respiratory issues. he was started empirically on vancomycin and cefepime, which were stopped when cultures returned negative. considered cardiac or neurologic cause; neurologic thought to be unlikely given normal ct head; discussion was had with family who agreed that no further workup was desired at this time. patient was stable and discharged back to rehab. chronic issues: # diastolic chf / phtn/ osa patient w severe osa, severe r-sided chf, phtn, dlco 50% (), without signs of exacerbations on this admission. patient was continued on home bipap. continued home torsemide, asa, lisinopril, metoprolol, isosorbide # chronic pain continued home tylenol # psych / dementia continued home citalopram, ropinirole, donepezil # glaucoma continued brimonidine transitional issues: -pt was full code for this admission after multiple discussions, although family expressed desire to focus on symptom directed care with hospice at rehab medications on admission: - tylenol prn - asa 325mg qd - celexa 20mg qd - docusate 200mg qd - iron supp 325mg qd - lisinopril 20mg qd - metoprolol succinate er 25mg qd - torsemide 20mg qd - brimonidine tartrate 0.15% eye drops - potassium chloride 10mg er qd - isosorbide mononitrate sr 30mg qhs - ropinirole hcl 2mg qhs - donezepil 5mg qhs - senna 8.6mg qhs discharge medications: 1. acetaminophen oral 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 6. lisinopril 20 mg tablet sig: one (1) tablet po once a day. 7. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 8. torsemide 20 mg tablet sig: one (1) tablet po daily (daily). 9. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 10. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day. 11. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 12. ropinirole 1 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 13. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 14. senna 8.6 mg tablet sig: one (1) tablet po at bedtime as needed for constipation. discharge disposition: extended care facility: care & rehab center - discharge diagnosis: primary: encephalopathy secondary: pulmonary hypertension discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: mr. , it was a pleasure taking care of you during your hospitalization at . you were admitted after having an episode of unresponsiveness at your nursing facility. you were monitored and were stable. after discussion with your family, we agreed that no further work-up will be conducted at this time. you are now safe for discharge back to your home. please note the following medication changes: none followup instructions: please have your nursing facility schedule an appointment with your primary care physician . within the next two weeks. department: cardiac services when: monday at 11:30 am with: dr. building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube fiber-optic bronchoscopy diagnoses: obstructive sleep apnea (adult)(pediatric) other chronic pain mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status other chronic pulmonary heart diseases unspecified glaucoma depressive disorder, not elsewhere classified other specified cardiac dysrhythmias other late effects of cerebrovascular disease personal history of venous thrombosis and embolism encephalopathy, unspecified other disorders of muscle, ligament, and fascia restless legs syndrome (rls) other late effects of cerebrovascular disease, facial weakness chronic combined systolic and diastolic heart failure dementia, unspecified, without behavioral disturbance 

Answer: The patient is high likely exposed to