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: levofloxacin attending: chief complaint: shortness of breath major surgical or invasive procedure: mechanical ventilation history of present illness: 64 yo man with copd called ems early this am when he developed acute-onset sob while failed to improve with combivent nebs. in the field he requested intubation. therefore i was not able to obtain further history (following is from recent d/c summary). in the ed he was started on propofol and bp dropped to 80s systolic. was given solumedrol 125 mg iv, levoquin 500 mg iv. past medical history: 1. copd on 4 l o2 at home and s/p multiple admissions and intubations for flares-fev1/fvc 35% 2. hypertension 3. hyperlipidemia 4. cad s/p nstemi () 5. chronic low back pain l1-2 laminectomy from accident at work 6. steroid induced hyperglycemia 7. left shoulder pain for several months 8. cataract 9. gerd social history: married with six children. lives at home in with wife. retired mechanic. exposed to a lot of spray paint. former smoker. quit 25 years ago. 20 pack year history. occassional etoh quit marijuana 3 years ago. denies iv drug use. activity limited due to prior spine and current shoulder problems. family history: mother with asthma and father with cancer physical exam: pe: afeb, 94/56, 84, 18, 96% on ac 480 x22, 1.0, 5 gen - intubated, sedated, nad neck - no jvd heart - could not hear heart sounds lungs - poor air movement on r, loud wheezes on l abd - soft, nt/nd, nabs ext - no edema pertinent results: cta w/ contrast: 1) no evidence of pulmonary embolism. 2) emphysema. 3) stable bronchiectasis and linear opacities in the right and left lower lobes, which may represent atelectasis or scarring. cxr : 1) no evidence of pneumonia. 2) emphysema. ecg : sinus tachycardia with ventricular premature beat. low voltage. right atrial abnormality. early transition. compared to the previous tracing sinus tachycardia is new. admission labs: 06:30am blood wbc-17.3* rbc-4.14* hgb-10.9* hct-33.7* mcv-82 mch-26.4* mchc-32.4 rdw-14.4 plt ct-302 06:30am blood glucose-99 urean-16 creat-0.6 na-137 k-4.1 cl-98 hco3-30* angap-13 06:22am blood type- po2-205* pco2-67* ph-7.25* calhco3-31* base xs-0 discharge labs: 06:45am blood wbc-14.9* rbc-4.60 hgb-12.0* hct-38.3* mcv-83 mch-26.2* mchc-31.4 rdw-14.6 plt ct-324 06:45am blood glucose-77 urean-16 creat-0.8 na-137 k-4.1 cl-98 hco3-29 angap-14 03:25am blood type-art po2-74* pco2-67* ph-7.31* calhco3-35* base xs-4 brief hospital course: 64 yo man with severe copd on home prednisone and o2 presents with acute-onset copd exacerbation, requiring intubation. 1) copd exacerbation/respiratory distress - patient just d/ced home after 1 day stay for copd flare. given sudden decline, etiologies considered include pulmonary embolism or mucus plugging. cta was negative. he was initially started on solumedrol 125 mg iv q8h, then pred taper. he was also treated empirically for pneumonia with azithromycin for 5 days, nebs, and tiotropium. twice during his stay in the micu, he had episodes of flash pulmonary edema that were excerbated by the patient's anxiety causing an increased rr and breath stacking. these episodes responded to lasix with diuresis. 2) ekg changes - inferolateral st depressions, likely rate related ischemia in setting of respiratory distress. he ruled out for an mi and has had a clean cath in the recent past. 3) htn - initially, antihypertensives were held since the patient was intubated. however, once extubated, he continue to have sbps in the 80 - 90s secondary to likely dehydration. this is thought to be due to overdiuresis and the this resolved with encouaged increased po intake of fluids. 4) abdominal pain - transient pain that the patient described as soreness in left lower quadrant, not associated with constipation. pain resolved spontaneously. medications on admission: 1. sertraline 50 mg po qd 2. flovent 2 puffs ih 3. serevent discus 1 inhalation 4. aspirin 325 mg po qd 5. lactulose 30 ml po q8h prn 6. vitamin d 800 iu po qd 7. calcium 500 mg po tidwm 8. verapamil 120 mg po q8h 9. albuterol ih 2 puffs q6h prn 10. lisinopril 5 mg po qd 11. pantoprazole 40 mg po q12h 12. senna 8.6 mg po bid 13. docusate sodium 100 mg po bid 14. lipitor 10 mg po qd 15. tylenol prn 16.ibuprofen 400 mg po q8h prn 17.lorazepam 0.5 mg po qhs 16.prednisolone acetate 0.12 % drops, suspension sig: one (1) drop ophthalmic qid 18.erythromycin 5 mg/g ointment sig: one (1) ophthalmic qid 19.prednisone 10 mg tablet sig: taper (starting ; tablet(s) as directed po once a day: take six tabs once a day for three days; decrease dose by 1 tab every three days thereafter . 20 .tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). discharge medications: 1. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). 2. albuterol 90 mcg/actuation aerosol sig: 4-8 puffs inhalation q1h (every hour) as needed. 3. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 4. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 5. prednisolone acetate 0.12 % drops, suspension sig: one (1) drop ophthalmic qid (4 times a day). 6. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 7. zolpidem tartrate 5 mg tablet sig: 1-2 tablets po hs (at bedtime) as needed. 8. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 10. calcium carbonate 1,250 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 11. albuterol sulfate 0.083 % solution sig: four (4) inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 12. erythromycin 5 mg/g ointment sig: one (1) application ophthalmic qid (4 times a day): as previously directed by opthalmology. 13. verapamil hcl 120 mg tablet sig: one (1) tablet po q8h (every 8 hours). 14. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 15. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 16. sertraline hcl 50 mg tablet sig: one (1) tablet po daily (daily). 17. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 18. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 19. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po at bedtime as needed. 20. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 21. prednisone 50 mg tablet sig: 1-5 tablets po daily (daily): as directed (reduce dose by tablet every three days). :*26 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: chronic obstructive pulmonary disease exacerbation respiratory failure possible pneumonia type ii diabetes, steroid-induced discharge condition: stable, afebrile, at his baseline respiratory status. discharge instructions: please seek medical attention for fevers>101.4, for severe shortness of breath unrelieved by your nebulizers or inhalers or for anything else medically concerning. please take your medications as directed. your prednisone prescription was called into the procare pharmacy. prednisone taper 10mg tablets date dose , 50 mg 5 tablets saturday, 50 mg 5 tablets , 50 mg 5 tablets , 45 mg 4.5 tablets tuesday, 45 mg 4.5 tablets wednesday, 45 mg 4.5 tablets thursday, 40 mg 4 tablets , 40 mg 4 tablets saturday, 40 mg 4 tablets , 35 mg 3.5 tablets , 35 mg 3.5 tablets tuesday, 35 mg 3.5 tablets wednesday, 30 mg 3 tablets thursday, 30 mg 3 tablets , 30 mg 3 tablets saturday, 25 mg 2.5 tablets , 25 mg 2.5 tablets , 25 mg 2.5 tablets tuesday, 20 mg 2 tablets wednesday, 20 mg 2 tablets thursday, 20 mg 2 tablets , 15 mg 1.5 tablets saturday, 15 mg 1.5 tablets , 15 mg 1.5 tablets , 10 mg 1 tablets tuesday, 10 mg 1 tablets wednesday, 10 mg 1 tablets thursday, 5 mg 0.5 tablets , 5 mg 0.5 tablets saturday, 5 mg 0.5 tablets followup instructions: 1) provider: breathing tests where: pulmonary function lab phone: date/time: 9:15 2) provider: , m.d. where: medical specialties phone: date/time: 9:30 3) provider: , m.d. where: center phone: date/time: 9:15 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure pulmonary congestion and hypostasis abdominal pain, epigastric 

Answer: The patient is high likely exposed to