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: tracheostomy failure major surgical or invasive procedure: flexible bronchoscopy. history of present illness: the patinet is a 49 year old male with a history of sever scoliosis complicated by secondary restrictive lung disease (fev 27% predicted,) osa who presented to an osh on with complaints of progressive dyspnea. . the patient has had worsening shortness of breath at rest over the last year. osh records also indicate the patient dozing off throughotu the day, raising concerns of him falling alseep while driving. on presentation to the ed, the he was found to be hypoxemic (80s) and hypercapnic (abg 7.29 / 89 / 83 / 42,) with episodes of bradycardia with 3-4 sec pauses, and was admitted to the icu. he was started on bipap at night, with intermitent use during the day due to his severe hypercapnic respiratory failure, but did not have good tolerance of non-invasive ventilation. his respiratory status continud to worsen, and the patient was found somnolent and difficult to arouse at night. pco2 was found during to be 130. due to his severe scoliosis, and failed nasal intubation, and ent was consulted for a semi-emergent tracheostomy. a #6 ltc cuffed shiley trach was placed, but started on passy-muir valve during the day time. on , the patient occluded the tracheostomy with severe hypoxia, requiring cpr, but resolved with trach manipulation to restablish the airway. a similar episode occured on , and a #7 bavona hyperlexible tracheostomy was placed. he has remained on mechanic ventialation at night, ac, 400/14/5. . per osh records, there were concerns that the tracheostomy tube tip appeard to be eroding at the posterior wall of the trachea due to the patients baseline abnormal antatomy. the patient was transfered to for evaluation of a potential customized tracheostomy vs other intervention. past medical history: severe scoliosis prior pneumothoraces restrictive lung disease chronic respiroatyr failure cholecystectomy social history: the patient is currently married, no alcohol, or tobacco physical exam: trached, on trach mask, sitting in a chair severe scoliosis, slgith erosis on neck from trach abnormal resioatory movements distant heart sounds, tachycardic, no m/r/g abdominal ventral, soft, ntnd 1+ le b/l pertinent results: 04:45am blood wbc-5.4 rbc-4.16* hgb-12.1* hct-38.2* mcv-92 mch-29.1 mchc-31.7 rdw-13.1 plt ct-308 12:26am blood wbc-5.4 rbc-4.06* hgb-11.9* hct-38.0* mcv-93 mch-29.3 mchc-31.4 rdw-13.0 plt ct-277 04:45am blood glucose-103* urean-7 creat-0.4* na-141 k-4.1 cl-94* hco3-41* angap-10 12:26am blood glucose-119* urean-7 creat-0.4* na-141 k-3.7 cl-91* hco3-45* angap-9 04:45am blood calcium-8.9 phos-3.6 mg-2.2 cxr : the interpretation of this radiograph is very limited due to the severe scoliosis and deformity of the thoracic cage. tracheostomy tube tip is 5.5 cm above the carina. cardiomediastinal contours cannot be evaluated. there is no evident pneumothorax. if any, there is a small right pleural effusion. the main central pulmonary arteries appear to be enlarged. there are no prior studies available for comparison. the asymmetric increased density in the right hemithorax could be due to pleural effusion or lung opacities in the right lower lobe, i suspect that also is due to the deformity of the thoracic cage. if prior studies were available , comparison could be performed to assess new abnormality. brief hospital course: the patient is a 49 year old male with a history of severe scoliosis, restrictive lung disease, osa, who presented to an osh with worsening dyspnea, who developed hypercapnic respiratory failure w/ semi-emergent tacheostomy placement, now transfered for evaluation of posterior wall erosion. # hypercapnic respiratory failure: likely secondary to both restrictive lung process due to severe scoliosis with additonal osa. now status post tracheostomy placement with revision due to hypoxemia with trach blockage. patient has been using trach valve during the day and cmv at night while at . he was transferred here for evaluation of posterior trach erosion. ip advanced the trach approximately 1 cm with overall improvement of airway patency given the posterior erosion. he was noted to have mild supraglottic edema as well. he still has a significant amount of secretions. when lying flat to sleep, he was placed on ps 10/5, but otherwise he is maintained on a trach mask the remainder of the time. on the day of transfer, the patients trach was switched from a flexible to a fixed bovina 7f, placed 1cm obove the at 110cm. on bronchoscopy, continued supraglottic edema was noted, and should have an ent evaluation when back at . the patient reports a 20lb weight gain in the last 2 years, and dietary modifications and weight loss techniques should be discussed with the patient on discharge planning. pulmonary rehab is also recommended on discharge. he will be transferred back to hospital for further care. # severe scoliosis: he also was noted to have significant gerd as well. his ppi was increased to 40 mg . he was maintained on tylenol for pain; we avoided narcotics. # rv failure: likely due to mod phtn (45mmhg) in the setting of osa. mild reduced rv function. he appeared volume overloaded, and his furosemide was increased to 40 mg (was transferred to us on 40 mg daily). his electrolytes will need to be monitored on this dose of furosemide. medications on admission: ambien 5mg hs prn morphine 4-6mg q4h prn pain percocet tab q4h prn pain claritin 10mg daily magnesium oxide 400mg duoneb prn protonix 40mg daily lorazepam 45mg q4 prn colace 100mg humibid 1200mg lasix 40mg daily arixtra 2.5mg daily asa 81mg daily discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 5. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 8. bacitracin-polymyxin b ointment sig: one (1) appl topical prn (as needed) as needed for trach site. discharge disposition: extended care discharge diagnosis: primary: respiratory failure status post recent tracheostomy tube placement. secondary: severe scoliosis prior pneumothoraces restrictive lung disease s/p cholecystectomy discharge condition: mental status:clear and coherent activity status:ambulatory - requires assistance or aid (walker or cane) level of consciousness:alert and interactive discharge instructions: you were admitted because of shortness of breath and problems with your tracheostomy. we performed a bronchoscopy and extended your tracheostomy by 1 cm. we also started you on pantoprazole for laryngeal inflammation caused by gastric reflux. please take all of your medications as prescribed. please keep all of your follow-up appointments. please call your doctor or return to the hospital if you experience fevers, chills, sweats, chest pain, shortness of breath or anything else of concern. followup instructions: scheduled appointments : provider clinic interventional pulmonary (sb) phone: date/time: 11:00 provider cdc intake,one cdc rooms/bays date/time: 12:00 provider , md phone: date/time: 12:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours bronchoscopy through artificial stoma diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux other chronic pulmonary heart diseases acute and chronic respiratory failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other diseases of lung, not elsewhere classified scoliosis [and kyphoscoliosis], idiopathic other tracheostomy complications 

Answer: The patient is high likely exposed to