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: the patient is a 29 year old male with a history of childhood asthma with occasional albuterol use, allergic rhinitis and question of obstructive sleep apnea with tonsillar hypertrophy, who presented on the day of admission for an elective tonsillectomy. the procedure was done without any operative events. postoperatively, the patient developed bleeding from his left tonsillar pole. ent evaluated the patient and noticed that there was swelling of the uvula and epiglottis with frank bleeding from the left tonsillar pole. the increased bleeding necessitated a return to the operating room for a cautery. estimated total blood loss was 250 to 300 cc. concern for airway edema and loss of airway led to elective intubation, using an intubating lma. intubation was difficult and took 20 minutes to achieve. transient episodes of hypoxia were noted as well as transient hypotension. the patient was transferred to the fenard intensive care unit. in the operating room the patient was started on propofol, vecuronium, given 2.5 liters of volume resuscitation. past medical history: 1. status post left lower extremity gunshot wound complicated by cellulitis in . 2. irregular heartbeat. 3. childhood asthma with occasional post upper respiratory infection reactive airways disease. 4. allergic rhinitis. 5. gallstones. 6. obstructive sleep apnea with tonsillar hypertrophy. 7. history of helicobacter pylori status post treatment. 8. status post open reduction and internal fixation of left tibia in . allergies: no known drug allergies. medications: 1. albuterol mdi with occasional p.r.n. use. social history: the patient works as a cook. he denies smoking. the patient has a history of alcohol abuse and in the past has had two to four 40 ounce beers per day. he denied any evidence of withdrawal symptoms. currently, he uses about one 40 ounce bottle of malt liquor every two to three days. he does admit to smoking thc every two to three days. family history: no history of coronary artery disease, diabetes mellitus or cancer. there is a history of alcohol abuse. physical examination: the patient arrived to the intensive care unit intubate on assist control 600 by 10, peep of 5, 100% fio2. temperature was 37.1 f., with a heart rate of 103, blood pressure of 91/22; respiratory rate of 10 and oxygen saturation of 98%. on general examination, the patient was a fairly well appearing male in no apparent distress. he was sedated and intubated. heent: the patient was intubated with scant dried blood in clots in the anterior oral cavity. neck examination revealed mild to moderate neck swelling. cardiac examination revealed a regular tachycardia, normal s1, s2, no murmurs, rubs or gallops. pulmonary examination revealed decreased breath sounds at the left base. abdominal examination revealed the belly was soft, nondistended, with normal bowel sounds and no hepatosplenomegaly. extremity examination revealed no edema. neurological: the patient was sedated and paralyzed. laboratory: pertinent laboratory findings were that the patient had a white blood cell count of 16.7, hematocrit of 36.0, and platelets of 241 with an inr of 1.3 and a fibrinogen of 268. ekg with normal sinus rhythm at 96; normal axis, left ventricular hypertrophy with normal intervals. otherwise no significant st-t or acute changes. chest x-ray with discoid atelectasis, right middle lobe, patchy opacity with air bronchograms consistent with pneumonia, versus pneumonitis, versus hemorrhage. summary of hospital course: the patient is a 29 year old male with a history of asthma, atp, question of obstructive sleep apnea with tonsillar hypertrophy, who presented for a elective tonsillectomy and whose course is complicated by airway edema and hemorrhage requiring intubation for airway protection. 1. ent: the patient is status post elective tonsillectomy for tonsillar hypertrophy, complicated by severe airway edema and hemorrhage thought secondary to trauma from surgery, necessitating intubation for airway protection. an underlying disorder such angioedema was also of concern. the patient was intubated for a period of 24 to 48 hours while airway edema was stabilized using dexamethasone 10 mg intravenously q. eight hours. the patient was treated with clindamycin 600 mg intravenously q. eight hours for antibiotic coverage. this was to cover oral flora as well as anaerobes. ent followed the patient throughout the patient's intensive care unit stay. laboratory work for angioedema was sent including c4, c1q, c1 inhibitor, functional assay and trypticase. serial hematocrits were monitored and the patient's hematocrit remained stable throughout admission. the patient was initially sedated and paralyzed in order to maintain his airway as the intubation was quite difficult. the patient was eventually weaned off steroids and discharged home on clindamycin 450 mg q. six hours for ten days. he was arranged to follow-up with dr. as an outpatient. 2. pulmonary: the patient with a history of asthma and obstructive sleep apnea status post tonsillectomy. postoperatively the patient was found to have bilateral lower lobe consolidations with a lone temperature spike to 101.6 f. this was thought to be consistent initially with aspiration pneumonia versus pneumonitis. the patient was successfully extubated 48 hours after intubation. he was treated empirically with clindamycin and levofloxacin for a potential aspiration pneumonia. however. repeat chest x-ray the day prior to discharge revealed complete resolution of bilateral lower lobe processes and it was thought that these were likely more due to atelectasis than pneumonic process. levofloxacin was discontinued the day prior to discharge. the patient had no further temperature elevations and a normal white blood cell count after steroids were discontinued. 3. gastrointestinal: the patient was covered with a proton pump inhibitor for stress ulcers and this was eventually transitioned to ranitidine p.o. when the patient was extubated. 4. hematologic: the patient had postoperative hemorrhage and his hematocrit was monitored and remained stable throughout his intensive care unit stay. 5. psychiatric: the patient with a history of alcohol withdrawal and was monitored per ciwa scale and given ativan as needed. he required very little ativan and did not undergo any withdrawal symptomology during his stay. the patient recently lost his brother and was told one day after extubation. the patient was very saddened by this news and requested discharge in time for the funeral. he had family present with him for support 6. infectious disease: the patient had two out of four bottles grow gram positive cocci in pairs and clusters from the same set of blood cultures. this was around the time of extubation. cultures subsequently returned coagulase negative staphylococcus and this was most consistent with contamination. the patient was initially covered with vancomycin until cultures came back with coagulase negative staphylococcus. he remained afebrile with a normal white count after extubation. 7. fluids, electrolytes and nutrition: the patient was initially n.p.o. while intubated and as he was extubated, he was given clears which were advanced to soft liquids which were eventually full liquids, which was eventually advanced to a soft solid and then a full diet. he did well without any evidence of aspiration. 8. prophylaxis: the patient was maintained on an intravenous proton pump inhibitor while intubated and this was switched to p.o. h2 blocker, once able to take p.o. he was maintained on venodyne boots for deep vein thrombosis and pulmonary embolism prophylaxis throughout his hospital stay. he was also out of bed and ambulatory two days prior to discharge. 9. communication: communication was maintained with the family as well as the patient's primary care physician, . , on several occasions. 10. code status: the patient was full code throughout his admission. condition on discharge: good. discharge status: the patient was discharged home with follow-up with his primary care physician . within one week of the discharge. the patient was also advised to follow-up with his ent surgeon, dr. , for follow-up after his procedure. the patient was arranged to have an echocardiogram to evaluate for pulmonary hypertension as he had a history of possible obstructive sleep apnea and enlarged pulmonary arteries on chest x-ray. he will follow-up with dr. in the pulmonary department who specialized in pulmonary hypertension. the patient was also advised to speak to his primary care physician, . , for follow-up of his angioedema, labs including c1 esterase inhibitors, c1q and tryptase. the day before admission, the patient showed satisfactory exercise capacity and was able to ambulate up and down the length of the unit with maintenance of an oxygen saturation of 95 to 96% on room air. given this, he was thought to be stable for discharge and was discharged on . discharge medications: 1. albuterol inhaler, two puffs inhaled every four hours as needed for wheezing. 2. clindamycin 450 mg p.o. q. six hours. discharge diagnoses: 1. status post tonsillectomy. 2. laryngeal edema and hemorrhage requiring intubation. 3. respiratory failure, acute. dr., 04-143 dictated by: medquist36 d: 15:56 t: 16:36 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube fiber-optic bronchoscopy control of hemorrhage after tonsillectomy and adenoidectomy tonsillectomy without adenoidectomy diagnoses: asthma, unspecified type, unspecified hemorrhage complicating a procedure unspecified sleep apnea accidents occurring in residential institution removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation alcohol abuse, continuous edema of larynx hypertrophy of tonsils alone 

Answer: The patient is high likely exposed to