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: pt presents with recurrent increasing shortness of breath and was found to have stridor and was urgently transferred to the complex airway service at . major surgical or invasive procedure: or- rigid bronchocscopy w/ ballloon dilitation & microdebridement s/p bronchoscopy, tracheal resection and reconstruction (), history of present illness: mrs. was received in urgent transfer on , . this is a 78-year-old female with a recent history of a four-vessel cabg with a complicated postoperative course that included prolonged intubation and tracheostomy from which she recovered at a rehabilitation facility. she was found to have a subglottic stenosis, and a surgical procedure was performed, the details of which are not available to me. she presents now again with increasing shortness of breath and was found to have stridor and was urgently transferred to the complex airway service at . we performed a rigid endoscopy today and found a typical triangular-shaped high-grade tracheal stenosis at the level of the first and second tracheal ring. there was no tracheal web per se and the left lateral as well as the posterior wall, as well as the posterior membrane were freely mobile. the lesion is not amenable to endoscopic intervention but does require surgical resection. past medical history: diabetes mellitus 2, coronary artery disease s/p myocardial infarction s/p coronary artery bypass graft x4, repair of ventricular aneurysm compicated by pneumonia and adult respiratory distress syndrome, congestive heart failure, atrial fibrillation,hypertension, acute renal failure, chronic renal insufficiency, hyperthyroidism, depression, gastric esophogeal reflux disease, peptic ulcer disease, hypercholesterolemia, h/o syphillis; high tracheal stenosis s/p tracheal resection and reconstruction (), social history: pt is french creole speaking. lives w/ daughter, (- cell/ home-in apt. daughter works 6a-2p, son is w/ her until 12:30 pm. no tobacco history home services w/ vna from pace program, hha uses walker and nebulizer family history: pt has supportive daughter, son and grand-daughter physical exam: general: she is an overweight elderly female who is anxious presently and on heliox. she is placed with on heliox overnight due to severe stridor and dyspnea, which was felt to be anxiety provoked. vs: 98.2, 68 sr, 120/51, 29, sat 99% on 6 liters with heliox. heent: perrla. sclerae are anicteric. cervical exam, there is no supraclavicular or cervical adenopathy. her cervical exam reveals a relatively short neck with a tracheostomy scar just above the sternal notch below the cricoid where we previously witnessed a rigid bronchoscopy by dr. , which places the region just below the cricoid and measuring less than 1 cm in width. lungs: clear to auscultation. chest: thorax is symmetrical without lesions, masses. she has a well-healed sternotomy scar. she is stridorous with a respiratory rate of 29. cor: heart is regular without murmur. abd: abdomen is benign without masses or tenderness. extremities show no clubbing or edema. neurologic is grossly nonfocal with intact and appropriate mental status, although she is anxious. pertinent results: cxr : moderate-to-severe cardiomegaly and borderline interstitial edema are unchanged. there is no pneumothorax or appreciable pleural effusion. cardiology report ecg study date of 9:09:40 am sinus rhythm. borderline first degree a-v block. borderline left axis deviation with possible left anterior fascicular block. lateral myocardial infarction. possible old inferior wall myocardial infarction. compared to the previous tracing of multiple abnormalties persist and there is no significant diagnostic change. echo: conclusions: the left atrium is moderately dilated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (ejection fraction 30-40 percent) secondary to extensive severe apical hypokinesis. an apical left ventricular mass/thrombus cannot be excluded. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. brief hospital course: 79 y/o female w/ hx cad, cabg x4, complicated by pna and ards requiring prolonged intubation and tracheostomy () admitted to center w/ severe sob and chest pain. found to have tracheal stenosis and transferred to icu for evaluation and treatment. - or for rigid bronch ( md) for the purposes of tracheal ballon dilation to 12mm and microdebridement of complex subglottic stenosis of trachea of the first and second ring which requires surgical resection and repair. -tracheal resection and recontruction on by , ms. febrile 101 post-op and started on antibiotics of levo, kefsol, flagyl, zosyn . bronchoscopy x3 post-op for secretions clearance and evaluation of anastamosis (, and ). course compicated by respiratory distress requiring reintubation for upper airway stridor/ tracheal edema and remained intubated x5 days until tracheal edema subsided and diuresed. pt extubated and reintubated urgently for secretion/mucoous plugging. bronch done for secretion clearance. pt sedated, rested,diuresed and r/o mi for hypotension w/ intubation. pt r/o'd, pulse dose steroids in preparation for successful wean and extubation . bronch pre-extubation w/ min secretions and good anastamosis. pt remained in icu for close monitoring, doboff placed for nutritional support in preparation for swallow eval - passed- ground solids, thin liquids, doboff d/c. physical therapy consulted for evaluation and treatment. transferred to floor . sitter for patient while on floor to maintain safety of lines and tubes. - antbiotics d/c after 10 day course. physical therapy following patient, now ambulating w/o difficulty on room air. disposition planning initiated and pt evaluation indicates pt sfe to reutrn home w/ daughter. - pt and nursing increasing ambulation frequency. cane added for support and balance w/ improved steadiness in gait. pt approved home discharge. pt discharged in stable condition to home w/ daughter accompanied by daughter. services provided by vna pace in pt local area. medications on admission: lasix 60', enalapril 20'', lipitor 10', paxil 10', norvasc10', prilosec 20', asa 325', zantac 150', colace, feso4, combivent inh. discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 2. paroxetine hcl 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 3. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 5. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation q2-3h (every 2-3 hours) as needed. disp:*1 1* refills:*0* 6. albuterol 90 mcg/actuation aerosol sig: six (6) puff inhalation q2-3h (every 2-3 hours) as needed. disp:*1 1* refills:*1* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 8. furosemide 20 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*1* 9. enalapril maleate 10 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*1* 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*1* 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 13. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4h (every 4 hours) as needed. disp:*50 50* refills:*1* 14. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). disp:*100 100* refills:*1* discharge disposition: home with service facility: school of pace program discharge diagnosis: diabetes mellitis 2, coronary artery disease s/p myocardial infarction s/p coronary artery bypass graft x4, repair of ventricular aneurysm compicated by pneumonia and adult respiratory distress syndrome, congestive heart failure, atrial fibrillation,hypertension, acute renal failure, chronic renal insufficiency, hyperthyroidism, depression, gastric esophogeal reflux disease, peptic ulcer disease, hypercholesterolemia, h/o syphillis; high tracheal stenosis s/p tracheal resection and reconstruction (), discharge condition: good discharge instructions: call dr./ thoracic surgery office () for: fever, shortness of breath, chest pain, difficulty getting secretions up w/ coughing. take medication as stated on discharge instructions. ambulation 3-4 times per day for 15-20 minutes each episode. continue w/ your walking and exercises ongoing. followup instructions: call dr./ thoracic surgery office () for an appointment in 14 days. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract laryngoscopy and other tracheoscopy closed [endoscopic] biopsy of bronchus other repair and plastic operations on trachea other operations on trachea local excision or destruction of lesion or tissue of trachea diagnoses: congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism aortocoronary bypass status acute respiratory failure obesity, unspecified mechanical complication of tracheostomy stenosis of larynx edema of larynx inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to