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: " there was an alteraction, but i aint' gonna talk about that" major surgical or invasive procedure: none history of present illness: patient is a 43 year old male with a self reported history of bipolar disorder and schizoaffective disorder, who was brought to the ed by ambulance after his mother called 911 expressing that her son was being aggressive and was concered for her safety. initially upon presenation he denied any complaints to ed doctor and reported that he wanted to be dishcarged. when approaching patient to interview, he reported he wanted to stay in the hospital to focus on his "asthma and psych medications to calm my nerves". he refused to elaborate on the incident that brought him to the ed, becoming very hostile, but reported that "she is trying to pull me down, get me to yell like a fool, but i ain't gonna". patient was intially hostile to this interviewers, saying " i ain't gonna slap that black pussy.. don't look at me, write this down" he appeared to be responding to internal stimuli and sporactically yelled " shut up" to what may have been halucinations. while he denied ah or vh, at one point during the interview reported " that person is trying to make me crazy, being adversarial, stop me from answering your questions" and pointed to the corner of the room. he denied any si, hi, reported that his mood was good, that he was sleeping and eating well and had not other complaints . spoke with patient's mother () who reports she is very concerned about her son. she reports that he has not been acting like himself recently, has been talking to himself, gets upset and angry very easily, and making accusations that she is "going with a friend", telling her " to shut your mouth". she also notes he has been acting this way on the streets and in public. she expressed she is feeling threatened by him and today, after he raised his voice, yelling for her to shut that, that she called 911. she does not feel safe for him to return home without psychiatric intervention and evaluation. she also expresses concern that he may not have been taking his medications and that while he denies substance use, is worried that he may have been using. past medical history: -reports history of bipolar disorder/ schizophrenia diagnosed when he was 17 - two hosptializations at and , mother, last was 5 years ago see psychiatrist dr. at -denies any suicide attempts in past past medical history (include history of head trauma, seizures, or other neurologic illness): - severe complex sleep disordered breathing with severe nocturnal and daytime hyopixa related to hypventiliation, followed by pulm - secondary erytrocythosis, being following by haem - asthma - hypertension social history: substance abuse history (include history of d.t.'s, withdrawal seizures, blackouts, detox treatment, i.v. usage): patient denies any substance use . social history (family of origin, childhood, physical/sexual abuse history, education, employment, relationships, sexual history/std risks, military record, legal history, etc.): patient was born in . did not graduated highschool but made it until senior year. has worked odd jobs but nothing recnetly. gets ssdi. lives with his mother and sister, but sister doesn't want them in her house any longer due to his behavior. reports he spends his time watching tv and grocery shopping. family history: mother with asthma, otherwise noncontributory physical exam: vs: 98.8, p = 80, r = 19, 98% 02 sat, 150/76 mental status exam (use full, descriptive sentences where applicable) appearance & facial expression: overweight male, with nc on posture: lying in bed behavior (note any abnormal movements):psychomotor agtiation in terms of increased leg movement attitude (e.g., cooperative, provocative): uncooperative, hostile and at times almost threatening ( raised voice, used fowl language) speech (e.g., pressured, slowed, dysarthric, aphasic, etc.): normal in rate and rhytm mood: " good" affect (note range, reactivity, appropriateness, etc.): irritable at times inapparopriate. starting laughing at one point, when asked why replied " i am thinking of something funny that i can't remember now" thought form (e.g., loosened associations, tangentiality, circumstantiality, flight of ideas, etc.): tangential, loosining of associations, very disorganized and difficult to follow. possible thought blocking. thought content (e.g., preoccupations, obsessions, delusions, etc.): denied abnormal perceptions (e.g., hallucinations): denied, but appeared to be responding to internal stimuli, seemded to be talking and pointing to something in the corner of the room neurovegetative symptoms (e.g., disturbances of sleep, appetite, energy, libido): denied suicidality/homicidality (include ideation, intent, plan): denied insight and judgment: very poor cognitive assessment: sensorium (e.g., alert, drowsy, somnolent): alert orientation: x 3 attention (digit span, serial sevens, etc.): dombi memory (short- and long-term): registation recall calculations: 7 quarters in $1.75 fund of knowledge (estimate intelligence): fair proverb interpretation: grass is greener: what you think is greener sometimes is a little less green similarities/analogies: table and chair: they both have legs . obese heent: mmm pulm: decreased excursions and decreased breathing sounds cor: distant heart sounds, regular, no murmurs abd: obese, nl bs ext: no edema or ecchymoses pertinent results: 09:39am urine hours-random 09:39am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 04:30am urine color-yellow appear-clear sp -1.013 12:15am estgfr-using this 12:15am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg . 04:06pm blood type-art temp-36.7 po2-55* pco2-92* ph-7.23* caltco2-41* base xs-7 intubat-not intuba comment-o2 deliver brief hospital course: patient is a 43 year old male with a self reported history of bipolar disorder and schizoaffective disorder, who was brought to the ed by ambulance after his mother called 911 expressing that her son was being aggressive and was concered for her safety. pt initially wanted to be discharged, but eventually agreed to admission to have his "meds evaluated" as they are making him "rambunctious". the patient continued to indicate that his medications are not working. he signed cv upon admission. . abilify and perhenazine were discontinued, vpa was increased to 500bid and he was started on geodon at 60bid. he became somewhat less agitated, but appeared to continue to respond to internal stimuli. there were no outburst of violence. the plan was to increase to geodon to 80bid, but due to respiratory decompenstation (see below) his dose was kept at 60mg . for the same reason, vpa was held. a dmh application was submitted, as he is longer able to live with his sister, and his mother has no place to live herself. . with respect to his medical problems, he has severe hypoventilation syndrome, followed by pulmonary (dr ). for polycythemia (baseline hct of 62) he had been seen by dr . both services were contact this admission. asthma medications and antihypertensives were continued, a statin was added for hyperlipidemia. at home, mr in on 2l nc o2 during the day, and is supposed to wear bipap at night. per his mom, there may be non-compliance with bipap and he often walks around with an empty o2 tank. on , mr became very somnulent and was hard to arouse. he denied any shortness or breath or chest pain, and did not have a fever. an abg was obtained, showing severe hypercarbic respiratory failure. a pulmonary consult was called, and mr was transferred to the icu for close monitoring and titration of cpap/o2. in retrospect, the underlying cause may have been that mr received too much o2. the events were discussed with his mother. . the plan is for mr to return to 4 when medically cleared. medications on admission: per patient: vanceil 84 mcq puff depakote 500 mg po qhs hctz 25 mg po dialy lisinopril 10 mg po daily abilify 30 mg po dialy perphenazine 8 mg po dialy discharge medications: hctz 25 mg po dialy lisinopril 10 mg po daily simvastatin 20mg po daily albuterol inh ipratropium inh geodon 60mg po depakote 500mg po on hold discharge disposition: extended care facility: transfer to icu discharge diagnosis: schizoaffective disorder, psychosis, mania hypoventilation syndrome morbid obesity asthma hyperlipidemia discharge condition: respiratory failure, guarded discharge instructions: discharge to icu followup instructions: discharged to icu procedure: non-invasive mechanical ventilation diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension asthma, unspecified type, unspecified acute and chronic respiratory failure obesity, unspecified intestinal disaccharidase deficiencies and disaccharide malabsorption other abnormal glucose polycythemia, secondary schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to