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: dyspnea, difficulty breathing and cough. major surgical or invasive procedure: none history of present illness: mr. b is a 62 yo polish speaking man who was transferred to the from cc7 for mask ventilation after an acute respiratory decompensation. he has a h/o copd(last fev1 1.27, 41% of predicted), tracheomalicia s/p stent removal () and cad s/p rca stent and echo with lvef 25-30%(). he p/w 3 weeks of sob, difficulty breathing and cough. initially on , he was placed on po steroids with a two week taper as an outpatient for a presumed copd exacerbation a viral uri. he self-discontinued the steroids three days prior to his most recent admission on , when he represented with worsening sob and productive cough characterized by green sputum. at that time, abg 7.35/51/92. he was started on 60mg prednisone, azithro and nebs. he was improving slowly until his standing nebs treatment was d/c and he was started on spiriva. on , after missing nebs o/n, he became tachypneic and had difficulty breathing. he was restarted on nebs and abg showed 7.29/65/72. after starting bipap on the floor, his breathing improved and abg 7.39/44/77. he was transferred to the for airway management. responded to bipap well, and was weaned to nc with o2 96% on 3l. now breathing comfortably on 3l o2--> called out to medicine floor on . past medical history: cad s/p rca stent (); echo prior to stent lvef 25-30% htn hypercholesterolemia tracheobronchial malacia - confirmed on flexible bronchoscopy with dynamic airway studies. a tracheal stent was placed on . however the patient had worsening of his cough with the stent with continued productive cough so the stent was removed on . copd r mca stroke secondary to r ica dissection after fall l3 burst fracture with chronic back pain social history: pt. admitted to tobacco and alcohol use. pt. denied ivdu. previous 20pack yr smoking hx, quit 10yrs ago; lives in facility in family history: unknown. physical exam: pe on admission: t97.7 bp 142/45 p 95 r20 sat 96% 10lnc-->96% on bipap gen- aao, and in mild respiratory distress heent- perrl, mmm chest- increased wob, decreased breath sounds in mid-lower lung fields bilaterally with diffuse wheezes throughout cv- rrr, distant heart sounds abd- obese, soft, nt ext- no edema , symmetrically intact dp and pt pulses, he has a diminished right radial pulse (no bp checks or blood draws on this side) neuro- grossly intact * physical exam on transfer : t 97.1, bp 152/90, hr 87, rr 20, 94% on 3l o2 gen- well appearing, no acute distress heent- eomi. pupils 3->1 b/l. minimal scleral injection. op w/ soft palate mucositis. neck- supple. no lad lungs- b/l wheezes. decreased bs in lower lung fields b/l. no focal ronchi or rales. breathing comfortably on 3l cv- rrr. no m/r/g abd- obese, soft, nt/nd. nabs ext- no clubbing, cyanosis, edema. neuro- a&o x3. cnii-xii intact. alert and oriented (limited english- primary language is polish). ambulating. motor strength throughout. medications on admission: meds on transfer: aspirin 325mg daily albuterol q4 prn inhalers alprazolam 0.25 mg tid prn atorvastatin 10mg daily diltiazem 120mg fluticasone-salmeterol famotidine 20mg calcium carbonate prednisone 60mg po daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 3. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for back pain. 4. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 6. triamterene-hydrochlorothiazid 37.5-25 mg capsule sig: one (1) cap po daily (daily). 7. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. disp:*30 tablet, sublingual(s)* refills:*0* 8. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 9. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. metformin hcl 500 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po bid (2 times a day) for 2 weeks. disp:*140 ml(s)* refills:*0* 12. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po bid (2 times a day). disp:*60 capsule, sustained release(s)* refills:*2* 13. prednisone 10 mg tablets, dose pack sig: see instructions tablets, dose pack po once a day: 5 tabs on 4 tabs on 3 tabs on 2 tabs on 1 tab on stop . disp:*40 tablets, dose pack(s)* refills:*0* 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*2* 15. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 16. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 17. ipratropium bromide 18 mcg/actuation aerosol sig: one (1) inhalation every four (4) hours as needed for shortness of breath or wheezing. discharge disposition: home discharge diagnosis: copd exacerbation discharge condition: stable discharge instructions: please take your medications and call your doctor if you experience worsening shortness of breath, chest pain or abdominal pain followup instructions: 1. dr. at 1:30 pm. internal medicine. 2. provider: , internal medicine where: off campus internal medicine phone: date/time: 9:00 3. provider: , m.d. where: cardiac services phone: date/time: 10:00 4. provider: where: cardiac services phone: date/time: 1:00 procedure: non-invasive mechanical ventilation diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension obstructive chronic bronchitis with (acute) exacerbation coronary atherosclerosis of unspecified type of vessel, native or graft percutaneous transluminal coronary angioplasty status acute and chronic respiratory failure 

Answer: The patient is high likely exposed to