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: briefly, this is a 36 yr old morbidly obese male c a two week history of dyspnea & one week history of confusion/lethargy presented to an osh this am and found to be in hypercarbic/hypoxemic resp failure requiring emergent intubation. pmh includes; osa (poor compliance c home bipap), arthritis c knee pain, morbid obesity (274 kg admit wt), asthma, cocaine/crack abuse, etoh, htn. according to the pts girlfriend the pt resp fxn has deteriorated over the past two weeks c increased dyspnea acutely worse in the past 48 hrs. the pt was started on iv solumedrol, iv zithromax & iv rocephin @ osh. the pt arrived to today @ approx 14:30 via ems. the pt has no listed drug or food allergies. the pt is a full code. please see admit note for additional pt care data/comments. resp: pt currently on mv c the following ac settings; 20-80%-600-14 c the following most recent abg values: 7.33-82-85. per team pco2 goal is 65. pt is breathing @ set rate of 20. ls were diffusely coarse & rhoncherous c exp/insp wheezing appreciated on admit, now ls are more coarse c much less overt wheezing. sxn'ing sm amounts of thick tan sec c plugs(?). pt c liter minute volumes. hoh elevated to 45 degrees. poor cxr results 2nd body habitus. shunt physiology per team. cv: hemodynamically stable and afebrile. two patent piv's in rue. lue radial artery a-line placed by team and following serial abg's to optimize mv support as noted above. blood spec sent to blood bank for routine type/cross. urine tox screen sent for analysis, results currently pending (osh tox screen negative). pt needs both leni exam and echo to assess for evidence of dvt/clot burden. nsr on ekg c no ectopy noted. good hourly urinary output noted c the pt currently net ouput one liter since admit to . riss in place. sq heparin therapy in place for dvt phophylaxis. ms: pt currently off all sedation and does not appear uncomfortable or in pain breathing c mv set rate of 20. pt now responding to verbal stimuli but not following commands (pt is bilingual per girlfriend). will utilize iv verced & fentanyl gtt to ensure pt comfort when/if needed. soft wrist restraints in place for pt safety. gi: pt started on promote c fiber @ 20ml/hr via ogt c placement confirmed by cxr, aspiration of bilious gi secretions & c stethoscope. promote c fiber goal rate of 60m. hypoactive bs appreciated. derm: pt placed on bariair mattress c extensions for pt comfort. small papules noted on upper chest which are caused by pt picking @ them. soc: multiple family members visited pt this evening (girlfriend, mother, father, siblings, friends) @ bs this evening and were able to speak @ length c md's concerning pt care needs. all kept up to date c poc/pt status. the pt is a full code. procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances temporary tracheostomy closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring other nonoperative respiratory measurements diagnoses: pneumonia, organism unspecified obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia cocaine abuse, unspecified other b-complex deficiencies acute and chronic respiratory failure septic shock morbid obesity hyperosmolality and/or hypernatremia other and unspecified alcohol dependence, unspecified other pulmonary embolism and infarction rhabdomyolysis alcohol withdrawal sleep related hypoventilation/hypoxemia in conditions classifiable elsewhere 

Answer: The patient is high likely exposed to