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: hypotension, pea/vf arrest major surgical or invasive procedure: endotracheal intubation thoracostomy history of present illness: hpi: 67m with h/o htn, hyperlipidemia, and depression presented to an osh on after being found unresponsive at home. he complained of 1 week of weakness, fatigue, and increased abdominal pain prior to presentation. on the am of , he was found unresponsive by his wife. ems found him to be bradycardic without a pulse, and received epinephrine/atropine and was intubated in the field. at the osh, ecg showed inferior ste and he was flown to for cath. his cath showed clean coronaries. he had vf arrest in the cath lab and was shocked into nsr. cxr showed large r pleural effusion with ? mediastinal shift, so ct surgery placed a chest tube, which drained >1l mucinous fluid. he was started on levophed and vasopressin for sbp 70s. lvgram showed . hemodynamics showed co 4.12, ci 1.93, elevated r and l-sided filling pressures (ra 14, pcwp 25). he was admitted to the ccu for further management. . in the ccu, his vs on arrival were t 97.8, hr 75, bp 98/30 on levophed and vasopressin, o2sat 98% on ac 700x12/0/100%. cultures were sent including pleural fluid. ct head showed sah, neurosurgery was consulted, recommended mri/a when stable. ct torso was performed to look for infectious source. ng with clots, transfused 1u prbc, started on protonix gtt. past medical history: vitals- tm 99.1/tc 98.8, hr 62, bp 111/53 (map 70), rr 16, o2sat 98% on ac 600x16/fio2 50%/peep 0; cvp 12, pap 41/20, co 6.6, ci 2.95, svr 824 general- sedated and intubated heent- pupils constricted b/l, ett ogt neck- unable to assess for jvd body habitus pulm- coarse breath sounds b/l, diffuse end-expiratory wheeze cv- distant heart sounds abd- hypoactive bowel sounds, distended but soft, tympanitic on percussion, grimaces to palpation of ruq/epigastrium/rlq extrem- 1+ ankle edema, 2 discrete erythematous patches on l heel and r calf, unroofed blister on l inner thigh neuro- sedated and intubated, r pupil 2mm and reactive to light, l eye opacified, does not open eyes to command or name, does not track, withdraws all 4 extremities to noxious stimuli, toes downgoing b/l social history: 1. htn 2. hyperlipidemia 3. depression- for past 3y after son passed away 4. glucose intolerance 5. l eye blindness family history: lives with wife and grandson, worked as mechanic/welder, currently on disability (family states for obesity?), family states pt is independent in adls however poor hygiene evident on admission; no etoh/tob/ivdu per family physical exam: vitals- tm 99.1/tc 98.8, hr 62, bp 111/53 (map 70), rr 16, o2sat 98% on ac 600x16/fio2 50%/peep 0; cvp 12, pap 41/20, co 6.6, ci 2.95, svr 824 general- sedated and intubated heent- pupils constricted b/l, ett ogt neck- unable to assess for jvd body habitus pulm- coarse breath sounds b/l, diffuse end-expiratory wheeze cv- distant heart sounds abd- hypoactive bowel sounds, distended but soft, tympanitic on percussion, grimaces to palpation of ruq/epigastrium/rlq extrem- 1+ ankle edema, 2 discrete erythematous patches on l heel and r calf, unroofed blister on l inner thigh neuro- sedated and intubated, r pupil 2mm and reactive to light, l eye opacified, does not open eyes to command or name, does not track, withdraws all 4 extremities to noxious stimuli, toes downgoing b/l pertinent results: 01:15pm blood wbc-14.6* rbc-3.28* hgb-9.6* hct-29.5* mcv-90 mch-29.3 mchc-32.5 rdw-17.5* plt ct-434 03:37pm blood wbc-25.8* rbc-3.49* hgb-10.3* hct-30.8* mcv-88 mch-29.6 mchc-33.5 rdw-17.5* plt ct-437 03:37pm blood neuts-83* bands-6* lymphs-6* monos-4 eos-0 baso-0 atyps-0 metas-1* myelos-0 nrbc-6* 03:37pm blood hypochr-1+ anisocy-1+ poiklo-normal macrocy-1+ microcy-normal polychr-1+ 03:37pm blood pt-14.6* ptt-33.3 inr(pt)-1.3* 03:37pm blood fibrino-463* 01:15pm blood glucose-93 urean-50* creat-1.5* na-130* k-3.7 cl-92* hco3-29 angap-13 03:37pm blood glucose-200* urean-91* creat-2.6*# na-137 k-5.3* cl-102 hco3-25 angap-15 01:15pm blood alt-11 ck(cpk)-1183* alkphos-29* amylase-28 totbili-0.2 03:37pm blood alt-22 ast-63* ld(ldh)-413* ck(cpk)-2927* alkphos-62 totbili-0.4 01:15pm blood lipase-34 03:37pm blood ck-mb-20* mb indx-0.7 ctropnt-0.17* 03:37pm blood totprot-4.5* albumin-2.2* globuln-2.3 calcium-6.8* phos-6.8* mg-2.2 uricacd-10.6* iron-pnd 01:15pm blood cortsol-26.6* 03:37pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:43pm blood type-art tidal v-700 fio2-100 po2-138* pco2-53* ph-7.29* caltco2-27 base xs--1 aado2-551 req o2-88 05:47pm blood type-art temp-36.3 po2-210* pco2-49* ph-7.35 caltco2-28 base xs-0 12:59pm blood glucose-162* lactate-8.6* na-140 k-4.7 cl-98* 08:19pm blood lactate-1.5 03:55pm blood freeca-1.05* 03:39pm urine color-yellow appear-clear sp -1.030 03:39pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-1 ph-5.0 leuks-neg 03:39pm urine hours-random creat-143 na-30 totprot-72 prot/cr-0.5* 03:39pm urine osmolal-423 03:39pm urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg 07:19pm pleural wbc-1222* rbc-* polys-pnd lymphs-pnd monos-pnd serology/blood lyme serology-pending blood culture aerobic bottle-pending; anaerobic bottle-pending blood culture aerobic bottle-pending; anaerobic bottle-pending pleural fluid gram stain-pending; fluid culture-pending; anaerobic culture-pending; fungal culture-pending; acid fast smear-pending; acid fast culture-pending pleural fluid gram stain-final; fluid culture-pending; anaerobic culture-pending; acid fast culture-pending; acid fast smear-pending urine urine culture-pending blood culture aerobic bottle-pending; anaerobic bottle-pending brief hospital course: # shock: pt had septic physiology on admission to the ccu, and the most likely source was felt to be postobstructive pneumonia and parapneumonic effusion. his ci was high, so his hypotension was not felt to be due to cardiogenic shock. he was initially maintained on 3 pressors upon transfer to the micu service, but neosynephrine was weaned off quickly. he was given empiric zosyn and vancomycin to cover polymicrobial sepsis. levophed was gradually weaned the next day, and then vasopressin was stopped. levophed had to be restarted for a few hours on for map<60, but it was weaned off the next day. . # respiratory failure: pt was intubated during his first pea arrest. the r-sided chest tube initially drained a large volume of mucinous fluid, then drained serosanguinous fluid. the fluid was grossly exudative with ldh 4000 on a diluted specimen. the pleural fluid amylase was also elevated, to 3x the serum value. the gram stain was negative, and cultures are no growth to date. his noncontrast chest ct showed a rll rounded opacity with no air bronchograms but density consistent with lung parenchyma. the differential was thought to include atelectasis vs. postobstructive pneumonia vs. sequestration. he underwent a bronchoscopy on with mild secretions and no endobronchial lesions visualized, and a bal was sent. his ventilatory requirements were gradually weaned, however he had trouble ventilating adequately while on pressure support. ct chest with contrast showed the rll opacity was a large mass with significant surrounding lymphadenopathy and marked pleural tumor, with possible invasion into the chest wall. pleural fluid cytology returned suspicious for adenocarcinoma, and pt was ultimately diagnosed with stage iiia lung cancer. pt's progressive respiratory failure was treated with bipap and nebs, but he continually removed his bipap, leading to significantly labored breathing and desaturation. a family meeting concluded that bipap should be deferred, and that pt should be made dnr/dni with a focus on full comfort measures. pt ultimately died of respiratory failure likely due to a combination of copd, pneumonia and lung cancer on the morning of . . # altered mental status: she had a subarachnoid and intracerebral hemorrhage on ct. neurosurgery was consulted, and felt that the bleed was likely an effect of reperfusion during arrest. he had leukocytosis but no fever, and no history of headache at home, so meningitis was thought to be unlikely and lp was deferred. tox screen was negative on admission. he was able to follow commands and communicate effectively when his sedation was weaned. pt maintained a waxing- course until his death on . . # arf: it was thought likely secondary to hypoperfusion/atn in the setting of cardiac arrest and shock. his creatinine gradually improved to normal. . # ugib: his og tube initially drained clots on admission. he was felt to have an upper gi bleed in the setting of heparin and integrilin in the cath lab, and it was self-resolved. upon transfer to the micu, his og tube was draining a thick white chylous-appearing fluid. that also resolved spontaneously. his ct was reviewed by radiology who stated there was no evidence of esophageal perforation. he was maintained on an iv ppi , and his hct remained stable for the remainder of his course. . pt was maintained on full comfort measures once a family meeting concluded that he sould be made dnr/dni w/o further aggressive management of his progressive respiratory failure. on the morning of , pt died a peaceful death due to complications of progressive respiratory failure, likely secondary to lung cancer, pneumonia, copd and an expanding malignant pleural effusion. pt's family was notified, and they deferred autopsy. medications on admission: (wife held it 1wk ago) seroquel (wife held it 1wk ago) lisinopril crestor zyprexa 2.5mg qd (started 2d pta) vicodin prn discharge medications: n/a discharge disposition: expired discharge diagnosis: lung cancer copd pneumonia intraparenchymal and subarachnoid hemorrhage discharge condition: expired. discharge instructions: n/a followup instructions: n/a procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other electric countershock of heart other lavage of bronchus and trachea transfusion of packed cells computer assisted surgery with fluoroscopy diagnoses: pneumonia, organism unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified unspecified fall acute respiratory failure septic shock acute myocardial infarction of other inferior wall, initial episode of care pressure ulcer, buttock ventricular fibrillation encounter for palliative care hemorrhage of gastrointestinal tract, unspecified empyema without mention of fistula delirium due to conditions classified elsewhere malignant neoplasm of lower lobe, bronchus or lung subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 

Answer: The patient is high likely exposed to