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: history of present illness: the patient is a 69 year-old male with a history of squamous cell carcinoma of the tongue diagnosed in status post chemotherapy and radiation therapy who had noticed dyspnea on climbing stairs with occasional mild left sided chest pain over the past few weeks prior to admission. he went to on after he woke up with chest pain. electrocardiogram showed sinus tachycardia to 115 beats per minute with diffuse st depressions that improved with rate control and nitrates. he ruled in for an myocardial infarction at with a peak ck of 609 and a troponin greater then 50. heparin was not given, because he has had chronic bloody secretions and a hematoma at a recent port-a-cath site. he was transferred to where a cardiac catheterization was done, which showed three vessel disease. the patient was deemed to be a poor coronary artery bypass graft candidate. percutaneous transluminal coronary angioplasty was attempted, but not successful in the cardiac catheterization laboratory. the patient was transferred to the floor and was observed to be tachypneic and dyspneic. arterial blood gas performed at that time was 7.47, 41, 81. the patient was given lasix with 2.5 liters of diuresis, but there was no change in his respiratory status. the patient did complain of dyspnea, but did not complain of chest pain upon transfer to the micu. past medical history: hypertension, hypercholesterolemia, head and neck cancer diagnosed with cervical lymphadenopathy, status post chemotherapy, 5fu and radiation therapy. the patient has chronic severe oral dryness. t tube, port-a-cath removed two weeks prior to admission. the patient's daughter believes he has a lung nodule of unclear etiology on ct scan at outside hospital. medications upon transfer: aspirin 325 mg po q.d. family history: mother with chronic obstructive pulmonary disease. social history: unemployed pipe designer. he has worked in shipyards before. he is married with three children. he lives in . he smoked three packs per day times twenty years, quit thirty three years ago. alcohol abuse quit in . use of one bottle of alcohol per day. physical examination: vital signs temperature 98.4. pulse 90. blood pressure 90s to 150s/60s. respiratory rate in the 30s. o2 sat 88 to 94%, 100% nonrebreather mask, 80% on room air. general, very pleasant obese man markedly tachypneic. heent oropharynx is dry. neck jvp to 7 to 8 cm. no palpable lymphadenopathy. chest light crackles one fourth up bilaterally, otherwise clear to auscultation. less apparent, chest is mobile. hematoma approximately the size of a small chicken egg. cardiovascular regular rate and rhythm. normal s1 and s2. no murmurs, rubs or gallops. abdomen obese, soft, nontender, nondistended positive bowel sounds. extremities warm no edema. chronic venous stasis changes noted on right ankle. laboratory: white blood cell count 14.3, hematocrit 36.6, platelets 271, pt/ptt 13.2/25.8, inr 1.2. neutrophils 81, bands 0, lymphocytes 11. sodium 134, potassium 2.9, chloride 93, co2 28, bun 12, creatinine .6, glucose 112, alt 23, ast 96, serial cks 608, 467, 409. alkaline phosphatase 74, t bili 0.9, serial troponins greater then 50, 8.1, calcium 9.4, phos 3.2, magnesium 1.9, hematocrit 36.7. chest x-ray diffuse alveolar and reticular infiltrates bilaterally, greater at the bases. initial impression: the patient is a 68 year-old male with head and neck cancer with coronary artery disease recent myocardial infarction transferred to medical intensive care unit for management and close observation of tachypnea and hypoxia. hospital course: the patient was initially treated with levofloxacin and flagyl for suspected aspiration pneumonia. sputum was sent for culture. it did not reveal any organisms besides the oropharyngeal flora. chest x-ray suggested a possible interstitial process. the patient had a ct scan, which revealed no pulmonary embolus, chronic interstitial process at the extreme bases with diffuse ground glass opacities worrisome for an underlying infectious or inflammatory process and multiple pulmonary nodules consistent with the patient's metastasis or perhaps primary lung tumor. the patient's respiratory status became more tenuous in the intensive care unit and he was eventually intubated electively. the patient subsequently became more hypoxemic and acidotic and became more and more difficult to ventilate and oxygen properly. the patient became hypertensive and pressors were started neo-synephrine in particular. the patient proceeded to rule in for another myocardial infarction after the pressor initiation. the patient received an echocardiogram, which revealed a global hypokinesis and a depressed ejection fraction about 40%. he was started on heparin for myocardial infarction. the patient on the morning of was noted to have fixed dilated pupils and lack of oculocephalic reflex on physical examination. after family discussion given the patient's grim prognosis and probably catastrophic brain injury the family decided to withdraw life support and to institute comfort measures. the patient expired shortly thereafter. pressors were withdrawn and he was then extubated. postmortem examination requested and permission obtained. discharge diagnoses: 1. respiratory failure. 2. metastatic squamous cell carcinoma of the tongue. 3. coronary artery disease status post myocardial infarction. discharge condition: expired. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension acute respiratory failure pneumonitis due to inhalation of food or vomitus malignant neoplasm of base of tongue 

Answer: The patient is high likely exposed to