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: cardiac arrest at home major surgical or invasive procedure: cardiac catheterization intubation mechanical ventilation central venous catheterization arterial catheterization history of present illness: 72 year old male with unceratin pmh presents after being found unresponsive and not breathing at home. family reported that patient had been wheezing for the past few days. he saw his pcp and was given ?abx and inhalers, had cxr on with extensive chronic changes with nodular interstitial changes but nothing acutely seen. he had been heard wheezing in bed this a.m. as early as 7:30a.m. on morning of admission. sometime between 8 and 8:30 a.m., he was found by family to be unresponsive, blue, and not breathing but still warm. ems was called. he was found to be in either asystolic or pea arrest, intubated in field and coded. he got atropine x 2, epi x 2 and was brought to ed where he receivd more epi/atropine, levoflox, flagyl, 1 amp calcium gluconate, 10 u insulin, 1 amp d50 and asa 325 x 1. he received cpr both in transport and in the ed. ekg showed diffuse st depressions. given this he was emergently cathed. on arrival in the cath lab, he was again pulseless and coded. cath with pa saturations in the 90's with high pcwp but clean coronaries; this was likely due to a failure of peripheral/mitochondrial ability to extract oxygen. he was on levophed and epinephrine and intermittently dropping his blood pressures to 50's, requiring frequent boluses of epinephrine. at transfer to the icu, the patient was unresponsive, difficult to ventilate, in shock, and anuric. he continued to have episodes of hypotension requiring boluses of epi every 10 mins. a subclavin line placed for additional access. past medical history: history of tobacco use: ?copd no other known history social history: ppd smoker family history: non-contributory physical exam: vitals: hr 109 bp 125/58 on multiple vasopressors rr 22 100% a/c 400x14/peep 5 with high pips and plateaus gen: intubated, sedated heent: mmm, pupils dilated. neck: supple cv: tachy with episodes of irregular tachy. no r/m/g pulm: wheezing bilaterally abd: soft, nt ext: no edema, cool, clamped. distal pulses not palpable. neuro: unresponsive. dilated pupils. . pertinent results: labs: 09:35am blood wbc-16.0* rbc-4.29* hgb-12.5* hct-39.0* mcv-91 mch-29.2 mchc-32.1 rdw-13.5 plt ct-253 05:00am blood wbc-51.1* rbc-3.83* hgb-11.3* hct-35.0* mcv-91 mch-29.4 mchc-32.2 rdw-13.2 plt ct-130* 05:36am blood wbc-60.2* rbc-3.99* hgb-11.8* hct-33.3* mcv-84 mch-29.5 mchc-35.4* rdw-13.8 plt ct-79* 05:48am blood wbc-57.4* rbc-3.29* hgb-9.8* hct-28.1* mcv-85 mch-29.7 mchc-34.8 rdw-14.2 plt ct-107* 05:02am blood wbc-43.8* rbc-3.12* hgb-9.2* hct-25.7* mcv-82 mch-29.6 mchc-35.9* rdw-14.6 plt ct-33*# 09:35am blood pt-16.1* ptt-50.6* inr(pt)-1.5* 05:00am blood pt-32.1* ptt-84.7* inr(pt)-3.4* 05:36am blood pt-30.1* ptt-73.4* inr(pt)-3.2* 05:48am blood pt-25.7* ptt-53.1* inr(pt)-2.6* 07:56am blood pt-16.5* ptt-41.4* inr(pt)-1.5* 09:35am blood fibrino-475* 12:12pm blood fibrino-265# 05:00am blood fibrino-62*# 06:11pm blood fibrino-60* 09:35am blood glucose-208* urean-24* creat-1.4* na-134 k-7.3* cl-89* hco3-23 angap-29* 05:00am blood glucose-674* urean-35* creat-2.3* na-130* k-3.7 cl-91* hco3-16* angap-27* 05:48am blood glucose-196* urean-73* creat-4.9* na-131* k-6.3* cl-96 hco3-16* angap-25* 05:01am blood glucose-152* urean-95* creat-6.3*# na-133 k-5.4* cl-98 hco3-21* angap-19 05:02am blood glucose-151* urean-112* creat-7.2* na-135 k-4.9 cl-100 hco3-21* angap-19 12:12pm blood alt-3848* ast-4451* ld(ldh)-7310* ck(cpk)-483* alkphos-122* amylase-79 totbili-0.5 05:00am blood alt-6320* ast-* ld(ldh)-* alkphos-144* totbili-1.2 08:15pm blood alt-4870* ast-3267* ld(ldh)-2463* totbili-1.8* 12:12pm blood ck-mb-23* mb indx-4.8 ctropnt-0.42* 12:12pm blood albumin-2.4* calcium-7.5* phos-10.3* mg-3.1* 05:36am blood calcium-7.8* phos-5.8* mg-2.0 05:48am blood calcium-7.6* mg-2.1 05:02am blood calcium-6.2* phos-8.6* mg-2.5 09:35am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . imaging: chest (portable ap) 12:25 pm impression: 1) repositioning of endotracheal tube, now in standard position; however, the cuff is likely over distended. 2) swan-ganz catheter tip overlies lateral aspect of right hilar pulmonary artery. 3) questionable evolving bilateral upper lobe opacities superimposed upon changes of prior granulomatous infection. these findings may be due to acute aspiration, infectious pneumonia including reactivation tuberculosis, or asymmetrical edema. findings communicated to dr. by telephone on , . . cardiology report c.cath study date of comments: 1. selective coronary angiography of this left dominant system revealed no angiographically apparent coronary artery disease. the lmca, lad, lcx, and rca were all patent with only minimal disease. 2. resting hemodynamics demonstrated elevated right and left sided pressures (mean ra pressure was 33mmhg, mean pcwp was 36mmhg). there was severe pulmonary hypertension (mean pap was 53mmhg). the cardiac index was elevated at 7.4 l/min/m2. no significant gradient across the aortic valve was noted up on pullback of the pigtail catheter from the left ventricle. 3. echocardiography in the lab revealed normal ventricular function and no signiicant valvular disease and no pericardial effusion or evidence of intracardiac shunt. 4. severe systemic hypotension to 50 mm hg systolic responding to boluses of epinephrine. final diagnosis: 1. coronary arteries are normal. 2. non-cardiogenic shock. . cardiology report echo study date of conclusions: at the beginning of this study, left an right ventricular contractile function appeared normal to hyperdynamic. at the end of ther study, during hypotension, with high dose epinephrine, there was at least moderate global biventriculart hypokinesis. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. . chest (portable ap) 11:03 pm impression: 1. swan-ganz catheter from inferior approach with distal tip in right ventricle. this finding was relayed in a preliminary report to dr. at 11:45 p.m. on by dr. . 2. there is scarring in the right apex and laterally in the left upper lung. there may be increased density in the left apex, which may be indicative of a developing pneumonia. correlate clinically. . neurophysiology report eeg study date of impression: this is an abnormal eeg due to the extremely severe encephalopathy. no electrographic activity of cerebral origin was noted. the usual eeg parameters for brain death protocol were utilized. brief hospital course: the patient was a 72 yr old male who was admitted after being found down for an unknown period of time, with full cardiopulmonary arrest. he required very aggressive hemodynamic and ventilatory support during his first days in the icu. once his shock had stabilized, formal testing revealed brain death. the clinical examination was confirmed at different times by three physicians. an apnea test was confirmatory. an eeg revealed no cortical activity. because the family had obtained a restraining order preventing discontinuation of supportive devices, his body was maintained in the icu for several days after his death. monks from his religion came and performed rituals several times. after resolution of the legal issues, we discussed particular specifics of the method of discontinuation of support with his family's attorney. the court's guardian ad was present in person; the hospital's attorney was present by conference call; the judge in the case was notified and agreed. all details were followed: his intravenous mediations were allowed to run out; several hours later, his heart stopped beating. the ventilator was then disconnected and the nasal and oral tubes removed. the family and attorneys were immediately notified after the cessation of heartbeat. the family was contact several times. no one from the family came to perform post-mortem rituals, so the ccu nursing staff followed documents (provided by the family) which detailed some of these practices. in particular, the patient was left on the icu, undisturbed, for a full eight hours after cessation of the heartbeat. recorded chants played at all times. after eight hours, he was transferred to the morgue with the chants still playing. medications on admission: inhalers (started by pcp this week) discharge medications: none discharge disposition: expired discharge diagnosis: cardiac arrest brain death copd discharge condition: deceased md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters pulmonary artery wedge monitoring cardiopulmonary resuscitation, not otherwise specified infusion of vasopressor agent diagnoses: acidosis hyperpotassemia tobacco use disorder acute and subacute necrosis of liver acute kidney failure, unspecified unspecified septicemia severe sepsis other chronic pulmonary heart diseases defibrination syndrome cardiac arrest anoxic brain damage other shock without mention of trauma hematemesis other abnormal glucose cyanosis 

Answer: The patient is high likely exposed to