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: tetanus antitoxin / penicillins / ethambutol attending: chief complaint: sob major surgical or invasive procedure: none history of present illness: yo f with pmhx of copd, chf and severe aortic stenosis who went home with hospice after last admission with respiratory distress during which she expressed clear wishes to be dnr/dni. over the last 24hrs, pt became progressively sob and hospice nurse felt unable to make the pt comfortable with po oxycodone. hospice nurse and pt was started on non-invasive ventilation by paramedics on transfer to ed. on arrival to the , pt was on cpap and responding intermittently. . vs on arrival to ed: hr 56 bp 121/34 rr 17 sats 100% cpap fio2 60% and peep 6. pt had a foley placed and there was scant dark uring return. she was given lasix 40mg iv and family was , but was unable to come into the hospital until the am. pt was transferred to the micu for further management. . on arrival to the micu, pt was on bipap sating 100% but unresponsive to verbal stimuli and did not respond to sternal rub or painful stimuli. initial abg was 7.04/95/326. past medical history: 1. copd: last spirometry : fvr 78% pred, fev1 74% pred, fev1/fvc 95%. 2. bronchiectasis: history of atypical mycobacteria on sputum culture in - followed by dr. . 3. aortic stenosis: moderate (area 1.0-1.2cm2 on ) 4. diastolic chf: on home lasix 5. cholelithiasis/cholangitis s/p cholecystectomy 6. diabetes mellitus: diet-controlled social history: pt was home with hospice, son is hcp. from , moved to usa . h/o tob cigs/day for 38 yrs, quit . no etoh. family history: nc physical exam: bp 135/33 hr 59 rr 14 sats 100% on bipap gen: facemask inplace, no response to stimuli, pupils reactive cv: rrr harsh gr 3 sem radiates across precordium & to carotids lungs: crackles bilaterally at bases abd: nabs. soft, nt, nd ext: wwp, +1 pitting edema bilaterally neuro: gcs of 3, pupils reactive, no response to pain pertinent results: 06:50am blood wbc-19.4*# rbc-2.97* hgb-9.6* hct-29.6* mcv-99* mch-32.2* mchc-32.4 rdw-13.3 plt ct-489*# 06:50am blood neuts-86.3* lymphs-9.4* monos-3.0 eos-1.2 baso-0.2 06:10am blood glucose-176* urean-32* creat-1.8* na-130* k-6.3* cl-98 hco3-24 angap-14 10:13am blood type-art temp-36.1 po2-326* pco2-95* ph-7.04* caltco2-28 base xs--7 10:13am blood lactate-0.6 k-5.6* brief hospital course: y/o f with end stage as, chf, copd who was transferred in from home hospice due to inability to control symptoms who arrived to the micu obtunded on bipap due to hypercarbic resp failure. family meeting was held with son/hcp and in keeping with patients goals of care, there was no plan for intubation. family was brought in and we explained the graveness of her respiratory failure and her worsened mental status which had failed to improve with bipap. family was comfortable with removing bipap and providing comfort care including morphine as needed. pt expired on . medications on admission: magnesium hydroxide qid prn acetaminophen 500 mg 1-2 tabs q6hr prn bisacodyl 10mg colace insulin lispro sc qid metoprolol tartrate 25 mg quetiapine 25 mg senna 8.6 mg prn hydralazine 25 mg q6hr albuterol q6hr nifedipine 30 mg daily aspirin 81 mg daily omeprazole 20 mg daily tiotropium daily isosorbide dinitrate 30mg tid fluticasone polyethylene daily. trazodone 50 mg qhs multivitamin daily furosemide 20 mg daily oxycodone 20 mg/ml liquid sig: 2-20 mg po q1 hour prn lisinopril 10 mg discharge medications: none discharge disposition: expired discharge diagnosis: respiratory failure expired discharge condition: expired discharge instructions: none followup instructions: none procedure: non-invasive mechanical ventilation diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified aortic valve disorders acute respiratory failure other chest pain 

Answer: The patient is high likely exposed to