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: vicodin / accolate attending: chief complaint: shortness of breath major surgical or invasive procedure: 1. rigid bronchoscopy, flexible bronchoscopy, tracheal and bilateral bronchial stent placement (y- stent) 2. multiple flex bronchs with therapeutic aspiration 3. rigid bronch, flex bronch, therapeutic aspiration, foreign body removal (y stent) 4. tracheobronchplasty 5. mult flex bronch with therepeutic aspiration 6. flex bronch, foreign body removal (granulation tissue and sloughed tissue from left mainstem bronchus, bronchoalveolar lavage(ll lobe) 7. multiple flex brochoscopies with therepeutic aspirations history of present illness: 40 year-old man with a history of htn, stroke, dm, and tracheobronchomalacia presents for placement of y-stent for prolonged history of severe shortness of breath. symptoms started in when patient describes not feeling well and being diagnosed with bilobar pna and treated with antibiotics. he then became extremely sob and emergently returned to the hopsital where he was intubated and diagnosed with asthma/copd. he was treated with steroids of which his blood sugars were extremely elevated (1400) and he subsequently had cva with mild speech defecit and renal insuddiciency. patient was in coma for 9 days. in , patient was worked-up by pulmonologist and diagnosed with tbm. he presents now for y-stent placement past medical history: pmh: 1. tracheobronchomalacia 2. hypertension 3. diabetes 4. stroke, details unknown. 5. asthma 6. gerd psh: amputation r hand fingertips (crush accident), subclavicular port social history: married physical exam: pleasant well-appearing male in nad heent: no lad, nl oropharynx, short neck cv: rrr lungs: ctab abd: +bs, soft nt/nd ext: no edema, s/p r fingertip amputations, l middle toe ulcer neuro: grossly intact pertinent results: cbc: wbc-4.7 hgb-13.6 hct-39.6 plt ct-175 wbc-7.5 hgb-9.9 hct-28.6 plt ct-250 wbc-22.2 hgb-11.7 hct-34.3 plt ct-327 wbc-30.0 hgb-11.4 hct-35.8 plt ct-394 wbc-13.6 hgb-9.7 hct-29.2 plt ct-241 wbc-6.5 hgb-8.4 hct-24.9 plt ct-195 wbc-17.8 hgb-8.5 hct-26.9 plt ct-249 wbc-4.5 hgb-8.0 hct-25.1 plt ct-238 wbc-3.2 hgb-6.8 hct-21.2 plt ct-230 wbc-6.9 hgb-8.6 hct-26.7 plt ct-301 hct-20.7 wbc-6.4 hgb-9.0 hct-27.8 plt ct-321 wbc-10.0 hgb-9.4 hct-29.7 plt ct-363 wbc-13.1 hgb-9.1 hct-26.7 plt ct-187 hct-23.5 hct-26.4 wbc-9.2 hgb-9.5 hct-29.0 plt ct-451 chemistry: gluc-157 na-142 k-4.8 cl-104 hco3-32 bun-26 creat-1.0 gluc-258 na-137 k-3.9 cl-99 hco3-30 bun-24 creat-1.1 gluc-304 na-139 k-4.5 cl-100 hco3-24 bun-15 creat-1.1 gluc-101 na-140 k-3.5 cl-102 hco3-27 bun-17 creat-1.1 gluc-343 na-137 k-4.5 cl-102 hco3-28 bun-14 creat-1.0 gluc-481 na-137 k-3.5 cl-106 hco3-15 bun-17 creat-1.2 gluc-92 na-139 k-4.4 cl-111 hco3-23 bun-14 creat-1.1 gluc-165 na-141 k-4.2 cl-100 hco3-33 bun-38 creat-1.5 gluc-105 na-139 k-4.6 cl-107 hco3-27 bun-46 creat-1.4 gluc-186 na-141 k-4.3 cl-108 hco3-22 bun-44 creat-1.1 gluc-318 na-136 k-4.8 cl-103 hco3-24 bun-30 creat-1.3 gluc-219 na-136 k-4.7 cl-96 hco3-31 bun-47 creat-0.7 gluc-102 na-139 k-4.4 cl-101 hco3-30 bun-29 creat-0.6 gluc-56 na-139 k-4.7 cl-99 hco3-33 bun-25 creat-0.8 gluc-242 na-136 k-4.7 cl-97 hco3-32 bun-30 creat-0.9 gluc-123 na-147 k-3.6 cl-110 hco3-25 bun-21 creat-0.7 coags: pt-11.5 ptt-21.5 inr(pt)-0.9 pt-12.3 ptt-25.0 inr(pt)-1.0 pt-12.2 ptt-23.7 inr(pt)-1.0 pt-12.7 ptt-20.7 inr(pt)-1.1 pt-13.6 ptt-25.1 inr(pt)-1.2 blood gas: ph-7.48 pco2-36 po2-78 hco3-28 base xs-3 ph-7.30 pco2-49 po2-112 hco3-25 base xs-2 ph-7.45 pco2-44 po2-76 hco3-32 base xs-5 ph-7.36 pco2-59 po2-112 hco3-35 base xs-6 ph-7.36 pco2-51 po2-107 hco3-30 base xs-1 ph-7.29 pco2-58 po2-78 hco3-29 base xs-0 ph-7.41 pco2-54 po2-146 hco3-35 base xs-8 ph-7.32 pco2-73 po2-255 hco3-39 base xs-8 ph-7.43 pco2-42 po2-111 hco3-29 base xs-2 ph-7.43 pco2-42 po2-75 hco3-29 base xs-2 urine: bld-neg nit-neg prot-tr glu-1000 ket-15 bili-neg ph-5.0 leuks-neg bld-lg nit-neg prot-30 glu-neg ket-negbili-neg ph-9.0 leuks-neg bld-mod nit-neg prot-30 glu-neg ket-50 bili-neg ph-8.0 leuks-neg rbc- wbc-0 bacteri-rare yeast-none epi-0 rbc- wbc- bacteri-few yeast-none epi-0-2 brief hospital course: y-stent placed, breathing much improved 5/19 l 2nd toes with large ulcer and necrotic tissue, dvt ruled out. vascular and podiatric consults agree significant pvd, but not acutely limb threatening desaturation to 84%, moved to ccu. bronch & agressive pulmonary toliet. rt internal carotic stenosis <40%, left internal carotic stenosis 40-59%. pre-op cardio clearance recc dob echo & beta blocker. started on iv vanco/zosyn for septic picture/pneumonia bal: strep pneumo, coag neg staph bcx continued to receive therapeutic bronchoscopies daily. y-stent removed. granulation tissue l maintem distal to stent. cpap used post-op for stable resp distress cr 1.7 echo: ef 70% 5/29 transfered to micu for mgt of pna/sepsis until surgery. tolerating continued cpap intubated after tiring out, unable to clear secretions, unable to maintain oxygenation. tf started, ran until surgery. stim test showed adrenal insuff. hydrocort and flucort started tracheoplastia via r thoracotomy and open tracheostomy. very long procedure due to difficult dissection, tsicu postop. requiring paralysis to make ventilation for efficient. worsening septic shock. levophed started. vanco continued. tf restarted. off pressors, cr 1.2. oral intubation secondary to cuff-leak at tracheostomy continued to receive therapeutic bronchoscopies daily. paralytics weaned. remained sedated on assist control ventilation. diureses initiated. tf to goal bronch w/ severe edema of supraglottic area. copious secretions requiring daily to bronch's. 80-85% occlusion of both right and left main stem d/t sutures. taken back to the or for balloon dilation and clean out of necrotic tissue. paralyzed and sedated post op for ventilation management. temp spike on on vanco;zosyn and fluc added. cont'd support management-unable to wean paralytics. paralytics weaned. cont'd serial bronchs for secretion management. cont triple ivab. conts to require high vent support- 24 peep. no longer tf swithced to tpn. abx changed- vanco, , zosyn, diflucan. multilobad pna. post-pyloric dobhoff placed tpn d/c'd, tf started 7/1-9 sedation/ paralytics weaned. pt noted to be following commands w/bilat ue but not le. neuro consult for le paresis cord edema c3-t1, lesion c7-t1 susp for infection (cryptococcus) steroids started. response likely to suggest transverse myelitis. bcx: coag neg stap oxacillin resistant. cefoxatine, cipro, gent, vanco, caspo. steroids d/c'd. trach collar trials. gent d/c'd. continue ceftaz/cipro/vanco/caspo x 21 days. mri c/t/l spine: resulution of edema d/c ceftaz. trach mask trials continue. excellent progress, 24h trach mask. some movement of rle negative swallow eval off insulin drip, neg video swallow. started po's. tf continued bal: gnr febrile, picc d/c'd. vanco started bcx gm+ cocci. meropenem started pseudomonas pna, back on vent 8/8 tf on hold for post pyloric tube placement, unsuccessful. bal: budding yeast vanco d/c'd. trach mask vent, lll pneumonia. bal sent peg placed; started on promote w/fiber uncomplicated bronchoscopic aspiration of secretions uncomplicated bronchoscopic aspiration of secretions uncomplicated bronchoscopic aspiration of secretions psychiatry consult: anxiety/depression due to current medical situation; increase zoloft and xanax, minimize ativan; f/up recommended in rehab ct airway: showing small area of air behind r mainstem bronchus of uncertain etiology but doesn't seem to be significant; trach tube changed for #9 cuffed, fenestrated tube patient on trach collar during day requiring occas vent support overnight. throughout, diabetes service consulted for dmi and difficult to control bs, insulin changed accordingly requiring insulin drip for much of hospitalization. wound care consult for b/l plantar/heel ulcers. medications on admission: insulin nph/regular (sliding scale) prilosec 20mg" lisinopril 20mg' tegretol 20mg''' zoloft 100mg' discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 3. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: four (4) puff inhalation q6h (every 6 hours) as needed. 4. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q4h (every 4 hours). 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 6. potassium & sodium phosphates mg packet sig: one (1) packet po prn (as needed) as needed for phos less than 2.5. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 9. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed). 10. nystatin 100,000 unit/g ointment sig: one (1) appl topical qid (4 times a day) as needed. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 12. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily). 13. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 14. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). 15. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4-6h (every 4 to 6 hours) as needed. 16. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 17. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 18. ceftazidime-dextrose (iso-osm) 2 g/50 ml piggyback sig: one (1) intravenous q8h (every 8 hours) for 7 days. 19. sertraline 50 mg tablet sig: 1 1/2 tabs tablet po at bedtime. 20. metoclopramide 5 mg/ml solution sig: one (1) injection q6h (every 6 hours). 21. lorazepam 0.5 mg iv q4h:prn 22. potassium chloride 40 meq / 100 ml sw iv prn k < 4.0 23. magnesium sulfate 3 gm / 250 ml ns iv prn mg=<1.6 24. magnesium sulfate 2 gm / 100 ml d5w iv prn 1.6 < mg <2.0 25. calcium gluconate 2 gm / 100 ml ns iv prn ica <1.12 26. morphine sulfate 2-4 mg iv q2h:prn 27. ciprofloxacin 400 mg/40 ml solution sig: one (1) intravenous twice a day for 7 days. 28. insulin regular human subcutaneous discharge disposition: extended care facility: - discharge diagnosis: 1. tracheobronchomalacia 2. hypertension 3. diabetes 4. stroke, details unknown. 5. asthma 6. gerd severe tracheobronchomalacia s/p tracheoplasty severe tracheobronchomalacia s/p tracheoplasty discharge condition: fair/severely deconditioned discharge instructions: cont pul hygiene-wean vent as , bronch's prn, rehab, nutritional support followup instructions: call dr. office for any care related questions and you have a follow up appointment on 3:30pm in the clinical center . procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation percutaneous [endoscopic] gastrostomy [peg] other intubation of respiratory tract temporary tracheostomy other repair and plastic operations on trachea other repair and plastic operations on bronchus endoscopic excision or destruction of lesion or tissue of bronchus bronchial dilation removal of intraluminal foreign body from trachea and bronchus without incision infusion of vasopressor agent diagnoses: severe sepsis candidiasis of other urogenital sites acute and chronic respiratory failure pneumonia due to pseudomonas other specified septicemias septic shock candidiasis of lung diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled other complications due to other internal prosthetic device, implant, and graft pneumonia due to streptococcus, unspecified supraglottitis unspecified, with obstruction atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot other abnormal granulation tissue cryptococcosis cryptococcal meningitis vascular myelopathies 

Answer: The patient is high likely exposed to