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: dyspnea major surgical or invasive procedure: endotracheal intubation chest tube placement complicated by subcutaneous emphysema bronchoscopy history of present illness: briefly, 69 yo m with severe copd on home o2 who orginally c/p sob x 24hrs in addition to l sided chest pain. he used nebs without relief, did have a productive cough and was hypertensive to 190s. ems was called, and vitals on arrival were the following: 190/90, hr 120, rr 24, o2 sat 90% with unclear amt of oxygen. . at the ed, his vitals were t99.0, p 136, bp 214/126, rr 35, and o2 sat 89% on unclr amt of o2. nipv was tried, but did not relieve resp distress. cxr showed l sided ptx. ct was placed by ed, then was c/b kinking and sq emphysema, the pt developed extensive subcutaneous air over his chest, neck, and down into his scrotum. he c/o increasing shortness of , the decision was made to intubate him. intubation was difficult and c/b hypotension with sedation. ip replaced chest tube. the patient was intubated and sedated and xferred to micu for futher care. . micu course: a line was placed. ct to suction was initiated, but ip not following. patient quickly weaned off the vent with tx for copd exacerbation and was extubated. he was maintained on steroids. hypotension resolved. l sided chest pain was controlled with lidocaine patches and fentanyl. original ptx thought to be due to ruptured bleb due to patient's copd. the patient maintained sats in the 90s on 6l nasal cannula. he maintained to have a small amount of hemoptysis that was attributed to traumatic intubation. abx were continued empirically as well as theophylline and inhalers as part of tx for copd exacerbation. chest tube leaked persisted and there was a concern raised for bronchopleural fistula past medical history: copd . is on 2-3l oxygen at home. h/o treated tuberculosis hypertension glomerular nephritis hyperchol social history: positive tobacco history; he quit 15 years ago. worked in dowel manufacturing and was exposed to wood dust. no alcohol or iv drug abuse. family history: nc physical exam: gen: comfortable, not tanchypneic skin: crepitus on l side from neck to scrotum heent: nc in place, perrla, eomi, no cervical lad lungs: coarse sounds bilaterally, decreased bs and bases. tenter at the chest tube site. cv: rrr, no m/r/g abd: soft, nt/nd, +bs ext: no edema +scrotal edema/sq emphysema. foley catheter is in. pertinent results: chest (portable ap) the left chest tube has been repositioned and is now in the left upper chest. the left lung appears better aerated and expanded. an endotracheal tube is in place, approximately 7.5 cm above the carina. the endotracheal tube balloon cuff is overdistended, and should be deflated slightly. a massive amount of subcutaneous emphysema now covers both sides of the chest wall and the neck, obscuring evaluation of the underlying lung fields. mediastinal air is also present. . chest (portable ap) 4:19 pm indication: chest tube removal after pneumothorax. chest, one view: comparison with . left chest tube has been removed. no residual pneumothorax is seen. volume loss on the left is slightly less in degree than the previous exam; there is residual opacity over the left mid lung and left lower lobe, which can represent consolidation, atelectasis, or asymmetric edema. right lung appears relatively clear, though right lung basilar opacity is unchanged. bilateral subcutaneous emphysema is still present. 06:05am blood wbc-9.8 rbc-3.36* hgb-10.9* hct-32.0* mcv-95 mch-32.6* mchc-34.2 rdw-14.5 plt ct-194 10:45am blood wbc-20.3*# rbc-4.35* hgb-14.2 hct-40.7 mcv-94 mch-32.6* mchc-34.9 rdw-14.0 plt ct-287 10:45am blood neuts-82.8* lymphs-13.4* monos-2.8 eos-0.8 baso-0.2 06:55am blood glucose-135* urean-24* creat-0.8 na-144 k-3.6 cl-106 hco3-29 angap-13 01:06am blood ck-mb-22* mb indx-0.9 ctropnt-0.04* 06:44am blood ck-mb-5 ctropnt-<0.01 10:50am blood theophy-12.9 09:24am blood lactate-1.2 brief hospital course: mr. is a 69 year old gentleman with severe copd who presented with acute respiratory distress who was found to have a large left sided pneumothorax. chest tube was placed in the ed complicated by subcutaneous empysema. he was intubated and later extubated on . after transfer to the floor the patient steadily improved, chest tube was removed without complication, pt had significant hemoptysis and underwent bronchoscopy for suctioning and diagnostic purposes, revealing bronchomalacea. pt should have an interval noncontrast chest ct for further eval as an outpatient. 1) respiratory failure: likely secondary to pneumothorax from ruptured bleb. following extubation the patient was quickly weaned to 6l by nasal cannula, then 2-3l as his baseline o2 requirement. he was treated empirically with cefpodoxime/azithromycin for 7 and 5 days respectively. given iv solumedrol and later changed to prednisone taper. pt's subcutaneous emphysema steadily improved over the course of the admission. he will-follow up with dr. in pulmonary. sutures from the patients chest tube site should be removed in 10 days following discharge on . 2) pneumothorax: likely secondary to ruptured bleb, complicated by chest tube placement and subcutaneous emphysema (large amount). chest to suction during initial air leak, later resolved. tube was removed by interventional pulmonary without event. interval chest xray revealed resolution of pnemothrax with persistent lll collapse and volume loss. pt went for bronchoscopy as below for deep suction and diagnostic purposes. 3) hemoptysis: likely secondary to intubation trauma vs multiple rupture blebs in copd. he has not had this prior to admission. bronchoscopy during this admission revealed bronchomalacia, follow up noncontrast chest ct should be performed in weeks for further elucidation of pt's lung disease. . 4) tachycardia- appearance of mat by ekg. pt was stared on low dose diltiazem for rate control. he may be weaned of this medication as an outpatient beyond the acute phase of his illness. . 5) cardiovascular- tachycardia as above. lasix was held in the setting of transient rise in creatinine clearance. he did not require re-introduction of lasix during this admission. close follow up as an outpatient may require re-initiation of this medication. aspirin therapy was held in the setting of hemoptysis. atorvastatin was continued. 6) gerd- continued home dosing of protonix while inpatient. medications on admission: advair 250 mg 1 puff combivent 2 puff four times / day theophylline 200 mg folate 1 mg daily diovan 325 mg one tab daily norvasc 5 mg daily lipitor 60 mg daily lasix 40 mg daliy protonix 40 mg discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. theophylline 200 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po bid (2 times a day). 5. valsartan 160 mg tablet sig: two (2) tablet po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 8. lorazepam 1 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. disp:*60 tablet(s)* refills:*0* 9. diltiazem hcl 60 mg capsule, sust. release 12 hr sig: one (1) capsule, sust. release 12 hr po twice a day. disp:*60 capsule, sust. release 12 hr(s)* refills:*2* 10. atorvastatin 20 mg tablet sig: three (3) tablet po daily (daily). 11. prednisone 5 mg tablet sig: four (4) tablet po once a day for 1 days: take 20mg friday, then 10mg saturday, then 5mg sunday, then off. disp:*7 tablet(s)* refills:*0* 12. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 13. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation every 4-6 hours. discharge disposition: home with service facility: homecare discharge diagnosis: primary: spontaneous pneumothorax secondary: chronic obstructive pulmonary disease hypertension glomerular nephritis hypercholesterolemia history of treated tuberculosis discharge condition: stable 02 sats on liters, req 4liters while ambulating. discharge instructions: you were admitted for difficulty breathing and found to have a pneumothorax. you had a chest tube placed to drain the air from around your lung and allow it to re-inflate. you required a brief period of time on a mechanical ventilator. you underwent bronchoscopy to help clear thick secretions and were found to have bronchomalacia (thin airways). . please take all of your medications as prescribed. . call dr. or 911 if you have worsening shortness of , require more oxygen at home, worsening cough, fevers, chills, chest pain, dizziness or any other concerning symptoms. followup instructions: please see dr. next week for follow up appointment. . please have a non-contrast, high-resolution chest ct performed as an outpatient for further evaluation of your lungs. . please keep the following appointments: pulmonary breathing test phone: date/time: 11:40 provider , intepretation billing date/time: 12:00 provider np/dr phone: date/time: 12:00 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure other specified cardiac dysrhythmias hypotension, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation emphysema (subcutaneous) (surgical) resulting from procedure nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney 

Answer: The patient is high likely exposed to