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: service: micu history of present illness: the patient is a 69 year old man with a history of hypertension and seizure disorder who was admitted to the micu for hypoxia and hypotension. he was in his usual state of good health until two days prior to admission when he had the onset of vertigo. since then, he increasing lethargy. on the day of admission, he suffered a syncopal episode which he recalls occurred after vomiting. he says this was unlike his seizure episodes. he denies head trauma or loss of consciousness. he also denies fever, chills, cough, abdominal pain, chest pain, shortness of breath, hematuria, hematochezia and melena. evaluation. there he was afebrile and hypotensive with a systolic blood pressure in the 70s. after three liters of isotonic intravenous fluids, his blood pressure remained in the 70s with a heart rate in the 80s to 90s. a nasogastric tube was placed and lavage was trace positive for blood. an electrocardiogram was obtained which showed a new right bundle branch block. the patient's oxygen saturations were in the 80s in room air but increased to mid 90s on four liters nasal cannula oxygen. past medical history: 1. hypertension. 2. seizure disorder since birth, last seizure five years ago. generalized tonoclonic seizures. 3. status post colovesical fistula repair in . 4. history of diverticulitis. medications on admission: 1. primidone 250 mg p.o. t.i.d. 2. atenolol dose unknown. allergies: no known drug allergies. social history: he lives with his wife. is a retired restaurant worker and has grown children. the patient smoked four packs per day for thirty years before quitting in . he denies alcohol use or other drug use. family history: the patient describes several relatives on his father's side of the family who suffered alzheimer's disease. no family history of coronary artery disease, cancer or diabetes mellitus. review of systems: please see history of present illness. physical examination: on admission, vital signs revealed temperature 98.0, pulse 86, blood pressure 96/52, respiratory rate 20, oxygen saturation 94% on four liters nasal cannula oxygen. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. bilateral arcus senilis. neck - no jugular venous distention, no lymphadenopathy. positive retraction. chest - decreased breath sounds diffusely with poor air entry. no crackles and no wheezes. cardiovascular - normal rate and regular rhythm, no murmurs, rubs or gallops. abdomen - soft, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly. neurologically, the patient is alert and oriented times three, but anxious. cranial nerves ii through xii are intact. motor strength is 5/5 times four. deep tendon reflexes are 1+ and symmetric throughout. no clonus. laboratory data: white blood cell count 10.7, hematocrit 47.4, platelets 325,000, 77% neutrophils, 18% lymphocytes, 5% monocytes. prothrombin time 13.4, partial thromboplastin time 27.4. sodium 145, potassium 3.6, chloride 93, bicarbonate 28, blood urea nitrogen 44, creatinine 3.2, glucose 150. anion gap was 24. lactate 1.8. alt 23, ast 49, alkaline phosphatase 114, amylase 96, total bilirubin 0.6. cpk 120, ck mb 1.0, troponin i less than 0.3. albumin 4.8. abdomen revealed ph 7.42/45/58. imaging: kub revealed no free air. bowel gas pattern throughout small and large intestines. chest x-ray revealed hyperinflated lung fields with flat diaphragms, no pneumothorax, no infiltrate, appropriate line placement. electrocardiogram - normal sinus rhythm, new right bundle branch block. hospital course: the patient's hypoxia, hypotension and new onset right bundle branch block with new onset syncope were most worrisome for pulmonary embolism. the patient was started on heparin and a vq scan was obtained because the creatinine was too high for a ct angiogram. the vq scan was low probability. the patient was ruled out for an acute myocardial infarction. an echocardiogram was also obtained during this admission which showed hyperdynamic left ventricle with an ejection fraction of 75%. the right ventricle had a normal cavity size and normal function. no evidence of strain. lower extremity doppler was also obtained which showed no clot in his veins. the patient was started on dopamine in the emergency department after left subclavian line was placed for blood pressure support. this was quickly weaned off in the medical intensive care unit as the patient's blood pressure responded well to isotonic fluid resuscitation. over the course of his admission after receiving aggressive volume repletion, the patient's creatinine corrected to 1.6 and his hematocrit corrected to 35.0. with a more reassuring creatinine, a ct study of the chest was obtained with contrast and this was negative for pulmonary embolism. pulmonary function tests were also obtained to identify an etiology for his hypoxia and these were remarkable for a fev1/fvc ratio of 70% predicted and rv/tlc of 118 and a markedly reduced diffusion coefficient of only 39%. the chest ct was also remarkable for right middle lobe and right lower lobe cyst formation and interstitial scarring which are not completely consistent with injury due to tobacco smoke but more consistent with a pneumoconiosis. a urine and blood toxicology screen were obtained at the time of admission to rule out ingestion as the cause of his hypotension. these were negative except for a positive barbiturate level which may have been due to sedatives administered in the emergency department. the patient's antiseizure medication primidone was held initially but was then restarted one day after being admitted and the patient suffered no seizures while in the medical intensive care unit. he initially received a dose of ampicillin and gentamicin and flagyl in the emergency department because they were worried about sepsis as the cause for his hypoxia and hypotension, however, his clinical status improved greatly upon receiving aggressive volume repletion and nasal cannula oxygen and it was felt that both his history and presentation were inconsistent with an infectious etiology so antibiotics were discontinued. the patient's basophil count came back at 3% on . this was followed up by examining the peripheral blood smear with a hematology/pathology physician, . . it was his feeling that the smear showed no evidence of a malignancy. a follow-up differential showed a basophil count of 0.2%. the patient's cpks rose to 465 during his admission, but serial cpks after that have returned to the normal range. on the evening prior to discharge, the patient spiked a temperature of 101.0. blood and urine cultures have been sent off. stool leukocytes and ova and parasite studies have also been sent off because it was the feeling of our team that this illness may have been a severe gastroenteritis that led to dehydration and volume depletion with subsequent hypotension. while on heparin, the patient suffered mild foley trauma and had mild hematuria which appears to be resolving. condition on discharge: the patient is stable and ready for discharge to home. discharge diagnoses: 1. severe interstial/fibrotic, predominantly lower-lobe, uncertain etiology (atypical for tobacco- related copd) 2. status post severe gastroenteritis. 3. hypotension secondary to dehydration 4. epilepsy. medications on discharge: primidone 250 mg p.o. t.i.d. follow-up: 1. home oxygen therapy will be arranged by case manager. 2. the patient needs follow-up with pulmonary specialist. this should be arranged by dr. office. dr. is the patient's primary care physician. , m.d. dictated by: medquist36 procedure: pulmonary scan diagnoses: congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified other convulsions personal history of tobacco use syncope and collapse 

Answer: The patient is high likely exposed to