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: quinolones / simvastatin / iv dye, iodine containing attending: chief complaint: hypoxia major surgical or invasive procedure: intubation central line placement and removal history of present illness: 79m w/ parkinson's disease, chf, htn, and as who presents today from his nursing home with hypoxia. per report, he was in his usoh until today when he had a mild nonproductive cough and rhinorrhea. at this time, he was not febrile and had no cp, sob, abdominal pain, n/v, diarrhea, rash, weakness, or dysuria. around 9:30pm he was check on in bed and found to have vomited. his oxygen saturations were checked and he was hypoxic to 73% on ra. he did not come back to normal with supplemental oxygen and eventually was placed on a non-rebreather with his oxygen levels rising to 86%. he continued to deny fever, chest pain, abdominal pain, or other symptoms and had no further episodes of emesis. at baseline the wife reports that he is able to recognize people but cannot follow a tv show plot, identify the date, or engage in higher level thinking. he was sent to for further management. . in our ed he was found to be hypoxic and his labs were significant for only mild renal insufficiency. his cxr showed a ? rml infiltrate vs chf and he was given zosyn, ctx, and clindamycin for a presumed aspiration event. he was initially dnr/dni but his code status was changed to dnr/ok to intubate after discussion with the patient and his wife. was placed on bipap and tolerated this well with an improved abg and was admitted to the icu for further evaluation and management. . on the floor, he was tachypneic and sleepy but arousable and was unable to be interviewed secondary to his mask. he denied pain, nausea, or sob. past medical history: 1. parkinson's disease x 24yrs (s/p pallidotomy in ) 2. hypertension 3. dyslipidemia 4. chf (ef reportedly 40%) 5. aortic stenosis 6. history of dvt 7. bph 8. diverticulosis 9. r inguinal hernia repair 10. mrsa positive 11. gerd 12. chronic renal insufficiency (cr 1.2 in ) social history: married with a son and daughter. lives at senior life. uses a wheelchair. mildly demented at baseline. denies tobacco, alcohol, or ilicit drug use. former film teacher. family history: nc physical exam: 98.1, 92/53, 85, 30, 95% cpap (, 80%, 600) gen: cpap mask in place, sleepy but arousable to voice, responds to questions but voice difficult to understand w/ cpap mask in place heent: mm appear slightly dry, eomi cv: rrr, 2/6 sem at the usb lungs: bibasilar decreased breath sounds and crackles, inspiratory wheezes anteriorly abd: s/nt/nd, +bs, -hsm ext: trace edema of the le bilaterally, warm/well perfused neuro: rhythmic motions of the r hand pertinent results: 11:15pm wbc-9.3 rbc-4.57* hgb-14.3 hct-41.8 mcv-91 mch-31.3 mchc-34.2 rdw-13.1 11:15pm neuts-61 bands-10* lymphs-18 monos-9 eos-1 basos-0 atyps-1* metas-0 myelos-0 11:15pm plt count-344 11:15pm glucose-245* urea n-42* creat-1.5* sodium-139 potassium-7.2* chloride-102 total co2-26 anion gap-18 11:23pm lactate-2.5* 01:03am k+-3.8 01:27am type-art temp-37.1 o2 flow-100 po2-194* pco2-44 ph-7.35 total co2-25 base xs--1 -assist/con . impression: 1. bibasilar atelectasis with superimposed consolidation likely aspiration or pneumonia. 2. probable tracheomalacia; for confirmation a dedicated ct examination of the trachea would be recommended if clinically warranted. 3. incidental right adrenal gland lesion which is partially enhancing and should be further evaluated by another examination such as a dedicated adrenal mri study or ct examination. brief hospital course: #respiratory failure - patient was initially admitted to the hospital and required intubation in the setting of respiratory failure. the patient had an aspiration pneumonia. the patient was noted to be positive for influenza and it was likely in this setting that he vomited and aspirated causing the hypoxia noted at his nursing home. he had a difficult course of extubation because of copious secretions. a broncoscopy was performed which showed some significant tracheitis. there was a concern for hsv infections. he completed a course of steroids and acyclovir for this tracheitis. he also completed a course of tamiflu and vanc/zosyn for his aspiration pneumonia. all of these were completed by the time of discharge. he was extubated and called out to the medicine floor on 3l nc. his respiratory status continued to improve and his oxygen requirement decrease. his oxygen will continue to be weaned at this long term care facility. . #cardiovascular - patient was briefly hypotensive in unit, requiring pressors in the setting of intubation. his pressures stablized and at the time of call out, he was restarted on his midodrine. his lasix was also resumed. he does not appear volume overloaded. . #parkinsons's disease - continued home dosing of meds . #nutrition - patient had some difficulty swallowing after his extubation. a ng tube was placed and he recieved tube feeds. speech and swallow saw the patient and cleared the patient for a regular diet, now straws with 1:1 supervision and assistance as needed. he can also take whole pills in some puree. his nutritional status should be closely monitored at his long term care facility to ensure he is taking enough nutrition. . #incidental findings on ct: patient noted to have a right adrenal lesion. the radiologists recommended a dedicated adrenal mri or ct scan for further evaluation. probably tracheomalacia was also noted. if needed, this could be further evaluated in the future with a dedicated ct of the trachea. these findings should be addressed and monitored by his primary care physician. . #gerd - continued ppi . code status - dnr but ok to intubate medications on admission: calcium/vitamin d celexa 20mg daily colace/senna finasteride 5mg daily lasix 20mg daily midodrine 5mg tid prilosec 20mg daily rivastigmine 3mg ropinirole 0.5mg sinemet 25/100mg (1tab q 8a/10a/noon; 2tab q 2p/4p/6p/8p/10p/2a) discharge disposition: extended care facility: for the aged - macu discharge diagnosis: aspiration pneumonia parkinson's disease discharge condition: stable, on oxygen but with decreased requirement. improved respiratory status discharge instructions: you were seen in the hospital for treatment of an aspiration pneumonia. you needed to be intubated to help you breath. you completed a course of iv abx. . two incidental findings on ct scan were noted during admission. they should be followed by your primary care physician. details are included in the discharge summary. . either return to the emergency room or call your primary care physician if you have chest pain, shortness of breath, fevers, or other symptoms of concern to you. followup instructions: please call your primary care physician and schedule follow up appointment in weeks. md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube other bronchoscopy arterial catheterization insertion of other (naso-)gastric tube diagnoses: esophageal reflux congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders chronic kidney disease, unspecified pulmonary collapse paralysis agitans acute respiratory failure hypotension, unspecified pneumonitis due to inhalation of food or vomitus chronic systolic heart failure encephalopathy, unspecified acute tracheitis without mention of obstruction herpes simplex with other specified complications 

Answer: The patient is high likely exposed to