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: found unresponsive major surgical or invasive procedure: intubation history of present illness: 23 yo m with pmh significant for heroin abuse and oxycontin abuse transferred from osh with heroin overdose (snorted 6 bags of heroin), lul pna and leukocytosis. pt was intubated (06:30 on ) in ed for hypoxia (100% nrb; o2 sat 90%) and hypotension (sbp 84). abg was 7.23/60/85. he was found to have a left lower lobe pneumonia. he received versed and propofol for sedation, 3 liters of normal saline, and 1 liter lactated ringers solution. an a-line and ngt were placed. remained hemodynamically stable in the micu and was extubated on at 2:30am without difficulty. currently patient is tolerating a po diet and satting 97% on 2l nc, and is transferred to the floor for further treatment of pna and heroine abuse. past medical history: - heroin abuse - wisdom teeth removed on amox social history: social hx: lives at home. denies cocaine abuse, etoh abuse, any iv drug use (only snorts heroin). admits to ativan use prn. prior rehab for for oxycontin use. family history: family hx: non-contributory physical exam: pe: t 98.5, 117-153/55-83, 20, on 2l nc 96% with recent abg 7.43/41/93 gen: sitting in bed; nad heent: perrla, emoi, anicteric 5 mm pupils cv: rr, nl s1s2, no mrg lungs: decreased bs in lul, ctab, no wrr abd: soft, nd, positive bs ext: no edema, strong dp/pt pulses. no iv tracks appreciated . pertinent results: admission labs: . cbc with diff: 12:15am wbc-23.1* rbc-4.61 hgb-14.0 hct-40.6 mcv-88 mch-30.3 mchc-34.4 rdw-12.1 12:15am neuts-81* bands-2 lymphs-11* monos-3 eos-0 basos-0 atyps-2* metas-1* myelos-0 12:15am plt smr-normal plt count-309 . chemistries: 12:15am glucose-139* urea n-16 creat-0.9 sodium-140 potassium-4.5 chloride-106 total co2-23 anion gap-16 12:27am lactate-2.4* 06:10am calcium-8.3* phosphate-3.1 magnesium-1.3* 06:10am alt(sgpt)-11 ast(sgot)-15 ld(ldh)-190 alk phos-52 tot bili-0.8 . tox screen: 12:15am asa-neg ethanol-neg acetmnphn-8.6 bnzodzpn-neg barbitrt-neg tricyclic-neg . admission abg 7.23/60/85 . admission cxr: ap upright portable view of the chest. there is a consolidation in the lingula, as well as less dense consolidation in the left upper lobe. the right lung appears clear. mediastinal contours are normal. there is no pleural effusion. the visualized osseous structures appear unremarkable. . impression: lingular and left upper lobe pneumonia. . admission ekg : st 102, nl axis, nl intervals, twi iii, in avf, nmo st changes. early repol in v3. . additional labs: 04:10am blood wbc-12.1* rbc-3.97* hgb-11.7* hct-34.5* mcv-87 mch-29.5 mchc-33.9 rdw-12.1 plt ct-211 06:25am blood wbc-9.0 rbc-4.18* hgb-12.3* hct-35.2* mcv-84 mch-29.4 mchc-35.0 rdw-11.9 plt ct-239 06:10am blood neuts-76* bands-1 lymphs-21 monos-2 eos-0 baso-0 atyps-0 metas-0 myelos-0 04:10am blood glucose-91 urean-9 creat-0.8 na-141 k-3.4 cl-106 hco3-27 angap-11 06:25am blood glucose-101 urean-7 creat-0.7 na-141 k-3.9 cl-105 hco3-27 angap-13 06:10am blood alt-11 ast-15 ld(ldh)-190 alkphos-52 totbili-0.8 brief hospital course: hospital course: . # heroin overdose: the patient was transferred from an osh after snorting 6 bags of heroin. he was intubated (06:30 on ) in the ed for hypoxia (100% nrb; o2 sat 90%) and hypotension (sbp 84). the abg was 7.23/60/85. he was found to have a left upper lobe and lingular pna. he received versed and propofol for sedation, 3 liters of normal saline, and 1 liter lactated ringers solution. an a-line and ngt were placed. he remained hemodynamically stable in the micu and was extubated on at 2:30am without difficulty. he was transferred to the floor on and was satting at 97% on ra. his respiratory status was stable throughout the rest of his stay. an addiction consultation was obtained and the patient noted he wanted to resolve his addiction problem. noted this was not a suicide attempt so psychiatry was not consulted. his family was aware of the situation and involved in his care. case management, social work and (psychiatric liason nurse who works with patients with addiction) were involved in placing the patient at an addiction rehab. . # elevated tylenol level at admission: his tylenol level was 8.6 on admission. he denied an overdose and his lfts were normal. abdominal exam was benign throughout his stay. . #leukocytosis/aspiration pna: the patient was found to have a left upper lobe and lingular pneumonia. there was concern for an aspiration pneumonia since he had decreased mental status after his heroin overdose. he was started on clindamycin to cover for aspiration and levofloxacin to cover for community acquired pneumonia. his wbc trended down from 23 at admission to 9 on . he was afebrile on the floor and at discharge. . # communication- , and , home: , cell: , cell: medications on admission: medications on admission: otc extra strength tylenol for pain s/p wisdom teeth removal . medication on micu transfer: clindamycin 600 mg iv q8h, azithromycin 250 mg po q24h, senna 1 tab po bid, docusate sodium (liquid) 100 mg po bid, ibuprofen 400 mg po q6h:prn discharge disposition: extended care facility: bald discharge diagnosis: 1. heroin overdose 2. aspiration pneumonia discharge condition: good discharge instructions: your medications have been changed. please take your medications as prescribed. please return to er or call your primary care doctor if you develop increasing shortness of breath, chest pain, worsening cough, fevers, chills, dizziness or lightheadedness. followup instructions: please follow-up with your primary care doctor, dr. , in weeks. her number is . md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis acute respiratory failure pneumonitis due to inhalation of food or vomitus attention deficit disorder with hyperactivity opioid abuse, unspecified poisoning by heroin poisoning by analgesics, antipyretics, and antirheumatics, undetermined whether accidentally or purposely inflicted 

Answer: The patient is high likely exposed to