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: shortness of breath. major surgical or invasive procedure: intubation from to . history of present illness: the pt. is a 63 year-old male with history of severe copd, cad s/p nstemi with multiple frequent hospitalizations for copd flares and intubations presented with respiratory distress. as per the pt's. wife, he became progressively dyspneic over the course of the day and finally became so short of breath that he was unable to speak. she became concerned and called 911. on arrival, ems found him so dyspneic that he was unable to communicate, and he was intubated in field. on arrival, arterial blood gas was 7.21/72/400 on 100%. he also became transiently hypotensive after getting fentanyl, propofol, versed in ed. he was given total of 5l ns, and his blood pressure responded appropriately. when he arrived in the icu, his arterial blood gas was 7.41/37/87 on 50% o2. per the pt's. wife, he has had no recent fevers or productive cough since he returned home from a recent hospitalization for left shoulder pain. past medical history: 1. copd on 3.5 l o2 at home and s/p multiple admissions and intubations for flares-fev1/fvc 35% 2. htn 3. hyperlipidemia 4. cad s/p mis in past 5. chronic low back pain l1-2 laminectomy from accident at work 6. steroid induced hyperglycemia 7. left shoulder pain x several months social history: married with 6 children. worked at as a mechanic and exposed to a lot of spray paint. quit tobacco 25 years ago. smoked one pack every week x 10 years. quit marijuana 3 years ago. no ivdu. family history: no cardiac or pulmonary history. physical exam: vitals: t: 96.8f p: 100 bp: 134/73 sao2: 100% on fio2 of 100% general: intubated, sedated heent: mmm neck: no jvd chest: cta bilaterally cardiac: tachycardic, regular rhythm, no m/r/g abdomen: soft, nt/nd, active bowel sounds extremities: no edema neurologic: sedated pertinent results: 01:19pm type-art po2-87 pco2-37 ph-7.41 total co2-24 base xs-0 intubated-intubated 10:52am type-art o2-100 po2-400* pco2-72* ph-7.21* total co2-30 base xs--1 aado2-244 req o2-48 -assist/con 10:52am lactate-1.7 10:34am glucose-126* sodium-142 potassium-3.9 chloride-106 total co2-24 anion gap-16 10:34am urea n-19 creat-0.9 10:34am ck(cpk)-64 amylase-84 10:34am ck-mb-notdone ctropnt-<0.01 10:34am calcium-7.6* phosphate-3.6 magnesium-1.5* 10:34am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:34am neuts-64.3 lymphs-27.0 monos-5.3 eos-2.8 basos-0.6 10:34am wbc-14.2* rbc-4.23* hgb-11.5* hct-36.8* mcv-87 mch-27.1 mchc-31.1 rdw-13.7 10:34am hypochrom-1+ 10:34am plt count-213 10:34am fibrinoge-388 06:22am glucose-91 urea n-13 creat-0.7 sodium-140 potassium-4.4 chloride-102 total co2-32* anion gap-10 06:22am wbc-10.6 rbc-4.57* hgb-12.4* hct-37.9* mcv-83 mch-27.1 mchc-32.7 rdw-13.9 06:22am plt count-256 brief hospital course: 1. copd exacerbation: the pt. remained intubated and sedated over the first 24 hours of his hospitalization. on the second hospital day, the pt. was weaned from sedation. he was subsequently extubated and reported that he was "feeling good" and he was noted to be breathing comfortably on 3.5 liters of oxygen by nasal cannula, which his baseline requirement. he was judged to be stable for transfer to the floor on the third hospital day. for the remainder of his hospital stay, he developed no respiratory distress and on the fourth hospital day he was judged to be stable for discharge. for the duration of his hospital stay, he was maintained on albuterol and ipratropium nebulizer treatments. he was also begun on a prednisone taper which will continue post-discharge. in addition, he was begun on levofloxacin on the first hospital day and will complete a total of a 7 day course after discharge. he will be referred to allergy clinic upon discharge for evaluation of a possible allergic component to his pulmonary disease. 2. cad: the pt. was maintained on aspirin, his beta-blocker, ace inhibitor and statin for the duration of his hospital course. at no point did the pt. complain of angina or chest pain during this admission. 3. diabetes mellitus: the pt. was maintained on insulin sliding scale, had q.i.d. fingerstick checks and was placed on diet when he was able to eat. 4. left shoulder pain: the pain was managed with percocet prn with effect. he will follow-up with the musculoskeletal clinic as an outpatient. 5. hypertension: the pt's. blood pressure remained well-controlled for the duration of the hospitalization on lisinopril and metoprolol. medications on admission: -percocet 2 tabs tid -lisinopril 5mg po once daily -zoloft 50mg po once daily -lipitor 10mg po once daily -lopressor 25mg po once daily -protonix 40mg po once daily -ativan 0.5mg po qhs prn -albuterol mdi -atrovent mdi -flovent 220mcg 2puffs -asa 81mg po once daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6-8 hours: prn as needed. 2. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). 3. sertraline hcl 50 mg tablet sig: one (1) tablet po qd (once a day). 4. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po once a day. 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. lorazepam 0.5 mg tablet sig: one (1) tablet po qhs prn. 8. albuterol sulfate 0.083 % solution sig: inhalation q4-6h (every 4 to 6 hours) as needed. 9. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qd (once a day). 11. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 13. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po qd (once a day). 14. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. disp:*3 tablet(s)* refills:*0* 15. prednisone 20 mg tablet sig: three (3) tablet po qd () for 3 doses. disp:*9 tablet(s)* refills:*0* 16. prednisone 20 mg tablet sig: one (1) tablet po qd () for 3 doses. disp:*3 tablet(s)* refills:*0* 17. prednisone 20 mg tablet sig: two (2) tablet po qd (once a day) for 4 doses. disp:*8 tablet(s)* refills:*0* discharge disposition: home with service facility: caregroup discharge diagnosis: chronic obstructive pulmonary disease. coronary artery disease. hypertension. hyperlipidemia. diabetes mellitus. discharge condition: good. discharge instructions: please continue to take all of your prescribed medications. if you experience any concerning symptoms such as severe shortness of breath, confusion, chest pain or tightness or increased productive cough, please call your primary care doctor or come to the emergency department for evaluation. followup instructions: provider: where: optometry date/time: 3:00 provider: breathing tests where: phone: date/time: 10:15 provider: , . , please call for an appointment within the next week. provider: , md where: medical specialties phone: date/time: 9:00 please call the musculoskeletal clinic (to examine your left shoulder)at to schedule an appointment with dr. at a time convenient for you. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use obstructive chronic bronchitis with (acute) exacerbation other and unspecified hyperlipidemia acute respiratory failure pain in joint, shoulder region 

Answer: The patient is high likely exposed to