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: history of present illness: briefly, this is a 58 year old male with severe oxygen dependent chronic obstructive pulmonary disease, chronic dyspnea on exertion, and chronic non-productive cough, and ? etoh abuse who recently underwent a routine screening ct scan and was found to have a lung mass and an incidental 5 by 5.5 centimeters abdominal aortic aneurysm while in the work-up of his lung mass. he had a cardiac work-up which was positive for stress test and was stopped for shortness of breath. the patient never complained of chest pain or discomfort but has been severely short of breath since . he wears two liters of oxygen via nasal cannula around the clock and was intubated for pneumonia in the past. past medical history: 1. significant for hypertension. 2. high cholesterol. 3. chronic obstructive pulmonary disease. 4. interstitial pulmonary fibrosis. 5. diverticular disease. 6. abdominal aortic aneurysm. 7. severe arthritis. past surgical history: 1. open heart surgery due to a stabbing incident. 2. multiple fractures due to a motor vehicle accident. 3. broken jaw due to trauma. 4. right carotid surgery due to trauma as well. allergies: he has no known drug allergies. medications: 1. aspirin 325 mg p.o. q. day. 2. hydrochlorothiazide 25 mg p.o. twice a day. 3. norvasc 5 mg p.o. q. day. 4. lipitor 20 mg p.o. q. day. 5. wellbutrin 75 mg p.o. twice a day. 6. nicotine patch. 7. flovent two puffs q. a.m. 8. combivent two puffs twice a day. 9. klor-con 20 meq p.o. q. day. physical examination: on physical examination he was afebrile; vital signs were stable. his pupils are equal, round and reactive to light. extraocular muscles are intact. he has no bruits. his neck was supple. his chest examination had anterior and lateral scar across his sixth intercostal space and across the sternum. his heart was regular rate and rhythm with no murmurs, rubs or gallops. on lung examination, he had bilateral wheezes with no crackles. abdomen was soft, nontender, nondistended. his extremities were warm and well perfused with good pulses. laboratory: the patient's chest x-ray showed severe interstitial fibrosis and sub-hilar lung mass. his white blood cell count was 8.2, hematocrit of 48, platelets of 142. chem-7 with sodium of 137, potassium 3.6, chloride 96, bicarbonate 31, bun of 13, creatinine of 1.0. hospital course: the patient was taken to the operating room on , where a coronary artery bypass graft times three was performed, saphenous vein graft to left anterior descending, saphenous vein graft to obtuse marginal 2, saphenous vein graft to patent ductus arteriosus. the patient was transferred to the cardiac surgical recovery unit postoperatively where he did well. he had a little bit of a labile blood pressure which was treated. he was weaned from his ventilator and extubated on postoperative day number one and stayed on the floor. the patient was doing well in the intensive care unit, however, with activity his saturations would drop. he was able to move around in bed and coughing and deep breathing. he was continued to be watched and was transfused two units of packed red blood cells for a low hematocrit. on , the patient was found to have a low po2 on blood gas and was placed on bi-pap in order to improve. the patient continued to decline respiratory and the patient was reintubated on . the patient, after reintubation began to improve, however, was found to have significant secretions with suctioning. a bronchoalveolar lavage was done by pulmonary. pulmonary was consulted for bronchoscopy as well as for management. it was found that he had a pneumonia at that time. the patient was started on levofloxacin and flagyl for gram negative rods in his sputum and given a 14 day course of that. he was attempted to wean on his ventilator, however, he was unable to get significant advances on his ventilator due to desaturation with any type of activity or agitation. at that time, it was decided that the patient was possibly suffering from delirium tremens and ativan was started. propofol was weaned off. the sputum grew out serratia at that time and it was found to be pan-sensitive. he was continued on levofloxacin and flagyl for coverage. the patient was also given aggressive nebulizer treatments for his pulmonary status. the patient began to be diuresed; tube feeds were started. the patient was started on haldol as well for a question of delirium, and he was weaned from his ventilator. during that time, repeat bronchoscopy showed clearing of his pulmonary secretions and repeat lavage was clear. the patient, after bronchoscopy, was extubated at that time and continued to do well. his foley was removed and his central line was removed. the chest tubes were removed. the patient continued to improve. he was still bringing up heavy secretions, however, his ambulatory status was more stable at this time. haldol was used as a standing dose as well as for p.r.n. and his ativan was stopped. he was transferred to the floor on . he continued on levofloxacin and flagyl for a total of 14 days and it was stopped at that time. physical therapy was consulted for ambulation and found that the patient had been significantly deconditioned due to his prolonged intensive care unit course and felt that he would best be served with rehabilitation placement. aggressive pulmonary toilet was continued on the floor and the patient continued to improve. one-to-one sitters were removed on , and the patient was screened for rehabilitation on . the patient is currently awaiting rehabilitation placement. please see addendum for discharge date. discharge medications: 1. lasix 40 mg p.o. q. day. 2. haldol 5 gm p.o. three times a day. 3. enteric-coated aspirin 325 mg p.o. q. day. 4. protonix 40 mg p.o. q. day. 5. colace 100 mg p.o. q. day. 6. nicotine 14 mg transdermal q. day. 7. hydrocortisone cream 0.5% apply to affected area p.r.n. 8. bupropion 75 mg p.o. twice a day. 9. folic acid 1 mg p.o. twice a day. 10. thiamine 100 mg p.o. q. day. 11. albuterol and ipratropium one to two puffs inhalers p.r.n. 12. flovent two puffs inhaler twice a day. 13. percocet one to two tablets p.o. q. four hours p.r.n. 14. 20 meq p.o. twice a day. discharge diagnoses: 1. severe chronic obstructive pulmonary disease with home o2 requirement. 2. hypertension. 3. high cholesterol. 4. coronary artery disease status post coronary artery bypass graft times three. 5. diverticular disease. 6. abdominal aortic aneurysm. 7. severe arthritis. 8. lung mass, questionable for work-up. 9. status post open heart surgery for stabbing. 10. status post multiple fractures including jaw, skull, pelvic, bilateral lower extremities. 11. right carotid surgery due to trauma. condition on discharge: the patient is discharged in table condition. disposition: to rehabilitation facility. discharge instructions: 1. instructed to follow-up with four weeks with dr. . 2. to follow-up in one to two weeks with his primary care physician ( and dr. . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances other intubation of respiratory tract pericardiotomy diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome hematoma complicating a procedure pneumonitis due to inhalation of food or vomitus other and unspecified alcohol dependence, unspecified alcohol withdrawal delirium swelling, mass, or lump in chest adhesive pericarditis 

Answer: The patient is high likely exposed to