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: hypoxia major surgical or invasive procedure: bronchoscopy picc line placement history of present illness: mr. is a 57-year-old man with h/o ild, recent admission for alveolar hemorrhage, also h/o afib, cad, dm2, htn who was transferred from for hypoxia. he presented to osh with hypoxia, was intubated. . mr. was admitted from to for dyspnea and hypoxia. he was intubated for hypoxia, requiring high level of sedation and aprv mode. bronch revealed alveolar hemorrhage, deemed to be due to pulmonary vasculitis. there was no evidence of infection. he was treated with cyclophosphamide and steroids, discharged with a po prednisone taper. prior to discharge, the patient was requiring 50% venti mask to maintain o2 sat ~94%, with a respiratory rate in the mid 20s. he would desaturate with exertion to the low 80s, with respiratory rate increasing to ~35. because of the alveolar hemorrhage, his warfarin, for his a-fib, was discontinued. he was discharged to . after a few weeks in rehab, he was discharged home on constant 4-6 l nc. . at home for the past 1.5 weeks, the patient had experienced worsening dyspnea, requiring 8-10 l of nc. he has also had productive coughs with intermittent coin-sized globs of blood for the past few days. temperature maxed at 99-100f. he presented to lakes hospital in , nh. t 36c, bp 142/66, hr 100, rr 26, o2 sat 77-84% on nc. wbc 6.1, hct 30, plts 221, inr 2.9, cr 0.7. her abg, unclear if before or after intubation, was 7.48/29/90/21. ecg was unchanged from prior. was intubated and transferred to . on arrival to the micu, patient was intubated. past medical history: - cad s/p bms to lad in , subsequent caths without significant obstructive disease - ild (early ipf vs. nsip) - afib s/p ablation/pvi x 2, first and second . previously dofetilide (not tolerated due to side effects); currently on sotalol. - mild pulmonary hypertension (pap 38/19 seen on past rhc; no pa htn on cpet ) - obesity - osh note of "pfo with shunting" - sleep apnea (intolerant of cpap) - type ii dm - nafld - dyslipidemia - htn - bilateral torn rotator cuffs - bph - gerd c/b barrett's esophagus - anxiety - severe spinal stenosis - s/p ccy - s/p multiple back surgeries (for disc herniation) - s/p hernia repair social history: social history is significant for the absence of current tobacco use. 50 pk year history of smoking. prior h/o etoh abuse - 7 years ago cut down significantly now occasional etoh use. last drink was 2 weeks ago. married w/ 2 children, on disability due to back problems. ambulates with crutches at baseline family history: father w/ mi in 50s or 60s, had a cabg. mother: type diabetes and hypertension. physical exam: general: elderly obese man, intubated heent: sclera anicteric, et in place neck: supple, jvp not assessible due to body habitus lungs: coarse breath sounds bilaterally, no wheezes cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, obese, non-distended, rare bowel sounds, no organomegaly ext: warm, well perfused, 1+ pulses, no clubbing, cyanosis or edema pertinent results: 08:41pm type-art temp-36.1 rates-14/0 tidal vol-500 peep-5 o2-100 po2-97 pco2-40 ph-7.39 total co2-25 base xs-0 aado2-579 req o2-95 -assist/con intubated-intubated 08:41pm lactate-1.1 08:41pm o2 sat-96 08:15pm glucose-131* urea n-10 creat-0.6 sodium-138 potassium-4.0 chloride-102 total co2-23 anion gap-17 08:15pm estgfr-using this 08:15pm alt(sgpt)-51* ast(sgot)-57* ld(ldh)-779* ck(cpk)-32* alk phos-80 tot bili-1.8* 08:15pm ck-mb-notdone ctropnt-<0.01 08:15pm calcium-8.2* phosphate-4.7* magnesium-1.3* 08:15pm wbc-6.0# rbc-2.87* hgb-9.5* hct-28.0* mcv-98 mch-33.0* mchc-33.8 rdw-18.9* 08:15pm neuts-88.9* lymphs-5.8* monos-3.5 eos-1.6 basos-0.4 08:15pm plt count-224 08:15pm pt-35.4* ptt-33.6 inr(pt)-3.8* : chest ct 1. continued progression of widespread ground-glass opacities in addition to areas of subpleural interstitial chronic changes. ground-glass opacities are still relatively sparing the left upper lobe, but to a lesser degree than on the prior study with new involvement of priorly relatively normal regions. the differential diagnosis still includes acute exacerbation of chronic interstitial lung disease, dip, aip, or hemorrhage. infectious or drug related toxicity are very unlikely. 2. signs of anemia. 3. new small bilateral pleural effusions, mostly on the right. ekg : sinus rhythm. modest non-specific st-t wave changes. since the previous tracing of sinus tachycardia rate is slower. brief hospital course: #. respiratory failure: h/o ild followed by dr. . admitted with hypoxia requiring intubation. pt started empirically on vanco and ceftazidime, also high-dose solumedrol with pcp . ct chest with increased ground glass opacity but no gross infiltrate. bronched on with hct from bal <2 not c/w dah on this admission. pt successfully extubated on to nasal cannula. abx discontinued given negative bacterial cultures. pt remained afebrile and hemodynamically stable without leukocytosis. plan to continue solumedrol 100mg iv qday on discharge with plan to transition to prednisone 60mg daily on with weekly taper to 40mg, then 20mg, then home 15mg; remaining on pcp . of note, micro data pending on discharge: respiratory cultures (prelim: moderate yeast and rare gnr, galactomannan, and beta glucan. #. afib: warfarin stopped given hemoptysis. sotolol held initially given recent hypotensive episodes but restarted prior to discharge with stable bps. pt remained in sinus rhythm during hospital course. would advise against starting all anticoagulants including aspirin and heparin given hemoptysis. #. htn: sotalol initially held but restarted prior to discharge. captopril added for bp control; can titrate and transition to lisinopril as needed. #. dm2: controlled on nph 4 units with insulin sliding scale; will likely need adjustment in setting of steroid taper. #. thrush: developed in the hospital and started on nystatin on . #. constipation: had gas pains. started on simethecone and aggressive bm regimen. #. restless leg syndrome: ropinerole qhs prn with good effect. #. code: full #. communication: son (c) (h); co-hcp wife (c); son (c) medications on admission: - atorvastatin 80 mg qday - calcium carbonate 1000 mg qday - cholecalciferol 800 units qday - colchicine 0.6 mg qday - cyanocobalamin 1000 mcg qday - cyclophosphamide 100 mg qday - heparin sc - metformin 1000 mg qam / 500 mg qpm - mvi - omeprazole 20 mg - paroxetine 50 mg qday - prednisone 15 mg qday - propoxyphene-acetaminophen prn - ropinirole 0.25 mg qhs - sotalol 160 mg - tamsulosin 0.4 mg qday - trazodone 25 mg qhs - tmp-smx 160-800 mg 3x/week - warfarin 7.5 mg or 10 mg qday (son not sure) discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: interstitial lung disease diffuse alveolar hemorrhage atrial fibrillation discharge condition: fair, hemodynamically stable, satting well on 4lnc discharge instructions: you came to the hospital for shortness of breath and low oxygen. you required intubation and had a brochoscopy that showed some bleeding in your lungs, but the bleeding stopped and you were extubated. you will need to follow-up with your pulmonary doctor, dr. . . medication changes: coumadin stopped given cough productive of blood captopril started for blood pressure control insulin nph added with insulin humalog sliding scale for glucose control bowel meds and simethicone as needed for constipation and gas pains please seek immediate medical attention if you develop chest pain, shortness of breath, dizziness, bleeding, inability to tolerate food/liquids, inability to pass stool/gas, or any other concerning symptoms. followup instructions: please call your pcp, , j. , for an appointment in 2 weeks. . please call, ( for an appointment with dr. in weeks. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more closed [endoscopic] biopsy of bronchus diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) candidiasis of mouth other and unspecified hyperlipidemia anxiety state, unspecified acute respiratory failure long-term (current) use of insulin postinflammatory pulmonary fibrosis long-term (current) use of anticoagulants other constipation obesity, unspecified other chronic nonalcoholic liver disease restless legs syndrome (rls) 

Answer: The patient is high likely exposed to