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: altered mental status major surgical or invasive procedure: femoral line intubation history of present illness: 56 year-old male with recently diagnosed large cell lung cancer metastatic to brain, malignant pericardial and pleural effusion, discharged from only 3 days ago, now returns from rehab with altered mental status. this all began in mid- when he presented in pericardial tamponade and underwent emergent pericardiocentesis and window. he was also found at the time to have a pulmonary embolus and bulky right hilar lymphadenopathy. bronchoscopy and mediastinoscopy for lymph node biopsy performed on revealed a poorly differentiated carcinoma on staining, most consistent with a lung large cell malignancy, with invasion of the large vessels. staging pet scan showed extensive disseminated fdg-avid disease throughout the neck, chest, abdomen and pelvis. head mri showed multiple tiny ring-enhancing lesions throughout the supra and infratentorial compartments highly suspicious for metastatic disease. patient admitted with bilateral malignant pleural effusions that repeatedly recurred post-thoracentesis. he underwent talc pleurodesis and was discharged on to . he was given cycle #1 of carboplatin/taxol with the plan to get cyle #2 in 3 weeks followed by whole brain radiation. . he was sent from today for obtundation, hypotension, and tachycardia with complaint of shortness of breath and per report, with low grade fevers. on arrival to the ed, vital signs temp 93.9, bp 92/70, hr 132, rr 32. bp dropped to 64/20, cordis placed into his right femoral vein, given total of 4l ns, started on levophed, seen by cardiology who performed a bedside echocardiogram which showed no evidence of ra/rv collapse. patient's breathing appeared labored and he was reportedly more confused with abg of 7.26/45/131, patient was intubated for respiratory distress, acidosis and airway protection with his worsening mental status. cxr showed pulmonary edema. past medical history: 1. large cell lung cancer metastatic to brain s/p 1 cycle of carboplatin/taxol (planned for cycle#2 in 3 weeks followed by whole brain radiation 2. history of tamponade s/p pericardiocentesis and window on 3. hypertension 4. chronic lower back pain. 5. s/p appendectomy 6. recurrent bilateral pleural effusion s/p left talc pleurodesis on social history: pt is on disability secondary to lbp. he used to work in construction. he is lives with his partner of 30 years. he has no children with but has a 30-something year old son. smoked 2.5-3 ppd for 35 years, quitting a few weeks ago when he was diagnosed. smoked a few cigarettes a day still. 1-2 drinks per week. drank 18 beers per night up until 3 months ago. smoke marijuana in past. no ivdu. family history: mom died of lung cancer. dad died of polio. three brothers and one sister, who are alive and healthy. physical exam: pulseless, apneic no breath sounds or heart sounds no response to nailbed pressure or sternal rub pertinent results: 01:14a abg: ph 7.31 pco2 39 po2 120 hco3 21 type:art; intubated; fio2%:60; rate:20/3; tv:500; peep:5; temp:37.0 k:4.9 hgb:12.8 calchct:38 freeca:1.12 lactate:3.7 09:13pm type-art po2-131* pco2-45 ph-7.26* total co2-21 base xs--6 intubated-not intuba 09:13pm freeca-1.17 08:09pm urine color-straw appear-clear sp -1.013 08:09pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 07:55pm lactate-2.9* 07:44pm glucose-72 urea n-36* creat-0.9 sodium-140 potassium-3.0* chloride-112* total co2-18* anion gap-13 07:44pm alt(sgpt)-35 ast(sgot)-21 ck(cpk)-15* alk phos-46 tot bili-0.4 07:44pm ctropnt-<0.01 07:44pm ck-mb-notdone 07:44pm albumin-2.0* calcium-5.5* phosphate-2.7 magnesium-1.2* 07:44pm wbc-7.4# rbc-3.22*# hgb-9.7*# hct-29.5*# mcv-92 mch-30.0 mchc-32.7 rdw-19.3* 07:44pm neuts-80.2* lymphs-13.2* monos-6.3 eos-0.2 basos-0.1 07:44pm hypochrom-1+ anisocyt-2+ macrocyt-1+ 07:44pm plt count-173# 07:44pm pt-19.6* ptt-49.1* inr(pt)-2.4 07:44pm d-dimer-170 ct chest w/contrast 2:21 am 1) increase in size of right pleural effusion, and decrease in left pleural effusion. stable large pericardial effusion, with nodularity along the anterior and superior aspect of the pericardium. 2) bibasilar atelectasis and consolidation. additional atelectasis within the lingula. 3) stable mediastinal and hilar lymphadenopathy. 4) emphysematous changes and diffuse intralobular septal thickening and nodularity, suggestive of lymphangitic spread of tumor. brief hospital course: 56 year-old male with metastatic large cell lung cancer, h/o pericardial tamponade s/p pericardiocentesis and window, malignant pleural effusion s/p talc pleurodesis, pulmonary embolus, now presents with altered mental status, respiratory distress, and hypotension. patient was intubated (as noted), started on levophed to maintain blood pressure, however, and patient was thought to be in sepsis with respiratory compromise from recurrent pleural effusion. patient was found to have enlarged right pleural effusion, with stable left, and pulsus paradoxicus of 10 (similar to last admission). in addition, patient had intermittent episodes of tachycardia to 190s, thought to be secondary to myocardial irritability as a result of residual malignant pericardial effusion. plans were made to aggressively treat patient including diagnostic/therapeutic thoracentesis and aggressive volume resuscitation for presumed sepsis. however, given his progressive and rapid clinical decline (including now lymphangitic spread of nsclc) despite chemotherapy, a discussion was held between the patient's primary oncology fellow and the patient's family with regard to goals of care. therefore, the decision was made on hospital day two to withdraw care and extubate the patient. patient was given morphine for comfort following extubation, and expired 20 minutes following withdrawal of ventilation and blood pressure support. medications on admission: spironolactone 25mg po once daily metoprolol 50mg po bid lasix 40mg po once daily klonopin 0.5mg po bid atrovent nebs prn albuterol nebs prn lorazepam 1mg q6h prn lactulose 20mg po once daily lovenox 100mg sc bid ambien 5mg po qhs senna colace apap phenergan prn oxycodone prn discharge medications: n/a discharge disposition: expired discharge diagnosis: stage iv large cell lung cancer probable bacterial sepsis malignant pleural effusions discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization transfusion of other serum diagnoses: congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia severe sepsis secondary malignant neoplasm of other specified sites secondary malignant neoplasm of pleura pulmonary collapse acute respiratory failure hypotension, unspecified secondary malignant neoplasm of brain and spinal cord septic shock pressure ulcer, buttock unspecified disorder of skin and subcutaneous tissue malignant neoplasm of other parts of bronchus or lung tachycardia, unspecified secondary and unspecified malignant neoplasm of lymph nodes of multiple sites 

Answer: The patient is high likely exposed to