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: the patient is a 32-year-old man with a history of fascioscapulohumeral muscular dystrophy with chronic respiratory failure on home bipap pressure support 18, peep 8 for the past 9 years (24 hours a day for the past 2 years), admitted on for an elective tracheostomy placement because of worsening nasal breakdown from the bipap nasal pillows. plan was for him to eventually go home to be on mechanical ventilation. the patient is dependent for all his adls. review of systems: positive only for a chronic cough for the last 12 months. he is followed by dr. at the . mr. a successful tracheostomy by dr. on with no complications. he was initiated on simv plus pressure support and was given analgesics for mild tracheostomy site pain. he was transferred to the medical intensive care unit teams care on for further ventilation. past medical history: fascioscapulohumeral muscular dystrophy, g tube placement in , bilateral congenital hearing loss, wears hearing aids both ears. no significant pneumonias or hospitalizations. seasonal allergies. medications: zoloft 50 mg pgt q day, claritin 10 mg pgt q day, ensure pgt, tube feeds pgt. allergies: neoprene causes skin sensitivity. family history: no other family members with muscular dystrophy. family history positive for cancer. social history: lives with his caring and devoted parents at home. enjoys movies and computers. no history of alcohol, tobacco or drug use. physical examination: vital signs, temperature 98.2, pulse 83, blood pressure 107/53, respiratory rate 13, o2 saturation 97% on fio2 of 30%, ins and outs 1750 in and 800 out with a net positive 950, ventilator setting simv total volume 700 with an actual total volume 670, respiratory rate 8 with no spontaneous respirations, fio2 30%, peep 5.3, pip 24.8, compliance of 36. in general, no apparent distress, able to answer questions with head motions, mouthing and pointing to the letter board. heent: trach site clear, dry and intact, no erythema, edema or drainage. cardiovascular, regular rate and rhythm, 2/6 systolic murmur at left lower sternal border. pulmonary, clear to auscultation bilaterally. abdomen, peg site clean, dry and intact, decreased bowel sounds, non distended, non tender. extremities, no edema, hand contractures bilaterally. laboratory data: patient refused blood draws during this hospitalizations. abg on 7.48/34/227 on fio2 of 30%. chest x-ray on , tracheostomy in adequate position, no pneumothorax, no infiltrate. hospital course: 1. pulmonary: on the patient was attempted on c-pap and pressure support vent setting, however, he experienced an episode of apnea and was switched back to the simv setting. his apnea was thought to be secondary to sedation from the pain medications he received. the goal currently is pressure support ventilation with no rate setting with an eventual goal setting of pressure support 10 through 15 and peep of 5. given his apneic episodes, we would currently recommend imv with respiratory rate of 10, total volume 600, pressure support of 15 for back-up, fio2 30%. the patient is being discharged to rehab so that he and his family can be taught tracheostomy care. he will also be evaluated for passy-muir valve once he is at least 48 hours passed surgery. he was also started on prevacid 30 mg pgt q day for his chronic cough. 2. nutrition: the patient was seen by the nutrition team who recommended tube feeds of promod with fiber at 120 cc per hour which is 1440 kilocalories, 90 gm protein, 1200 cc of water. he is also recommended free water boluses 250 cc via peg tube qid. condition on discharge: stable. discharge status: rehabilitation center. discharge diagnosis: 1. fsh. 2. muscular dystrophy with chronic respiratory failure, status post tracheostomy placement. 3. peg tube in place. 3. chronic cough most likely secondary to gerd. discharge medications: zoloft 50 mg pgt q day, claritin 10 mg pgt q day, prevacid 30 mg pgt q day, tube feeds, promod with fiber at 150 cc per hour for 12 hours per day, free water boluses via pgt cc qid, bactroban ointment to bilateral nares , roxicet 5-10 cc pgt q 4 hours prn. , m.d. dictated by: medquist36 d: 05:03 t: 20:32 job#: procedure: temporary tracheostomy diagnoses: esophageal reflux chronic respiratory failure hereditary progressive muscular dystrophy 

Answer: The patient is high likely exposed to