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: penicillins attending: chief complaint: hemoptysis major surgical or invasive procedure: right inferior thyroid embolization history of present illness: 66 y.o with pmh of htn, copd, gout, s/p cva, and a recently dx scc of the larynx ca () after presenting to with respiratory distress and stridor. ptis s/p planned trach and peg on . after initial diagnosis at , pt was sent to rehab with plans for further procedures prior to starting chemo/radiation as well as tx for lll pna. however, pt reports that he began to experience bleeding from his trach/mouth/nose yesterday, but more substantially today. therefore, pt was sent to hospital where he was evaluated by gi and thoracics that suggested ent evaluation. pt received 3 units of ffp for an inr of 1 and 1 unit of rbcs for hct of 25. trach was replaced with a size 7 with a cuff. . upon arrival to the micu, pt had no complaints including sob, cp, lh/dizziness/cough/uri symptoms, fever/chills, headache, abdominal pain/n/v/d/c/dysuria, joint pains. however, he had profuse epistaxis and hemoptysis (nose, mouth, trach). urgent pivs were placed, ent was at the bedside to perform examination and pharyngeal packing. pt consented for blood products, icu care, code status, as well as informed of possible ir procedure. pt was given fentanyl and versed for sedation and placed on ventilation, however he was uncomfortable and uncooperative with the ent procedures so he was bolused with propofol. packing successfully in place. past medical history: scc of the larynx dx. s/p trach and peg etoh abuse social history: former smoker quit at day of dx, etoh 14 beers daily up until ~2 wks ago. family history: per report-lymphoma and lung ca. physical exam: gen-awake, alert, answering questions, sitting upright, red blood seen in nares, mouth, at trach site, thin. vitals-t. 97.5, bp 119/75, hr 66, rr 17, sat 100% on ra heent-perrla, eomi, anicteric, +blood at nares dried and fresh, +dried blood/clot draining from mouth. neck-+trach in place with clot at trach site, dried blood at collar, supple, no lad chest-b/l ae no w/c/r heart-s1s2 rrr no m/r/g abd-+bs, soft, nt, +gtube in place, no erythema. no guarding/rebound ext-no c/c/e 2+pulses neuro-awake, alert, oriented. pertinent results: 10:46pm type-art temp-36.8 rates-15/ tidal vol-600 peep-5 o2-100 po2-307* pco2-44 ph-7.40 total co2-28 base xs-2 aado2-388 req o2-66 -assist/con intubated-intubated 10:07pm plt count-373 02:42pm pt-12.6 ptt-27.1 inr(pt)-1.1 02:42pm plt count-545* 02:42pm neuts-75.8* lymphs-13.8* monos-7.3 eos-2.8 basos-0.4 02:42pm wbc-10.8 rbc-2.77* hgb-8.5* hct-25.8* mcv-93 mch-30.8 mchc-33.0 rdw-14.4 02:42pm glucose-100 urea n-22* creat-0.6 sodium-131* potassium-4.6 chloride-95* total co2-30 anion gap-11 cta neck w&w/oc & recons study date of 6:16 pm: 1. arterial vasculature is patent including the carotids,carotid siphons, right vertebral, visualized basilar. left vertebral artery is not visualized throughout course, proximal occlusion cannot be excluded. no active extravasation. 2. large heterogeneous transglottic mass, arising predominantly from the left side and may reflect residual known squamous cell cancer. 3. possible hyperdense packing material seen throughout the pharynx, clinical correlation recommended. brief hospital course: pt is a 66 y.o with h.o htn, copd, gout, s/p cva, s/p newly dx laryngeal ca who presents with bleeding from mass. # pt presented with profuse bleeding from hypopharyngeal mass. no bleeding seen below the mass. suspected bleeding was from the mass and above into the mouth/nares. ent packed tumor, pt to ir for coil embolization of inferior thyroidal artery and repacked. given 4 u prbc total, crits stable since. oropharyngeal packing removed by ent . pt. to follow up with outpatient ent and outpatient oncologist after being discharged to ltac facility #respiratory failure-secondary to sedation with fentanyl/versed/propofol. on presentation was sating 100% ra. weaned off of sedation after various procedures completed. chest x-ray showed ? left lower lobe collapse. gpcs and gnrs on sputum gram . pt. started on vanc/cefepime given sputum gram , end 10 day course on . #s/p hypotension-pt transiently hypotensive during initial sedation with fetanyl and versed bolus. transiently on neosyn during sedation/ent evaluation. currently off neosyn. s/p 4 units of prbcs, and ivf. hd stable. #scc of the larynx-recently dx. s/p trach and g-tube. plan per report was for dental procedure then chemo/radiation. #htn-held home meds (lisinopril) initially for hypotension, restarted at end of stay due to hypertension #copd-will monitor resp status/sats. #gout-hold allopurinol #etoh abuse-family states 14 beers daily, but none in ~2weeks. had been getting ativan per family. gave thiamine and folate during stay. no other issues. #fen-npo for procedure initially, nutrition consulted for tube feeds after poor po intake. medications on admission: prior to admission per records allopurinol 300 per g-tube, lisinopril 50mg, colace 100mg , nexium 20mg, asa 81mg, senna, mvi, lovenox 40mg sc daily, lorazepam, levalbuterol, acetaminophen, fleet enema, oxycodone 5mg q4h prn, g tube feeds-isosource 1.5cal 55ml per hour, ativan 0.5mg qid prn. discharge medications: 1. oxymetazoline 0.05 % aerosol, spray sig: one (1) spray nasal (2 times a day) as needed for 3 days. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. docusate sodium 50 mg/5 ml liquid sig: two (2) po bid (2 times a day). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 9. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours): please continue until . 10. cefepime 2 gram recon soln sig: one (1) recon soln injection q12h (every 12 hours): please continue until . discharge disposition: extended care facility: - discharge diagnosis: primary: hemoptysis and epistaxis secondary: squamous cell carcinoma of the larynx alcoholism discharge condition: stable, trach in place, patient cooperative and responsive to commands. discharge instructions: you were admitted to the intensive care unit with bleeding from your nose and your tracheostomy site. upon arrival, you were seen by our otolaryngology specialists and, given that it was difficult to perform the packing that was required, you were placed under sedation and on mechanical ventilation. the otolaryngology specialists were successful in packing your wound. in addition, your had a procedure done to stop your bleeding which required artificial blocking of one of the small blood vessels in your neck. you were also found to possibly have a pneumonia, so you have been placed on antibiotics. if you have any subsequent excessive bleeding, or difficulties breathing, please return to the hospital immediately. followup instructions: 1.) please schedule a follow up with your primary care physician 1 to 2 weeks 2.) ent: please follow up with your outpatient otorlaryngologist 2 weeks after discharge md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified arteriography of cerebral arteries alcohol detoxification control of epistaxis by anterior nasal packing endovascular (total) embolization or occlusion of head and neck vessels diagnoses: other iatrogenic hypotension unspecified essential hypertension other and unspecified alcohol dependence, in remission chronic airway obstruction, not elsewhere classified gout, unspecified personal history of tobacco use acute respiratory failure personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits epistaxis gastrostomy status tracheostomy status other sedatives and hypnotics causing adverse effects in therapeutic use malignant neoplasm of larynx, unspecified 

Answer: The patient is high likely exposed to