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: mr. is a 72 year old male with a history of chronic obstructive pulmonary disease, schizophrenia and hypertension who was transferred from for evaluation of tracheal stenosis. he was admitted to on with respiratory failure, secondary to methicillin resistant staphylococcus aureus pneumonia. he required endotracheal intubation and was treated with vancomycin. the patient self extubated on . he was initially on face mask but progressive hypercapnia led to non invasive ventilatory support and eventually to endotracheal intubation. tracheostomy was performed on by ent at with a shiley #8, placed by dr. . he was transferred to rehabilitation on . at rehabilitation, he was noted to have difficulty with weaning, with very high respiratory pressure resistance during suction. bronchoscopy on showed a 90% occlusion with granulation tissue at the distal tip. the patient was transferred, therefore, to for evaluation and treatment with dr. , prior to transfer back to for the weaning. past medical history: chronic obstructive pulmonary disease. schizophrenia. hypertension. methicillin resistant staphylococcus aureus pneumonia in , complicated by respiratory failure, intubation, tracheostomy and tracheal stenosis. medications on transfer: vancomycin one gram intravenous q. 24 hours. lisinopril 24 mg q. day. theophylline 100 mg three times a day. k-phos one pack q. 8 hours. lorazepam 1 mg q. six hours prn. reglan 10 mg three times a day. elanzepine 10 mg q h.s. lansoprazole 30 mg p.o. q h.s. amlodipine 10 mg p.o. q. day. albuterol and atrovent nebs prn. fluticasone 2 puffs twice a day. heparin subcutaneously twice a day. allergies: no known drug allergies. social history: he is a nursing home resident with a positive smoking history. the patient has a brother-in-law who has been making decisions for him, by the name of . he is currently incapacitated. therefore, the patient has a niece named , contact #. she has been very involved in his care. physical examination: general: alert and responsive on trach ventilation. vital signs: temperature 100.8; pulse 116 and regular; blood pressure 115/74; respiratory rate of 23. oxygen saturation 92% on 35% fi02. head, eyes, ears, nose and throat: normal cephalic, atraumatic. pupils equal round and reactive to light. extraocular movements intact. neck: tracheostomy without purulent drainage. lungs: diffuse upper airway wheezes. cardiovascular regular rate and rhythm; distant heart sounds; normal s1 and s2. abdomen is soft, nontender, nondistended. percutaneous endoscopic gastrostomy tube without discharge or erythema. extremities: no edema, 2+ pulses bilaterally. laboratory data: white count 11.1 with 14% eosinophils; hematocrit of 31.8; platelets of 303. sodium of 142; potassium of 4.0; chloride 101; bicarbonate of 35; bun 23; creatinine 1.0; glucose 98. calcium 8.2; phosphorus 2.8; inr of 1.3. chest x-ray showed bilateral combined alveolar interstitial pattern, most likely due to pulmonary edema with bilateral pleural effusions. assessment and plan: mr. was admitted to intensive care unit on for evaluation and treatment of his tracheal stenosis with granulation tissue. it was noted on discharge summary from that his vancomycin was to be continued from , however, it appears that he was continued on vancomycin at the rehabilitation hospital. given that he has no signs of ongoing infection, vancomycin was discontinued on admission. it was noted that he had a peripheral eosinophilia; therefore, quarantine laboratory studies were sent including a sedimentation rate, anca and psa. however, his rate was 75, anca was unremarkable and psa was within normal limits, therefore, not revealing a cause of his eosinophilia. at the time of discharge, his eosinophils had decreased to 14% and it was felt that the ongoing work-up for his eosinophilia can be done back at the rehabilitation hospital. on , he was taken to the operating room by dr. for rigid bronchoscopy. bronchoscopy revealed large posterior tracheal ulceration with granulation tissue that was supra stomal. the granulation tissue at the stoma was excised and sent to pathology. in addition, he had a tracheal revision with removal of the necrotic tracheal ring. there were no complications during this procedure and he was observed overnight in the intensive care unit without any complications. the following morning, he was sent back to for further respiratory weaning. discharge diagnoses: tracheal stenosis. eosinophilia. discharge medications: same as on admission, with the exception of vancomycin. discharge condition: he is discharged to in good condition for continued weaning from the ventilator. , m.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances other operations on trachea bronchoscopy through artificial stoma replacement of tracheostomy tube diagnoses: anemia, unspecified chronic airway obstruction, not elsewhere classified unspecified schizophrenia, unspecified acute respiratory failure other and unspecified special symptoms or syndromes, not elsewhere classified mechanical complication of tracheostomy other abnormal granulation tissue eosinophilia 

Answer: The patient is high likely exposed to