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: thorazine attending: chief complaint: respiratory failure major surgical or invasive procedure: none history of present illness: 57 m with pmh copd on home oxygen, chronic prednisone and increased dose on days prior to admit. no reported sx of uri but noted resp distress. pt had resp failure on floor, intubation and icu transfer,and ct showing question tracheomalacia pt then transfered to for eval possible surgical intervention past medical history: copd afib/flutter depression osa prior ivda social history: 90 py smoking hx, (presently 1ppd) etoh abuse quit 15 yr ago hx ivda (heroin) family history: f-cva @44 m-breast ca physical exam: vs: hr 77, bp 132/67, rr 20, 98% :intubated sedated heent:, cv:irreg, resp:cta bilat abd:soft, nd pertinent results: 10:16pm type-art po2-105 pco2-73* ph-7.43 total co2-50* base xs-20 intubated-intubated 09:50pm wbc-5.8 rbc-4.15* hgb-12.5* hct-37.5* mcv-90 mch-30.1 mchc-33.4 rdw-14.1 09:50pm pt-17.4* ptt-28.7 inr(pt)-2.0 brief hospital course: pateint admitted to the icu, imaging reviewed and bronchoscopy performed which showed only mild tracheomalacia not requiring surgical intervention, end stage lung disease from emphysema and mediastinal and hilar adenopathy not suspicious and patient felt to be doubtful candidate for any type of surgical intervention. findings were discussed with family who decide to make patient dnr/dni and , pt was extubated on that protocol and fortunately was able to tolerate extubation, and was responsive and interactive. with continued respiratory therapy, nebulizers, and oxygen, pt improved and was able to tolerate diet. the order was rescinded, the dnr/dni order was maintained and the patient was felt to be a candidate for hospice. medications on admission: coumadin lopressor methadone lasix protonix albuterol ipratropium methylpredisone discharge medications: albuterol nebs prn ipratropium nebs prn oxygen 1. methadone 40 mg tablet, soluble sig: three (3) tablet, soluble po daily (daily). 2. midazolam 1 mg/ml solution sig: 1-2 mg injection q4h (every 4 hours) as needed. 3. lorazepam 2 mg/ml syringe sig: 2-6 mg injection q4h (every 4 hours) as needed for anxiolytic. 4. morphine 10 mg/ml syringe sig: 1-10 mg injection q2h (every 2 hours) as needed. 5. dolasetron 12.5 mg/0.625 ml solution sig: one (1) solution intravenous q8h (every 8 hours) as needed. discharge disposition: extended care facility: discharge diagnosis: respiratory failure discharge condition: stable discharge instructions: discharge to hospice. comfort care. no follow up indicated unless prn with pcp followup instructions: patient being discharged to hospice follow up with pcp as needed procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: long-term (current) use of steroids atrial fibrillation depressive disorder, not elsewhere classified atrial flutter opioid type dependence, continuous acute respiratory failure unspecified sleep apnea other emphysema long-term (current) use of anticoagulants enlargement of lymph nodes 

Answer: The patient is high likely exposed to