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: traumatic fall resulting in t11-t12 fracture. major surgical or invasive procedure: 1. reduction of t11-t12 fracture 2. posterior instrumented fusion of t10-l3 3. tracheostomy 4. percutaneous endoscopic gastrostomy 5. inferior vena caval filter 6. tube thoracostomy 7. continuous bladder irrigation history of present illness: hpi: 75 y.o. m presents from intubated, s/p fall from standing on 9:00 pm. fall was not witnessed, and patient refused to go to ed immediately post-fall. on at 3:45 am he was transported via ambulance to due to increase in pain, where he was intubated due to declining respiratory status. he was transported to ed, and trauma services consulted us at 14:15 pm. thoracic ct done here shows severe kyphosis & ankylosing spondylitis with fracture through t11-12 anterior and middle columns. as well as narrowing of space at t11-12 spinal processes. past medical history: 1. chronic obstructive pulmonary disease 2. ankylosing spondylitis 3. congestive heart failure 4. insulin-dependent diabetes mellitus 5. peripheral vascular disease 6. hypercholesterolemia 7. obstructive sleep apnea social history: has two drinks of whiskey daily, lives with his wife, non- x 4 years. family history: nc physical exam: physical exam: o: t:96.7 bp:161 /92 hr:96 r: 14 o2sats 100% intubated gen: intubated, difficult to arouse, off propofol x 25 minutes, opens eyes to painful stimuli heent: pupils: 1mm - 0.5 bilaterally, bilateral corneal reflexes present neck: c-collar extrem: severe pvd, with cellulitis, poor perfusion over fingers and toes, cyanotic fingers bilaterally neuro: intubated, off propofol x 25 min. does not follow commands, opens eyes to painful stimuli motor: withdraws bilateral upper and lower extremities to painful stimuli. toes downgoing bilaterally reflexes: br pa ac right 1 2 1 left 1 2 1 pertinent results: ct t spine 1) severe kyphosis & ankylosing spondylitis with fracture through t11-12 anterior and middle columns. in inferoposterior corner of t11, t11-12 left facet joint and right t12 pars. there is anterior splaying of the t11-12 disc space, with 2.3cm separation anteriorl; associated closing of space between t11-12 spinal processes. 2) atelectasis. interstitial pulmonary edema, bilateral pleural effusion consistent with chf. calcific pleural plaques, likely related to old asbestos exposure. wbc rbc hgb hct mcv mch mchc rdw plt 9.5 4.61 15.1 45.2 98 32.8* 33.5 14.9 277 neuts bands lymphs monos eos 86.4* 7.5* 5.4 0.4 0.3 ph 7.26 pco2 89 po2 34 hco3 42 basexs 8 na:147 k:4.9 cl:95 tco2:39 glu:111 lactate:1.4 freeca:1.12 pt: 13.8 ptt: 28.3 inr: 1.2 trop-t: 0.04 brief hospital course: pt transferred to from . pt arrives intubated. pt with ct findings compatible with "bamboo spine" likely secondary to ankylosing spondylitis with acute fracture at t11-12. syndesmophyte disruption along the anterior and posterior longitudinal ligaments with t11 inferior endplate fracture and fracture involving both inferior facet joints. acute lordotic angulation at t11-12 and marked widening of the disc space also was noted. follow up mri revealed ankylosis of the cervical and thoracic spine. fracture through t11-12 disc with disruption of the anterior and posterior longitudinal ligaments. mild trauma to the interspinous region without definite evidence of disruption of the ligamentum flavum. no intraspinal hematoma or extrinsic spinal cord compression. no evidence of intrinsic spinal cord signal abnormalities. pt also noted to have large left-sided pleural effusion on ct of the chest. initially, fall was thought be related to a coronary event. pt was seen by cardiology, but given pt's negative ce, ekg, and echo, it was felt that the patient did not fit the profile of an acute ischemic event as the precipitant of his fall. pt was brought to the or with neurosurgery on . pt had laminectomy t10-l2, pedicle screw insertion, segmental, t10-l3, local autograft, posterolateral arthrodesis t10-l3, and fracture reduction, open, t10-l3. in the immediate post op period, the patient was unable to be weaned from his vent. lasix was administered to decrease pulmonary edema. pt was noted to have thick secretions requiring frequent suctioning. repeat chest ct on demonstrated a large simple left pleural effusion with partial loculation anteromedially, nodular pleural thickening in right hemithorax, highly suspicious for malignant mesothelioma in the setting of asbestos-related pleural plaques. further evaluation with pet/ct was requested when patient stabilized. in addition, pt had left chest tube placed with one liter of effusion removed and sent for cytology. cytology was negative for malignant cells. urology was briefly consulted for hematuria in setting of indwelling foley x ~7 days. they recommended urine cytology, ct urogram, and follow up in weeks. on , pt was brought to or for trach/peg/filter. he has failed multiple attempts at extubation due to ventilatory failure and co2 retention. the patient is expected to need long-term ventilatory support. the patient also is not capable of eating and is not expected to be able to eat normally with the tracheostomy in place for prolonged period. he is also at high risk for venous thrombo-embolic disease and has problems with heparinization due to hematuria. he is therefore considered an appropriate candidate for ivc filtration. patient deemed suitable for vented rehabilatation placement on . medications on admission: medications prior to admission: byetta 10mg cozaar 50 mg furosemide 40 mg cilostazol 100 mg pravastatin 20 mg qd lantus 15 units qhs ? diabetes medicine 4 mg qd discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) cc po bid (2 times a day). disp:*600 cc* refills:*2* 3. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). disp:*900 ml(s)* refills:*2* 4. albuterol 90 mcg/actuation aerosol sig: 6-10 puffs inhalation q4h (every 4 hours) as needed. disp:*10 aerosol* refills:*0* 5. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). disp:*2 tubes* refills:*2* 7. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*10 aerosol* refills:*2* 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). disp:* units* refills:*2* 10. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. disp:*150 ml(s)* refills:*2* 11. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: five (5) ml po q4h (every 4 hours) as needed for pain. disp:*150 ml(s)* refills:*0* 12. senna 8.8 mg/5 ml syrup sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. epoetin alfa 4,000 unit/ml solution sig: two (2) ml injection qmowefr (monday -wednesday-friday). disp:*100 ml* refills:*2* 15. ferrous sulfate 300 mg/5 ml liquid sig: five (5) cc po tid (3 times a day). disp:*450 cc* refills:*2* 16. morphine sulfate 2 mg iv q6h:prn pain 17. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous once a day. disp:*100 ml* refills:*2* 18. insulin regular human 300 unit/3 ml insulin pen sig: 0-28 units subcutaneous four times a day: fs 121-140, 2 units fs 141-160, 4 units fs 161-180, 6 units fs 181-200, 8 units fs 201-220, 10 units fs 221-240, 12 units fs 241-260, 14 units fs 261-280, 16 units fs 281-300, 18 units fs 301-320, 20 units fs 321-340, 22 units fs 341-360, 24 units fs 361-380, 26 units fs 381-400, 28 units. disp:*1000 units* refills:*2* discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. traumatic fall 2. ankylosing spondylitis 3. thoracic spine fracture, t11-t12 4. chronic obstructive pulmonary disease 5. congestive heart failure 6. insulin-dependent diabetes mellitus 7. obstructive sleep apnea 8. simple left pleural effusion 9. hematuria discharge condition: good discharge instructions: 1. call office or go to er if fever/chills, discharge or redness from surgical wounds, chest pain, shortness of breath, neurological deficits. 2. follow up with trauma surgery and neurosurgery as indicated. 3. wean ventilatory support as tolerated. trach care per protocol. tube feeds per protocol. 4. physical therapy per protocol. followup instructions: trauma surgery, dr. , 1-2 weeks, please call for appointment. neurosurgery, dr. , 1-2 weeks, please call for appointment. urology, dr. , 1-2 weeks, please call for appointment. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy transfusion of packed cells dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture application or administration of an adhesion barrier substance fusion or refusion of 4-8 vertebrae computer assisted surgery with fluoroscopy diagnoses: pure hypercholesterolemia unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition chronic airway obstruction, not elsewhere classified unspecified fall acute respiratory failure unspecified sleep apnea chronic systolic heart failure closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury kyphosis (acquired) (postural) ankylosing spondylitis 

Answer: The patient is high likely exposed to