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: cord compression, lumbar compression fracture, aspiration pneumonia major surgical or invasive procedure: flexible bronchoscopy procedure: 1. open treatment of l1 burst fracture with spinal cord compromise and spinal cord injury. 2. posterior arthrodesis, t10-l3. 3. posterior segmental instrumentation t10-l3. 4. posterior spinal decompression with laminectomy, bilateral medial facetectomy, foraminotomy of l1. 5. far lateral transpedicular decompression of l1, bilaterally. 6. bilateral laminotomies of t12 with medial facetectomy at t12-l1. 7. open biopsy of l1 vertebral body and right-sided pedicle. 8. application of local allograft and autograft, as well as bmp ii. procedure: flexible bronchoscopy. history of present illness: 86 year old male sent from for urgent management of spinal cord compression due to l1 vertebral burst fracture, and orthospine requested medical co-management. patient also with left mainstem aspiration of food, virtually obstructing the bronchus. patient initially presented to osh after falling backwards while brushing his teeth, presumed to be retropulsion due to his parkinson's disease. patient did not lose consciousness. patient reports marked pain at lumbar area post-fall, but was able to ambulate. over the next week his pain progressed to the point he could no longer ambulate. over the next 3 weeks he was bed bound. he was seen at a hospital in , and an x-ray showed a l1 fracture of undeterminate age. he returned to , and was sent by his pcp to . while there he was noted with hypoxic, and imaging there was consistent with an aspiration pneumonia, and he was started on vancomycin/zosyn. a ct of his back, along with mri demonstrated a communuted fracture of l1 with cord-compression. he is transferred for possible surgical repair. of note, he suffered an nstemi in , which was medically managed. at osh, he did not have leukocytosis, but on arrival here it had progressed to 17 on arrival here. he was afebrile at the osh as well. past medical history: parkinson's disease atrial fibrillation on coumadin cad/nstemi bph osteoarthritis osteoporosis copd social history: currently married, lives at with his wife. three children do not live in the area. previously an professor in political science. denies smoking, etoh, and illicits family history: non-contributory physical exam: ros: gen: - fevers, - chills, + 40lb weight loss/3 months eyes: - photophobia, - visual changes heent: - oral/gum bleeding cardiac: - chest pain, - palpitations, - edema gi: - nausea, - vomitting, - diarhea, - abdominal pain, - constipation, - hematochezia pulm: - dyspnea, - cough, - hemoptysis heme: - bleeding, - lymphadenopathy gu: - dysuria, - hematuria, + incontinence urinary skin: - rash endo: - heat/cold intolerance msk: - myalgia, - arthralgia, + back pain neuro: - numbness, - weakness, - vertigo, - headache physical exam: vss: 98.3, 140/62, 81, 18, 97.2% gen: cachexia pain: heent: eomi, mmm, - op lesions pul: left base absent bs, otherwise clear cor: irregular, s1/s2, - mrg abd: nt/nd, +bs, - cvat ext: - cce, pulses 2+ neuro: caox3, resting tremor, intermittant spasm lle, no rectal tone, babinski downward going, exam limited by pain derm: sacral decubitus ulcer brief hospital course: #. cord compression due to l1 burst fracture secondary to traumatic mechanical fall: on admission, the patient complained of excruciating pain in his back and legs. on exam, he was able to wiggle his toes, but unable to lift his legs from a supine position without substantial pain. he also had decreased light touch sensation in the lower extremities bilaterally. imaging from osh showed an l1 burst fracture. he was placed on bedrest, and his pain was controlled with dilaudid. ortho/spine was consulted and recommended surgical decompression for stabilization of the spine. on hd3, he underwent t10-l3 decompression. . #. aspiration pneumonia, dysphagia, leukocytosis: on admission, the patient was afebrile, but had an elevated white blood cell count of 17. osh imaging showed material in the left mainstem bronchus and left lower lobe collapse, likely due to aspiration. he was made npo and started on iv cefepime and flagyl. pulmonary was consulted, and on hd2, he was transferred to the micu for bronchoscopic removal of foreign material in the left mainstem bronchus. gram stain and culture of the material was sent. gram stain returned 2+ gram positive rods and 1+ yeast. culture returned positive for yeast. an ng tube was placed, and he was restarted on all essential medications prior to surgery. . #. parkinson's disease: on admission, the patient was made npo for aspiration risk and sinemet was held. an ng tube was placed on hd2; neurology was consulted and recommended restarting sinemet, which was resumed at his home dose. . #. severe malnutrition: on admission, the patient, per the daughter's report, had lost upwards of 40 pounds over the last three months. nutrition was consulted, and an ng tube was placed. tube feeds were started, though they were periodically held, as he was npo after midnight prior to surgery. speech and swallow consult was deferred until he was post-op. . #. cad, nstemi in , atrial fibrillation: on admission, the patient was npo for aspiration risk. he was rate controlled on iv metoprolol, titrated up to goal hr of 60-70. an ng tube was placed and he was restarted on metoprolol and statin. aspirin and coumadin were held prior to surgery. . #. sacral decubitus ulcer stage 1: on admission, the patient had stage i sacral decubitus ulcers on the bony surfaces of his back, likely worsened by poor nutrition. wound care was consulted and recommended dressings for the ulcers, an air mattress to relieve pressure, and frequent rolls. . full code, although family considering change to dnr/dni. daughter concerned that he may not have a truly meaningful recovery, although is aware that even from a comfort standpoint the surgery may be helpful. . on decision was made to make patient cmo status. pt was extubated and sunsequently developed agonal respirations, with bradycardia and hypotension. pt soon passed. tod 23:47. immediate cause of death: cardiopulmonary arrest. chief cause of death: respiratory failure. family does not wish for autopsy. condolences from the orthopedics team expressed to family for their loss. medications on admission: aspirin 81 mg po daily mvi 1 tab daily detrol 4 mg po daily colace 200 mg po qhs proscar 5 mg po daily flomax 0.4 mg po qhs senna 8.6 mg po qhs prn sinemet 25/100 tab po at noon sinemet 25/100 mg po bid metoprolol xl 25 mg po daily vitamin c 500 mg po daily coumadin 5 mg po mw, 2.5 mg po trfss discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a, patient passed away discharge condition: expired discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other intubation of respiratory tract other intubation of respiratory tract other exploration and decompression of spinal canal closed [endoscopic] biopsy of bronchus dorsal and dorsolumbar fusion of the posterior column, posterior technique biopsy of bone, other bones insertion of (naso-)intestinal tube fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified atrial fibrillation unspecified fall pulmonary collapse paralysis agitans acute respiratory failure pneumonitis due to inhalation of food or vomitus cardiac arrest osteoporosis, unspecified old myocardial infarction long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified pressure ulcer, lower back encounter for palliative care chronic obstructive asthma, unspecified other and unspecified complications of medical care, not elsewhere classified delirium due to conditions classified elsewhere urinary incontinence, unspecified restless legs syndrome (rls) personal history of malaria nutritional marasmus kyphosis associated with other conditions spinal stenosis, lumbar region, without neurogenic claudication closed fracture of lumbar spine with spinal cord injury cauda equina syndrome with neurogenic bladder dysphagia, unspecified 

Answer: The patient is high likely exposed to