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: a.c.e inhibitors attending: chief complaint: sob major surgical or invasive procedure: none history of present illness: history obatined from nh notes, md, and patient. patient is poor historian. the pt. is a 72 year-old male with pmh of scc of the tongue s/p xrt, and nsclc of s/p rml and lul resection, copd on chronic o2 (2l ns), and current smoker, p/w 3 days of increased sob with productive cough from his nh (bengamin center ). has been treated with nebs and levo for presumptive pna over the past 13 days. + fevers at home, no shaking chills, no cp, n/v. is npo neck scc but is able to swallow sercretion. no odynophagia or dysphagia. per nh records, patient was noted to be 88% on usual 2l nc. on ems arrival, 100% on nrb, tachypnic 26-28. per nh sheets, has refused pneumovax in the past. he was admitted to the medical intensive care unit. in the micu, the patient was started on vanco/zosyn for presumed pna. was maintained on oxygen mask with sating in the low 90's. past medical history: copd on home o2 (2l) dementia squamous cell of the tongue s/p xrt chf with ef 20% 2/2 etoh cm pud nsclc s/p rml,lul resection; status post video assisted left upper lobectomy in and laser ablation, plus radiotherapy in '. peptic ulcer disease status post appendectomy. history of alcohol (now sober per patient) +++ tobacco use; 1-2ppd, currently ppd social history: homeless, was transferred here from the health care facility. he has a 40 pack/year history of smoking and continues to smoke. he no longer uses alcohol. the patient was seen status post a successful peg placement with no complications. family history: non-contributory physical exam: vitals: t:96 p:107 r:21 bp:116/76 sao2:95 general: awake, nodding to questions heent: perrla, eomi without nystagmus, no scleral icterus noted, mucous membranes very dry neck: no jvp or carotid bruits appreciated. xrt skin hyperpigmentation. no tracheal deviation noted. no palpable masses appreciated. pulmonary: poor air movment throughout; prolonged exp phase with end exp wheeze. + upper airway sounds cardiac: tachy, regular, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. peg site is c/d/i extremities: + clubbing; atrophic limbs. dp and pt pulses b/l. pertinent results: ekg: st 136, nl axis and intervals, prwp, lae, lvh by >35mm in precordial leads. std in v5/v6. c/w , prwp is new and lvh is more pronounced. radiologic data: left shirt of mediastinum with tracheal deviation. (unchanged from prior cxr), rul and lll new airspace disease. small left pleura effusions. on ptx. cultures: blood - pending urine - pending brief hospital course: the patient was a 72 yo male with severe copd, rml, lul wedge resection,and neck xrt presented with a 2 history of increased sob and cough. he had been on ceftriaxone from and then levofloxicin for 10 more days. the patient was at risk for resistent organisms and also the risk of aspiration was great and given neck xrt, impaired ciliary clearnance increases risk of pseudomonas. on admission the patients abg is remarkable for paco2 of 90, but with a ph of 7.39; for chronic resp, acidosis, expect his bicarb to be 39; thus he had a met alk as well. patient does not give any history of nausea/emesis(as one might expect in theoph toxicity). the patient had clearly documented dnr/dni status at the nursing home and his signed forms were faxed over. the patient was initally admitted to the medical intensive care unit. he was started on vanco and zosyn for broad coverage and started on methylprednisolone q8 for management of his copd flare. it was unclear if there was a superimposed pna. the icu team felt that bipap was not indicated as it could serve only be a bridge to intubation and intubation was against the patient's wishes. the patient was maintained on nc and fasemask o2. he was transferred to the medical floor there was no further intensive interventions. he continued to be tachypnic and require increasing amounts of oxygent to maintain o2>88%. he was given morphine for worsening sob. multiple attempts were made to contact family members, but none could be reached. the nursing home reported that the patient had not had contact with any family member in over 1 year. the patient expired on at 4:55pm. further attempts were made to contact family members without success. no autopsy was performed. medications on admission: tf jevity plus fluoxetine 20mg po qd protonix 40mg po qd prednisone 40mg po taper on and completed this on the 11th; now on baseline 10mg po qd trazodone 75mg po -24 300mg po bid lasix 40mg po bid clonazepam 1mg po bid percocet prn combivent inh 3puffs qid prn albuterol prn colace/senna/fleets prn levo 500 from ctx on allergies: lisinopril which causes angioedema. discharge medications: patient expired on at 4:55 pm discharge disposition: expired discharge diagnosis: respiratory failure lung cancer discharge condition: expired at 4:55 pm procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified personal history of malignant neoplasm of bronchus and lung obstructive chronic bronchitis with (acute) exacerbation paroxysmal ventricular tachycardia acute and chronic respiratory failure dehydration other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to