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: trach dislodge major surgical or invasive procedure: none history of present illness: 68 yo m hx copd, lll lung adenocarcinoma, chronic respiratory failure with trach, pe s/p ivc filter, chf, presented from long term rehab facility with dyspnea, ms changes. in the er he was seen by respiratory therapy who found trach to be displaced. initial co2 of 130s improved to 77 (venous) with replacement of the trach. his mental status appear to resole with improvement in hypercarbia. shortly after the manipulations, bp dropped to 70s transiently, responded to ivf to bp in 90s. in addition, his trach slipped out once more while waiting in ed. he was admitted for observation of his bp and to reassess his trach. no recent fevers, chills, no change in cough or sputum production, no diarrhea or urinary symptoms. he currently has a #8 bovina trach. past medical history: 1) lung adenocarcinoma 2) tracheostomy, chronically ventilator dependent 3) post obstructive pneumonia 4) history of vre and mrsa infection 5) s/p g-tube placement 4) history of pulmonary embolism, not on anticoagulation 5) history of retroperitoneal bleed 6) copd 7) hypertension 8) diabetes type ii. 9) urethral tear 10) recent pseudomonal pneumonia 2w ago - hospitalized in icu 11) recent change of trach tube from #6 bovina to #8 bovina 2weeks ago while hospitalized in icu social history: unable to ask patient details. as per omr: widowed, daughter is hcp, lives in medical hospital with chronic ventilation. family history: noncontributory physical exam: vitals: temp 98.1, hr 84, bp 105/60, rr 12, o2sat: 97% vent on cmv 70%/600/12/5 gen: elderly male, alert, oriented, nods appropriately to questions, nad heent: perrl, eomi, mm moist, op clear neck: trach tube in place and secured, no nvd cor: rrr, no m/r/g pulm: coarse breath sounds, good air entry bilaterally abd; soft, nt, nd, + bs, gtube in place and nonerythematous ext: no edema, bilateral skin changes of venous stasis, palpable pt pulses bilaterally neuro: non-verbal, but appears fully oriented, moves all extremities skin; skin breakdown on sacrum, no erythema or discharge, no rashes. pertinent results: 09:15am blood wbc-13.1* rbc-3.58*# hgb-11.4*# hct-34.6*# mcv-97 mch-31.9 mchc-33.0 rdw-14.2 plt ct-245 03:18am blood wbc-6.7 rbc-2.65*# hgb-8.6* hct-25.6*# mcv-97 mch-32.4* mchc-33.6 rdw-14.3 plt ct-160 03:18am blood pt-15.7* ptt-47.0* inr(pt)-1.4* 09:15am blood glucose-253* urean-36* creat-1.2 na-136 k-5.0 cl-97 hco3-32 angap-12 03:18am blood glucose-83 urean-32* creat-1.0 na-141 k-4.5 cl-109* hco3-30 angap-7* 09:23am blood type- po2-82* pco2-77* ph-7.26* caltco2-36* base xs-3 brief hospital course: 68 yo man with h/o copd, longstanding trach on ventilation p/w dyspnea and ms changes found to have dislodged trach tube, transient hypotension. . 1. respiratory failure: transient dyspnea likely mechanical disolodgement of trach. repositioned in ed without difficulty. new position confirmed by cxr. discussed with ip, given trach size no further changes can be made to make it more secure. continue nebs for copd. no evidence of pna on cxr or no evidence of worsened interstitial disease. pt continued on rehab settings: simv, rr 16, fio2 40%, peep 5. . 2. hypotension: as like previous admission, transient sbp 80's which resolved with ivf. this may have been increased thoracic pressures at the time of desaturation. no evidence of infection. metoprolol held on hd#1 and then restarted without difficulty. . 3. ppx: continued heparin sc and ppi. . 4. pt discharged back to rehab. medications on admission: see below discharge medications: 1. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily). 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 3. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed. 4. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day) as needed. 5. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: hospital discharge diagnosis: chronic respiratory failure trach dislodge secondary: htn tracheostomy sacral ulcer diabetes discharge condition: stable discharge instructions: please continue all medications as previously prescribed please return to ed if you have respiratory distress, troubles with your trach, fevers, worsening sputum or any other concern. please becareful and not dislodge your trach followup instructions: please follow up with pcp as instructed. procedure: enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified pressure ulcer, lower back malignant neoplasm of other parts of bronchus or lung dehydration chronic respiratory failure mechanical complication of tracheostomy 

Answer: The patient is high likely exposed to