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: sulfa (sulfonamide antibiotics) attending: chief complaint: hypoxia, difficulty to vent, transient hypotension major surgical or invasive procedure: bronchoscopy x 2 tracheostomy tube exchange (uniperc adjustable flange tracheostomy 8.0-mm inner diameter, 12.6-mm outer diameter, and 125 mm in length) history of present illness: yo m with pmhx of anoxic brain injury cardiac arrest x 2 with chronic respiratory failure and tracheobronchomalasia with trach presents from rehab with hypoxia, difficult to ventilate and transient hypotension. per records and family patient has been ventilator dependent for two years. he lives at pulmonary rehab and is on trach mask during the day, ventilator at night. per old records his ms is very poor - he withdraws only to painful stimuli. on last admission in of this year his trach was replaced ( #8 (120 mm) in length) after concern for tracheobronchomalasia. this was complicated by a ptx requiring a chest tube. his vent settings at this time were: a/c 16/400/50%/10 overnight last night at rehab he was noted to have hypoxia and the rehab had difficulty ventilating him, even with bag mask. rehab also noticed transient hypotension (no record how low) and sent him to hospital. at he was given kayexalate for k 5.6. family refused full dose only got 15 grams because it has made him vomit in the past. ekg without changes c/w hyperkalemia. abg there was 7.35/69/543. per family's request he was transferred to . he was then transferred to our ed. on exam in the ed initial vs: hr:44 bp:159/79 o2sat:100 on 350/25/5/100%fio2. his vent settings at home are reportedly 350/35/5 - unclear fio2. on exam noted to have a lot of wheezing and prolonged expiratory phase suggesting reactive airways disease so given nebs and methylprednisolone. cxr showed worsening of r pleural effusion and haziness of right heart border so he was treated for hap (received vanc/zosyn/levoquin) in ed although he remained afebrile and had no wbc count. peak pressures had been upper 40s now down to upper 20s low 30s. was on 100% fio2 initially but now backing down to 40%fio2. family "incredibly" involved and he remains full code. on the way to the floor, the patient's family was concerned that he was not breathing so tehy put the suction catheter in his mouth at which point he desaturated to the 70s. this resolved quickly by removing the catheter. on arrival to the floor the patient was ventilated, withdrew to painful stimuli. past medical history: paroxysmal atrial fibrillation parkinson's disease chronic respiratory failure, trached ventilator dependent (due to aspiration pna/cardiac arrest in at hospital) pco2 60. vent settings at rehab: tv300-400, rr17, ps 10 peep 10. spontaneously breathing at . anoxic brain injury cardiac arrest dmii ckd tracheobronchomalasia h/o c. difficile chronic foley due to massive inoperable inguinal hernia, gets continuous bladder irrigation hypothyroidism social history: chronic habitation at x2 years for vent weaning. family denies any illicits (neg tobacco use, neg alcohol use or ivdu). family history: no history of pulmonary or cardiac disease. physical exam: vitals: t: bp:165/70 p:60 r:24 o2: 100 on ac tv300, rr24, peep 5 general: intubated, withdraws to painful stimuli heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly. peg site c/d/i gu: foley in place. scrotal enlargement hernia, no erythema, foley draining clear urine ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema, pertinent results: admission labs : cbc: wbc-10.6 rbc-3.10* hgb-8.5* hct-28.2* mcv-91 mch-27.4 mchc-30.1* rdw-14.6 plt ct-390 diff: neuts-77.6* lymphs-16.2* monos-3.4 eos-2.4 baso-0.3 chemistries: glucose-238* urean-72* creat-2.0* na-133 k-5.4* cl-93* hco3-37* angap-8 albumin-3.5 calcium-9.9 phos-4.8*# mg-2.5 abg: 7.34/66/135 imaging: : chest, ap: visualization is suboptimal due to underpenetration, patient rotation, and low lung volumes. a tracheostomy device is again seen at the level of the thoracic inlet with tip in the proximal trachea, 6 cm from the carina. the balloon appears midline, and is distended slightly beyond the contours of the trachea. the right picc has been removed. there has been interval development of diffuse mild interstitial congestion, as well as small-moderate bilateral pleural effusions and bibasilar atelectasis. there is no pneumothorax. again noted is diffuse osseous demineralization. the soft tissues are unremarkable. impression: tracheostomy appears in appropriate position. mild chf and pleural effusions. brief hospital course: mr. is a yo m with h/o chronic respiratory failure, tracheomalacia, anoxic brain injury admitted with hypoxia, now resolving, and hypercarbic respiratory failure. . # hypercarbic respiratory failure: patient with chronic respiratory failure at with abg on last admission 168/67/7.33. patient had increased peak inspiratory pressures and plateau pressures indicating possible upper airway obstruction from either worsening tracheomalacia, trach malposition, or mucous plugging. his oxygen saturation and abg improved significantly with suctioning (7.24/84/132 -> 7.34/66/134). he was treated with standing albuterol and ipratropium mdis, and guaifenesin. a bronchoscopy was performed, which showed a flap of granulation tissue that was partially obstructing the trachea. interventional pulmonology was consulted, and exchanged the tracheostomy tube with a uniperc adjustable flange tracheostomy tube which prevented the granulation tissue from blocking the trachea. after trach tube replacement, her breathing status returned to his . . # hypotension: resolved. unclear etiology and severity as no record of hypotension from rehab. patient was restarted on his home bp regimen of amlodipine 2.5 mg po three times weekly and prazosin 1 mg po daily. . # hyperkalemia: likely secondary to chronic renal insufficiency. patient was monitored on telemetry, and serum k was checked daily. per his dr. at , his k is 4.5-5.5 and he remained within this range throughout this hospitalization. . # atrial fibrillation: patient was monitored on telemtery and remained in sinus rhythm, with rates from 50s-70s. he is not on anticoagulation as an outpatient and anticoagulation was not started during this hospitalization. . # chronic foley inoperable hernia: patient was treated with continuous bladder irrigation per home regimen. . # chronic kidney injury: patient remained at his creatinine of 2.0-2.2. . # type two diabetes: patient's home glipizide was held and he was treated with a regular insulin sliding scale. medications on admission: albuterol/ipratropium 2 puffs q6h amlodipine 5 mg tablet : 0.5 tablet po qmowefr (monday -wednesday-friday) bacitracin ointment chlorhexidine gluconate 0.12 % mouthwash : fifteen (15) ml mucous membrane (2 times a day). glipizide 2.5mg twice daily humulin insulin sliding scale see printed sliding scale. lactobacillus packet lacrolube ointment ou at bedtime lansoprazole 30mg daily levothyroxine 50mg daily methylcellulose 2 gm qhs mvi daily prazosin 1mg acetaminophen 325 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for pain, fever. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). guaifenesin 100 mg/5 ml syrup : 5-10 mls po q6h (every 6 hours) as needed for cough. lactulose 20gm qd and prn senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed for constipation simethicone 80 mg tablet, chewable : one (1) tablet, chewable po qid (4 times a day) as needed for gas discharge disposition: extended care facility: tcu - discharge diagnosis: primary: respiratory distress from impaired tracheostomy tube discharge condition: mental status: confused - always level of consciousness: lethargic and not arousable activity status: bedbound discharge instructions: you were admitted to the hospital for difficulty with ventilation. interventional pulmonlogy replaced your tracheotstomy tube and you were discharged back to a rehabilitation facility. followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours bronchoscopy through artificial stoma bronchoscopy through artificial stoma replacement of tracheostomy tube diagnoses: hyperpotassemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation chronic kidney disease, unspecified paralysis agitans other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure anoxic brain damage chronic respiratory failure other diseases of trachea and bronchus inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) mechanical complication of tracheostomy 

Answer: The patient is high likely exposed to