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: no drug allergy information on file attending: chief complaint: bleeding from tracheostomy major surgical or invasive procedure: rigid bronchoscopy, exploratory trach site for bleeding history of present illness: 80 yo f with hx of mi without intervention in resulting in respiratory distress and prolonged intubation requiring tracheostomy. pt was discharged to vented rehab ( rehab) and had been doing well until trach site began to bleed on . she was taken to where she was observed to bleed 200-300cc from trach site. her trach was changed to a 6 cuffed tube with decreased bleeding after inflation of the cuff. because of tachycardia the osh gave the patient 2u prbcs, her post transfusion crit at the osh was 32.5 up from 25.8 on . her inr was 1.1. she was diaphoretic and unresponsive during this episode and placed on ventilatory support. she did have an ekg that did not show any signs of acute myocardial ischemia. she was then transferred to for bronchoscopy and identification and control of the bleeding source. on arrival in the ed she denied c/p, sob or n/v she was awake and alert following commands. there was blood staining on her clothes and on the trach ties althouth there was not active bleeding coming from around the trach. she did have blood tinged sputum on suctioning of the trach. arrangements were made to take her urgently to the or for evaluation and treatment of the tracheal site bleeding. past medical history: dm ii copd obesity hypercholesterolemia htn cad s/p mi recent cellulitis of right leg osteoporosis social history: pt currently lives at nursing facility ( rehab). her son is closely involved with her care and was present the date of admission. not a current smoker family history: non-contributory physical exam: vs: t: 98.8 hr: 83 sr bp: 147/51 sats: 100% .5 rr: 24-33 general: no apparent distress heent: normal cephalic neck: trach in place no ooz card: rrr normal s1, s2 resp: decreased breath sounds otherwise clear gi: obese, g-tube in place gu: foley in place skin: rll venous stasis changes skin intact neuro: awake, alert, moves all extremities pertinent results: hct-28.6* wbc-9.6 rbc-3.38* hgb-9.6* hct-28.4*# mcv-84 mch-28.3 mchc-33.6 rdw-17.0* plt ct-226 wbc-14.7* rbc-4.49 hgb-12.2 hct-38.7 mcv-86 mch-27.1 mchc-31.5 rdw-17.3* plt ct-318 glucose-118* urean-42* creat-0.9 na-142 k-4.9 cl-102 hco3-37* angap-8 urean-38* creat-0.9 k-4.8 glucose-244* urean-37* creat-0.9 na-143 k-5.4* cl-98 hco3-33* angap-17 type-art po2-117* pco2-54* ph-7.35 caltco2-31* base xs-3 type-art po2-108* pco2-45 ph-7.40 caltco2-29 base xs-1 type-art po2-92 pco2-59* ph-7.36 caltco2-35* base xs-5 type-art po2-436* pco2-45 ph-7.50* caltco2-36* base xs-10 cxr: portable upright ap view of the chest: tracheostomy tube is noted with tip in satisfactory position, terminating approximately 3.1 cm from the carina. low inspiratory lung volumes are noted, and there is elevation of the right hemidiaphragm. cardiac silhouette appears normal in size. the aorta is tortuous with mural calcifications noted. crowding of the pulmonary vascularity is seen as a result of low inspiratory volumes, but no overt pulmonary edema is visualized. blunting of the costophrenic sulci bilaterally suggests small bilateral pleural effusions. additionally, bibasilar opacities are seen, which could represent atelectasis, but infection is not excluded. no pneumothorax is visualized. no acute skeletal abnormalities are visualized. impression: low inspiratory lung volumes which limits assessment of the lung bases. elevation of the right hemidiaphragm. small bilateral pleural effusions. bibasilar opacities may represent atelectasis, but infection is not excluded. brief hospital course: mrs. was transferred from rehab hospital for hemoptysis. she was taken to the operating room for flexible and rigid bronchoscopy which showed granulation tissue proximal to the trach with mild oozing from the from the right lateral wall which subsided with saline flushing. no active bleeding in the stoma, trachea istal to trach stoma, right bronchial tree or left bronchial tree. clot was seen throughout the distal airway and therapeutic aspiration was perormed in both bronchial trees. she transferred to the sicu and remained on the vent over night cmv 0.4/400/20/5. oxygen saturation 100%. slight ooz from trach site otherwise clear. trach #7 portex cuff inflated. respiratory: pod1 she wean to 50% trach mask. rr: sats: 98%-100% abg on trach mask: type-art po2-117* pco2-54* ph-7.35 caltco2-31* base xs-3 serial abgs type-art po2-108* pco2-45 ph-7.40 caltco2-29 base xs-1 type-art po2-92 pco2-59* ph-7.36 caltco2-35* base xs-5 type-art po2-436* pco2-45 ph-7.50* caltco2-36* base xs-10 cardiac: cardiac enzymes negative x 2. hr 85-100 sr, bp 100-150. her beta-blocker was restarted. ecg nsr gi: obese, benign. tube feeds were restarted via g-tube replete with fiber goal 50 ml/hr. renal: foley in place good urine output. bun 42 mild elevation likely for hemoptysis. cre 0.9 stable. skin: buttocks site clean intact mild . right lower extremity discoloration ankle to mid-calf. heme: serial hct were done 28 x 2 stable endocrine: fingerstick blood sugars were requiring no coverage. neuro: awake, alert, responds to commands disposition: she was transferred back to rehab hospital. she will follow-up with her pcp and pulmonologist as previous. medications on admission: insulin sliding scale, albuterol 5mg/ml 0.5%"", diltiazem 30"', fragmin 5000u', guifenesin 200"", lisinopril 5', metoprolol 37.5"', mirtazapine 15', nitro patch 0.4 qday, protonix 40", seroquel 12.5"', simethicone 80"', simvastatin 40', xenaderm topical to buttocks, lorazepam 0.5"'prn anxiety, morphine 2mg prn pain, viokase 1tabprn, zofran 2mg prn nausea discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. diltiazem hcl 30 mg tablet sig: one (1) tablet po tid (3 times a day). 3. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 4. fragmin 5,000 unit/0.2 ml syringe sig: one (1) injection subcutaneous once a day. 5. mirtazapine 15 mg tablet sig: one (1) tablet po at bedtime. 6. seroquel 25 mg tablet sig: 0.5 tablet po every eight (8) hours. 7. lorazepam 0.5 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. 8. insulin sliding scale continue previous humalog insulin sliding scale 9. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: 0.5 ml inhalation four times a day as needed for shortness of breath or wheezing. 11. guaifenesin 100 mg/5 ml liquid sig: ten (10) ml po four times a day. 12. nitroglycerin 0.4 mg/hr patch 24 hr sig: one (1) transdermal once a day. 13. pantoprazole 40 mg susp,delayed release for recon sig: one (1) package po twice a day: dilute with apple juice. 14. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po three times a day. 15. viokase 8 468 mg (30,-30k unit) tablet sig: one (1) tablet po three times a day as needed. 16. sodium bicarbonate 325 mg tablet sig: one (1) tablet po three times a day: give with viokase let sit in g-tube 15 mins before flushing. 17. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every eight (8) hours as needed for nausea. 18. morphine 2 mg/ml syringe sig: one (1) injection every four (4) hours as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: tracheal site bleed dm ii copd obesity hypercholesterolemia htn cad s/p mi recent cellulitis of right leg osteoporosis discharge condition: awake, alert, trached. discharge instructions: follow-up with your pcp . followup instructions: follow-up with your pcp . procedure: bronchoscopy through artificial stoma replacement of tracheostomy tube diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified osteoporosis, unspecified old myocardial infarction obesity, unspecified other tracheostomy complications surgical operation with formation of external stoma causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to