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: dyspnea major surgical or invasive procedure: intubation history of present illness: mr. is a year old cantonese speaking male with history of thoracic aortic aneurysm who presents s/p recent admission to for mechanical fall, now with respiratory failure. according to the family and ems notes, the patient has had increasing respiratory difficulties and had cxr yesterday wihich showed rll infiltrate. was stable until this a.m. when he developed acute ob approximately 1 hour after eating. o2 sat was 75-81% on nrb, received nebs, 200cc bolus for bp 90/54. + chronic cough but no fevers or chills. transferred to for further management. . in the ed the patient was tachypneic to 120 and hypoxic with o2 85% on nrb and decision was made to intubate (bp 105/59) - given succinylcholine, versed, vecuronium. was hypertensive transiently to 209/114 but decreased with sedation. cxr with rll infiltrate and widened mediastinum and patient given ctx, vancomycin, flagyl x 1 (family did not want cta to eval for abd aortic aneurysm). also given decadron 10mg iv x 1 for history of copd. . of note, patient recently admitted to osh (nemic?) on with mechanical fall c/b transverse fracture through c7 spinous process and bl laminar fracture of t1 vert. body, both felt to be old based on mri and spine cleared. also with aortic aneurysm (5x5.3) that family did not want to pursue further with cta. also had high o2 requirement, unclear etiology, but family stated this was baseline. past medical history: dementia - knows person, not place or time, not always communicative thoracic aortic aneurysm, diagnosed incidentally 4 years ago muscle atrophy benign prostatic hypertrophy recurrent pneumonias irritable bowel syndrome anxiety nos aplastic anemia subdural hemorrhage - traumatic spinous process fx of c7 t1 vert body fx fx femur djd social history: 10 pk yr tobacco, quit 45 yrs ago, from , cantonese speaking, lives with family prior to rehab at health. wife and 8 children live in area. family history: noncontributory physical exam: vitals: 98.4, 92, 113/62, 28, 93% on ac 400/18/5/0.5 with abg 7.28/46/90, pip 21 heent: 3-->2, cataract on left, anicteric sclera, mm dry, op clear neck: supple, no lad, no thyromegaly, no jvd cardiac: rrr, nl s1 and s2, no mrgs lungs: faint occ exp wheeze, faint crackle at rl base abd: soft, ntnd, nabs, no hsm, no rebound or guarding, no palpable mass ext: warm, 2+ dp pulses, no c/c/e neuro: responds to painful stimuli, mae, sedated on versed pertinent results: ekg : sinus tachycardia, lad, nml intervals, 0.5mm st depressions in ii, iii, avf, v5, v6, unable to assess precordial leads fully as v4 missing . cxr : 1. markedly enlarged contour of the left superior mediastinum. a chest ct is recommended to evaluate for possible aortic aneurysm. 2. patchy opacity involving the right mid and lower lungs could represent infection or aspiration. 3. appropriate lines and tubes. . ct head osh: resolution of rsubdural, cerebral atrophy, white matter ischemic changes, lacunar infarcts, menigioma - calicified and stable in right frontal lobe brief hospital course: mr. is a year old male with h/o pna, copd, aortic aneursym, who presents with respiratory failure. based on cxr, leukocytosis, exam, acute onset respiratory failure was likely due to aspiration pneumonia. course is suggestive of frank aspiration episode given his known h/o aspiration and the acute onset following a meal. he was initially admitted to the micu service intubated from an outside hospital following acute respiratory failure. he was started empirically on vancomycin & zosyn on admission to our unit. sputum cultures later grew coagulase-positive staph aureus, and vancomycin was continued until organism was reported as sensitive to oxacillin. he was then continued on nafcillin in lieu of vancomycin. after a few days without improvement, he becamse hypotensive with good response to fluid boluses; however, his wife declined escalation of care, specifically including central access, bronchoscopy, or pressor support. at this initial family meeting, she also confirmed that him to be dnr/dni. mr. sons and thereafter expressed concern that continued mechanical ventilation, which was making him visibly uncomfortable, was not in keeping with his wishes, and he was extubated. he initially remained on face mask oxygen and continued antibiotics s/p extubation, despite medical interpretation of his grim prognosis. ultimately, however, his goals of care were transitioned to comfort measures only, and he was started on a morphine drip and palliative care measures. establishment of these goals required repeated meetings with the sons and extended family members, and ultimately sons and expressed a clear understanding of his condition, enabling them to arrive at this difficult decision. medications on admission: sertraline 25 po qd protonix 40 po qd levothyroxine 25mcg po qd colace 100 po bid senna mvi ferrous sulfate 325 tid tylenol prn mom, dulcolax, fleets prn discharge medications: none discharge disposition: expired discharge diagnosis: aspiration pneumonia respiratory failure aortic aneurysm chronic aspiration hypotension discharge condition: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux unspecified acquired hypothyroidism thoracic aneurysm without mention of rupture chronic airway obstruction, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere acute respiratory failure hypotension, unspecified pneumonitis due to inhalation of food or vomitus encounter for palliative care hyperosmolality and/or hypernatremia aplastic anemia, unspecified 

Answer: The patient is high likely exposed to