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: history of present illness: the patient is a 58 year old man with a long history of asthma who has been experiencing increased shortness of breath over the past few weeks. the patient has had severe asthma for many years with several intubations. he also has a long history of multi-substance abuse and was smoking at the time that the ambulance was called for his shortness of breath. the patient has no medical insurance and is not followed by a physician. uses only albuterol for his asthma, many puffs a day. his girlfriend said, " doesn't put it down". while in the emergency department, the patient was given albuterol. he began to show tremors which was deemed to possible delirium tremens. the patient was transferred to the medical intensive care unit and was put on valium treatment per ciwa scores. he initially was disoriented and confused, but over the next few days, became much more lucid and closer to his baseline. past medical history: 1. gastroesophageal reflux disease. 2. depression. 3. poly-substance abuse (ethanol, heroin and tobacco). 4. asthma. allergies: no known drug allergies. physical examination: on physical examination, the patient was tachycardic at 106, blood pressure was 139/87. the patient was very wheezy with decreased breath sounds. he had trace edema in the lower extremities. laboratory: labs were normal with the exception of a urine toxicology which was positive for ethanol, acetaminophen, cocaine, amphetamine and opiates. chest x-ray showed hyper-inflation and no evidence of pneumonia. hospital course: 1. asthma: the patient was treated with oxygen, atrovent, albuterol nebulizers, serevent, flovent and intravenous solu-medrol. his respiratory status was much improved and his physical examination showed decreased wheezes over the course of his stay. on discharge, he was saturating 96% on room air. 2. poly-substance abuse: cocaine, amphetamine, heroin and alcohol. the patient showed several signs of withdrawal and he has seized in the past. he was given valium per ciwa and was stable prior to discharge. 3. sinusitis: there was a question of sinusitis upon admission and due to the patient's fever, slightly increased white count, productive cough and frontal pain and frontal tenderness, he was treated with azithromycin. 4. gastroesophageal reflux disease: the patient complained of chronic reflux pain. he was put on protonix for treatment. condition on discharge: stable. discharge medications: 1. albuterol mdi p.r.n. 2. flovent inhaler. 3. serevent inhaler. 4. prednisone taper. 5. protonix. 6. thiamine. 7. folate. discharge diagnoses: 1. asthma exacerbation. 2. poly-substance abuse. 3. gastroesophageal reflux disease. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: esophageal reflux hyposmolality and/or hyponatremia other, mixed, or unspecified drug abuse, unspecified depressive disorder, not elsewhere classified drug withdrawal tachycardia, unspecified unspecified sinusitis (chronic) asthma, unspecified type, with (acute) exacerbation 

Answer: The patient is high likely exposed to