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: none history of present illness: 31ym 3 days ago presented to for planned pilonidal cyst excision. by report, pt difficult intubation, blood noted in ett at the time of intubation. procedure aborted, pt kept intubated in icu overnight, underwent bronch which did not show abnormalities. extubated the next day, discharged home. since then, patient with persistent throat pain as well as progressive sob. no fevers. no voice change. went to bin ed, imaging per report in the ed c/w r pneumonia. pat hypoxic to 92%, was given ctx, levo, and transferred to given concern for airway obstruction. in ed, seen by ent, underwent scope that showed erythema and very mild edema likely consistent with his h/o traumatic intubation. no lacerations or focal injuries to the glottis. airway widely patent with no signs of impending upper airway obstruction. labs notable for wbc 15k, lactate 1.9, nl chem 7 and coags, ck 262 w/ mb 4, tnt 0.05. ua was negative. patient underwent cta that per prelim report was negative for pe, but showed b/l lower lobe patchy opacities, c/w aspiration. flagyl was added. given the patient's low o2 sats, he was transferred to icu for monitoring. of note, finished 10-day of amoxicillin, bactrim, and flagyl for buttock abscess drainage starting . ros: +sob, sore throat, dysphagia, myalgias. past medical history: asthma obesity probably osa (being evaluated) nkda social history: currently not working. he has a 14 pack-year smoking history. family history: (+) diabetes and heart disease. physical exam: vs 97.4, 109, 137/89, 20, 97%nc gen:morbidly obese gentleman, mild tachypnea and increased wob heent: no stridor , no facial swelling, slightly dry mm, perrl, op clear cv: tachy, rr, no murmurs chest: few crackles at bases, some wheezing, overall good air movement abd: very obese, s, nt, +bs ext: 3+ edema b/l neuro: aox3, no focal deficits skin: warm, no rashes back: midline over sacrum ca. 1cm incision site w/o drainage, no erythema or fluctuance pertinent results: abg at bin after extubation on ra: 7.43/41/56 ecg: sr, tachy, no acute st-tw changes imaging: cta : 1. no central pulmonary embolism. 2. bilateral lower lobe patchy opacities, which are most consistent with aspiration. . admit labs: ----------- 12:51am wbc-15.0* rbc-4.26* hgb-12.6* hct-36.4* mcv-85 mch-29.6 mchc-34.6 rdw-12.6 12:51am neuts-75.4* lymphs-18.6 monos-4.2 eos-1.2 basos-0.5 12:51am pt-11.5 ptt-21.3* inr(pt)-1.0 12:51am glucose-146* urea n-18 creat-0.8 sodium-143 potassium-3.5 chloride-104 total co2-30 anion gap-13 12:51am ck(cpk)-262* 12:51am ctropnt-0.05* 03:40am urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:40am urine color-yellow appear-clear sp -1.015 03:40am urine rbc-* wbc-0-2 bacteria-occ yeast-none epi-0-2 . other labs: ----------- 05:10pm tsh-0.48 05:10pm ck-mb-3 ctropnt-0.03* 05:10pm ck(cpk)-115 06:30am blood wbc-11.0 rbc-4.25* hgb-12.6* hct-37.5* mcv-88 mch-29.7 mchc-33.6 rdw-12.0 plt ct-344 05:21pm blood %hba1c-5.9 07:15am blood triglyc-295* hdl-34 chol/hd-5.5 ldlcalc-95 6:07 am influenza a/b by dfa source: nasopharyngeal aspirate. **final report ** direct influenza a antigen test (final ): negative for influenza a viral antigen. direct influenza b antigen test (final ): negative for influenza b viral antigen. . other studies: -------------- tte (): the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is low normal (lvef 50-55%). the number of aortic valve leaflets cannot be determined. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. trivial mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: suboptimal image quality. at least moderate pulmonary hypertension. low normal left ventricular systolic function. right ventricle not well visualized. brief hospital course: 31yo obese man with h/o asthma admitted with respiratory distress and possible aspiration pneumonia. # respiratory distress/pneumonia, possibly aspiration/asthma/likely osa: respiratory distress multifactorial in setting of underlying asthma, likely osa, and restrictive lung disease from obesity with superimposed aspiration pneumonia. continued ceftriaxone (day 1 = ), which was changed to cefpodoxime on discharge. he will complete a 10-day course of this. changed levo to azithromycin (day 1 = ) and he will complete a 5-day course of this. treated asthma exacerbation with po steroids for five days total. administered albuterol and atrovent nebulizers. initiated bipap for patient, which seemed to improve his overall energy level. per ent, provided pt with humidified air and gave ppi tid with meals to protect larynx from reflux. sent a dfa for flu, which was negative. pt has an outpatient sleep study for osa in order to obtain bipap at home. # elevated cardiac enzymes/lymphedema: symptoms of dyspnea could be from acute cardiac ischemia. alternatively, he could have had subclinical cardiac ischemia that has resulted in poor cardiac function, thus developing le edema over the last 2 months. ekg shows sinus tachycardia without ischemic changes. trended cardiac enzymes which were decreased with flat ck mb. continued asa. a tte was as above, which was notable for elevated pa pressures, which could be c/w an undiagnosed osa. the ef was 50-55%. # tachycardia: per patient??????s fianc??????, he is tachycardic at baseline. tsh was normal. patient was given iv fluids with marginal repsonse. prior to discharge hr was in 90s. # pilonidal cyst: deferred excision given acute illness. he will follow up for a local excision. medications on admission: albuterol discharge medications: 1. cefpodoxime 200 mg tablet sig: one (1) tablet po twice a day for 6 days. disp:*12 tablet(s)* refills:*0* 2. azithromycin 250 mg tablet sig: two (2) tablet po q24h (every 24 hours) for 1 days. disp:*2 tablet(s)* refills:*0* 3. prednisone 20 mg tablet sig: three (3) tablet po daily (daily) for 1 days. disp:*3 tablet(s)* refills:*0* 4. albuterol 90 mcg/actuation aerosol sig: two (2) inhalation four times a day as needed for shortness of breath or wheezing. disp:*1 mdi* refills:*0* discharge disposition: home discharge diagnosis: pneumonia, likely aspiration obstructive sleep apnea (likely) pulmonary hypertension elevated cardiac enzymes pilonidal cyst asthma, acute on chronic hypoxemic respiratory failure discharge condition: afebrile, vital signs stable, ambulating without difficulty. discharge instructions: you will need to complete your course of antibiotics. you will need to take cefpodoxime for 6 more days (10-day total course) and azithromycin for one more day (5 day total course). you will need to take prednisone for one more day (complete 5-day course). you can use an albuterol inhaler as needed. . you will need to have your outpatient sleep study as schedule so that you can be started on the bipap machine. while in the hospital, your settings were 12 ipap/8 epap with 2l oxygen. . call your doctor or return to the emergency room if you should have shortness of breath or chest pain. followup instructions: primary care: , md phone: date/time: 1:30 surgery: , md phone: date/time: 11:15 procedure: laryngoscopy and other tracheoscopy diagnoses: obstructive sleep apnea (adult)(pediatric) other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure pneumonitis due to inhalation of food or vomitus primary pulmonary hypertension morbid obesity pilonidal cyst without mention of abscess asthma, unspecified type, with (acute) exacerbation 

Answer: The patient is high likely exposed to