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: pneumonia major surgical or invasive procedure: c5-c6 fusion g, j tube placement tracheostomy intubation history of present illness: y/o gentleman with hypertension, atrial fibrillation, esophageal stricture presented to on after a fall. he complained of back pain after the fall. he was becoming more and more tired the week prior to the presentation. he might have experienced cough as well. he was given ativan in for ct scan. he became very lethargic after the ativan. his ct scan showed acute fracture on inferior endplate of c5 fracture. he was seen by the neurosurgeon dr. there who recommeded a neck collar for immobilization. he was experiencing increasing shortness of breath and cxr showed worsening right lower lobe pna, he was started on zosyn. he also got a dose of vancomycin on . on patient developed worsening hypoxemia; stat cxr showed complete whiteout of the left lung thought to be most likely due to mucous plug. he was intubated fibropitically given hard collar and fracture. he was also found to be in atrial fibrillation with ? low heart rate to 40s. his betablockade was decreased. ngt and ogt were tried unsuccessfuly there. on arrival to micu his vitals were t 99.7 hr 78 af, bp 147/93, 100% cmv/ac 500x14, fio2 40%, peep 5. he was unable to give any history secondary to sedation. wife to major portion of the history. past medical history: esophageal stricture ? s/p hiatal hernia hypertension s/p aortic valve replacement 3 years ago bovine per wife hip fracture s/p repair h/o aspiration pneumonia, ? recurrent aspiration h pylori gastritis dementia social history: patient is a retired ent surgeon per out side hospital report. he lives at home with his wife. independent adls. family history: non contributory physical exam: tmax: 37.2 ??????c (99 ??????f) tcurrent: 36.9 ??????c (98.4 ??????f) hr: 62 (57 - 91) bpm bp: 120/66(79) {112/49(65) - 147/83(100)} mmhg rr: 15 (14 - 25) insp/min spo2: 100% gen: trachea in place, awake, opens eyes to voice, shakes head no to pain heent: pupils pinpoint. neck: small ulcer anterior neck midline, suture line cv: irreg. no m/r/g resp: clear anteriorly, unable to appreciate posterior exam abd: soft. nt/nd. +bs. no hsm. g, j tube in place. ext: no edema neuro: awake & possibly following commands pertinent results: discharge labs: 04:01am blood wbc-5.0 rbc-2.78* hgb-9.1* hct-26.3* mcv-95 mch-32.7* mchc-34.6 rdw-14.4 plt ct-245 04:01am blood glucose-130* urean-27* creat-0.9 na-143 k-3.6 cl-108 hco3-31 angap-8 04:01am blood calcium-8.2* phos-1.9* mg-2.1 chest x-ray patient is post cervical spinal fusion. et tube has been replaced by a tracheostomy and the tip of this lies satisfactorily about 5 cm above the carina. there are background extensive hyperinflation changes. there is no evidence of pneumothorax. bilateral costophrenic sulcus blunting, particularly on the left side, suggests effusion. band-like left retrocardiac opacity suggests associated atelectasis. no acute osseous findings. conclusion: 1. good positioning of et tube. 2. probable bilateral pleural effusions. the right-sided picc line is unchanged terminating in the right axilla. brief hospital course: y/o gentleman with hypertension, atrial fibrillation, esophageal stricture transferred from for aspiration pneumonia. 1. aspiration pneumonia. the patient was admitted with respiratory failure, sedated and intubated. he was treated with vancomycin, ciprofloxacin, and zosyn for a total 8 day course during which his white count and fevers resolved. the patient failed extubation twice due to mucous pluggin and a tracheostomy was placed at the family's wishes. the tracheostomy mask with will be changed in 2 weeks per family wishes for a different model trach. to prevent aspiration, a g & j tube were placed for feeding & to prevent aspiration. the patient tolerated the procedures well. 2. c5 fracture: the patient was transferred with a c5, c6 fracture. neurosurgery was consulted and a fusion was performed. he is to remain in his collar when not in bed. 3. atrial fibrillation: newly discovered, likely due to medication effects. rate controlled and cardioversion not attempted. 4. acute renal failure: the patient developed renal failure with fluid overload that resolved with lasix & diamox. he is still 14 l positive on discharge with goal to diureses him daily with lasix, reassessing his need for diuretic weekly. 5. hypertension. the patient remained normotensive throughout admission. his antihypertensives were held. medications on admission: lisinopril 2.5 mg asa 325 mg daily aricept 10 mg daily metoprolol 25 mg daily prilosec discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 2. lasix 40 mg tablet sig: one (1) tablet po twice a day for 1 weeks: check electrolytes daily, follow creatitine twice daily and reassess need for diuretics in one week. tablet(s) 3. aricept 10 mg tablet sig: one (1) tablet po once a day. 4. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: hebru extended facilitt discharge diagnosis: 1. aspiration pneumonia 2. acute renal failure 3. anemia discharge condition: vital signs stable with tracheostomy/tracheostomy mask in place for respiration. discharge instructions: you have been transferred to for a pneumonia. while you were here you were cared for in the intensive care unit because of difficulty breathing. please take all medicines as prescribed in discharge plan. you have had a tracheostomy placed to help your breathing. when this matures, there is a plan to replace the current tracheostomy with one that can be suctioned from above. followup instructions: please make an appointment with your primary care provider upon leaving rehabilitation. please contact dr. at in 2 weeks regarding follow for tracheostomy. md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other enterostomy other endoscopy of small intestine enteral infusion of concentrated nutritional substances other bronchoscopy temporary tracheostomy other cervical fusion of the anterior column, anterior technique other gastrostomy other partial ostectomy, other bones fusion or refusion of 2-3 vertebrae diagnoses: anemia, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation unspecified fall atrial flutter diaphragmatic hernia without mention of obstruction or gangrene acute respiratory failure pneumonitis due to inhalation of food or vomitus closed fracture of multiple cervical vertebrae 

Answer: The patient is high likely exposed to