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: hypoxic respiratory failure and hypotension major surgical or invasive procedure: none history of present illness: mr. is an 87 year old male with a history of copd on 3l o2, lung cancer and congestive heart failure who is transferred from hospital for hypoxic respiratory failure requiring intubation and hypotension. per the patient's wife he has been feeling poorly for the past week. he has not had any documented fevers but has felt chilled. he has had a cough productive of clear sputum. he has had worsening dyspnea on exertion and oxygen requirements. he was reluctant to go to the hospital but his breathing became worse and his wife encouraged his to go. . on arrival to he was reported as being alert and oriented, cyanotic, with diminished air movement bilaterally, using accessory muscles of respiration. he was immediately intubated for hypoxic respiratory failure. he received initially received solumedrol 125 mg iv x 1, azithromycin 500 mg iv, ceftriaxone 1 gram iv, lasix 40 mg iv, etomidate 20 mg iv, vecuronium 1 mg iv and succinyulcholine 100 mv iv. he became hypotensive and he received 2 liters normal saline and was started on a dopamine gtt. he subsequently developed multifocal atrial tachycardia and was started on a diltiazem drip and his pressor was switched to neosynephrine. he also was started on propofol for sedation. labs were notable for a wbc count of 21.2 with 89.4 % neutrophils,, hemoglobin of 13.1. initial abg post intubation was 7.31/68.1/293 on 500 x 15, fio2 100%, peep 5. prior to transfer his blood pressures were ranging from the 70s to 90s systolic. . on arrival he was intubated, sedated and unresponsive to questions. his blood pressures were in the 80s systolic on neosynephrine. the diltiazem drip was discontinued and his heart rates were in the 70s with wandering atrial pacemaker. he received 3 liters normal saline with improvement in his blood pressures to the 110s systolic. he had an arterial line and a right sided ij placed. review of systems unable to be obtained. past medical history: copd on 3l home oxygen lung cancer (unknown histology) congestive heart failure benign prostatic hypertrophy social history: lives with his wife in . previous smoker but quit in the 60s. used to be a heavy drinker but none currently. he has two daughters and three sons. family history: non-contributory physical exam: physical exam: vitals: t: 98.8 hr: 67 bp: 98/43 rr: 20 o2: 100% vent settings: 550 x 15, peep 5, fio2 100% heent: perrl, eomi, oropharynx clear, mucous membranes dry neck: jvp flat cardiac: irregular, s1 + s2, no murmurs, rubs, gallops lungs: coarse breath sounds bilaterally, no wheezez, rales gi: soft, large midline scare, non-tender, non-distended, +bs gu: foley draining clear urine ext: warm and well perfused, 1+ pulses, + clubbing, cyanosis or edema neurologic: intubated, sedated, withdraws all extremities to pain pertinent results: 03:18pm glucose-88 urea n-21* creat-1.1 sodium-142 potassium-4.6 chloride-110* total co2-26 anion gap-11 03:18pm magnesium-2.2 12:24pm type-art po2-83* pco2-48* ph-7.29* total co2-24 base xs--3 12:24pm glucose-73 k+-3.6 12:24pm o2 sat-96 07:30am urine color-straw appear-clear sp -1.004 07:30am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 07:30am urine rbc-3* wbc-11* bacteria-few yeast-none epi-0 07:30am urine hyaline-5* 07:30am urine mucous-rare 06:41am type-art po2-117* pco2-53* ph-7.30* total co2-27 base xs-0 06:41am lactate-1.0 06:08am glucose-78 urea n-19 creat-0.9 sodium-142 potassium-3.5 chloride-110* total co2-27 anion gap-9 06:08am estgfr-using this 06:08am albumin-2.3* calcium-6.5* phosphate-2.1* magnesium-1.5* 06:08am digoxin-1.8 06:08am wbc-26.3* rbc-4.07* hgb-11.0* hct-35.7* mcv-88 mch-27.1 mchc-30.8* rdw-14.7 06:08am neuts-91.2* lymphs-6.2* monos-2.1 eos-0.3 basos-0.1 06:08am plt count-245 06:08am pt-13.7* ptt-31.5 inr(pt)-1.2* echo : conclusions the left atrium is normal in size. 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 right ventricular cavity is moderately dilated with mild global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. moderate tricuspid regurgitation is seen. there is at least borderline pulmonary artery systolic hypertension. a trivial pericardial effusion is seen. impression: suboptimal image quality. low normal left ventricular systolic function. moderately dilated right ventricle with mild hypokinesis. moderate tricuspid regurgitation. minimal aortic stenosis. borderline pulmonary hypertension (may be underestimated). cxr : cardiomediastinal silhouette is unchanged as well as there is no change in the right upper lobe mass highly suspicious for neoplasm. interval development of left lower lobe opacity is consistent with aspiration. bilateral pleural effusions are present, small. brief hospital course: impression: 87 year old male with a history of copd on 3l o2, lung cancer and congestive heart failure who is transferred from hospital for hypoxic respiratory failure requiring intubation and hypotension. shock: patient with subjective fevers at home, leukocytosis and hypotension concerning for septic shock. other potential etiologies for this patient include cardiogenic shock given his history of congestive heart failure and adrenal insufficiency given chronic steroids. less likely etiologies are hypovolemic, hemorrhagic, or obstructive shock. in terms of etiologies for septic shock, pneumonia appears to be the most likely etiology although we will cover him broadly for now. after discussion with family, goals of care clarified, no further escalation of care wanted. patient extubated, abx and blood pressure support withdrawn as patient made cmo. hypoxemic respiratory failure: patient with tenuous lung function at baseline with known malignancy, home oxygen requirement and obstructive lung disease. pao2/fio2 = 117. given bilateral infiltrates and no clear evidence for congestive heart failure meets criteria for ards. cxr today with new lll infiltrate c/f aspiration pna. patient extubated on , pressors and abx withdrawn per cmo request. patient expired on after being made cmo the previous day. multifocal atrial tachycardia: likely related to underlying lung disease. heart rate currently in the 70s off diltiazem. patient monitored on telemetry. lung cancer: diagnosed approximately one year ago. unclear what treatment he has had or degree of metastatic disease. congestive heart failure: ejection fraction 50% per echo on on . low normal left ventricular systolic function. moderately dilated right ventricle with mild hypokinesis. moderate tricuspid regurgitation. minimal aortic stenosis. borderline pulmonary hypertension code: dnr/dni. patient made cmo communication: wife (phone number unknown disposition: patient made cmo per his previously stated wishes. he was placed on cmo status and expired on . medications on admission: albuterol 90 mcg 2 puffs q4h:p$n albuterol nebulizers q6h:prn aspirin 81 mg daily bacitracin ointment clonazepam 1 mg cyanocopbalamin 250 mcg daily digoxin 0.25 mg daily ferrous gluconate 325 mg formoterol fumarate 12 mcg inhaler guaifenesin 600 mg sa tab ipratropium 17 mcg 2 puffs qid lisinopril 2.5 mg daily methylprednisolone 4 mg daily metoprolol xl 12.5 mg daily mom furoate 220 mcg inhaler 1 puff morphine sr 15 mg multivitamin sl nitroglycerin senna simvastatin 10 mg qhs discharge medications: none discharge disposition: expired discharge diagnosis: lung cancer discharge condition: death discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified arterial catheterization diagnoses: congestive heart failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) acute respiratory failure other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus malignant neoplasm of upper lobe, bronchus or lung cachexia septic shock glucocorticoid deficiency body mass index between 19-24, adult 

Answer: The patient is high likely exposed to