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: valium attending: chief complaint: s/p cardiac arrest major surgical or invasive procedure: mechanical ventilation placement of a right subclavian vein line bronchoscopy with bronchoalveolar lavage placement of an arterial line placement of dart catheter for pneumothorax and removal trach exchange picc line placement replacement history of present illness: mr. is a yo m from rehab baseline alert and orientedx3 , h/o parkinson's s/p trach, multiple aspiration events, htn who was having bm today at rehab, became cyanotic, pulseless and recieved chest compressions. he was never shocked or given meds but had return of spontaneous circulation at rehab. on arrival to the ed, he was put on vent for poor resp effort. was making non-purposeful spont mvmts. ekg showed sinus bradycardia. labs were unremarkable with a lactate of 2.0. prior to leaving the ed, he is following commands, communicating with his wife by motioning. he is complaining of pain in ribs. also in the ed, ct head preliminarily read as not acute intracranial process, cxr with rul and rml infiltrates c/w aspiration. he was hemodynamically stable and cooling protocol was not initiated as he was neurologically improving. no meds were given in ed except for 1l ns. on arrival to the icu, we was responding to commands and c/o left sided rib pain. review of systems: pt unable to answer extensive ros at this time. past medical history: 1. h/o aspiration pna - tx with levo, unasyn, vanco/zosyn in the past 2. h/o aspiration s/p swallow eval with swallowing difficulty, s/p placement on - pt continues to feed for pleasure at heb reb 3. parkinson's 4. osteoporosis 5. t11/12 compression fx 6. lle osteomyelelitis as a child/chronic osteomyelitis, quiescent. 7. granulomatous liver disease 8. lue rotator cuff tear 9. prostate cancer s/p orchiectomy in 10. s/p laminectomy l4-5 11. cataracts s/p surgery . glaucoma 13. hypertension 14. pt s/p recent tx for pseudomonas and aspiration pna at heb reb 15. s/p trach with night ventilator support. 16. s/p wrist fx 17. chronic constipation 18. chronic abd pain- per heb reb notes social history: the patient has a sixty-pack-year history of tobacco. he quit in . he lives at rehab macu for last 3 hrs. he is a retired history professor. , no alcohol intake. family history: non-contributory physical exam: vitals: 96.4 49 110/52 22 99% on mmv general appearance: thin elderly male, interactive. answers simple questions, follows commands head, ears, nose, throat: normocephalic, poor dentition, surgical left pupil cardiovascular: (s1: normal), (s2: normal). bradycardic. no mrg. respiratory / chest: (expansion: symmetric), bs at right, but o/w clear. ttp over left chest over ribs abdominal: soft, tender. no guarding or rebound. bowel sounds present, not distended. area around g tube erythematous, no purulence extremities: right lower extremity edema: trace, left lower extremity edema: trace pertinent results: admission laboratories: 03:00pm wbc-11.0 rbc-3.16* hgb-9.8* hct-30.6* mcv-97 plt ct-441* 09:04am neuts-88.2* lymphs-8.9* monos-2.7 eos-0.1 baso-0.2 03:00pm pt-13.4 ptt-26.0 inr(pt)-1.1 07:17pm glucose-115 urean-23 creat-0.7 na-140 k-4.9 cl-104 hco3-26 05:05am alt-1 ast-13 ld(ldh)-132 alkphos-53 totbili-0.3 07:17pm albumin-3.5 calcium-9.1 phos-3.3 mg-2.1 03:00pm asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg urine: 12:30pm color-amber appear-clear sp -1.021 12:30pm blood-neg nitrite-neg protein-25 glucose-neg ketone-15 bilirub-neg urobiln-neg ph-7.0 leuks-neg 12:30pm rbc-0 wbc-0-2 bacteri-few yeast-none epi-0-2 transe-0-2 12:30pm casthy-0-2 ------- micro: , sputum cx: pseudomonas aeruginosa cefepime-------------- 8 s ceftazidime----------- 8 s ciprofloxacin--------- =>4 r gentamicin------------ 4 s meropenem------------- =>16 r piperacillin/tazo----- =>128 r tobramycin------------ <=1 s mrsa screen: negative ucx: negative bcx: ngtd bcx: ngtd ------- imaging: head ct (): no acute intracranial process. echo (): the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is no ventricular septal defect. rv with normal free wall contractility. the ascending aorta is mildly dilated. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the report of the prior study (images unavailable for review) of , no definite change. cta chest (): 1)no pulmonary embolism or acute aortic pathology. 2)bibasilar atelectasis and secretions in the lower lobes bilaterally could be due to aspiration. 3)multifocal consolidation in the lower lobes and left upper lobe to a lesser extent is most likely pneumonia. 4)small right pneumothorax with pigtail catheter in situ. 5)calcified mediastinal lymph nodes in addition to granulomas in the liver and spleen are most likely due to prior granulomatous exposure. abd/pelvis ct (): 1. bilateral pleural effusions with associated atelectasis. 2. no complications of placement are noted. discharge labs: 02:57am wbc-5.3 rbc-2.76* hgb-8.6* hct-26.1* mcv-95 plt ct-269 05:10am neuts-76.7* lymphs-15.4* monos-5.4 eos-2.1 baso-0.4 02:57am glucose-87 urean-7 creat-0.5 na-139 k-3.6 cl-105 hco3-26 02:57am calcium-8.1* phos-2.4* mg-1.6 brief hospital course: summary: yo m from rehab baseline alert and orientedx3 , h/o parkinson's s/p trach, multiple aspiration events, htn who was having bm at rehab, became cyanotic, pulseless and recieved chest compressions. # shock: the patient required dopa infusion at the beginning of his hospital stay. no organisms grew in his blood, however, he did have a multifocal pneumonia. a subclavian line was placed for better access and hemodynamic monitoring. the patient was noted to have a low cvp so he was given intermittent boluses of normal saline. in addition, he was continued on antibiotics for some component of septic shock, though he never had high lactates. # respiratory failure with multifocal ventilator associated pneumonia: the patient has a tracheostomy at baseline and uses ventilator support at night. the patient was noted to have increased secretions, increased needs on his ventilator, infiltrates in the rml/rul and a trach cuff . he was empirically started on vancomycin and cefepime for treatment of pneumonia. a bronchoscopy was done to clear the secretions and grew a resistant form of pseudomonas. despite therapy with cefepime, the patient still continued to grow pseudomonas in his sputum. tobramycin nebulizers were added to his regimen . despite the use of these antibiotics, the patient still required higher assisted control ventilation. in addition, he had a trach cuff , his trach was switched and the resolved. the patient should continue cefepime until , and the nebs should continue for at least another week afterwards (~). pt also with a component of fluid overload, as he received ivf on initial resuscitation. diuresing gently with lasix - can likely d/c lasix in several days when patient is euvolemic. # s/p cardiac arrest: the patient presented s/p cardiac arrest from his living facility. he had chest compressions in the process. reportedly, the patient's mental status returned to baseline shortly after compressions, so he did not undergo a cooling protocol. since he quickly returned back to his baseline, it was felt that his cardiac event was most likely due to mucous plugging leading to hypoxia and compressions displaced the mucous plug. a pulmonary embolus was ruled out on cta of the chest. # pneumothorax: the patient developed a pneumothorax, most likely due to chest compressions during his cardiac arrest. interventional pulmonology placed a dart catheter to suction. the pneumothorax improved and the catheter was eventually pulled on . # rib fractures: the patient sustained rib fractures after chest compressions. he continued to have pain in the area. he required a lidocaine patch, fentanyl patch, and prn fentanyl iv doses to control his pain. # abdominal pain: the patient reported diffuse abdominal pain that was tender to palpation. his g tube was leaking, so a ct of the abdomen and pelvis were done to rule out an associated abscess. the ct did not show any pathology. per the records from rehab, the patient has a history of chronic abdominal pain. also possible that the pain is secondary to the rib fractures sustained during cpr. # g tube: the patient had his replaced by gi on . tube feeds can be restarted. # eye infection: treated with sulfacetamide eye drops, course to end . # constipation: pt had difficulty with bowel movements while hospitalized and on fentanyl for pain control. he was given colace, senna, miralax, and lactulose. please assess for bowel movements daily and discontinue lactulose as tolerated. medications on admission: enoxaparin sodium 30 mg sc daily acetaminophen 650 mg po/ng q6h:prn pain fluticasone propionate nasal 1 spry to both nares albuterol 0.083% neb soln 1 neb ih latanoprost 0.005% ophth. soln. 1 drop both eyes hs albuterol-ipratropium 4 puff ih mirapex (pramipexole) 0.125 mg oral seven times daily and 0.0625 qpm bisacodyl 10 mg pr daily:prn constipation carbidopa-levodopa (25-100) 2 tab po/ng qid at 8a, 11a, 2p, 8p polyethylene glycol 17 g po/ng daily carbidopa-levodopa (25-100) 3 tab po/ng tid at 5a, 7a, and 11p psyllium 1 pkt po tid chlorhexidine gluconate 0.12% 15 ml oral qid swish and spit senna 1 tab po/ng comtan (entacapone) 200 mg oral seven times daily with carbidopa dorzolamide 2%/timolol 0.5% ophth. 1 drop both eyes tramadol (ultram) 25 mg po q6h:prn pain bacroban topically to eyelids zosyn 3.375 iv q 6hrs- 10 day course completed discharge medications: 1. carbidopa-levodopa 25-100 mg tablet : two (2) tablet po qid (4 times a day): at 8am, 11am, 2pm, 8pm . 2. carbidopa-levodopa 25-100 mg tablet : three (3) tablet po tid (3 times a day): at 5am, 7am, 11pm. 3. enoxaparin 30 mg/0.3 ml syringe : thirty (30) mg subcutaneous daily (daily). 4. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for pain. 5. fluticasone 50 mcg/actuation spray, suspension : one (1) spray nasal (2 times a day). 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) neb inhalation (2 times a day). 7. latanoprost 0.005 % drops : one (1) drop ophthalmic hs (at bedtime): both eyes. 8. ipratropium-albuterol 18-103 mcg/actuation aerosol : four (4) puff inhalation (2 times a day). 9. pramipexole 0.125 mg tablet : one (1) tablet po seven times daily (). 10. pramipexole 0.125 mg tablet : 0.5 tablet po qpm (). 11. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed for constipation. 12. polyethylene glycol 3350 17 gram/dose powder : seventeen (17) g po daily (daily). 13. chlorhexidine gluconate 0.12 % mouthwash : fifteen (15) ml mucous membrane qid (4 times a day). 14. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 15. entacapone 200 mg tablet : one (1) tablet po seven times daily (): give with carbidopa. 16. dorzolamide-timolol 2-0.5 % drops : one (1) drop ophthalmic (2 times a day): both eyes. 17. tramadol 50 mg tablet : one (1) tablet po q4h (every 4 hours) as needed for pain. 18. lidocaine 5 %(700 mg/patch) adhesive patch, medicated : one (1) adhesive patch, medicated topical daily (daily): 12 hours on, 12 hours off. 19. fentanyl 25 mcg/hr patch 72 hr : one (1) patch 72 hr transdermal q72h (every 72 hours). 20. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg mg po bid (2 times a day). 21. cefepime 2 g iv q24h 22. tobramycin 300 mg/5 ml solution for nebulization : one (1) neb inhalation (2 times a day). 23. sulfacetamide sodium 10 % drops : 1-2 drops ophthalmic q6h (every 6 hours) for 2 days: for total 7 day course. 24. lactulose 10 gram/15 ml syrup : thirty (30) ml po tid (3 times a day). 25. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 26. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. 27. lasix 20 mg tablet : one (1) tablet po once a day: please eval fluid status and d/c when patient is euvolemic. 28. psyllium packet : one (1) po three times a day. 29. bactroban 2 % ointment : one (1) topical twice a day: to eyelids. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnosis: cardiac arrest in setting of likely mucus plug pneumonia pneumothorax rib fractures in setting of cpr . secondary diagnosis: hypertension parkinson's disease discharge condition: mental status: clear activity status: bedbound. level of consciousness: able to answer questions and follow commands. discharge instructions: dear dr. , . you were admitted to the hospital after you were found to be pulseless and received chest compressions. . in the hospital, you were found to have pneumonia. you have been started on antibiotics, which should be continued until . . you had a pneumothorax, which is abnormal air in your lung cavity that makes the lung collapse. you had a chest tube placed, and the lung has now re-expanded. . the increased chest and abdominal pain are likely secondary to the rib fractures that you sustained with cpr. you are currently on medications to help control the pain. . the following changes were made to your medications: #. start cefepime 2g every 24 hours until #. start tobramycin inhalers twice daily until #. start lidocaine and fentanyl patches to help with pain #. start lasix 20mg daily until you are no longer fluid overloaded #. take sulfacetamide drops in your left eye for two more days #. start lactulose which should likely be discontinued soon #. increased tramadol to 50mg q4hrs . it was a pleasure meeting you and taking part in your care. followup instructions: please follow up with your primary care physician at your living facility. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more arterial catheterization closed [endoscopic] biopsy of bronchus replacement of tracheostomy tube replacement of gastrostomy tube diagnoses: abdominal pain, unspecified site unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis paralysis agitans other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute and chronic respiratory failure pneumonia due to pseudomonas pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified septic shock other constipation other sequelae of chronic liver disease traumatic pneumothorax without mention of open wound into thorax closed fracture of rib(s), unspecified mechanical complication of gastrostomy mechanical complication of tracheostomy chronic osteomyelitis, lower leg 

Answer: The patient is high likely exposed to