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: mr. is a 66 year-old gentleman with an extensive past medical history as mentioned above who is admitted to the hospital for operative management for an expanding tension pneumothorax on the right side. he was admitted on . physical examination: on initial was his temperature was 97.9. pulse 96 with a blood pressure of 99/42. respiratory rate 20. sating 96% on 3 liters. he did not appear to be in acute distress, but he did have notably decreased breath sounds bilaterally. his heart was regular rate and rhythm. his abdomen was soft and flat. extremities were warm. there was no edema present. admission laboratories: admission white count was 12.3 with a hematocrit of 42.8. his bun and creatinine at the time of admission were 46 and 1.5 respectively. his k initially was 5.6 at the time of admission and was subsequently corrected. hospital course: after the patient was admitted he planned to undergo a v.a.t.s. procedure, but on the morning of surgery the patient's pneumothorax began enlarging and became somewhat hemodynamic compromise and was taken urgently to the operating room where he underwent thoracoscopic decortication and thoracotomy with pleurodesis. postoperatively, the patient became tachycardic and hypotensive with diminish in urine output and was taken to the intensive care unit and treated for what was presumed to be hypovolemia. subsequently while on the floor the patient's blood pressures remained in the 70s/40s, 80s/50s and it was determined that this was likely the patient's baseline after extensive attempts to manipulate the blood pressure with fluids and diuresis, etc. notably early on in the hospital course he seemed to be going through an addisonian crisis and has only subsequently learned that the patient had been taking chronic steroids. this was not known by the patient and he did not provide this in his admission history. after the patient's chronic doses of steroids were restarted the patient's electrolyte abnormalities and fluid problems somewhat improved after the patient was transferred to the floor he continued to remain with his blood pressures in the 80s/40s and repeatedly underwent episodes which were initially thought to be atrial fibrillation, which were treated with intravenous metoprolol, but were subsequently determined to be multifocal atrial tachycardia. approximately one and a half weeks postoperatively after the patient's v.a.t.s. he developed a notable erythema over the abdomen over the right lateral aspect of the back. this was accompanied by belly pain, which progressively worsened. general surgery was consulted. laboratory tests were drawn including liver function tests and ultrasound of the gallbladder. ultrasound of the gallbladder did not show an acute problem with cholelithiasis. there was some inflammation noted. he had some dilatation noted. the patient had a percutaneous cholecystostomy on in order for drainage as he was a poor operative candidate fore a cholecystectomy. subsequent to this the patient's symptoms were not relieved and he remained febrile, tachycardic and appeared somewhat septic. he was taken urgently to the operating room on for an open cholecystectomy at which time a gangrenous gallbladder was found with clotted blood. he was subsequently cared for in the intensive care unit for his inability to maintain blood pressures over 70 systolic and repeated episodes of his atrial tachycardia. electrophysiology was also consulted to see the patient and they were in assistance in somewhat managing this rhythm. it is determined that the patient's blood pressure would be fine if he was maintained at his baseline rate and he should be given toprol xl for control of this tachycardia and otherwise there were no operative interventions for alleviation of this arrhythmia. due to the patient's extensive time in intensive care unit and lack of mobility he became quite debilitated. the last week of his hospitalization was dedicated to providing the patient with increasing strength and he was given hyperalimentation where he was given nutritional supplements through tube feeds in order for him to improve his body weight and also he was given aggressive physical therapy. it was noted that he had bilateral lower extremity weakness, which was somewhat out or proportion to his upper extremity weakness and given this with occasional episodes of incontinence the patient was having neurology was consulted and the patient had an mri of the spine in order to evaluate for a compressing lesion or cauda equina syndrome. this turned out to be negative. attempts at rehabilitating the patient while in the hospital were extremely difficult as the patient at present is unable to stand even with assistance, but his weight is improving and he is able to take excellent po intake. neurology was consulted for this weakness and also suggested that the patient might have a steroid induced myopathy and/or alcohol induced myopathy as he ___________ supplementing thiamine and folate and electrolytes, this was all done and neurology would like to see the patient in outpatient follow up and he should be scheduled for an emg to evaluate his lower extremity weakness as an outpatient. essentially at the time of discharge the patient is medically stable. his normal blood pressure does run in the 80s/40s and at times 70s/40s although the patient has no mental status changes with this and does not experience any symptoms of dizziness or shortness of breath with these episodes. he is in normal sinus rhythm currently, although he periodically does revert to his multifocal atrial tachycardia, which has been greatly reduced with the addition of toprol xl, but is rate controlled when necessary with intravenous lopressor. otherwise in terms of respiratory status he continues to have his emphysema and interstitial lung disease for which he is on chronic steroids on which he should be maintained as per his primary care physician, there is no evidence of pneumonia or volume overload. in terms of his cardiac status as mentioned previously aside from this tachycardia he had a repeated evaluations for acute myocardial infarction during episodes of his arrhythmia and nothing conclusive was ever noted. no note of acute ischemia was found on his electrocardiograms. from a gastrointestinal standpoint the patient is taking adequate po intake without difficulty. he occasionally does have some rectal incontinence, but this may be secondary to an inability to ambulate to the bathroom according to the patient. in terms of his renal status, the patient is renally stable. his bun and creatinine have been fine and he has been making good urine. at present the patient has no evidence of any sort of infection. all blood cultures drawn throughout this hospital especially during the period of his biliary sepsis were not notable and he did receive multiple courses of antibiotics during those episodes. hematologically, his hematocrit is stable. neurologically the patient is stable. as noted the patient is neurologically stable, but does need an outpatient neurological evaluation for which he has been instructed and given the phone numbers to attend. otherwise at the time of discharge the patient's laboratories included white count of 10.4, hematocrit stable at 32.7. the patient's final urinalysis at the time of discharge showed no evidence of urinary tract infection. his sodium was 133 with a k of 4.2 with serum bicarb of 99 and 29 respectively. his bun and creatinine were 39 and 0.7. his glucose was 139. discharge medications: 1. toprol xl 75 mg po q day. 2. magnesium oxide 140 mg po q.d. 3. folate 1 mg po q.d. 4. thiamine 100 mg po q.d. 5. lasix 40 mg po b.i.d. 6. potassium chloride 20 milliequivalents po b.i.d. 7. prednisone 50 mg po q.d. 8. protonix 40 mg po q.d. 9. albuterol inhaler one to two inhalations b.i.d. prn. 10. combivent inhaler one to two inhalations b.i.d. prn. 11. combivent one to two puffs b.i.d. discharge condition: good. he is discharged to an extended care facility for rehabilitation. , m.d. dictated by: medquist36 procedure: diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances cholecystectomy decortication of lung other pleural biopsy intraoperative cholangiogram open biopsy of lung percutaneous aspiration of gallbladder scarification of pleura diagnoses: atrial fibrillation other chronic pulmonary heart diseases postinflammatory pulmonary fibrosis other emphysema calculus of gallbladder with acute cholecystitis, without mention of obstruction spontaneous tension pneumothorax 

Answer: The patient is high likely exposed to