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 known allergies / adverse drug reactions attending: chief complaint: hypoxemia major surgical or invasive procedure: intubation history of present illness: r. is an 82m with a history of copd (on 3l home o2), chf, and multifocal necrotizing pneumonia (currently on long course of vanc/ertapenem) who presented today from osh after a left hip fracture. family states he was at home stepping out of the shower when he slipped on a wet spot on the floor and fell on his left side. denies loc, denies head trauma, denies chest pain, sob, palpitations. he was initially to an osh where plain films showed a fracture of the neck of the l femur at the level of it ridge and he was transfered to for further management. in the ed initial vitals were 98.3 122 152/84 18 93% on a non-rebreather. ekg showed sinus tachycardia to 107. while in the ed he spiked to 102.5 and he was given a dose of cefepime and 500cc of ns. he was evaluated by orthopedics in the ed who recommended admission to medicine. he was then admitted to the micu for further management. on arrival to the micu his pain is well controlled. he is saturating in the low 90s on 4 liters of o2 which according to the patient's son is his baseline. he reports that he has been having high fevers at home off and on for the past 2 months and that a fever of 102 is not unusual for him. he had a ct chest at earlier today in preparation for his id follow-up appointment that was scheduled for tomorrow. past medical history: copd chf cor pulmonale dm pud right leg pvd s/p fem fem bypass social history: 140 year pack hx smoker, with abotu 70 years 1.5-2 packs per day. no etoh, no drugs. lives with daughter. family history: mother and father died of strokes. physical exam: admission exam: gen: alert, oriented, no acute distress, nt/nd heent: ncat sclera anicteric, op clear neck: supple, 6cm jvd, no lad pulm: crackles on the right cv: rrr normal s1/s2, sm abd: soft nt nd normoactive bowel sounds, no r/g ext: wwp 2+ pulses palpable bilaterally. left leg is not tender to palpation but he has pain with passive range of motion. neuro: greek speaking but alert and oriented skin: no ulcers or lesions discharge exam: no corneal reflex, no respiration, no pulse, no heart beat. pertinent results: 09:00pm blood glucose-201* urean-29* creat-1.1 na-136 k-5.2* cl-94* hco3-32 angap-15 09:00pm blood glucose-201* urean-29* creat-1.1 na-136 k-5.2* cl-94* hco3-32 angap-15 03:46am blood alt-21 ast-16 totbili-0.2 09:00pm blood calcium-8.8 phos-3.7 mg-2.1 04:02am blood vanco-20.1* 03:46am blood crp-230.7* 09:00pm blood greenhd-hold 05:30am blood type-art fio2-70 o2 flow-4 po2-75* pco2-71* ph-7.32* caltco2-38* base xs-6 intubat-not intuba 01:26pm blood freeca-1.15 04:00am blood b-glucan-test 04:00am blood coccidioides antibody, immunodiffusion-test 04:00am blood aspergillus galactomannan antigen-test 04:00am blood aspergillus galactomannan antigen-test 03:08am blood b-glucan-test 03:00pm blood b-glucan-test 09:00pm blood wbc-13.8*# rbc-3.96* hgb-10.7* hct-33.8* mcv-85 mch-27.1 mchc-31.8 rdw-14.5 plt ct-392 09:00pm blood neuts-89.5* lymphs-4.9* monos-5.2 eos-0.3 baso-0.2 09:00pm blood pt-13.1* ptt-28.8 inr(pt)-1.2* 03:46am blood esr-115* 09:45pm blood sputum acid fast smear-final; acid fast culture-preliminary {afb grown in culture; additional information to follow} sputum gram stain-final; respiratory culture-final {yeast, gram negative rod(s)}; acid fast smear-final {acidfast bacilli}; acid fast culture-preliminary; mtb direct amplification-preliminary 18:38 quantiferon-tuberculosis gold test result reference range/units quantiferon(r)-tuberculosis gold positive a negative in healthy persons who have a low likelihood both of m. tuberculosis infection and of progression to active tuberculosis if infected, a single positive qft result should not be taken as reliable evidence of m. tuberculosis infection. repeat testing, with either the initial test or a different test, may be considered on a case-by-case basis. brief hospital course: # left hip fracture: patient was admitted with a left hip fracture from a mechanical fall. he was evaluated for orthopedics and recommended for a total hip replacement, but was not deemed to be a surgical candidate, as his respiratory status was too tenuous. he was treated with enoxaparin for dvt prophylaxis. pain was managed first with a 12 mcg fentanyl patch with dilaudid for breakthrough. however, these therapies were limited by respiratory suppression and delirium. the patient was then transitioned to tramadol and standing tylenol for pain. once intubated for respiratory failure, pain was controlled with a fentanyl drip. though the patient again became eligible for a total hip replacement with intubation, it was not pursued given overall prognosis and continued health decline. # acute on chronic hypoxic and hypercarbic respiratory failure: the patient was admitted with worsening hypoxia and hypercarbia secondary to previously diagnosed multifocal necrotizing pneumonia in the setting of known copd. on admission, he required a combination of 6l nasal cannula and high flow face mask to maintain saturations 85 - 88%. he completed a 28 day course of vancomycin and meropenem to cover for multifocal necrotizing pneumonia. however, he became increasingly hypercarbic and continued to spike fevers. on the afb from was reported afb culture positive. he was then immediately placed on tuberculosis precautions. with confirmation of mtb by the state lab, the patient was initiated on ripe therapy. his respiratory status continued to decline and he was intubated. for his copd, the patient was continued on albuterol and roflumilast. # chf with history of cor pulmonale: throughout admission, the patient was diuresed to euvolemia as necessary. he was first diuresed only with lasix, but with rising bicarbonate to high 40s, he was transitioned to lasix and acetazolamide. the patient remained persistently hypoxic throughout admission. # diabetes mellitus ii: home oral medications were held while the patient was in the hospital. he was continued on home lantus with insulin sliding scale. # pud: stable, continued omeprazole # hld: stable, continued simvastatin # neuropathic pain: stable, continued gabapentin. gabapentin was down-titrated with increasing delirium. # right leg pvd s/p fem fem bypass: stable. the patient was continued on aspirin respiratory distress: the patient ultimately succumed to his multifocal pneumonia and tuberculosis and expired. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. gabapentin 1600 mg po hs 2. gabapentin 800 mg po qam 3. omeprazole 20 mg po daily 4. simvastatin 20 mg po daily 5. tamsulosin 0.4 mg po daily 6. 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. 7. lantus *nf* (insulin glargine) 20 units subcutaneous qam 8. glipizide 10 mg po bid 9. lorazepam 1 mg po hs:prn anxiety hold for sedation, rr < 12 10. aspirin 81 mg po daily 11. albuterol inhaler 1 puff ih q6h:prn wheeze hold for hr > 110 12. roflumilast *nf* 500 mcg oral daily 13. ertapenem *nf* 1 gram intravenous daily 14. vancomycin 1000 mg iv q 24h duration: 4 weeks discharge disposition: expired discharge diagnosis: respiratory distress discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other permanent tracheostomy percutaneous [endoscopic] gastrostomy [peg] arterial catheterization closed [endoscopic] biopsy of bronchus central venous catheter placement with guidance diagnoses: hyperpotassemia acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis peripheral vascular disease, unspecified personal history of tobacco use constipation, unspecified acute and chronic respiratory failure alkalosis long-term (current) use of insulin septic shock other emphysema abscess of lung metabolic encephalopathy accidents occurring in residential institution fall from other slipping, tripping, or stumbling foreign body in larynx other dependence on machines, supplemental oxygen inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation pulmonary tuberculosis, unspecified, unspecified closed fracture of midcervical section of neck of femur 

Answer: The patient is high likely exposed to