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 the present illness: the patient is a 62-year-old diabetic male admitted to the through the emergency department on . the patient's past medical history is significant for a laparoscopic cholecystectomy in with a postoperative course complicated by bile duct injury requiring roux-en-y reconstruction. following the surgery, the patient also developed chronic pleural effusions, worse on the right requiring multiple thoracentesis. early in , the patient began to develop worsening dyspnea, fatigue, and malaise, and inability to achieve a complete breath. it was noted on workup that he had developed bilateral fibrothoraxes, particularly on the right. the patient's cat scan also revealed mediastinal adenopathy as well as a ground glass appearance to both lungs of unclear etiology. the patient had been admitted to the between and with a chief complaint of increased shortness of breath and was subsequently discharged to a rehabilitation facility. the patient had been home for one week when he developed increasing shortness of breath and was brought into the emergency department by his wife. past medical history: 1. diabetes mellitus. 2. hypertension. 3. chronic leg pain. 4. diabetic neuropathy. 5. cataracts. 6. chronic anemia. 7. benign prostatic hypertrophy. 8. prostatitis (). past surgical history: 1. laparoscopic cholecystectomy in . 2. roux-en-y hepatojejunostomy on . 3. thoracentesis in and . 4. left hip replacement in , complicated by chronic left leg pain. 5. left knee arthropathy. 6. cardiac catheterization in . admission medications: 1. ciprofloxacin. 2. colace. 3. epogen. 4. actos. 5. vitamin c. 6. metformin. 7. flomax. 8. nexium. 9. lisinopril. 10. metoprolol. 11. aspirin. allergies: vicodin (hallucinations). social history: the patient is a retired umpire for multiple sports. he is married and lives with his wife. has two children and five grandchildren. he has never smoked. family history: the patient's father died at the age 61 of copd. the patient's mother died of breast cancer at age 88. one brother has had multiple strokes and two sisters are both healthy. physical examination on admission: vital signs: on admission, the patient's temperature was 97, heart rate 76, blood pressure 129/70, breathing at 24, saturating 96%. general: the patient appeared to be in no distress. the physical examination was notable for bibasilar crackles, worse on the right than the left with an occasional wheeze. the patient's heart was regular and abdomen was benign. laboratory/radiologic data: the patient's white count was 8.76, hematocrit 29.1, platelets 174,000. the patient's serum chemistries revealed a sodium of 142, potassium 4.7, chloride 102, bicarbonate 34, bun 44, creatinine 1.6 as well as a blood glucose of 42. the patient had a blood gas drawn on arrival to the emergency department with a ph of 7.3, carbon dioxide of 71, and oxygen of 122. subsequent arterial blood gases drawn an hour and a half and five hours after arrival in the emergency department continued to have a ph between 7.31 and 7.33 and serum carbon dioxide level of 63-67. cardiac enzymes were drawn with troponins of 0.13, 0.14, and 0.12. hospital course: the patient was admitted to the medical service on admission and workup initiated for possible congestive heart failure. some consideration was given to admitting the patient to the intensive care unit but given that the patient's mental status was at baseline with no evidence of distress as well as the fact that his elevated carbon dioxide level of abg was probably chronic. the decision was made to admit the patient to the floor. diuresis was initiated with lasix. a thoracic surgery consultation was requested. the thoracic surgery team was of the opinion that the patient had an entrapped right lung and that decortication may be of benefit. it was hoped that the decortication would improve the patient's respiratory function. the patient was also seen by the pulmonary service. the patient was started on bipap on the evening of in an attempt to improve his ventilation while asleep. the patient tolerated the bipap well and felt that he had improved sleep and energy with it. the patient was taken to surgery on and underwent decortication of his right lower, middle, and upper lobes as well as his diaphragm. the patient was difficult to intubate and was kept intubated over the night of postoperative day number zero for continued monitoring. the patient was on an epidural for pain control. we were unable to have the patient extubated on postoperative day number one secondary to apnea as well as suboptimal blood gases. the patient was extubated on postoperative day number two. on the evening of postoperative day number three, the patient was noted to be very lethargic, barely responding to voice, diaphoretic, and with decreasing oxygen saturations as well as heart rate. the patient ultimately require reintubation. bronchoscopy was performed revealing a left main stem plug as well as plugs in the left upper and left lower lobes with thick copious whitish secretions. repeat bronchoscopy was performed on postoperative day number four with minimal residual secretions noted. please note that the patient's arterial blood gas on reintubation revealed a ph of 6.98 with a carbon dioxide level of 140 and oxygen of 178. further bronchoscopy was performed on postoperative day number five revealing once again thick yellow secretions worse on the left than the right. the patient was started on levaquin presumptively for pneumonia. the patient underwent tracheostomy on . the patient was returned to the intensive care unit following performance of the tracheostomy. the patient did well following this. the patient's chest tubes were removed on . the patient underwent a swallowing evaluation on . with a passy muir valve, the patient was noted to aspirate during an evaluation the patient was noted to aspirate during evaluation with the recommendation to keep the patient strictly n.p.o. the patient was receiving tube feeds through a dobbhoff nasogastric tube. the patient was weaned off the ventilator and placed on cpap on as well as . the patient was tolerating this mode of ventilation for long periods. the patient was continued on lasix diuresis. a rehabilitation screening was initiated. on , the patient did have the complaint of some chest pain. an ekg was obtained which revealed no changes. however, the patient's pain did resolve with some sublingual nitroglycerin. a cardiology consultation was requested. please note that the patient had a cardiac catheterization in which revealed minimal left circumflex disease and with otherwise clear coronary arteries. cardiac enzymes drawn revealed a troponin level of 0.07 decreasing to 0.06 and then 0.05. at this time, the patient's discharge is on hold pending the cardiology consult. an addendum to this discharge summary will be dictated following input from cardiology. condition on discharge: stable. discharge diagnosis: 1. fibrothorax. 2. diabetes mellitus. 3. pneumonia. 4. prostatitis. 5. anemia. discharge medications: 1. colace liquid 100 mg p.o. b.i.d. 2. metoprolol 75 mg p.o. b.i.d. 3. insulin by sliding scale. 4. lasix 40 mg iv b.i.d. 5. percocet elixir milliliters p.o. q. four hours p.r.n. 6. oxymetazoline one spray b.i.d. as needed. 7. ibuprofen 400 mg q. eight hours p.r.n. 8. levofloxacin 750 mg p.o. q.d. 9. pepcid 20 mg p.o. b.i.d. 10. ambien 5 mg p.o. q.h.s. p.r.n. 11. nortriptyline 75 mg p.o. q.h.s. 12. albuterol ipratropium four puffs inhaler q. six hours. 13. saline nasal spray p.r.n. 14. neutra-phos one packet p.o. t.i.d. 15. tylenol 325-650 mg p.o. q. four hours p.r.n. 16. heparin 5,000 units subcutaneously t.i.d. 17. aspirin 325 mg p.o. q.d. 18. dorzolamide 2%/timolol 0.5% eyedrops b.i.d. 19. vitamin c 250 mg p.o. t.i.d. 20. lexapro 10 mg p.o. q.d. 21. tamsulosin 0.4 mg p.o. b.i.d. follow-up: the patient is to follow-up with dr. in one to two weeks following discharge. the patient is also to follow-up with his primary care physician as well as his pulmonologist within one to two weeks following discharge. the patient will need cardiac follow-up pending the recommendations of cardiology consultation team. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation decortication of lung temporary tracheostomy closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes retention of urine, unspecified other chest pain prostatitis, unspecified 

Answer: The patient is high likely exposed to