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: bacitracin attending: chief complaint: high pitched cough, pna d/t severe tbm major surgical or invasive procedure: 1. right thoracotomy with posterior membranous wall tracheoplasty with mesh. 2. right mainstem and bronchus intermedius plasty with mesh. 3. left mainstem bronchoplasty with mesh. 4. flexible bronchoscopy with aspiration tracheobronchial tree. history of present illness: the patient is a delightful 55- year-old gentleman with a long history of high-pitched cough who recently presented with a severe pneumonia and was found, on imaging, to have severe tracheobronchomalacia. past medical history: iddm - last hga1c=5.9, on insulin pump hypothyroidism hyperlipidemia diabetic neuropathy gastroparesis cad s/p stent in mood d/o osa - on cpap at home social history: no tobacco, etoh, drug use, teaches 9th grade, married. family history: non-contributory physical exam: general: well appearing young male in nad at rest. resp: lungs cta cor: rrr s1, s2 abd: soft, nt, nd,+bs extrem: no c/c/e pertinent results: pa and lateral views of the chest. reason for examination: sp tracheoplasty. comparison: comparison is made to prior study dated . findings: there is mild interval decrease in the pulmonary vascular markings. there are no new focal consolidations. there is no pneumothorax. unchanged mild right pleural effusion. there is no cardiomegaly, the mediastinal contour is unremarkable. the oseous structures are unremarkable. impression: 1. mild interval improvement in the pulmonary vascular markings. 2. unchanged small right pleural effusion. brief hospital course: pt was admitted and taken to the or on for tracheoplasty w/ mesh via right thoracotomy. post op remained intubated and transferred to the icu for continued resp management and monitoring. maintained on vanco, levo for mesh prophylaxis, and lopressor for afib prophylaxis post op. pod#1 bronchoscopy done and clean w/ residual edema. vent weaned and pt extubated. on insulin gtt for diabetes management; consulted (pt on insulin pump as out pt). chest tube to sxn w/ minimal drainage. epidural for pain control. gently diuresed. pod#2 bronch w/ minimal white secretions and persistant but decreased posterior wall edema. reg diet. oob to chair. chest tubes to water seal w/ minimal drainage. pod#3 transferred from icu to floor for continued pulmonary hygiene, diabetes management w/ lantus and ssri while waiting insulin pump from home. pod #4 chest tube d/c'd. epidural d/c'd and po pain med. pod#5 insulin pump started w/ pt self management guidelines. bronch clean-no secretions, minimal posterior wall edema. pod#6 d/c'd to home. vanco/levo d/c'd and started on po augmentin for 2 weeks. will follow up w/ip for bronch in 2 weeks. medications on admission: insulin pump, lipitor 40', lasix 80', synthroid 200', reglan 10q6, neurontin 800"', nortriptyline 100qhs, prozac 40', relafen 500" prn, abilify 15", zelnorm 6', hydromet prn, lamictal 200", miralax, modafinil 200', prevacid 30", trazodone prn, valium5prn discharge medications: 1. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q6h (every 6 hours). 2. modafinil 100 mg tablet : two (2) tablet po qd (). 3. nortriptyline 25 mg capsule : four (4) capsule po hs (at bedtime). 4. gabapentin 400 mg capsule : two (2) capsule po q8h (every 8 hours). 5. lamotrigine 100 mg tablet : two (2) tablet po bid (2 times a day). 6. guaifenesin 100 mg/5 ml syrup : 5-10 mls po q6h (every 6 hours) as needed. 7. albuterol sulfate 0.083 % solution : one (1) inhalation q4h (every 4 hours) as needed. 8. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed. 9. metoprolol tartrate 25 mg tablet : 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 10. levothyroxine 100 mcg tablet : two (2) tablet po daily (daily). 11. furosemide 80 mg tablet : one (1) tablet po daily (daily). 12. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 13. metoclopramide 10 mg tablet : one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 14. atorvastatin 40 mg tablet : one (1) tablet po daily (daily). 15. fluoxetine 20 mg capsule : two (2) capsule po daily (daily). 16. aripiprazole 15 mg tablet : one (1) tablet po bid (2 times a day). 17. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 18. oxycodone-acetaminophen 5-325 mg tablet : 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*80 tablet(s)* refills:*0* 19. ibuprofen 600 mg tablet : one (1) tablet po q8h (every 8 hours). disp:*90 tablet(s)* refills:*1* 20. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 21. insulin pump pt to self regulate insulin pump 22. augmentin 875-125 mg tablet : one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: tracheoplasty discharge condition: good discharge instructions: call dr. office if you experience chest pain, shortness of breath, productive cough, fever, chills. do not drive while taking pain medication. followup instructions: call interventional pulmonology to arrange a bronchcoscopy in 2 weeks. call dr. office for a follow up appointment. procedure: other bronchoscopy other bronchoscopy other intubation of respiratory tract other repair and plastic operations on trachea other repair and plastic operations on bronchus other repair and plastic operations on bronchus diagnoses: unspecified acquired hypothyroidism coronary atherosclerosis of unspecified type of vessel, native or graft polyneuropathy in diabetes percutaneous transluminal coronary angioplasty status diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to