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: patient recorded as having no known allergies to drugs attending: chief complaint: respiratory failure major surgical or invasive procedure: intubation tracheostomy history of present illness: 61 yo male with copd, charcot tooth, osa, poorly differentiated lung cancer s/p right upper lobectomy () with probable aspiration pna sepsis, nstemi, chf. transferred for ards txt, but not appear to be ards. trop i peak 2.35, cpk peak 774, started on asa. intubated for hypoxic respiratory failure. baseline abg 7.43/42/79-12/04. he was transferred to for further evaluation. chest tube in place. past medical history: osa, copd, restrictive lung dz, left diapragm eventration- s/p fundiplication , multiple pnas, last bronchitis , + exposure to asbestos, aspiration pna . social history: former smoker, 90 pack year. now quit tobacco family history: daughters 2 out of 3 have charcot--tooth physical exam: afebrile, normotensive on pressors, intubated on simv with spo2 99% on fio)2 40% gen: nontoxic, sedated lungs: wheezes throughout, decreasesd air on right lower base, right posterior chest tube cor: s1/s2, no m/r/g abd, flat, nd/nt ext: 2+ edmea bilaterally, no erythema, pes calvus deformity, flexion deform of fingers. neuro: , , responds noxious stimuli, sedated pertinent results: 03:55am blood wbc-15.0* rbc-3.38* hgb-10.2* hct-31.0* mcv-92 mch-30.1 mchc-32.8 rdw-14.2 plt ct-500* 04:47am blood wbc-20.1* rbc-3.35* hgb-10.3* hct-30.5* mcv-91 mch-30.8 mchc-33.8 rdw-14.0 plt ct-535* 04:01am blood neuts-80* bands-0 lymphs-10* monos-4 eos-0 baso-0 atyps-0 metas-2* myelos-4* 03:55am blood plt ct-500* 04:01am blood ret aut-1.9 03:55am blood glucose-149* urean-12 creat-0.5 na-138 k-4.0 cl-100 hco3-36* angap-6* 08:52pm blood ck(cpk)-33* 08:52pm blood ck-mb-2 ctropnt-0.07* 03:55am blood calcium-8.8 phos-3.2 mg-1.7 07:19pm blood cortsol-53.9* 07:49pm blood type-mix po2-45* pco2-56* ph-7.38 calhco3-34* base xs-5 05:46pm blood lactate-0.8 10:16pm blood freeca-1.15 chest (portable ap) portably ap chest x-ray: interval placement of a tracheostomy tube. there has been interval removal of an ng tube. no pneumothorax is identified. no definite subcutaneous air is seen. mediastinal contour and cardiac contours are unchanged. again seen are alveolar opacities bilaterally, but much more prominent on the left. this is not significantly changed from prior exam. impression: interval placement of a tracheostomy tube and removal of an et tube and ng tube. no definite pneumothorax or subcutaneous air identified. the exam is not significantly changed. ekg sinus tachycardia. baseline artifact. compared to the previous tracing of the rate has increased. no evidence of acute or old ischemia echo: left atrium - four chamber length: 4.2 cm (nl <= 5.2 cm) right atrium - four chamber length: 4.5 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: 0.8 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 4.3 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.1 cm left ventricle - fractional shortening: *0.28 (nl >= 0.29) aorta - valve level: 3.6 cm (nl <= 3.6 cm) aortic valve - peak velocity: 1.4 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.9 m/sec mitral valve - a wave: 1.0 m/sec mitral valve - e/a ratio: 0.90 mitral valve - e wave deceleration time: 225 msec 1. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is very difficult to assess but is probably normal. brief hospital course: hospital course outlined by problem below: # respiratory failure- multifactorial. has restrictive (charcot--tooth, left hemidiaphragmatic weakness s/p plication, right upper lobectomy, on cpap at home at night) and obstructive (copd) components. also has had two recent consecutive aspiration pneumonias. sputum w/ acinobacter at osh, now w/oroflora. at , sputums only grew out oropharyngeal flora. he was continued on levo, and vancoand showed imporovement in respiratory status. he was extubated on however he showed progressive resp distress over the next 2 days requiring reintubation. cxr showed worsening left sided pneumonia and he had a leukocytosis. remained afebrile. flagyl was added and he responded well with decreasing wbc and decreased respiratory distress. he underwent tracheostomy and was able to tolerate minimal pressure support by the time of discharge on psv 5/5 for period of time and allowed to rest on higher pressure support. he received steroids for his copd and which has now been tapered off. his vanc, levo, flagyl will be continued unitl . given his reestrictive disease (charcot--tooth, left hemidiaphragm disease, and new right lobectomy) he will liklely need longterm support with ventilation. ## sedation - did well with haldol standing order. this may be stopped if he tolerates his trach without aggitation. he sundowns so may require it at night. # hypotension - he was received on pressors, but these were rapidly titrated off and he maintained good blood pressures. he was given a short course of stress dose steroids (hydrocort 50mg qid both for his hypotension at the osh and his copd exacerbation). # nstemi- asa, bb. s/p cards consult, r-sided ekg nl. liekly was demand ischemiea in the setting of his hypotension. his echo, albeit of poor quality shows a normal ef and no wma. he was started on a beta blocker, aggressive statin, asa. he will need an acei for long term benefit of his cad. he was diuresed until euvolemic which imporved his hypoxia. would continue to diurese until patient bun/cre bump. # lung cancer-stage 2-poor prognosis with 20-30% chance for cure with surgery alone. adjuvent chemo would only add an additional 5% chance for cure. heme-onc consult discussed prognosis with family and as of discharge the pt not aware of the final path results yet. he can follow up with the clinic for further follow up. medications on admission: advair spiriva discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. atorvastatin calcium 40 mg tablet sig: two (2) tablet po hs (at bedtime). 6. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 7. trazodone hcl 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. ipratropium bromide 18 mcg/actuation aerosol sig: four (4) puff inhalation q4h (every 4 hours). 10. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 11. levofloxacin 500 mg tablet sig: one (1) tablet po once a day: see discharge summary for end date. 12. vancomycin hcl 10 g recon soln sig: one (1) recon soln intravenous q12h (every 12 hours): see discharge summary for end date. 13. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: one (1) intravenous q8h (every 8 hours): see discharge summary for end date. 14. haloperidol lactate 5 mg/ml solution sig: one (1) injection tid (3 times a day). 15. methylprednisolone sodium succ 1,000 mg/8 ml recon soln sig: 12.5 mg injection q24h (every 24 hours) for 3 doses: taper last dose for 12.5 mg qd is . discharge disposition: extended care facility: - - discharge diagnosis: multifocal aspiration pneumonia with sepsis copd exacerbation respiratory failure charcot--tooth restrictve lung disease squamous cell carcinoma, poorly differentiated with 1 out of 2 hilar lymph node (stage ii) nstemi discharge condition: stable discharge instructions: contact your physician if you worsening breathing problems, fevers, or chest pain. followup instructions: contact your primary care physician 2 weeks of leaving rehab contact our oncology clinic (call for number) to make an appointment with our oncologists. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more temporary tracheostomy diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified acute respiratory failure hypotension, unspecified malignant neoplasm of upper lobe, bronchus or lung unspecified sleep apnea peroneal muscular atrophy 

Answer: The patient is high likely exposed to