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: hypoxia, hypertension major surgical or invasive procedure: none history of present illness: mr. is a 53 yo m h/o morbid obesity and etoh abuse who was referred from to ed for work up of hypoxia. patient had gone to today for concern for an eye infection. he was found to have an o2 sat of 74%, rr of 36 and bp of 240/140. patient does endorse noticing mild shortness of breath and doe over the past week, feeling winded after walking about 3 weeks. notably, he has also noted daytime somnolence to the point of falling asleep without meaning to, especially over the past week. he has never been tested for sleep apnea and has never received treatment for hypertension. he does admit to significant nighttime snoring. he has not experienced any morning headaches. he denies any recent fevers, chills, sweats or cough. he also denies any chest pain or palpitations. he denies any orthopnea or pnd or le swelling. . in the ed, initial vs were: t 99.1 p96 bp 222/127 r 18 o2 sat 77% ra. patient received iv solumedrol, nebulizer treatments, lasix 20 mg iv x 1. on 4l o2 via nc sats increased to 92%. he was also started on a nitro gtt at 1.7 mcg/kg/min with sbp 170s. . upon transfer to the floor, an abg was done which revealed a respiratory acidosis with pco2~77. he is being transferred to the icu for closer monitoring and initiation of bipap. past medical history: - seasonal allergies - s/p tonsillectomy social history: recently laid off from job in sales at . drinks 6 beers/day quit smoking 8 yrs ago, previously smoked ppd x 10 yrs denies any recreational drugs msm, not sexually active at this time family history: father deceased from pulmonary embolus. denies any lung disease, cad, dm. physical exam: vitals: t bp 171/89 ar 97 rr 18 o2 sat 87% on 5l general: alert, oriented, auditory wheezing heent: + bilateral injection of lateral conjunctiva, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, + expiratory wheezes in the upper lung fields anteriorly cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, obese, bowel sounds present, unable to assess for organomegaly given obese abdomen ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: ao x 3, cn ii-xii grossly intact, 5/5 strength in all 4 ext skin: no lesions at time of discharge, patient still had expiatory wheezes, but bp improves, sbp 120s-140s and o2 sats 88-92% on ra at rest and high 70s with ambulation on room air, 89% on 4l with ambulation pertinent results: lab data 10:40am blood wbc-12.3* rbc-5.78 hgb-18.0 hct-54.8* mcv-95 mch-31.2 mchc-32.9 rdw-14.2 plt ct-170 03:23am blood wbc-11.0 rbc-5.45 hgb-17.1 hct-52.2* mcv-96 mch-31.3 mchc-32.7 rdw-14.0 plt ct-161 03:31am blood wbc-10.2 rbc-5.68 hgb-17.5 hct-53.5* mcv-94 mch-30.8 mchc-32.7 rdw-13.8 plt ct-141* 03:31am blood pt-15.2* ptt-29.4 inr(pt)-1.3* 10:40am blood glucose-120* urean-17 creat-1.3* na-141 k-4.2 cl-95* hco3-34* angap-16 05:17pm blood glucose-105 urean-17 creat-0.9 na-138 k-4.2 cl-89* hco3-41* angap-12 04:14am blood glucose-135* urean-31* creat-1.5* na-139 k-4.1 cl-87* hco3-44* angap-12 03:31am blood glucose-116* urean-23* creat-1.0 na-138 k-4.2 cl-89* hco3-42* angap-11 10:40am blood alt-52* ast-36 ld(ldh)-280* ck(cpk)-105 alkphos-84 totbili-1.3 10:40am blood ck-mb-5 probnp-2249* 10:40am blood ctropnt-<0.01 02:56am blood ck-mb-5 ctropnt-<0.01 10:40am blood calcium-9.0 phos-3.9 mg-1.9 03:31am blood calcium-9.3 phos-3.0# mg-1.9 04:50am blood triglyc-98 hdl-40 chol/hd-3.0 ldlcalc-58 10:57am blood type- temp-37.3 rates-/20 o2 flow-4 po2-53* pco2-74* ph-7.31* caltco2-39* base xs-6 intubat-not intuba comment-nasal 03:03am blood type-art po2-107* pco2-106* ph-7.19* caltco2-42* base xs-8 intubat-not intuba comment-id by dr 12:12am blood type-art temp-37.2 o2 flow-3 po2-58* pco2-107* ph-7.23* caltco2-47* base xs-12 intubat-not intuba 03:12am blood type- temp-37.2 rates-/20 po2-89 pco2-79* ph-7.37 caltco2-47* base xs-15 intubat-not intuba 10:57am blood glucose-117* lactate-2.0 na-142 k-4.2 cl-89* calhco3-39* 03:03am blood lactate-0.9 10:57am blood hgb-18.7* calchct-56 o2 sat-83 cohgb-3 methgb-0 07:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-tr bilirub-neg urobiln-8* ph-8.0 leuks-neg 07:00pm urine eos-negative 07:00pm urine hours-random urean-609 creat-69 na-81 discharge labs 05:34am blood wbc-9.3 rbc-5.53 hgb-17.9 hct-50.6 mcv-92 mch-32.4* mchc-35.3* rdw-13.5 plt ct-146* 05:34am blood pt-13.8* ptt-27.5 inr(pt)-1.2* 05:34am blood glucose-113* urean-21* creat-1.1 na-137 k-3.9 cl-90* hco3-39* angap-12 05:34am blood alt-38 ast-33 ld(ldh)-269* alkphos-80 totbili-1.5 04:50am blood triglyc-98 hdl-40 chol/hd-3.0 ldlcalc-58 blood culture negative cxr findings: single frontal chest radiograph is notable for cardiomegaly. mediastinal and hilar contours are unremarkable. the lungs are otherwise clear. mild prominence of central pulmonary vasculature may reflect crowding. there is no overt failure. note is made of numerous old fracture deformities at the right posterior ribs. visualized soft tissue structures are unremarkable. impression: cardiomegaly as above without overt failure. cta chest impression: extremely limited study. within those constraints, there is no central pulmonary embolism and note is made of cardiomegaly. echo impression: suboptimal image quality. symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. moderate pulmonary artery systolic hypertension. right ventricular cavity enlargement with free wall hypokinesis. dilated thoracic aorta. these findings are c/w a primary pulmonary process (e.g., sleep apnea, copd, chronic pulmonary embolism, etc.). ekg: sinus at 93 bpm. normal intervals. poor r wave progression. twi in v1-v2. no comparison available brief hospital course: mr. is a 53yo morbidly obese male with h/o etoh abuse who presented with severe hypoxia and hypertension. 1)hypoxia: patient presented with severe hypoxia, oxygen sats 70s on room air. his relative lack of symptoms and elevated hct and bicarb suggests that this is chronic process and is felt to be multifactorial secondary to obesity hypoventilation, central and obstructive sleep apnea, diastolic chf, and obstructive lung disease. he did not have findings on cxr to suggest an underlying pneumonia or other acute process and cta was negative for pe. he did not have evidence of pulmonary edema but given elevated bnp, he was felt to have some component of diastolic chf and was diuresed about 15l in the micu with some improvement in oxygen requirement. bipap was initiated and titrated by respiratory although he was still found to intermittently desaturate into the 70s overnight while sleeping when he would become apneic and hypertensive. backup rate was added for component of central as well as obstructive sleep apnea. for expiratory wheezes, he was started on combivent mdi qid. he will have follow up sleep study as an outpatient and will follow up in sleep . he was provided with bipap machine and home oxygen at time of discharge due to persistently low oxygen saturations (77% on room air with ambulation, 89-90% on room air at rest) and was prescribed lasix 20 daily for ongoing management of volume status. 2)hypertensive urgency: patient presented with elevated sbps~200's. he was asymptomatic and had not been on any anti-hypertensives as an outpatient. he was initially placed on a nitro gtt with some improvement of his pressures then was weaned off. with better control of his sleep apnea, he became normotensive off all medications and bps during the day were 120s/70s. they were sometimes elevated 150s/80s overnight, which were tolerated. he was not continued on any antihypertensives as the best management of his nocturnal htn was felt to be treating his sleep apnea. 3)renal insufficiency: patient presented with cr of 1.3 on admission and no known baseline. creatinine peaked at 1.5 after aggressive diuresis of 15 l in micu then was back down to 1.0 on discharge. he was started on low dose lasix 20mg po daily for maintenance of volume status and will have repeat labs next week at new pcp 4) pulmonary hypertension:pt has moderate pulmonary htn on echo likely from chronic hypoxia as well as sleep apnea. he was discharged on home oxygen to maintain oxygen saturations >89% and with management of sleep apnea with bipap. hiv testing was offered but declined. medications on admission: none discharge medications: 1. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation qid (4 times a day). disp:*1 inhaler* refills:*2* 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*2* 3. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. bipap bipap settings machine: autosv pressures: expiratory 14cm, inspiratory minimum 16cm, inspiratory maximum 20cm, backup rate 8bpm, mask to be fit by total sleep therapies. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. supplemental oxygen home oxygen at 0-4 lpm continuous via nasal cannular conserving device for portability, also titrate o2 to bipap system. discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis hypoxia secondary to mixed obstructive and central sleep apnea secondary diagnosis hypertension discharge condition: hemodynamically stable, afebrile, oxygen sats 77% with ambulation on room air, 89% on 4l with ambulation, 88-90% on room air at rest, normotensive discharge instructions: you were admitted with low oxygen in your blood and high blood pressure. this is due to sleep apnea. you were on bipap and ventilation while you were in the intensive care unit in order to keep your blood oxygen levels within normal limits. once your nighttime breathing was controlled, your blood pressure came down by itself. you will have bipap at home and a company will come by today to set it up for you. you will also have a sleep study on friday . we added the following medications 1. lasix 20 mg by mouth daily 2. albuterol/ipratropium inhaler 3. albutero inhaler as needed please return to the er or call your primary care doctor if you develop chest pain, shortness of breath, increased lower extremity edema, lightheadedness, dizziness, or any other concerning symptoms. please also weigh your self daily and call your primary care doctor if you gain more than 3 pounds. follow a low sodium diet to avoid retaining water and weight. followup instructions: please follow up with your new primary care doctor, , md on date/time: 2:00 at building at in , ma. call if you have any questions regarding this appointment. you should arrive at this appointment 15 minutes earlier to have your labs checked. you also will have a sleep study on at the sheraton hotel in which will start at 7:30pm. they will send you an informational packet with more information. please also follow up with the sleep doctors . you have an appointment with dr. phone: on 8:00am. this appointment is locate building on the . procedure: non-invasive mechanical ventilation diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified acute kidney failure, unspecified acute on chronic diastolic heart failure hypopotassemia acute respiratory failure primary pulmonary hypertension morbid obesity hypoxemia malignant essential hypertension other and unspecified coagulation defects alcohol abuse, continuous primary central sleep apnea 

Answer: The patient is high likely exposed to