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 distress major surgical or invasive procedure: bronchoscopy history of present illness: 21 year-old developmentally-delayed male with restrictive lung disease (s/p placement of multiple pulmonary stents in ) secondary to severe kyphoscoliosis presenting with worsening hypercarbic respiratory failure. his pco2 is normally in the 60s (per omr) but were worse on admission (103). per caretaker, the patient has been having steadily increasing o2 requirements over the last 6 weeks and has not been able to perform his usual activities. he is normally on 2l nasal o2 at home with o2 sats 98-100%. during the week before admission, he required 4l o2 to keep o2 sats above 90%. he was recently admitted to for multifocal pna in . . per caretaker, the patient has been complaining of cough over the last week. the patient is mostly non-verbal. he can utter short phrases, but is not to be taken at face value, i.e., when offered food, he may say he is not hungry even though he has not eaten that day. he is able to vocalize pain and discomfort with pointing. he is ambulatory (with assistance) at baseline and is normally incontinent of urine and stool. . he presented to the ed on with hr=120s, bp=140/70, rr=24, 96% on 2l. abg showed ph=7.34, pc02=103, po2=79. cta showed worsening volume loss of right lung and left-sided pulmonary edema with possible multifocal infection. he was given ceftriaxone, azithromycin, and vancomycin. he was admitted directly to the icu for further management. in the icu, he had episodes of desaturation to the mid-50s; these improved rapidly with face mask and nebulizer treatment. he did not require intubation. his antibiotics were changed to levofloxacin and unasyn for treatment of pneumonia. repeat abgs showed improvement in pc02 and p02, and he was transferred to the floor for further management. he was then transferred to the floor. . on the floor this morning at approximately 4:30 am, he was found to be acutely agitated, he had removed his oxygen and was desaturating into the teens - he became cyanotic and unresponsive. a gas shortly after this revealed a pco2 of 109 - up from his baseline of pco2 of 60. on replacing his oxygen by face mask (100%), he recovered his sats, his color, and his responsiveness. he is transferred to the micu for continual o2 monitoring. . past medical history: 1. mitochondrial enzyme deficiency causing mental and developmental retardation. specific deficiency not specified in prior notes. 2. severe kyphoscoliosis, s/ rods placement 3. restrictive lung disease secondary to kyphoscoliosis (extrinsic/compression of bilateral bronchi). s/p r main stem stenting, + stents to bronchus intermedius and left main stem bronchus (stents placed in ; patent as of ) 3. asthma 4. ? vs carpenter's syndrome 5. hypertension. 6. bilateral hydronephrosis, right greater than left. 7. valvular heart disease by history (mild ar, trace mr, normal ejection fraction). 8. developmental delay, nonverbal, but communicative. 9. history of acute respiratory distress, hypoxia, requiring micu stay, intubation, and pressors. 10. postobstructive pneumonia. 11. status post several surgeries to correct kyphoscoliosis. 12. chronic resp acidosis with pco2s in 60s . allergies: nkda . preadmission medications () 2. enalapril 2.5 mg po bid. 3. home o2 - 2 liters nasal cannula. 4. xopenex 5. omeprazole 40 qd . social history: lives with his parents (mrs. is his health-care proxy and mother), brother, and other children. . family history: 3 brothers with same mitochondrial disorder . pe: vs: af, bp 125/90, hr 105, rr 18-20; 100% on 100% face mask gen: young male, non-communicative, breathing with face mask heent: microcephalic, atraumatic, perrla, mmm, pink conjunctiva. resp: breathing easily; diffuse rhonchi; bibasilar crackles. cv: pectus excavatum deformity; tachycardic; regular rhythm; abd: +bs; soft; nt; nd. ext: no c/c/e neuro: non-verbal consistently; does not follow commands; moving all 4 extremities . data: cxr of this am (6am): the chest cage is markedly deformed. there is a scoliosis concave to the left and a relatively small right hemithorax. spinal stabilization rods in place are intact but precise location is not assessed by this examination. the proximal portion of a left bronchial stent is obscured by the rods. the distal portion is proximal to the lobar branching of the left main bronchus. left lung is severely consolidated and heterogeneous opacification of the right lung has progressed since . findings could be due to pulmonary edema alone, or widespread pneumonia. given the chest deformity, heart size is difficult to assess but it appears larger on today's examination than in . . a/p: 21 year-old developmentally-delayed male with an extensive history of restrictive lung disease admitted with worsening respiratory failure secondary to ? post-obstructive pneumonia who had an episode of desaturation to the teens with cyanosis and transient unresponsiveness on the medical floor early this am transferred to the micu for closer monitoring. . 1. hypercarbic respiratory failure exacerbation due to possible post-obstructive pneumonia and atelectasis. this is in addition to the patient's background of chronic restrictive lung disease secondary to kyphoscoliosis. ? bronchiomalacia worsening ventilation (as evidenced by ct scan) - repeat abg now that appears at baseline to evaluate for resolution - cont face mask, nippv if decompensates - cont. xopenex neb q 4 hours and acetylcysteine nebs prn . 2. ? pneumonia possible post-obstructive pneumonia given bronchiomalacia, restrictive defects. - continue levo 500 mg daily - continue metronidazole 500 mg iv tid (changed from unasyn to this ) - f/u blood cultures . 3. restrictive lung disease, s/p instrumentation; broncheomalacia. stents in place for ct. to be seen by interventional pulmonology today to evaluate for possible bronch tomorrow to re-evaluate airways. - follow-up ip recs - npo in anticipation of possible bronch today . 4. cardiac patient has a history of valvular disease with trace mr and normal ef. he has ra enlargement and rvh on ct scan, mild pericardial effusion. echocardiogram shows normal left atrium and left ventricle with ef of 60%. the right ventricular cavity is dilated with depressed right ventricular systolic function. severe pulmonary artery systolic hypertension and a small pericardial effusion were observed. - continue to follow in icu . 5. glycemic control - will continue insulin sliding scale . 6. fen: npo pending stabilization and in anticipation of possible bronch today. per mother, the patient is able to feed himself at baseline. . 7. prophylaxis: pneumatic boots; elevate head of bed 45 degrees . 8. access: piv (one, rt. ue, inserted ) . 9. dispo: micu . 10. code status: full. . 11. communication: , pt's guardian . past medical history: 1. mitochondrial enzyme deficiency causing mental and developmental retardation. specific deficiency not specified in prior notes. 2. severe kyphoscoliosis, s/ rods placement 3. restrictive lung disease secondary to kyphoscoliosis (extrinsic/compression of bilateral bronchi). s/p r main stem stenting, + stents to bronchus intermedius and left main stem bronchus (stents placed in ; patent as of ) 3. asthma 4. ? vs carpenter's syndrome 5. hypertension. 6. bilateral hydronephrosis, right greater than left. 7. valvular heart disease by history (mild ar, trace mr, normal ejection fraction). 8. developmental delay, nonverbal, but communicative. 9. history of acute respiratory distress, hypoxia, requiring micu stay, intubation, and pressors. 10. postobstructive pneumonia. 11. status post several surgeries to correct kyphoscoliosis. 12. chronic resp acidosis with pco2s in 60s physical exam: pe: vs: af, bp 125/90, hr 105, rr 18-20; 100% on 100% face mask gen: young male, non-communicative, breathing with face mask heent: microcephalic, atraumatic, perrla, mmm, pink conjunctiva. resp: breathing easily; diffuse rhonchi; bibasilar crackles. cv: pectus excavatum deformity; tachycardic; regular rhythm; abd: +bs; soft; nt; nd. ext: no c/c/e neuro: non-verbal consistently; does not follow commands; moving all 4 extremities . pertinent results: 03:51am d-dimer-1276* 03:51am plt count-228# 03:51am hypochrom-3+ 03:51am neuts-77.8* lymphs-13.9* monos-4.2 eos-3.6 basos-0.5 03:51am wbc-8.7# rbc-3.35* hgb-9.5* hct-29.7* mcv-89 mch-28.4 mchc-32.0 rdw-15.9* 03:51am probnp-1136* 03:51am glucose-158* urea n-28* creat-0.6 sodium-142 potassium-4.9 chloride-91* total co2-greater th 09:21am po2-79* pco2-103* ph-7.34* total co2-58* base xs-23 10:05am lactate-1.1 03:08pm lactate-0.6 03:08pm type-art po2-85 pco2-101* ph-7.34* total co2-57* base xs-22 intubated-not intuba brief hospital course: 19 m developmentally-delayed c/restrictive lung disease secondary to severe kyphoscoliosis presenting c/ worsening hypercarbic resp. failure. pt. was intubated for resp. failure and pneumonia. pt was evaluated for possible pneumonenectomy but was not a current surgical candidate given decompensation with r. pulmonary artery occlusion during cardiac cath. outcomes discussed at length with family and they opted for repeat stenting. prior to procedure, pt developed resp. distress and family decided to make patient comfort measures only. the patient passed away soon after decision was made. medications on admission: enalapril 2.5 mg po bid. 3. home o2 - 2 liters nasal cannula. 4. xopenex 5. omeprazole 40 discharge medications: deceased discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased discharge instructions: deceased followup instructions: deceased procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation right heart cardiac catheterization pulmonary artery pressure monitoring diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified other chronic pulmonary heart diseases pulmonary collapse acute and chronic respiratory failure other diseases of lung, not elsewhere classified unspecified intellectual disabilities other anomalies of spine other specified congenital anomalies disorders of mitochondrial metabolism malposition of heart and cardiac apex 

Answer: The patient is high likely exposed to