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 present illness: the patient is a 50 year old male with end stage amyotrophic lateral sclerosis, who is ventilator dependent at home. the patient was in his usual state of health at home when his sister (not his usual care giver), gave him an albuterol nebulizer treatment prior to going to bed and was unable to figure out how to reattach his ventilator. the patient subsequently developed respiratory distress and became cyanotic. ems was called and the patient was found to be cyanotic and apneic at arrival. the patient was bagged with fio2 100% and quickly regained consciousness and mental status. the patient was brought to emergency room where the patient was found to be mentating and breathing with normal cbc and chem-7. he was placed on a ventilator a/c with 100% fio2 and transferred to intensive care unit for monitoring overnight on ventilator status post respiratory arrest. past medical history: 1. amyotrophic lateral sclerosis status post tracheostomy and peg in . the patient is able to talk through chronic cuff leak and eat p.o. diet. 2. status post non-q wave myocardial infarction in setting of a respiratory arrest in . no history of congestive heart failure. 3. hypertension. 4. history of prostatitis. 5. chronic constipation. 6. history of heavy alcohol use. 7. anxiety. medications: 1. tamoxifen. 2. klonopin. 3. lactulose. 4. lopressor. 5. aspirin. 6. relutek. 7. celexa. 8. combivent mdi. allergies: no known drug allergies. social history: the patient is married to a former nurse who is able to manage medical condition and ventilator at home, thus the patient is vent dependent and bed bound living at home with his wife and two children. the patient has a history of heavy alcohol use and continues to drink alcohol on a regular basis. he does not smoke. no intravenous drug use. the patient is completely paralyzed and unable to move out of bed. family history: noncontributory. physical examination: heart rate is sinus tachycardia at 110; blood pressure 121/73; temperature afebrile; saturation 100% on fio2 100%. general appearance: a paralyzed male in no acute distress breathing comfortably through tracheostomy; able to speak through cuff leak. heent: mucous membranes were moist. oropharynx clear. pupils equally round and reactive to light. extraocular movements are intact. neck with tracheostomy site without erythema or purulence. positive moderate to severe cuff leak. cardiovascular is tachycardic, normal s1 and s2. no s3, s4, no murmurs. pulmonary: vented breath sounds bilaterally, decreased at the bases without rhonchi, wheezing or crackles. abdomen soft, nontender, nondistended. g-tube site clean, dry and intact without purulence. extremities with no cyanosis, clubbing or edema, two plus distal pulses. neurologic examination is cranial nerves ii through xii intact. motor strength zero out of five diffusely. deep tendon reflexes unable to be elicited. sensation intact. laboratory: cbc and chem-7 within normal limits. abg with ph of 7.41. summary of hospital course: the patient was admitted to the intensive care unit for monitoring of hemodynamics and respiratory status overnight. he did extremely well and remained stable on his usual ventilator settings of assist control 780 by 17 with fio2 of 40% and peep of 5. the patient required frequent suctioning of thick clear sputum which he states is no different from normal. the patient remained afebrile throughout this hospital admission. chest x-ray did show question of left lower lobe atelectasis versus consolidation, however, as the patient was afebrile with a normal white blood cell count it was felt that this could be monitored at home. the patient remained in the intensive care unit for approximately 48 hours until his care giver who was able to manage his ventilator returned home. the patient remained medically stable and was subsequently transferred to home on . his wife is his full time care giver and manages his respiratory needs, including ventilation and suctioning at home. of note, the patient was placed on methicillin resistant staphylococcus aureus precautions while in the intensive care unit given his recent three week hospital admission for methicillin resistant staphylococcus aureus pneumonia. the patient will have follow-up with his physician, . , or on an as needed basis for fevers and pneumonia, given his high risk status. his cuff leak was also discussed, however, it was felt that this was unchanged from prior and that the patient likes to be able to talk around his cuff leak, thus, no further work-up was done for changing tracheostomy tube. discharge diagnoses: 1. respiratory arrest status post mechanical dysfunction due to operator error. 2. end stage amyotrophic lateral sclerosis, ventilator dependent. 3. history of alcohol abuse. 4. history of prostatitis. 5. hypertension. 6. anxiety. 7. constipation. condition at discharge: stable. discharge status: the patient is discharged to home with ventilator and medical management per his wife. follow-up with primary care physician on as needed basis and wife will monitor closely for fevers and evidence of pneumonia. the patient will follow-up with pulmonologist on a p.r.n. basis for management of cuff leak should this become more problem. discharge medications: unchanged from admission medications. 1. temazepam. 2. klonopin. 3. lactulose. 4. lopressor. 5. aspirin. 6. relutek. 7. celexa. 8. combivent mdi. , m.d. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension amyotrophic lateral sclerosis acute and chronic respiratory failure old myocardial infarction home accidents gastrostomy status other tracheostomy complications surgical operation with formation of external stoma causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to