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 major surgical or invasive procedure: none history of present illness: 86yo man with significant cardiac history with hypertension, hypercholesterolemia, cad s/p cabg, chf and copd (requiring 1.5 l at baseline) presented to the emergency department with several complaints, including overall weakness, lethargy, cough and constipation/diffuse abdominal pain. initial vitals in the ed were 96.0, 133, 122/56, 22, and 94% on nrb -> 86% on 3l nc. while in teh ed, he received treatments directed at his copd with solumedrol and combivent; his chf with lasix; and finally potential pna with levaquin. cxr revealed chf w/ b/l effusions. admitted to the micu and observed o/n, swallowing studies revealed aspiration of thin liquids. antibiotics were d/c'd in micu as pt was not felt to have infiltrate on cxr or definitive infection (afebrile and w/ improving wbc). called out to floor on and arrived on 50% vm with spo2 in 90% range. diuresed with increasing lasix regimen over the next several days with net urine output ranging from 200-1000cc/ 24hrs. despite diuresis, pt with persistent 02 requirement (on 50% venti mask) along with bilateral effusions; with 40iv lasix, bp in 90-100 range with decreasing urine output. transferred to chf service for likely natrecor +/- dopamine. past medical history: 1) cad s/p cabg in ' 2) chf with ef of 35% 3) atrial fibrillation 4) hypercholesterolemia 5) copd 6) vertigo 7) spinal stenosis 8) h/o myocardial infarction, last reportedly one month ago in setting of ugi bleed 9) recent ugi bleed ( )--> 2 vessels cauterized social history: reports no etoh/drugs/current tobacco (past history of 1 ppd for 15 years) now lives in facility. has support from two daughters. physical exam: 97.6, 109, 90-100/50-52, 50% venti mask w/ spo2 91-94% gen: aox2, dysarthric, tachypneic heent: perrl, eomi; ptosis of right eye lid cv: irregular, tachycardic; no m/r/g resp: + b/l decreased bs w/o ronchi and dullness to percussion at bilateral lung bases. abd: soft, nt, nd; normoactive bowel sounds extr: 1+ pitting edema bilaterally with stasis changes and erosion on right heel and 3 x 5cm ulceration with surrounding erythema on right calf pertinent results: 10:30pm alt(sgpt)-25 ast(sgot)-29 ck(cpk)-19* alk phos-95 amylase-15 tot bili-0.5 10:30pm lipase-15 10:30pm ctropnt-0.04* 10:30pm albumin-3.8 10:06pm type-art po2-196* pco2-34* ph-7.46* total co2-25 base xs-1 comments-large air 06:00pm ck(cpk)-23* 06:00pm pt-24.3* ptt-38.1* inr(pt)-3.7 micro data: bcx pending bcx pending ucx pending . admit cxr: bilateral effusions with nontypical chf due to underlying emphysema . echo severe pulmonary artery systolic hypertension. regional left ventricular systolic dysfunction c/w multivessel cad. mild-moderate mitral regurgitation. mild aortic regurgitation. . kub: there are gas-filled loops of non-dilated small bowel with gas present in the colon and rectum and no evidence for intestinal obstruction. there are vascular calcifications. no obvious soft tissue masses or radiopaque calculi. . brief hospital course: pt was admitted with decompensated heart failure and blood pressure could not tolerate his home diuretic regimen. pt was admitted to the micu and then to the floor after he had stabilzed. the hypoxia was thought to be aspiration pneumonia and chf. despite maximizing diuretics and treating the pneumonia, pt's oxygen requirement continued to increase. after discussions with the family and emphasizing the pt's poor prognosis, the decision was made to make the patient comfortable. he was placed on a morphine drip and expired soon thereafter. medications on admission: advair discus asa 81 qd colace 100mg qd ferrex 150 qd lasix 40 qd isosorbide 10 tid lexapro 10 qd lipitor 20 qd omeprazole provigil spiriva coumadin discharge medications: none discharge disposition: extended care discharge diagnosis: primary: 1. systolic heart failure - interval new wall motion abnormalities. 2. acute exacerbation of copd. 3. upper gi bleed nos. 4. hypoxia. 5. bilateral lower extremity heel ulcer. 6. ischemic toe ulcer. 7. left bundle brunch block. 8. acute renal failure. 9. hypernatremia. secondary: 1. copd/emphysema. 2. cabg - angioraphy without intervenable lesions. 3. nstemi x 4. 4. duodenal bleeding ulcer - cauterized at . 5. atrial fibrillation. 6. hypercholesterolemia. 7. spinal stenosis. 8. compression fracture. 9. peripheral vascular disease. 10. chronic renal insufficiency. 11. iron deficiency anemia. 12. cerebellar degeneration. discharge condition: expired discharge instructions: none followup instructions: none procedure: enteral infusion of concentrated nutritional substances injection or infusion of nesiritide diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status depressive disorder, not elsewhere classified other specified forms of chronic ischemic heart disease unspecified disorder of kidney and ureter iron deficiency anemia, unspecified encounter for palliative care hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia personal history of colonic polyps acute myocardial infarction of unspecified site, subsequent episode of care 

Answer: The patient is high likely exposed to