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/pulmonary embolus major surgical or invasive procedure: intubation history of present illness: mr. is a 75 yo male with a history of tbi, gi bleed in , cki, prostate cancer, and recent discharge from on for aspiration pneumonia, who was noted at his rehab on the morning of to be sob with an oxygen sat of 94% on ra. per osh records, the patient stated that he had felt sob for two days, but denied cough, cp, n/v/d/c, leg pain or le swelling. a cxr at the rehab on was normal however the patient developed an oxygen requirement, satting 93-95% on 2l nc. despite treatment with q4h duonebs, he continued to experience sob, difficulty breathing, and agitation. he was brought by ems to nwh on where he was found to be a=ox3,with vitals: t: 98, bp: 139/60, p: 75, rr: 32, and pox of 88% on ra. ekg showed no change from previous. labs were notable for a elevated d-dimer of 3.4 and cr 1.3. a cta chest at the osh showed multiple pes. although he remained hd stable, he began to have increasing work of breathing and was subsequently intubated. he was given 70 mg of lovenox,500cc bolus of ns, and duonebs at osh. at the time of transfer to vitals were: bp 159/85 rr 17 100% ac 550x16 fi02 100. . in the ed, initial vs were: afebrile, p: 82, bp: 139/48, rr: 17, o2 sat 99% vented. the patient was transferred to the for further management. ekg showed lbbb but nsr. . on the floor, the patient was sedated and intubated. vitals were: t: 101f, p: 69, rr: 18, bp: 122/52, with oxygen sat of 99% on fio2 100, vt 550, f 16, peep 5. . review of sytems: unable to obtain. past medical history: - complex regional pain syndrome - traumatic brain injury s/p remote mvc in , slurred speech and r hemiplegia at - prostate ca (--operated by dr. - cri - h/o gi bleed admitted --egd with esophageal ulcers and antral gastritis. - h/o barrett's esophagus - iron deficiency anemia - thrombocytopenia - htn - incontinence - h/o lbbb social history: lives at rehab. tob x 15 yrs (stopped 40 yrs ago), no etoh recently (though may have had etoh hx), no ivdu. sister is , guardian: (home: ). fully dependent for adls. family history: n/c physical exam: general: sedated and intubated heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp 8cm, no lad lungs: diffuse rhonchi, no wheezes/rales cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place draining clear yellow urine. ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis, edema. pertinent results: cxr: impression: 1. et tube approximately 2.4 cm above the carina. 2. mild fluid overload. 3. basilar atelectasis. however, developing infection cannot be excluded. cxr: findings: in comparison with study of , there is now an endotracheal tube in place with its tip approximately 2.8 cm above the carina. nasogastric tube extends into the distal stomach. there is enlargement of the cardiac silhouette with bilateral pleural effusions and extension of fluid into the minor fissure on the right. retrocardiac opacification is consistent with volume loss or, in the appropriate setting, consolidation in the left lower lobe. 06:15pm blood glucose-159* urean-22* creat-1.4* na-141 k-4.8 cl-106 hco3-23 angap-17 06:15pm blood pt-13.0 ptt-30.3 inr(pt)-1.1 06:15pm blood ck(cpk)-54 06:15pm blood ctropnt-<0.01 09:59pm blood type-art rates-/16 tidal v-550 peep-5 fio2-100 po2-108* pco2-33* ph-7.43 caltco2-23 base xs-0 aado2-572 req o2-94 -assist/con intubat-intubated brief hospital course: 75 year old male with a history of tbi, gi bleed in , cki, prostate cancer, and recent discharge from on for aspiration pneumonia, now admitted for respiratory distress associated with multiple pulmonary emboli. # multiple pulmonary emboli: patient with multiple pulmonary emboli likely secondary to immobility and malignancy. he was admitted to the icu having already been intubated at an osh due to respiratory failure despite his hcp's wishes that the patient not be intubated or resuscitated. he remained hemodynamically stable and was placed on lovenox for treatment of his pulmonary emboli, but following discussion with the primary team, the hcp decided to extubate the patient and to provide only comfort measures if the patient's respiratory status began to deteriorate. the patient was extubated and placed on morphine for comfort. he passed away early the next day. his hcp gave consent for an autopsy. # fever: patient with fever thought to be secondary to pulmonary emboli, but given his history of recent hospitalization for aspiration pna, blood, sputum, and urine cultures were sent to rule out an infectious etiology. active surveillance for infection was stopped after discussion with the patient's caregiver. # chronic renal insufficiency: not an active issue. patient's creatinine on admission was noted to be 1.4 which was at patient's of 1.3-1.7. medications on admission: lyrica simvastatin omeprazole metoprolol tartrate folic acid flomax docusate sodium ferrous sulfate discharge disposition: expired discharge diagnosis: pulmonary embolus respiratory failure discharge condition: expired discharge instructions: n/a followup instructions: n/a md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: end stage renal disease personal history of malignant neoplasm of prostate pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other left bundle branch block late effects of cerebrovascular disease, hemiplegia affecting unspecified side iron deficiency anemia, unspecified other pulmonary embolism and infarction urinary incontinence, unspecified 

Answer: The patient is high likely exposed to