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: penicillins attending: chief complaint: shortness of breath major surgical or invasive procedure: video-assisted thoracic surgery left lower lobe wedge resection (req general anesthesia, intubation) history of present illness: patient is 37 yo male with a history of asthma who presents shortness of breath. patient states that his dyspnea began in . he had an uri at this time with night sweats, for which he saw his pcp. , the patient developed another uri. he was still able to play tennis and maintained his normal activities until . . at this time, he noticed dyspnea while golfing with friends. then noticed that he had sob when walking up stairs and would often "pass out" on the top flight. patient visited his pcp who gave him a prescription for pulmicort. despite this intervention, he still remained dyspneic on exertion and returned to his pcp one week later, at which time he desated to 80% on exertion. patient was referred to pulmonary and was bronched on . bal was negative for malignant cells but showed pulm macrophages, lymphocytes, and squamous cells. . patient states that he dyspnea has become progressively worse over the past two weeks. he is no longer able to walk to his car without becoming short of breath. he has been having fevers and chills for the past two weeks, and he has lost 30 lbs over the past three months. he states that he has had night sweats since his first uri in , and he has had a cough productive of yellow sputum for the past 3 months. . review of systems is notable for frequent headaches, diarrhea daily, and a rash on his upper arms bilaterally for the last three months. patient denies leg swelling, bruising, constipation, dysphagia, increased urinary frequency. he endorses palpitations. . in the emergency department, patient's vs were t 98.6, p 114, bp 126/77, r 18, o2 90% on ra. he was placed on 3l of o2. he was started on vanc and levo and then transferred to the (cc7) for further workup and evaluation. past medical history: -mild intermittent asthma since childhood, previously only on albuterol; one hospitalization as a child -allergies to dust, cats, grass social history: patient lives with his wife in , ma. he does not smoke or drink alcohol. he occasionally smoke marijuana. patient has an 18 mo daughter and has another one on the way. he sells office furniture to the government. patient denies any recent travel (he works in and and only vistited the sw eighteen years ago), occupational exposures, pet exposures. he states that he went to the petting zoo with his daughter 6 months ago. he recently went to . patient lives with his wife in , ma. he does not smoke or drink alcohol. he occasionally smoked marijuana. patient has an 18 mo daughter and has another one on the way. he sells office furniture to the government. patient denies any recent travel (he works in and and only vistited the sw eighteen years ago), occupational exposures, pet exposures. he states that he went to the petting zoo with his daughter 6 months ago. he recently went to . family history: father and sisters are alive and well. mother recently died from lung cancer physical exam: vs: t=98.4, bp 134/90, hr 94, r 22, o2 97% on 4l gen: pleasant, young man, in nad heent: perrl, eomi, no conjunctival pallor. no scleral icterus. op clear. neck: supple, no lad, no thyromegaly cardiac: tachycardic. rrr. normal s1, s2. no murmurs, rubs or . lungs: diffuse rhonchi bilaterally. l>r. poor air movement bilaterally. abd: soft, nt, nd. no hsm ext: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: macular rash on medial aspect of upper extremities bilaterally. neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation throughout. 5/5 strength throughout. + reflexes, equal bl. normal coordination. gait assessment deferred pertinent results: ct rapid progression of diffuse consolidation, most prominent in lll, rll and lingula. this suggests acute infection superimposed on a chronic process (hilar lymph nodes suggests sarcoid). alternatively, a continuing occupational exposure could be considered. cxr there is interval increase in the bilateral linear and nodular opacities throughout both lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. 1. no pneumothorax. 2. significant interval increase in the diffuse reticular nodular opacities seen throughout both lungs. cxr there is no pneumothorax. linear and nodular opacities with the lower lobe predominance have improved in extent, compared to the prior radiograph. no large pleural effusion is present. pulmonary vascularity is not increased. 01:37pm anca-negative b 01:15pm sed rate-81* 01:15pm glucose-84 urea n-14 creat-0.7 sodium-140 potassium-4.0 chloride-103 total co2-25 anion gap-16 01:15pm ck(cpk)-31* 01:15pm ctropnt-<0.01 01:15pm wbc-9.3 rbc-4.73 hgb-14.3 hct-41.0 mcv-87 mch-30.2 mchc-34.8 rdw-12.1 01:15pm neuts-81.8* lymphs-12.9* monos-4.0 eos-1.1 basos-0.2 01:15pm plt count-393 01:15pm pt-14.6* ptt-25.8 inr(pt)-1.3* brief hospital course: patient is a 37 yo man with a history of asthma who presented with progressive hypoxia. ddx included idiopathic lung disease, pneumonia, pe. pulmonary embolism seemed unlikely given that the patient is on dvt prophylaxis and had been having these progressive ct changes. hypoxia he underwent diagnostic vats on which he tolerated well with minimal ebl. chest tube was removed on the morning of . intial pathology read was consistant with hamman- syndrome. he was started solumedrol 250 mg q6 on . on the floor he required 3-6l nc to keep his sats >93%. on the morning of micu transfer () he was rolling to his side to use a bedside urinal and had increased hypoxia with o2sats ~85%. he was placed on a nrb with improvement in his sats and subjective feeling of dyspnea. a repeat cxr was done. he received an empiric dose of lasix (20 mg iv x1) with adequate urine output. he had transient improvement in oxygenation and was transferred to the micu on nrb. in the micu his oxygen saturation was supported 50-80 % facemask with waxing and requirement. pressure support ventilation was not required. combivent nebs given q6 prn. possible infection given then patient's tenuous residual lung function and acute decompensation, he was also started on emperic pneumonia treatment with vanc/levo on . cultures were negative for afb, pcp, , bacteria. his vanc was discontinued on and restarted on . he was placed on prophylactic bactrim while on high dose steroids. transfer to when path returned as consistent with aip, we discussed his case with the transplant service at our sister hospital, , as well as with their critical care team. we arranged for urgent transfer for expedited evaluation for possible transplantation, since we felt that this provided the best balance of risks and benefits. medications on admission: on admission: ibuprofen prn albuterol prn upon transfer to micu on : medications on transfer: atrovent neb q6 tylenol 325-650 mg q6prn albuterol neb q6prn levofloxacin 750 mg daily (start ) methylprednisolone 125 mg q6 pantoprazole 40 mg daily dilaudid pca bolus 0.12 mg, q6min:prn, lockout 2 mg daily. no basal heparin 5000 sc tid insulin sliding scale bactrim ds 1 tab 3x/week ambien 5-10 mg qhs:prn trazodone 25 mg qhs:prn discharge medications: hydromorphone (dilaudid) 0.125 mg iv q4h:prn hold for rr<12, sedation senna 1 tab po bid constipation lorazepam 0.5 mg po/iv q6h:prn anxiety methylprednisolone sodium succ 250 mg iv q6h calcium carbonate 500 mg po bid vancomycin 1000 mg iv q 12h sulfameth/trimethoprim ds 1 tab po 3x/week (mo,we,fr) zolpidem tartrate 5-10 mg po hs:prn heparin 5000 unit sc tid trazodone 25 mg po hs:prn pantoprazole 40 mg po q24h insulin sc ipratropium bromide neb 1 neb ih q6h albuterol 0.083% neb soln 1 neb ih q6h:prn levofloxacin 750 mg po q24h docusate sodium 100 mg po bid acetaminophen 325-650 mg po q6h:prn discharge disposition: extended care facility: discharge diagnosis: acute interstitial pneumonia discharge condition: stable discharge instructions: transferred to for continued care and transplant evaluation. md, procedure: thoracoscopic excision of lesion or tissue of lung diagnoses: acute posthemorrhagic anemia asthma, unspecified type, unspecified anxiety state, unspecified postinflammatory pulmonary fibrosis hypoxemia insomnia, unspecified other abnormal glucose 

Answer: The patient is high likely exposed to