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: service: medicine history of present illness: the patient is an 82-year-old woman with a history of chronic obstructive pulmonary disease, congestive heart failure and hypertension, who was admitted to the medical intensive care unit on . she initially presented to mental status; the patient was extremely confused, with slurred speech and diaphoresis. she had gone to her primary care physician earlier in the day secondary to a headache with possible subacute confusion, i.e. not feeling herself, for several days prior. at hospital, the patient was intubated on protection. she was transferred to for medical intensive care unit care. workup included an unremarkable ct scan of the head, mri, lumbar puncture and electroencephalogram. the hospital course was notable for a blood pressure of 210/100 as well. on the day of admission after a visit to her primary care physician's office, the patient went into the bathroom and had a bowel movement. she needed her husband to help her walk and sit down when coming out of the bathroom. she then seemed confused, not knowing family names, repeating "who is that?". she was on the phone when there was no one on the other end. her husband commented that her speech seemed slurred and was not making sense, but there were no clear word substitutions. the patient also appeared diaphoretic at that time. by the time that the ems arrived, the patient had lost consciousness. her subsequent course was as noted above. past medical history: 1. chronic obstructive pulmonary disease. 2. congestive heart failure. 3. hypertension. 4. question of history of hallucinations. medications on transfer to floor: 1. atenolol 50 mg p.o. q.d. 2. digoxin 0.25 mg p.o. q.d. 3. prednisone 60 mg p.o. q.d. 4. dilantin 300 mg p.o. q.d. 5. levofloxacin 250 mg p.o. q.d. 6. subcutaneous heparin. allergies: there were no known drug allergies. social history: the patient had a history of tobacco use, quitting five years ago. physical examination: on admission to the medical intensive care unit, vital signs revealed a temperature of 98.6??????f, a pulse of 55, a blood pressure of 162/48 and a pulse oximetry of 98% on 50% fio2 with pressure of 12 and 5. in general, the patient was lying in bed, intubated and sedated, in no acute distress. on heent examination, the head was normocephalic and atraumatic. the pupils were 2 mm bilaterally. the cardiovascular examination was a regular rate and rhythm with a normal s1 and s2 and a positive ii/vi systolic murmur at the right upper sternal border, radiating to the apex. on lung examination, there were coarse breath sounds throughout. the abdomen was soft, nontender and nondistended. the extremities had no clubbing, cyanosis or edema. significant studies: an mri/mra revealed no gross abnormalities. an electroencephalogram revealed no evidence of seizure activity. a lumbar puncture was unremarkable. hospital course: the patient was extubated on the morning of the second hospital day. she did have desaturations in the mid 70s status post extubation when she took off her nasal cannula. her oxygen saturation returned to 92% when four liters o2 via nasal cannula were instituted. the patient was also hypercarbic before transfer to the floor with a pco2 of 83. however, it was thought that her likely baseline pco2 of 60 to 65, given her history of chronic obstructive pulmonary disease. the patient was found to have pneumonia in the right lower lobe by chest x-ray and was started on levaquin on the third hospital day. she was transferred to the floor on the third hospital day for further management of her pneumonia. the patient did well after transfer to the floor with continued improvement in her mental status back to baseline. condition/disposition: the patient was discharged to short term rehabilitation in improved and stable condition. discharge medications: 1. captopril 12.5 mg p.o. t.i.d. 2. digoxin 0.25 mg p.o. q.d. 3. prednisone 50 mg p.o. q.d. with plan for rapid taper. 4. dilantin 300 mg p.o. q.d. 5. levofloxacin 250 mg p.o. q.d. with plan for ten day total course. discharge diagnoses: 1. question of seizure. 2. pneumonia. , m.d. dictated by: medquist36 d: 08:34 t: 08:49 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung arterial catheterization diagnoses: pneumonia, organism unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified other convulsions other specified cardiac dysrhythmias unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to