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: hypoxic respiratory failure major surgical or invasive procedure: intubation central line placement arterial line placement history of present illness: this is an 87 year-old female with reported history of congestive heart failure, coronary artery disease, pacemaker, diabetes, anemia, and hypertension who was transfered from intubated with hypoxic respiratory failure secondary to worsening multifocal pneumonia. she was intubated and sedated upon arrival so all information as per outside hospital reports. she had been recently admitted to a rehabilitation center after a pelvic fracture from a fall. she was found at her rehabilitation center to have evidence of a bibasilar infiltrate on chest x-ray. she was initially started on ceftriaxone on . after several days of treatment, she continued to be febrile to 102 with an increasing oxygen requirement. her antibiotics were changed to levofloxacin. she continued to be febrile and hypoxic to the 60s. she was transfered to a local emergency department where she was promptly intubated for hypoxic respiratory failure. she received clindamycin 600mg, sloumedrol 125 and 2 u prbc. she was transfered to the icu. on arrival, she was intubated and sedated with good oxygenation. past medical history: 1. coronary artery disease 2. congestive heart failure 3. diabetes 4. status post pacemaker placement 5. anemia 6. hypertension 7. gerd 8. status post pubic ramus fracture and orif in . social history: she had been living independently until her fall in . she had been living in a rehabilitation center prior to this admission. she doesn't drink or smoke. family history: non-contributory physical exam: vitals: temperature:102.8 pulse:84 blood pressure:108/57 respiratory rate:18 oxygen saturation:98% on 100% fio2. general: intubated and sedated. heent: pupils equal and reactive, extraoccular movements intact, endotracial tube and og tube intact. cardiac: regular rate and rhythm without murmurs, rubs or gallops. pulmonary: decent air movement with decreased breath sounds at left base with associated rales and diffuse upper airways sounds. abdomen: normoactive bowel sounds, soft, nondistended, nontender extremities: warm and well perfused without cyanosis or edema skin: stage 2 pressure ulcer at right ischial tuberosity, stage 1 skin breakdown in perirectal area, stage 2 ulcer over left lateral maleolus, stage 1 ulcer at right first digit on foot. neuro: sedated, moves extremities, does not open eyes to tactile/voice pertinent results: outside hospital labs wbc 14.6 (n77), hct 28.4; chem 131/5.0/95/19/22/1.2<225; bnp 827, tropi 0.14, ck 14, normal lfts abg: 7.35/36/82 on 8 peep . labs on admission: . hematology: wbc-7.0 hgb-8.2 hct-25.8 plt count-330 . chemistries: sodium-131* potassium-4.0 chloride-99 total co2-19 urea n-26* creat-0.8 glucose-298 calcium-7.6 phosphate-3.5 magnesium-1.7 . cardiac: ck(cpk)-24 ck-mb-2 ctropnt-0.09 . coagulation: pt-12.2 ptt-33.6 inr(pt)-1.0 . chest x-ray -right lower lobe infiltrate with diffuse left opacity . ecg-v-paed at 85 with acute changes brief hospital course: this is an 87 year-old female with reported history of congestive heart failure, coronary artery disease, pacemaker, diabetes, anemia, and hypertension who was admitted for hypoxic respiratory failure from a multifocal pneumonia. . 1. hypoxic respiratory failure: her hypoxic respiratory failure was attributed to her multifocal pneumonia. she was found to have a positive urinary legionalla antigen. she was continued on levofloxacin to complete a 21 day course. with treatment, she was weaned from the ventilator on hospital day 7. at the time of discharge, she was oxygenating well on room air. . 2. anion gap metabolic acidosis: her metabolic acidosis was attributed to a lactate acidosis. there was no evidence of ketosis. her acidosis corrected with treatment of her pneumonia. . 3. coronary artery disease: on admission, she had a troponin leak without evidence of ischemia on ekg. this was attributed to a demand ischemia. she was maintained on aspirin. her beta-blocker and angiotensin receptor blocker were restarted once her blood pressure tolerated it. . 4. congestive heart failure: her bnp was not elevated and she appeared euvolemic on admission. her volume status was monitored closely. an echocardiogram showed a normal ejection fraction. her outpatient lasix was restarted once she was taking adequate oral intake. . 5. hypertension: she was normotensive on admission. her beta-blocker and angiotensin receptor blocker were held in the setting of hypotension in the icu. these medications were restarted once she was extubated. her blood pressure remained elevated. therefore, she was started on an nitrate and her beta-blocker was increased. this is a particularly important parameter to follow as she has history of flash pulmonary edema. her blood pressure medications should continue to be uptitrated. . 6 diabetes: her oral hypoglycemic was held during the admission. she intially required an insulin drip for adequate glucose control. she was subsequently transitioned to an insuling sliding scale. her oral hypoglycemic was restarted once she was taking adequate oral intake. . 7 anemia: her hematocrit remained stable throughout the admission. . 8. diarrhea: she had several days of loose stools. given the antibiotic use, there was some concern for c.diff. she had stool sent for c.diff, which was negative x1. an additional sample was also pending at time of discharge. her diarrhea had resolved. . 9. gerd: she was maintained on pantoprazole. . 10. fen: she was intially maintained on tube feeds while she was intubated. her diet was advanced once she was extubated. her fluid status was monitored as above. . 11. access: she had a central line and an arterial line placed in the icu. once she was transfered to the floor, she had peripheral ivs. . 12. full code . 14. dispo: she was discharged to an acute rehabiltiation center. she will need aggressive physical therapy as she is considerably weakened after her critical illness and intubation. medications on admission: k-dur lasix 10 po timolol nexium diovan 160 qd darvocet prn glyburide 5 vs qd duonebs asa 81 qod coreg 12.5 qd calcium 600mg colace avandia 4 ntg patch vit b1 xalatan metoprolol 50 qhs tylenol prn hiss levofloxacin 500 discharge medications: 1. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. valsartan 80 mg tablet sig: two (2) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 7. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 8. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 9. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 11 days. 10. metoprolol tartrate 50 mg tablet sig: 2.5 tablets po tid (3 times a day). 11. isosorbide dinitrate 10 mg tablet sig: three (3) tablet po tid (3 times a day). 12. lidocaine hcl 2 % solution sig: twenty (20) ml mucous membrane tid (3 times a day) as needed for mouth pain. 13. glyburide 5 mg tablet sig: one (1) tablet po once a day. 14. avandia 4 mg tablet sig: one (1) tablet po twice a day. 15. k-dur 10 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. discharge disposition: extended care facility: - discharge diagnosis: legionella pneumonia congestive heart failure diabetes coronary artery disease hypertension discharge condition: stable. she was oxygenating well on room air. discharge instructions: please take all medications as prescribed. you will need to complete your course of levofloxacin for pneumonia as directed seek medical attention if you have worsening shortness of breath, fevers, chills, chest pain, or anything else that you find worrisome. followup instructions: you should follow-up with your primary care physician weeks after discharge from rehab. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: acidosis anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other specified forms of chronic ischemic heart disease acute respiratory failure bacteremia cardiac pacemaker in situ diarrhea nonspecific abnormal findings in stool contents diastolic heart failure, unspecified other malaise and fatigue aftercare for healing traumatic fracture of hip pneumonia due to legionnaires' disease 

Answer: The patient is high likely exposed to