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: history of present illness: (micu green service) this is a 78 year old woman with a history of congestive heart failure, diastolic dysfunction, restrictive lung disease, who was in her usual state of health until the afternoon of admission when she woke up with mental status changes, increasing lethargy, and abdominal discomfort. the patient was noted to be clammy and afebrile on arrival to the emergency department. on arrival, she had a temperature of 100.8, systolic blood pressure 70s, heart rate 60 to 70s, and oxygen requirements of 90% on two liters. the patient was given two liters of normal saline with good blood pressure response, however, the patient had a desaturation to 70%. the patient responded with 100% nonrebreather. in the emergency department, the patient was given two grams of ceftriaxone and 500 mg of flagyl. despite intravenous fluids, the patient's blood pressure continued to trend downward and the patient was started on levophed drip for blood pressure control. chest x-ray showed right lower lobe infiltrate. the patient had right internal jugular central line placed and the patient was transferred to the intensive care unit. past medical history: 1. congestive heart failure, diastolic dysfunction with an ejection fraction greater than 70%. 2. restrictive lung disease, fvc 0.6, 49% of predicted, fev1 82% of predicted, fev1/fvc ratio 69% of predicted. 3. hypertension. 4. gastroesophageal reflux disease. 5. hyperlipidemia. 6. mitral regurgitation. 7. chronic renal insufficiency with a baseline creatinine of 1.3. 8. degenerative joint disease/arthritis. 9. iron deficiency anemia. 10. history of breast cancer. 11. urinary incontinence. 12. osteoporosis. 13. diverticulosis. 14. history of right sided hiatal hernia. medications on admission: 1. fosamax 70 mg q.week. 2. tums 500 mg three times a day. 3. protonix 40 mg once daily. 4. 60 mg twice a day. 5. lasix 80 mg p.o. twice a day. 6. milk of magnesia. 7. lipitor 10 mg q.h.s. 8. colace 100 mg twice a day. 9. enteric coated aspirin 81 mg once daily. 10. atenolol 25 mg twice a day. 11. tylenol. 12. flovent. allergies: verapamil. social history: the patient lives alone in . no history of tobacco and no history of alcohol. family history: significant for pulmonary embolus. physical examination: temperature 100.8, pulse 65, blood pressure 122/32, respiratory rate 20, 100% on nonrebreather. general examination - the patient is a moderately obese woman, lying in bed, in no acute distress. head, eyes, ears, nose and throat examination - the oropharynx is clear. mucous membranes are moist. cushingoid appearance. cardiovascular is regular rate and rhythm, no murmurs, rubs or gallops. lungs - decreased breath sounds at the base with a few crackles bilaterally. the abdomen is mildly distended, mild suprapubic pain, no masses. extremities - right lower extremity erythema and warmth, tender to palpation, +1 pitting edema. neurologically, the patient moves all four extremities. laboratory data: on admission, potassium 3.6, creatinine 2.0. urinalysis showed small leukocyte esterase. lactate 1.7. chest x-ray showed right sided hiatal hernia, evidence of mild congestive heart failure, right lower lobe consolidation. ct of the abdomen and pelvis showed evidence of diverticulosis without diverticulitis, large right sided hiatal hernia, right lower lobe pneumonia. hospital course: 1. shock and hypotension - the patient was transferred to the medical intensive care unit on levophed pressor. after fluid resuscitation, blood pressure was stable and was weaned off. the patient was started on ceftriaxone for possible community acquired pneumonia. the patient's respiratory status continued to decline in the medical intensive care unit. the patient was thought to be in a moderate amount of heart failure and given aggressive diuresis. however, the patient was found to be in ventilatory failure and she was intubated for increased work of breathing and respiratory failure on the second day of her intensive care unit course. after intubation, the patient was diuresed and echocardiogram was performed and the patient was found to have ejection fraction of 95% consistent with severe diastolic heart failure. the patient was rate controlled with calcium channel blocker with good improvement of respiratory status. 2. in regards to pneumonia, the patient was afebrile. since three to four days of her hospital course, white blood cell count trended downward from 15.0 to 8.0. on intensive care unit stay day number six, the patient was extubated without complications. the patient was found to have moderate respiratory acidosis which was thought to be chronic in nature given her severe restrictive lung disease. the patient was comfortable and not tachypneic postextubation. 3. the patient was also found to have streptococcus g bacteremia. cultures were growing four out of four bottles, treated with ceftriaxone. surveillance cultures after antibiotics were negative. the patient also presented with a right lower extremity cellulitis which was thought to be the source of the patient's bacteremia. cellulitis resolved during hospital course. 4. the patient was in acute renal failure on presentation and creatinine was 2.0 from her baseline of 1.3. renal failure resolved after intravenous hydration initially. it was thought to be prerenal in cause. 5. the patient was also found to have new onset supraventricular tachycardia. on electrocardiogram, it appears that the patient had atrial flutter with variable block, paroxysmal in nature. anticoagulation was deferred at this time given the setting of infection. the risks of bleed outweighed the risks of stroke. 6. secondary to the patient's severe right sided hiatal hernia, she was thought to be at high risk for aspiration and possible source of her right lower lobe pneumonia. the patient was given tube feeds but because of her anatomy, postpyloric dobbhoff was placed for tube feed and enteral nutrition. 7. on day seven of her intensive care unit hospital stay, the patient was noted to have a large tender and warm left knee. there was a concern that the knee appeared to be septic. x-ray and arthrocentesis was performed which showed evidence of degenerative joint disease. there was no evidence of infection. the patient's pain was treated with tylenol. the patient was transferred to the medicine service. for further details of hospital course and follow-up, please refer to discharge addendum. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube thoracentesis non-invasive mechanical ventilation laryngoscopy and other tracheoscopy arthrocentesis transfusion of packed cells diagnoses: pneumonia, organism unspecified acidosis mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified acute respiratory failure cellulitis and abscess of leg, except foot bacteremia diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to