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: morphine attending: chief complaint: rigors, tachycardia, hypertension major surgical or invasive procedure: flexible bronchoscopy history of present illness: ms. is a 69 year old woman with fibrosing mediastinitis s/p metallic stent in left mainstem bronchus in . she presented to for an outpatient bronchoscopy. she has had recurrent respiratory tract infections, especially over the last several months, worsening doe, and sputum production. she has had multiple respiratory infections requiring antibiotics. she reports fevers up to 101 about twice per week. last week, a ct scan at an osh showed worsening bilateral infiltrates suspicious for infection as well as a possible necrotic/cystic lesion in her posterior lll. she was scheduled for outpatient bronchoscopy at . . she underwent bronchoscopy today. she had some supraglottic edema, but her stent was patent. however, they were unable to pass the scope beyond the stent. it appears narrow but patent beyond the stent. she developed rigors and hypertension to 160s-200 systolic after the bronchoscopy as well as svt with rates to 140s. she was given 12.5mg demerol and 5mg lopressor with good effect. because of this and o2 sats requiring 10l of o2 by facemask, she was placed in the icu for monitoring, iv antibiotics, and hr control. currently, she denies lh, cp, sob, n/v, abd pain, diarrhea, palpitations. she has a slight ha. past medical history: per omr: # fibrosing mediastinitis: she was completely healthy until when she developed sob/chest tightness. she was found to have bilateral pleural effusion, mediastinal lymphadenopathy, submandibular ln, and progressive lung infiltrates, and bilateral eye puffiness. workup at that time () 1) bilateral thoracentesis negative for malignancy/lymphoma 2) left lung wedge bx showed acute organizing pneumonia, lymphoid hyperplasia, and acute organizing pleuritis. 3) mediastinoscopy: edematoues narrow spaced mediastinum with a lot of adhesions. ln biopsied non-diagnostic 4) salivary g bx: mixed lymphoplasmacytic infiltration with no malignancy. ms. was started on prednisone . her eye symptoms reverted but with worsening of her respiratory symptoms and pulmonary infiltrates. pft at that time revealed moderate restrictive, severe obstructive pattern with dlco compromise. - underwent another lung bx ( ) which showed atypical lymphprolifirative process with fibrosis, however, no specific diagnosis made. meanwhile, ctd serology came back positive for (1:160), rnp (1:), mildly positive rf, elevated ace level(191). - due to progression of her symptoms, she was started on cytoxan with excellent clinical response with stabilization of her radiological picture. - continued to do well, and her cytoxan was discontinued in (? related to neutropenia) - she did well off medications until mid when she started to deteriorate again clinically, radiologically (infiltrate and lms critical stenosis), and physiologically. - refered to mid for stent placement in the lms # hypothyroidism (self discontinued levothyroxine) # htn # ? history of arrhythmia social history: she is married. she is retired. she used to work in an office as an assistant. no alcohol, smoking, or asbestos exposure. family history: mother-sudden cardiac death at age 64 sister-cardiac disease and lupus, death at age 55 physical exam: vs 111/69 119 rr 21 96% on 4l gen: well appearing, nad. resting comfortably heent: ncat, mmm, nonicteric sclera and eomi cv: heart tachy, no m/r/g. prominant s2. pulm: diffuse inspiratory rhonchi and expiratory course wheeze. + stridor. abd: s/nt/nd/nabs, no hsm ext: 2+ distal pulses. warm, well perfused. no c/c/e. neuro: aox4, cn 2-12 intact grossly. grossly nonfocal. pertinent results: microbiology 10:25 am bronchial washings gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram positive cocci. in pairs and clusters. 4+ (>10 per 1000x field): gram positive rod(s). respiratory culture (preliminary): 10,000-100,000 organisms/ml. commensal respiratory flora. fungal culture (preliminary): pending at discharge acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): pending at discharge . imaging: none . laboratory studies 05:13pm blood wbc-6.0 rbc-4.87 hgb-12.3 hct-38.2 mcv-78* mch-25.2* mchc-32.1 rdw-14.9 plt ct-201 04:15am blood wbc-14.5*# rbc-4.41 hgb-11.4* hct-34.6* mcv-78* mch-25.9* mchc-33.0 rdw-14.7 plt ct-203 06:25am blood wbc-9.1 rbc-4.19* hgb-10.6* hct-33.2* mcv-79* mch-25.3* mchc-31.9 rdw-15.1 plt ct-201 05:13pm blood pt-13.2 ptt-26.9 inr(pt)-1.1 04:15am blood pt-14.7* ptt-34.0 inr(pt)-1.3* 04:15am blood ret aut-1.3 05:13pm blood glucose-105* urean-9 creat-0.6 na-139 k-3.2* cl-100 hco3-29 angap-13 04:15am blood glucose-107* urean-10 creat-0.5 na-137 k-4.5 cl-103 hco3-24 angap-15 06:25am blood glucose-101* urean-9 creat-0.7 na-136 k-3.8 cl-100 hco3-28 angap-12 05:13pm blood alt-9 ast-13 ld(ldh)-171 ck(cpk)-68 alkphos-71 totbili-0.2 04:15am blood alt-10 ast-12 alkphos-64 totbili-0.3 05:13pm blood calcium-8.6 phos-1.9*# mg-1.5* 04:15am blood calcium-8.0* phos-3.7# mg-2.7* 06:25am blood calcium-8.7 phos-2.0*# mg-1.8 05:13pm blood tsh-1.5 05:13pm blood t4-6.3 brief hospital course: ms. is a 69 year old woman with fibrosing mediastinitis. she was admitted to the micu after developing fevers, rigors, hypertension, and hypoxia during an outpatient bronchoscopy. . # fevers/rigors/pneumonia: ms. developed fevers and rigors following her bronchoscopy. she was covered for a possible pneumonia with vancomycin, zosyn, and levofloxacin. the fever was thought to be a combination of post-bronchoscopy reaction from local inflammatory response and possible pneumonia. she remained afebrile for the rest of the admission. she was discharged on levofloxacin. . # fibrosing mediastinitis: her home dose of prednisone 10mg was continued. interventional pulmonary followed her throughout the admission. she was scheduled for a follow up in rheumatology after discharge. . # hypoxia: ms. was initially on 10 l post-procedure. she was weaned down to room air. however, her oxygen would desaturate during exertion. she was discharged on home oxygen. . # svt: ms. developed episodes of svt post-procedure. these episodes correlated with hypoxia. during the first episode, she responded to iv metoprolol. a subsequent episode resolved on its own without intervention. on further questioning, ms. may have been having these episodes at home. she was discharged on home oxygen. . # hypertension: she had elevated blood pressures post-procedure. she remained normotensive throughout the rest of the admission. . prophylaxis: ms. received subcutaneous heparin. . code: ms. was a full code. medications on admission: augmentin for the past 9 days estradiol transdermal patch prednison 10mg (started at 20mg on , tapered to 10mg ) combivent she stopped her diltiazem and levothyroxine of her own in ) discharge medications: 1. oxygen supplemental oxygen at 3-4l nasal cannula to keep sao2>90% with ambulation. pulse dose for portability. 2. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 3. combivent 18-103 mcg/actuation aerosol sig: 1-2 puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. 4. levofloxacin 250 mg tablet sig: three (3) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: fibrosing mediastinitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: thank you for allowing us to take part in your care. you were admitted to the hospital after your bronchoscopy. after the procedure you were having difficulty breathing and an elevated heart rate. you were monitored overnight in the intensive care unit. you felt better and were ready to go home. because of your chronic lung disease, you are having difficulty maintaining your blood oxygen levels when you are walking. you need home oxygen. a company will deliver the oxygen to your house. we have made the following changes to your medications: we started levofloxacin. please continue to take for 7 days. we made no other changes to your medications. followup instructions: you will need to follow-up with your pulmonologist in in weeks. you will need to follow-up with your pcp 2 weeks. we have rescheduled the following appointment for you: department: rheumatology when: tuesday at 12:00 pm with: , md building: lm campus: west best parking: . garage procedure: closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified unspecified acquired hypothyroidism cardiac complications, not elsewhere classified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other specified cardiac dysrhythmias hypoxemia accidents occurring in residential institution other diseases of trachea and bronchus edema of larynx other diseases of mediastinum, not elsewhere classified complications affecting other specified body systems, not elsewhere classified, hypertension 

Answer: The patient is high likely exposed to