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: difficulty breathing, diplopia major surgical or invasive procedure: intubation. history of present illness: 25yo rh f h/o asthma since childhood and myasthenia diagnosed last spring, who presents with shortness of breath and diplopia. history and physical are abbreviated due to her shortness of breath. she felt increased wheezing on saturday and was concerned that her asthma was getting worse and took an increased dose of prednisone (baseline: 20mg every other day; she took 60mg). she now is experiencing horizontal diplopia, worse when looking far away, and feels generally tired and weak and is finding it hard to breathe. past medical history: asthma since childhood myasthenia gerd social history: h/o smoking, drinks 2-3times per month, denies drugs, single mom, family history: first cousins with asthma. physical exam: vs 97.3 79 125/76 32 100% nif -40 gen awake, cooperative, in clear respiratory distress on nebulizer heent nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck supple, no carotid bruits appreciated. no nuchal rigidity lungs wheezes bilaterally cv rrr, nl s1s2, no m/r/g noted abd soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted ext no c/c/e b/l skin no rashes or lesions noted neuro ms awake, alert. speech fluent. cn cn i: not tested cn ii: vff to confrontation, no extinction. pupils 4->2 b/l. cn iii, iv, vi: she has horizontal diplopia, worse on looking right and worse with continued rightward gaze cn v: intact to lt throughout cn vii: full facial symmetry but seems to have b/l facial weakness with difficulty puffing out her cheeks cn viii: hearing intact to fr b/l cn ix, x: palate rises symmetrically cn : shrug and symmetric cn xii: tongue midline and agile motor normal bulk and tone. no pronator drift d t ip l 4+ 5 5 r 4+ 5 5 the left deltoid was exercised and then became sensory intact to lt, pp, jps, vibration throughout. no extinction. reflexes br tri pat ach toes l 2+ 2+ 2+ 2+ 2+ down r 2+ 2+ 2+ 2+ 2+ down coordination ffm, rams, ftn, hts all normal gait deferred due to respiratory distress pertinent results: 02:56am blood wbc-8.2 rbc-4.16* hgb-12.3 hct-35.8* mcv-86 mch-29.5 mchc-34.3 rdw-13.6 plt ct-207 01:53am blood neuts-76.4* lymphs-14.1* monos-7.8 eos-1.5 baso-0.2 02:56am blood pt-13.4 ptt-27.9 inr(pt)-1.2* 10:17am blood fibrino-289 10:17am blood ret aut-1.9 02:56am blood glucose-140* urean-18 creat-0.6 na-146* k-3.8 cl-108 hco3-29 angap-13 02:56am blood calcium-9.1 phos-2.6* mg-2.0 cxr impression: prominence of the bronchovascular markings likely related to low lung volumes. no definite airspace consolidation. sinus rhythm. no previous tracing available for comparison. brief hospital course: patient admitted with respiratory failure believed to be related to asthma and recent diagnosis of myasthenia . the patient was intubated in the ed. she spent 4 days on the ventilator. she recieved 2 rounds of every other day plasmapheresis prior to extubation. she then got one more round of plasmapheresis, after which it was felt that she had improved to the point that such therapy was no longer indicated. during this time her cellcept was increased from 1000 to 1500bid, her prednisone was changed from 20mg qod to solumedrol 48mg qd (equivalent of 60mg qod), and mestinon was held. the patient's respiratory function further improved with albuterol prn and advair, which was started after the patient reached the floor. the patient had low grade fevers for which cultures and chest imaging were obtained. these were negative. blood sugar was kept below 140 with a riss. the patient was put on tube feeds whiles she was intubated. the patient had a paradoxical elevation of her ptt to subcutaneous heparin. this was then held and then restarted at rather than tid dosing. her ptt stablized with these interventions. medications on admission: cellcept 1000mg mestinon 60mg qid optivar 1 drop ou prednisone 20mg qod (took 60mg yest) ppi singulair 10 discharge medications: 1. zantac 150 mg capsule sig: one (1) capsule po twice a day. 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 3. mycophenolate mofetil 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. prednisone 10 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 6. mestinon 60 mg tablet sig: one (1) tablet po every six (6) hours as needed for double vision or droopy eyelid. . discharge disposition: home discharge diagnosis: respiratory distress. asthma myasthenia . discharge condition: vital signs stable. no fatigueable weakness. respiratory status at baseline. discharge instructions: please take your medications as prescribed. please follow up with your appointments as documented below. please return to the hospital if you should have worsening of your respiratory status beyond what is manageable with your home medications. followup instructions: provider: , md phone: date/time: 9:00 md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances therapeutic plasmapheresis diagnoses: asthma, unspecified type, unspecified acute respiratory failure myasthenia gravis with (acute) exacerbation 

Answer: The patient is high likely exposed to