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: erythromycin attending: chief complaint: respiratory failure major surgical or invasive procedure: none history of present illness: the patient is a 68 yo f with end stage pulmonary fibrosis likely secondary to hypersensitivity pneumonitis, progressively declining over the last few months. on , the patient had a transtracheal o2 catheter placed. since then she developed mucus plugging with increased coughing. yesterday morning her family called 911 because of respiratory distress. she was brought to an osh where she was found to be oxygenating in the low 80's with a decreased mental status. she was emergently intubated and a chest tube was placed for a tension pneumothorax. a chest tube was placed and her lung reexpanded 80% by cxr over night. per report her chest tube was to low wall suction with serosanguinous output. the records indicate that they gave her of trial of chest tube to suction prior to transfer. she has been sedated and mechanically ventilated (fio2 .5 and airway pressures in high 20s, low 30s). she developed an air leak in her chest tube on the evening of transfer. she is being transferred in at the request of her family. enroute to , the patient was originally on a propofol drip but became hypotensive. levophed was started. the propofol was stopped and the patient received a given a 600cc bolus. she then received a total of 650 fenanyl and 1mg midazolam. chest tube on suction throughout flight. decreased urine output. the patient arrived at on the following vent setting: ac 350 x 14 100% fio2 5 peep. the 5 of peep was added inflight to . past medical history: --idiopathic diffiuse pulmonary fibrosis, managed on home o2 --hypersensitivity pneumonitis, diagnosed --tmj --anxiety, clonazepam at night --depression, mantained with mirtazipine and zoloft --gerd, managed with dr. --squamous cell ca, skin, lle social history: she is married, does not smoke cigarettes (quit 40 yrs ago) or drink alcohol. family history: brother - cystic fibrosis mother - died age 87 chf (? lung disease) father - died age 64 colon cancer physical exam: vitals - hr 93 sbp 94/64 rr 8 o2100% on ac 350 x 14 100% fio2 5 peep general - sedated, follows simple commands heent - perrl neck - supple, transtracheal catether in place; insertion site clean, dry, and intact cv - rrr lungs - diffuse rhonchi abdomen - soft, nt/nd ext - 1+ edema bilateral lower extreities pertinent results: echo: the right atrium is markedly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is unusually small. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. the right ventricular cavity is markedly dilated. there is severe global right ventricular free wall hypokinesis/akinetic. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is a small pericardial effusion. no right atrial diastolic collapse is seen. no right ventricular diastolic collapse is seen. echocardiographic signs of tamponade may be absent in the presence of elevated right sided pressures. compared with the prior study (images reviewed) of , the right ventricule is more dilated and hypokinetic. the left ventricle is hyperdynamic and underfilled in the setting of right ventricular failure. the pericardial effusion is increased in size, but still small. liver u/s - 1. no evidence of bile duct abnormality. gallbladder likely surgically absent. small volume ascites noted. brief hospital course: the patient is a 68 yo f with end stage pulmonary fibrosis likely secondary to hypersensitivity pneumonitis s/p tto catether placed on at . yesterday the patient had respiratory distress at home and was brought to an osh. she had a "respiratory arrest" and was emergently intubated. she was found to have a tension pneumothorax and a right sided chest tube was placed. she was transferred to for further care. at the time of admission, the patient was found to have been started on levophed just prior to transfer. originally it was though secondary to hypovolemia. the patient was given 4.5l fluid bolus overnight and was briefly off levophed. 1 hour later, again became hypotensive and needed a central line placed and to be restarted on pressors. there was concern about sepsis, but there was no obvious source. she was started on vancomycin, ceftazadine, levofloxacin, and flagyl for broad coverage. during the course of the next few hours, her shock progressed very rapidly, resulting in essentially two cardiac arrests (no cpr, but bolus epinephrine required for sbp > 50). she had profound respiratory and metabolic acidosis; this did not appear to be mediated by a tension pneumothorax. we proceeded with femoral arterial access (no palpable radial pulses), deep sedation, and pharmacologic paralysis. she stabilized somewhat on pressure control ventilation and three pressors (levophed, neosyneprine, and vasopressin) but then nearly arrested again. we proceeded with an epinephrine gtt and a trial of inhaled nitric oxide to attempt to unload the right ventricle. this resulted in some hemodynamic stability, as well as stabilization of the respiratory component of her acidosis. we assessed for potentially treatable causes (tension ptx, cholangitis, etc.) but did not identify any. multiple family members came to see ms. . they expressed that, given the extremely high probability of death in this situation -- and her ongoing quality of life -- ms. would not want to continue on life support in the present circumstances. all questions were answered. after arrival of her family pastor, vasopressors were reduced and the patient died. the family agreed to a lung limited autopsy. medications on admission: home medications: acetaminophen 325 mg 1-2 tabs po q6h albuterol 90 mcg1-2 puffs q6h as needed. metformin 850 mg ranitidine 150 mg hs simethicone 80 mg daily prednisone 20 mg daily sertraline 50 mg daily azathioprine 100/50 mg am/pm sildenafil 25 mg tid guaifenesin 600 mg mirtazapine 15 mg hs benzonatate 100 mg tid bactrim 160-800 mg 1 tablet po 3x/week (mo,we,fr) clonazepam 1 mg qhs dorzolamide 2 % drops one drop ophthalmic meds on transfer: lotrimin topical to vaginal and groin area qid prednisone 20mg daily iss revatio 20mg tid levoxyl 25mcg daily morphine 2mg q2 prn trusopt 1 drop b/l imuran 50mg pm imuran 100mg am zoloft 50mg daily protonix 40mg daily combivent discharge medications: the patient expired on discharge disposition: expired discharge diagnosis: septic shock respiratory failure idiopathic pulmonary fibrosis tension pneuothorax discharge condition: the patient expired on discharge instructions: the patient expired on followup instructions: the patient expired on md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified administration of inhaled nitric oxide diagnoses: esophageal reflux acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism acute respiratory failure cardiac arrest septic shock postinflammatory pulmonary fibrosis mixed acid-base balance disorder spontaneous tension pneumothorax 

Answer: The patient is high likely exposed to