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 the present illness: is a 38-year-old woman with a past medical history significant for polysubstaace abuse including intravenous drug abuse in the past and alcohol abuse. she also has a past medical history notable for severe depression, and presented to after an overdose of alcohol seroquel, wellbutrin, and ritalin. the patient received charcoal at and subsequently aspirated resulting in intubation. the patient was then transferred to the intensive care unit on . the patient was intubated for several days. she was felt to have suffered an aspiration pneumonia and she was treated with levofloxacin and clindamicin. the patient was a difficult vent wean secondary to sedation. the patient had fevers while in the intensive care unit, which were attributed to the pneumonia. she had a negative lp in the setting of a fever. the patient was extubated without difficulty on . she was then transferred to the floor on , which is when the general medical team assumed her care. the patient was also followed by the psychiatric consultation service. past medical history: 1. seizure disorder. 2. depression. 3. alcohol abuse, status post cholecystectomy. 4. mild asthma. 5. bipolar disorder. medications on transfer to the medical floor: 1. protonix. 2. dilantin. 3. clindamycin. 4. haldol. 5. tylenol. 6. levofloxacin. 7. albuterol. outpatient medications: 1. neurontin. 2. paxil. allergies: the patient has no known drug allergies. social history: the patient lives with her son in . the patient is on disability. the patient smokes two packs per day. she has a history of intravenous drug abuse. the patient has a long history of alcohol abuse. family history: the patient's father suffered from colon cancer. mother suffered from chronic obstructive pulmonary disease. physical examination on transfer to the medical service: temperature 99.8; heart rate 81 to 97; blood pressure 98 to 107 systolic over 44 to 56 diastolic. respiratory rate 18. oxygen saturation 94% on two liters. inputs and outputs: 60 and 82 in; 29 and 47 out. general: in general, the patient is alert, responsive, and oriented. fairly apprehensive in no acute distress. heent: normocephalic, atraumatic, extraocular muscles are intact, pupils were equal and reactive to light and accommodation, no icterus. lungs: coarse breath sounds bilaterally. mild diffuse wheezes. cardiovascular: regular rate and rhythm, normal s1 and s2, no murmur. abdomen: soft, nontender, and nondistended. no rebound or guarding. neurological: the patient is alert and oriented times three. cranial nerves ii through xii intact. the patient is grossly intact. skin: no rash. extremities: 2+ pulses, no clubbing, cyanosis or edema. laboratory data: on the day of discharge, labs are as follows: white count 9.5, hematocrit 35.6, platelet count 498, inr 1.2, sodium 135, potassium 4.4, chloride 98, co2 26, bun 22, creatinine 0.5, glucose 119, alt 78, ast 31, alkaline phosphatase 153, total bilirubin 0.3, calcium 9.2, phosphorus 4.2, magnesium 1.9, albumin 3.4. the patient had an echocardiogram this admission which revealed an ef of 60%. x-ray on revealed improving bilateral lower lobe infiltrates. hospital course: on transfer to the medical service the patient was followed by a 1:1 sitter. the psychiatric team also followed the patient and felt that she would either benefit from an inpatient psychiatric stay or psychiatric rehabilitation. the patient denied any continued suicidal ideations. plan: respiratory: the patient should complete a 10-day course of levofloxacin and clindaycin for an aspiration pneumonia. the oxygenation is improving at the time of discharge to the point where she is no longer requiring oxygen. she will complete a 10-day course of levofloxacin and clindamycin on . the patient did received a course of solu-medrol given her history of asthma, but this was discontinued prior to her being discharged from the icu. she should continue on an albuterol inhaler as needed. neurological: given the patient's history of seizure disorder she was loaded on dilantin. she had no seizures while in the hospital. she should continue on dilantin at 100 mg three times a day. she should have the dilantin level checked later this week. gastrointestinal: the patient was found to be hepatitis c, antibody positive. therapy was deferred, given her current alcohol use. the alt was also higher than the ast, which was interesting given the history of alcohol abuse. she should have the lfts rechecked as an outpatient. she should continue on protonix for peptic ulcer disease. she should continue on her psychiatric medications, as outlined in the discharge medications. she will be discharged to a psychiatric facility to further address her depression. endocrine: in terms of her thyroid function tests, the tsh was depressed as the free t3 and t4. this was thought to be secondary to euthyroid sick syndrome and the tsh and t3 and t4 should be repeated as an outpatient. discharge medications: 1. protonix 40 mg once a day. 2. tums, two tablets p.o.t.i.d. 3. levofloxacin 500 mg once a day. her last day of levofloxacin will be . 4. clindamycin 300 mg p.o. q.8h. her last day of clindamycin will be . 5. dilantin 100 mg t.i.d. 6. haldol 1 mg iv p.r.n. agitation. 7. tylenol 650 mg p.o.q.6h.p.r.n. 8. albuterol mdi two puffs q.6h.p.r.n. 9. lactulose 15 cc p.o.q.d.p.r.n. discharge status: the patient will be discharged to an inpatient psychiatric facility. discharge condition: the patient is breathing more comfortably and is denying suicidal ideations. follow-up care: the patient is to followup with her primary care physician, should be arranged with close outpatient psychiatric followup. dr., 12-aad dictated by: medquist36 d: 15:58 t: 16:04 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube diagnoses: other, mixed, or unspecified drug abuse, unspecified asthma, unspecified type, unspecified other convulsions depressive disorder, not elsewhere classified alcohol abuse, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus bipolar i disorder, most recent episode (or current) unspecified acute hepatitis c without mention of hepatic coma 

Answer: The patient is high likely exposed to