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: the patient is an 80 year old female with breast cancer, status post lumpectomy/radiation therapy/tamoxifen (), hypertension, hyperlipidemia, multiple urinary tract infections who presents with a four day prodrome of dry cough, rhinorrhea, coryza, malaise, chills, headache, decreased p.o. intake, loose bowel movements with diarrhea and no blood, decreased urine output, no sick contacts, had flu shot this year. in the emergency department, she had labile blood pressure with systolic blood pressure in the 80s. her usual is systolic blood pressure in the 120s, this was despite two liters of intravenous fluids and she was transferred to the medical intensive care unit for closer monitoring for possible early sepsis. the intensive care unit course was notable for initially receiving broad spectrum antibiotics as well as a white blood cell count of 11.0 with 15 bands. she was ultimately changed to levaquin for a possible early pneumonia pending cultures. the intensive care unit course was also notable for negative chest x-ray, two units of packed red blood cells for a hematocrit of 24.0 with appropriate bump in her hematocrit and no evidence of bleeding, stable blood pressure despite a net fluid balance of negative 2.5 liters. no central access was needed. the sepsis protocol was aborted. also of note, her liver function tests had been normal. random cortisol was 17 and her dfa was positive for influenzae a with a viral culture pending at the time of discharge. blood and urine cultures were no growth at the time of discharge as well. she also had a right lower extremity noninvasive ultrasound that was negative for deep venous thrombosis. past medical history: breast cancer diagnosed in , stage i, status post left lumpectomy, on , and repeat surgery with sentinel node dissection on . invasive mucinous carcinoma with estrogen receptor positivity and her2/neu negative. left chest radiation, on tamoxifen therapy. she is followed by dr. . question of vertebral basilar cerebrovascular accident in , with associated limb ataxia. magnetic resonance imaging was negative except for some microvascular cerebral white matter changes. question peripheral vertigo, takes meclizine p.r.n. hypothyroidism. hypertension. hypercholesterolemia. glaucoma. cataract. osteopenia. left hip arthritis. history of urinary tract infections. anemia, with a baseline hematocrit of 31.0, with a tibc that was low and a high ferritin. echocardiogram in , with preserved ejection fraction of 60 percent with trivial mitral regurgitation and mild left atrial enlargement. cardiac stress test in , that was negative for inducible ischemia. allergies: no known drug allergies. medications on admission: 1. evista 60 mg p.o. daily. 2. tamoxifen 20 mg p.o. daily. 3. lisinopril 5 mg p.o. daily. 4. triamterene/hydrochlorothiazide 37.5/25 mg p.o. daily. 5. enteric coated aspirin 325 mg p.o. daily. 6. meclizine 25 mg q8hours p.r.n. 7. aggrenox twice a day, the dose was not known. 8. synthroid 125 mcg daily. social history: she denies tobacco and alcohol abuse. she is a professional bowler. she lives alone though her family is in the area. family history: breast cancer in multiple female relatives. physical examination: at the time of presentation, temperature 100.8, heart rate 89, blood pressure 106 systolic, respiratory rate 18, oxygen saturation 97 percent in room air. physical examination is read off the admitting note from the intensive care unit team and is not reflective of the examination by this dictator. general - the patient appears stated age, found lying flat in bed, in no acute distress. head, eyes, ears, nose and throat - sclera anicteric, conjunctiva injected, the pupils are equal, round and reactive to light and accommodation, the mucous membranes are dry, oropharynx clear. neck - no jugular venous distention, no lymphadenopathy. cardiac regular rate and rhythm, normal s1 and s2, i/vi holosystolic murmur at the apex. chest clear to percussion and auscultation. abdomen is soft, nontender, nondistended, no hepatosplenomegaly. extremities - no calf tenderness, no edema. neurologically, mental status examination is normal. cranial nerves ii through xii are intact. laboratory data: on admission, chest x-ray with no acute cardiopulmonary process. electrocardiogram notable for sinus tachycardia with a rate of 104 beats per minute, normal axis, normal intervals, new t wave inversion in iii and old t wave inversions in avl and v1. this was not significantly changed from comparison with . on admission, white blood cell count 7.3, 73 percent neutrophils, 15 percent bands, 6 percent lymphocytes, hematocrit 30.4, platelet count 228,000. sodium 136, potassium 3.5, chloride 98, bicarbonate 23, blood urea nitrogen 16, creatinine 0.8, glucose 142. hospital course: this is an 80 year old female with a history of stage i breast cancer, hypertension, hyperlipidemia, who presents with a leukocytosis/bandemia, hypotension in the setting of dehydration and influenza. after a short medical intensive care unit course where she remained hemodynamically stable, she was transferred to the floor. problem list is as follows: hypotension - this was likely secondary to volume depletion in the setting of a diarrheal and viral respiratory syndrome. her blood pressure was stable after three liters of normal saline. she was clinically euvolemic after that. she did receive two units of packed red blood cells. there is no evidence of gastrointestinal bleed or adrenal insufficiency during the course of her evaluation. her antihypertensives were initially held and reinstated upon discharge. influenza a - dfa confirmed, the viral cultures were pending at the time of discharge. the initial bandemia would not have been consistent with a typical influenza presentation, so she was continued on a fourteen day course of levaquin to eliminate any possibility of a bacterial superinfection or early pneumonia. loose bowel movements - this problem was resolved and had been a viral syndrome on presentation. there was no evidence of diarrhea during medical stay. anemia - this is a chronic problem. she has known iron deficiency. there was no evidence of bleeding. she was guaiac negative and the hemophilus panel was negative. she was reinstated on iron at discharge and her hematocrit was stable. hypothyroid - she was continued on her synthroid. osteopenia - she was continued on evista. fluids, electrolytes and nutrition - she was tolerating a house diet upon discharge. follow up: she is a patient of dr. and will follow-up with her in one to two weeks. medications on discharge: 1. evista 60 mg p.o. daily. 2. tamoxifen 20 mg p.o. daily. 3. lisinopril 5 mg p.o. daily. 4. triamterene/hydrochlorothiazide 37.5/25 mg p.o. daily. 5. enteric coated aspirin 325 mg p.o. daily. 6. meclizine 25 mg q8hours p.r.n. 7. aggrenox twice a day, the dose was not known. 8. synthroid 125 mcg daily. 9. levofloxacin 250 mg p.o. daily to complete a fourteen day course. she was given a prescription for ten more days. discharge diagnoses: influenza a. hypotension secondary to volume depletion. anemia. hypothyroidism. condition on discharge: the patient was breathing comfortably in room air. she was normotensive and her hematocrit was stable at her baseline upon discharge. , procedure: venous catheterization, not elsewhere classified diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism personal history of malignant neoplasm of breast other and unspecified hyperlipidemia iron deficiency anemia, unspecified influenza with pneumonia 

Answer: The patient is high likely exposed to