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 / iodine attending: chief complaint: recurrent mucous plugging at med center requiring transfer to for evaluation major surgical or invasive procedure: rigid bronchoscopy for tumor destruction w/ cryo left pleural tap history of present illness: 79 yo f with history of cll, previously admitted to medical center for continued management of recently diagnosed renal cell cancer. during admission, patient had respiratory failure in setting of pneumonia with extensive mucous plugging and atelectasis. patient exhibited some altered mental status during her hospitalization and required intubation () for impending respiratory failure. she underwent bronchoscopy which revealed large amounts of mucus plugging. cultures grew s.pneumonia and was treated with vancomycin and aztreonam (7 day course). she was also given fluconazole for potential fungal source, with pending cultures. while at osh, she required multiple bronchoscopies and mucous clearing which were all unsuccessful. patient failed to wean from her ventilator and transferred here to for further management and alternative procedures. of note, patient with arf with cr 1.6, now 0.8 on admission most likely pre-renal. l ear chondritis on moxifloxacin and gent gtt, ct head neg for mets or mastoiditis. past medical history: past medical history: ------------------- cll, diabetes, htn, osteoarthritis, renal cell carcinoma, left ear chondritis, atrial fibrillation, acute kidney injury from osh; nasal polypectomy, left shoulder surgery, breast surgery, both eyes , l cataract repair social history: married lives w/ family family history: non-contributory physical exam: physical exam vitals: t: 97.3 p: 70-80's (sr on tele) r: 20's bp: 120-160's/40-60's sao2: 98% on 4l nc general: awake, tachypneic with slightly labored breathing heent: nc/at, no scleral icterus noted, limited exam but no oropharyngeal lesions noted' purulent, blood tinged fluid is draining from her external auditory canal; no significant lad neck: supple, no carotid bruits appreciated but limited secondary to tachypnea. no nuchal rigidity pulmonary: diffuse rhonchi, decreased breath sounds at bases cardiac: nl s1, s2, limited auscultation due to transmitted breath sounds abdomen: soft, nt/nd, normoactive bowel sounds extremities: 3+ edema in ue bilaterally, 2+ in le bilaterally skin: no rashes or lesions noted. neurologic: -mental status: awake, requires maximal cues to respond to examiner. she otherwise sits, looking at the examiner, tachypneic but not answering any questions. with maximal cues she whispers one-two word answers including her name and hospital. she does not answer the date. she is able to name her children and glasses but not watch. she also only names one object on a card of pictures despite repeated attempts. she does not read or repeat. her speech is hypophonic but not dysarthric and there are no paraphasic errors. she does not follow most commands despite maximum cuing. cn i: not tested ii,iii: l lower lid droops and the upper lid does not close voluntarily, l pupil is surgical, both pupils are reactive 2mm-> 1mm, unable to visualize fundi secondary to myosis. iii,iv,v: eomi. no nystagmus v: sensation appears intact v1-v3 to lt, corneals are spared but decreased on the l, nasal tickle minimal bilaterally vii: marked facial asymmetry with a l facial droop, with inability to smile or raise forehead on the l. her forehead at rest as no creases. viii: appears to have impaired hearing to voice on the l. ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue lies midline but pt does not cooperate with tongue extension motor: normal bulk, decreased tone throughout. pt does not cooperate with formal strength testing but is only able to raise her arms off the bed for 2 seconds bilaterally despite repeated cues. she does not raise either leg off the bed but does withdraw symmetrically to nox stim. reflex: no clonus tri bra pat an plantar c5 c7 c6 l4 s1 cst l 0---------- flexor r 0---------- mute -sensory: symmetric withdrawal to nox stim in all extremities -coordination: pt would not cooperate with testing pertinent results: , f 79 pathology report tissue: left main broncho stem. study date of report not finalized. assigned pathologist , c. please contact the pathology department, pathology # left main broncho stem. brief hospital course: pt was admitted to the icu intubated on . bronch was done which revealed copious mucous plugs. taken to the or for rigid bronchoscopy for tumor debridement w/ cryo. extubated w/o difficulty. left thoracentesis done for 300cc exudative. bnp 1864- diuresed. seen by ent/ neuro eval for drainage from left ear which pt reports as ongoing x 1-6 months. thought to be chrondritis at osh but now ent/neuro think that this is more likely hunt. started on acyclovir in addition to cipro and dexamethasone gtts. mri to be done today to eval for cns involvement. after mri will consider steriods 60mg prednisone for 2 weeks and then taper over one week. will need ongoing ent/neuro follow up. cultures and pathology pending at this time. medications on admission: dulcolax, fent prn, montelukast 10', sqh", allopurinol 100', propofol gtt, sucralfate 1"", riss, metoprolol 37.5"", colace 100", senna', mucomyst q4h, fluc 400', moxiflox 400', gent gtt", dornase alpha" discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 3. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 5. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours). 6. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: two (2) drop ophthalmic q2h (every 2 hours). 7. ciprofloxacin 0.3 % drops sig: four (4) drop ophthalmic (2 times a day) for 7 days. 8. dexamethasone 0.1 % drops, suspension sig: four (4) drop ophthalmic (2 times a day) for 7 days. 9. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic hs (at bedtime). 10. acyclovir 800 mg tablet sig: one (1) tablet po q8h (every 8 hours). 11. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) as needed for chf. 12. famotidine(pf) in (iso-os) 20 mg/50 ml piggyback sig: twenty (20) mg intravenous q24h (every 24 hours). 13. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day) as needed for afib. 14. acetylcysteine 20 % (200 mg/ml) solution sig: 1-10 mls miscellaneous q6h (every 6 hours) as needed. 15. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 16. regular insulin qid per sliding scale finger stick 17. prednisone 20 mg tablet sig: three (3) tablet po daily (daily) for 2 weeks: then taper. discharge disposition: extended care facility: medical center discharge diagnosis: rigid bronch/ endobronchial biopsy/ cryotherapy ? hunt discharge condition: stable discharge instructions: resume previous level of care including ongoing management for chf, hunt (cultures pending) vs.left chondritis. followup instructions: no further follow up need with dr. . should follow up w/ cardiology re: chf and ent / neurology for chondritis vs. hunt. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours thoracentesis closed [endoscopic] biopsy of bronchus transfusion of packed cells endoscopic excision or destruction of lesion or tissue of bronchus diagnoses: unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation malignant neoplasm of kidney, except pelvis acute respiratory failure pneumonia due to staphylococcus, unspecified hypovolemia chronic lymphoid leukemia, without mention of having achieved remission foreign body in main bronchus benign essential hypertension geniculate herpes zoster chondritis of pinna 

Answer: The patient is high likely exposed to