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: this is a 69-year-old woman with a past medical history of myopathy and restrictive lung disease requiring nightly bipap and multiple intubations in the past. the last admission was in of this year for pneumonia and hypercarbic respiratory failure. she has a history of co2 retention. according to her daughter, the patient presents with four to five days of confusion and fatigue with slurred speech consistent with the patient's past presentation for hypercarbia. over the past 24 hours prior to admission the nursing home where she lives () noted that her o2 saturations were lower than baseline. she was confused and having low grade temperatures. she also by report had systolic blood pressures to the 80s and had new onset atrial fibrillation where she was given diltiazem in the field and converted to normal sinus rhythm. in the emergency department, she was noted to have a temperature of 101 degrees farenheit with a blood pressure of 140/64, heart rate in the 80s to 100s, o2 saturation 90-92% on 100% non-rebreather. her initial arterial blood gas was 7.25/135/65. she was started on bipap but her systolic blood pressure dropped to 65/21. she received 2 liter normal saline bolus with her systolic blood pressure going up to 99. repeat arterial blood gas was 7.24/123/96. she was intubated and transferred to the micu for further care. of note, the patient had been on cipro for a urinary tract infection for three days prior to admission. the patient's daughter reports she had not complained of pain, chest pain, shortness of breath, increased cough from her baseline or change from her baseline, or clear sputum production. there has been no nausea, vomiting, diarrhea, or headaches. past medical history: the past medical history revealed steroid-dependent myopathy diagnosed in , possibly inclusion body myositis with restrictive lung disease. her last pulmonary function tests in revealed an fvc of 65%, fev1 71%, 1.29 liters, with a ratio of 109%. dlco was slightly decreased which was felt to be consistent with a mild restrictive picture. her baseline bicarbonate is 30-40 with baseline pco2 probably in the 60s. she is on home o2 as well as evening bipap. the patient has a history of diabetes, hypertension, hypercholesterolemia, liver hemangioma, depression, and gastrointestinal bleed. social history: there is no alcohol and no tobacco use reported. she lives in an facility, . allergies: the patient has no reported drug allergies. physical examination on presentation: vital signs revealed temperature 96.8 degrees farenheit, blood pressure 97/76, heart rate 106, o2 saturation 89-99%. in general, this is a sedated intubated woman in no apparent distress otherwise. heent was anicteric, perla. the neck was supple. jvd could not be assessed as she was lying flat. chest examination revealed coarse breath sounds with rhonchi bilaterally auscultated anteriorly. cardiac examination revealed irregularly irregular with no murmurs, rubs, or gallops appreciated, tachycardiac. the abdomen was soft, nontender, and nondistended with normal bowel sounds. the extremities revealed no cyanosis, clubbing, or edema. on neurologic examination, the patient was sedated. the toes were down-going bilaterally. she was moving all four extremities spontaneously. laboratory data on admission: white blood cell count was 17.3 with hematocrit 39.5 and platelets 140,000 with 89 polys, 8 lymphocytes, 2 monocytes. sodium was 140, potassium 3.4, chloride 94, bicarbonate greater than 45, bun 22, creatinine 0.6, blood sugar 151. urinalysis revealed 1.017, trace protein, 500 glucose, no red blood cells or white blood cells. chest x-ray #1 showed a new basilar left lower lobe consolidation with no effusion. ekg #1 showed atrial fibrillation at 108 with left axis deviation, no qs, no st or t wave changes. ekg #2 revealed normal sinus rhythm at 86, left axis deviation with no st or t wave changes. medications on admission: evista 60 mg p.o. q. day, lasix 20 mg p.o. q. day, mysoline 200 mg p.o. q. day, neurontin 600 mg b.i.d. and 300 mg q. afternoon, prednisone 30 mg p.o. q.o.d., prilosec 40 mg p.o. q. day, prinivil 10 mg p.o. q. day, valium 2 mg p.o. b.i.d., colace 100 mg p.o. b.i.d., effexor 75 mg p.o. b.i.d., calcium chloride 500 mg p.o. t.i.d., combivent 3 puffs q.i.d., tylenol p.r.n., milk of magnesia p.r.n., artifical tears 2 drops in each b.i.d. p.r.n., trazodone 150 mg p.o. q.h.s., cipro 250 mg p.o. b.i.d. x 3 days, duragesic patch 50 mcg q. 72 hours, iron 325 mg three times a week, bactrim double strength one tablet three times a week, aspirin 81 mg p.o. q. day, atenolol 50 mg p.o. q. day, imuran 250 mg p.o. q. day, claritin 10 mg p.o. q. day. hospital course pulmonary: the patient was intubated for hypercarbic respiratory distress. on , she was extubated with an arterial blood gas of 7.39/79/83 and kept on bipap at night. her respiratory status at the time of discharge revealed no respiratory distress and she was saturating 94% on 2 liters by nasal cannula. infectious disease: the initial chest x-ray was suggestive of a left lower lobe pneumonia and she was treated initially with levofloxacin and flagyl for both a community acquired pneumonia and a possible aspiration pneumonia. vancomycin was added to this regimen as well. her vancomycin and flagyl were discontinued after hospital day #5 and she was continued on p.o. levofloxacin to complete a 7 day course again for presumed left lower lobe pneumonia. cardiovascular: the patient had one ekg during her hospitalization which revealed atrial fibrillation but since has been in normal sinus rhythm with occasional atrial ectopy. as she became hemodynamically stable, her antihypertensives were restarted. she continued to have some mild ectopy by telemetry but remained in normal sinus rhythm. she had elevated cpks as high as 489 with normal mb fraction but had a troponin of 3.6. at the time of discharge, her troponin was less than 0.3. her cardiovascular issues will be worked up further as an outpatient. neurology: the patient has a history of steroid-dependent myositis, possibly inclusion body myositis. her neurologist, dr. , was helping with the management of her neurologic issues. the patient was restarted on her imuran as at some point it had been discontinued and was initially on stress dose steroids during her hypotensive episode but was put back on prednisone and will have her prednisone tapered at rate as determined by dr. . discharge medications: effexor 75 mg p.o. q. day, neurontin 600 mg p.o. q.a.m. and q.h.s., neurontin 300 mg p.o. at 2:00 p.m., aspirin 325 mg p.o. q. day, tums 500 mg p.o. t.i.d., iron sulfate 325 mg tiw, colace 100 mg p.o. b.i.d., neutra-phos 2 packets q.i.d., prinivil 10 mg p.o. q. day, evista 60 mg p.o. q. day, regular insulin sliding scale, dulcolax 10 mg p.o. q. day p.r.n., protonix 10 mg p.o. q. day, lopressor 25 mg p.o. b.i.d., levaquin 250 mg p.o. q. day x 7 days--the last dose should be on , imuran 250 mg p.o. q. day, prednisone 60 mg every other day q. monday, wednesday, friday, and sunday, then prednisone 40 mg every other day starting next week tuesday, thursday, saturday, and monday, followed by prednisone 60 mg every other day q. monday, wednesday, friday, and saturday in an alternating fashion. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified anemia, unspecified adrenal cortical steroids causing adverse effects in therapeutic use diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other pulmonary insufficiency, not elsewhere classified atrial fibrillation lung involvement in other diseases classified elsewhere orthostatic hypotension polymyositis 

Answer: The patient is high likely exposed to