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 a 34 year old female with past medical history of obstructive sleep apnea, asthma, obesity, ovarian cyst, hiv and history of tracheostomy in , presenting with fevers, chills, lower back pain, myalgia, denies any nausea, vomiting, diarrhea, has headache, as well as some diarrhea without any chest pain or shortness of breath. the patient complained of frontal headache associated with fevers. allergies: the patient is allergic to percocet and vicodin. medications on admission: 1. lasix 80 mg. 2. effexor. 3. . 4. ambien. 5. multivitamins. 6. ventolin. 7. serevent. social history: the patient denies alcohol, drugs or tobacco. she lives alone and works as a medical insurance company employee. physical examination: on presentation, the patient had a temperature of 102.1, heart rate 96, respiratory rate 18, and blood pressure 92/22. in general, the patient is obese. the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. the heart is regular rate and rhythm, ii/vi systolic ejection murmur heard best at the left upper sternal border. the lungs are clear to auscultation bilateral. no crackles. the abdomen is soft, nontender, nondistended, positive bowel sounds. extremities - no cyanosis, clubbing or edema. no nuchal rigidity. neurologic examination reveals no focal deficits. laboratory data: on presentation, white blood cell count was 9.6 with 23% bands. chem7 was unremarkable. chest x-ray was difficult to interpret due to body habitus. hospital course: the patient's issues in the intensive care unit therefore were: 1. headache - it was worrisome for infectious etiology or subarachnoid. attempts at lumbar puncture were unsuccessful in the emergency department. ct as well as x-ray was not performed given that the patient's weight was 550 pounds exceeding the limits of the cat scan table as well as could not be done under fluoroscopy. the patient refused to lie on stomach for the procedure which required thirty minutes in that position. given the situation, her headache was still thought to be either a tension headache, migraine, meningitis or subarachnoid. in terms of subarachnoid, q4hour neurologic checks were performed to insure that there was no neurological findings though the diagnosis is low in the differential. 2. meningitis - the patient was started on two grams ceftriaxone empirically to treat this given that lumbar puncture could not be performed. she was also given tylenol for treatment of the headache. in terms of infection, again chest x-ray was difficult to interpret. the patient denied any upper respiratory infection symptoms. urine was negative and blood cultures were negative. 3. obstructive sleep apnea - in terms of her obstructive sleep apnea, she has a tracheostomy in place and she uses mechanical ventilation pressor support at home. she continues her mechanical ventilation support in the hospital at the settings that she uses at home. 4. neuropsychiatric - depression - her effexor was continued. 5. obesity - the patient's body mass index is 89. unfortunately, this was the problem with inability to image her head. during the hospital course, it was complicated by she had erythema, redness in her left lower extremity consistent with cellulitis and she was started on keflex to treat the cellulitis. during hospital course, the patient also had a picc line placed for intravenous antibiotic. condition on discharge: on discharge, the patient was in good condition with the same diagnoses and was discharged in good condition. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: hyposmolality and/or hyponatremia cellulitis and abscess of leg, except foot backache, unspecified tracheostomy status other chronic sinusitis meningitis, unspecified 

Answer: The patient is high likely exposed to