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: mrs. is an 84-year-old woman with a history of a recent myocardial infarction, hypertension, insulin dependent diabetes mellitus and alzheimer's disease. she was in her usual state of health at a nursing home when, at about 9 a.m., the nurse was walking past mrs. and noticed the patient was having a general tonoclonic seizure that started while she was eating breakfast in a chair. she was lowered to the ground, her airway was cleared and she continued to have general tonoclonic convulsions for approximately one to two minutes. afterward, she did not regain consciousness. ems was called. at about 9 ? she had another gtc in the ambulance and received 5 mg of valium en route to . after arrival, she was unresponsive, moving all four extremities and had systolic blood pressure of approximately 215. she was intubated to protect her airway. in total, she received 40 mg of valium and 10 mg of morphine prior to this examination. she was also loaded with dilantin 1 gm. ct showed no mass or hemorrhage. mri/mra showed no infarct, no mass or vascular abnormalities. past medical history: historian was emergency department staff and primary care physician. 1. hypertension 2. insulin dependent diabetes mellitus 3. coronary artery disease - myocardial infarction x3 - most recent 4. chronic renal failure (usual creatinine is approximately 2.7) 5. alzheimer's dementia 6. history of hip fracture - no more information available 7. anemia of unknown etiology - gi work up including endoscopy not yet done 8. cataracts 9. glaucoma allergies: penicillin and sulfa medications on most recent discharge: 1. enteric coated aspirin 325 mg po q day 2. brimonidine 0.15% eyedrops, 1 drop both eyes 3. peri-colace 1 tablet po bid prn 4. senna 1 tablet po bid prn 5. multivitamins 1 tablet po q day 6. sublingual nitroglycerin 0.3 mg prn 7. acetaminophen 325 to 650 mg po q 4 to 6 hours prn 8. insulin nph 56 units q a.m. subcutaneous 9. lasix 40 mg po prn 10. protonix 40 mg po q day 11. isosorbide dinitrate 10 mg po tid 12. hydralazine 10 mg po q6h 13. diltiazem extended relief 240 mg po q day to be titrated down 14. metoprolol 25 mg po bid to be titrated up 15. calcium carbonate 500 mg po bid social history: the patient is a resident of . she has many family members involved in her care. she does not have any known history of smoking, alcohol or drug use. physical exam on admission: vital signs: blood pressure 156/68, heart rate 72, respiratory rate 18, temperature 98.1??????. general: well developed, obese, intubated and sedated. head, ears, eyes, nose and throat: clear, mucous membranes moist, anicteric. ett in place. cardiovascular: regular rate and rhythm, no murmurs, rubs or gallops. no jugular venous distention. lungs: clear to auscultation bilaterally. abdomen: obese, soft, nontender, nondistended. neurologic: intubated, sedated, does not respond to voice, grimaces and moves all extremities to pain. pupils approximately 2 mm and reactive with dense cataracts. fundi could not be seen. absent oculocephalic reflex. attenuated corneal reflex in the left upper arm. intact cough, could not elicit gag. withdraws all four extremities to nail bed pressure, 2+ deep tendon reflexes in the upper extremities, 1+ patellar and ankle jerks. plantars upgoing bilaterally, unable to test gait. imaging: chest x-ray - bibasilar densities consistent with congestive heart failure and left lower lobe infiltrate. labs: white count on admission 12, hematocrit 41, hemoglobin 9.6, platelets 267. sodium 138, potassium 4.7, chloride 100, co2 21, bun 31, creatinine 2.8, glucose 130, ck 148, mb 2, troponin less than 0.3. pt 13.0, inr 1.2, ptt 24. lp was attempted several times, but did not get csf. hospital course: mrs. was admitted to the neurology intensive care unit. she was continued on dilantin and 300 mg po q day. she was found to have a urinary tract infection which was treated with antibiotics. mrs. was extubated on the 19th without difficulty and transferred to the neurology floor on five. no lp was able to be obtained still, but the addition of cns infection was extremely low, presumed that the patient's features were secondary to her urinary tract infection in the setting of severe alzheimer's. after consultation with the family, it was decided to place a peg tube, as the patient had been unable to swallow effectively. at the bedside, a swallowing evaluation was performed on the 23rd which the patient failed. peg tube was placed on without complication. tube feeds and peg tube feeds were began on . addendum with discharge medications will be added at a later date. dr., r. 13-130 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization diagnoses: pneumonia, organism unspecified anemia, unspecified urinary tract infection, site not specified other convulsions old myocardial infarction alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to