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: is a 67 year old woman with a history of oxygen dependent copd, als (?), atrial fibrillation, who presented with shortness of breath that had gradually worsened over the two to three days prior to admission; over that time, the patient had also been fatigued and occasionally nauseated. she noted abdominal cramps had been present times one week. she has a chronic history of diarrhea that alternated with constipation; her last bowel movement prior to admission had been earlier that day, which was diarrhea. the patient also noted decreased p.o. intake times one week, stating "i just don't feel like eating". the patient was not sure whether or not this was due to early satiety. reportedly, the patient's shortness of breath progressed to such that she could only utter two to three word sentences, though she denied this on presentation to the medicine floor. the patient denied any increase in oxygen requirement. she denied cough. review of systems: on further review of the systems, the patient denied fever, chills, vomiting. she had not had any dysuria, hematuria, hematochezia, melena, chest pain, back pain or headache pain. the patient, on arrival, did not currently have a primary care physician nor neurologist. the patient was unclear on many details of her past medical history. she denied taking any medications other than those listed below. in the emergency department, the patient received nebulizers, levofloxacin, solu-medrol. past medical history: 1. chronic obstructive pulmonary disease, on home oxygen since ; typically uses 3.5 liters. no past hospitalization and no past intubations for copd. 2. history of atrial fibrillation, . 3. als, diagnosed in ; bedridden since . last rehabilitation session two to three months prior to this current admission. this diagnosis has been somewhat controversial, according to the patient. allergies: no known drug allergies. outpatient medications: 1. colace, p.r.n. 2. magnesium citrate, p.r.n. social history: the patient lives alone although her granddaughter has been staying with her recently. she admits a 40 pack year history of smoking, which she quit approximately two years ago. the patient admits past alcohol abuse which she quit 12 years ago. the patient has a homemaker visit her; her neighbors are helpful. the patient used to work as a police dispatcher until . physical examination: on presentation, vital signs with temperature 98.6 f., on examination; heart rate 113; blood pressure 125/75; respirations 22, on four liters of oxygen. in general, frail, somewhat contracted woman with resting tremors, in no acute distress, speaking in full sentences. heent: head atraumatic. sclerae anicteric. pupils equally round and reactive to light and accommodation. extraocular muscles are intact bilaterally. moist mucous membranes. neck supple without bruits or jugular venous distention. cardiovascular: tachycardic to heart rate of 112 with a regular rhythm. normal s1 and s2. chest: prolonged expiratory phase; rare rhonchi at bases without wheezes. abdomen: soft, nondistended, slightly tender to deep palpation in the left lower quadrant without guarding or rebound. no palpable stool. aorta palpable, approximately 3 cm wide. extremities with no cyanosis, clubbing or edema. weak pedal pulses bilaterally. contracted extremities. neurologic examination: alert and oriented times three. speech normal and appropriate. contracted upper extremity with resting tremors, especially on the right side. cranial nerves ii through xii intact bilaterally. laboratory: on presentation, cbc revealed a white count of 9.3, with a differential of 64% neutrophils and 20% lymphocytes. hematocrit 33.7, platelets elevated at 617. coagulation studies revealed an inr of 1.2, pt of 13.3 and ptt of 33.9. chem-7 revealed sodium 135, potassium 3.6, chloride 92, bicarbonate 29, bun 8, creatinine 0.5, glucose 121. ekg revealed sinus tachycardia with a rate of 143. chest x-ray revealed hyperinflation with flat diaphragms. there was a right nodular density of unclear identity. brief hospital course: the patient was admitted to the medicine service for further evaluation and treatment of her above-noted symptoms which were felt to most likely represent a chronic obstructive pulmonary disease exacerbation. the patient was continued on her nebulizers and levofloxacin as well as solu-medrol. the solu-medrol was subsequently changed to p.o. prednisone, which was tapered. the patient improved with these interventions. she did not experience shortness of breath or respiratory distress. her nebulizers were changed from scheduled intervals to p.r.n. doses. the patient was given metered-dose inhalers to use. the patient remained in sinus rhythm during her hospitalization. neurologic issues: given the patient's punitive diagnosis of als, as well as the fact that she did not currently have a neurologist, an appointment was made for the patient to follow-up with clinic after discharge from the hospital. condition at discharge: vital signs stable, afebrile. discharge diagnoses: 1. chronic obstructive pulmonary disease exacerbation. 2. apparent diagnosis of als. discharge medications: 1. prescription for a prednisone taper. 2. prescriptions for metered-dose inhalers. 3 continue on her above noted outpatient regimen of colace, p.r.n. and magnesium citrate, p.r.n. discharge instructions: 1. the patient was to follow-up with her primary care physician, . on , at 01:30 p.m. 2. the patient was also to follow-up with the neurology service on , at 1 p.m. where she would see dr. . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube closed [percutaneous] [needle] biopsy of lung diagnoses: anemia, unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure other specified cardiac dysrhythmias malignant neoplasm of bronchus and lung, unspecified 

Answer: The patient is high likely exposed to