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: demerol attending: chief complaint: torn medial meniscus shortness of breath bronchospasm major surgical or invasive procedure: medial meniscus repair. intubation and mechanical ventilation. central venous line placement. history of present illness: ms. is a 53 yo female with pmhx of asthma, colon cancer s/p resection, htn, osteoarthritis who was admitted for elective r knee arthroscopy . ms. r knee arthroscopy, with repeat partial posterior medial meniscectomy, partial lateral meniscectomy. although she appeared to tolerate her surgery well, her immediate post-op course was complicated by diffuse wheeze and hypercarbic respiratory failure of unclear etiology (?bronchospastic adverse durg reaction) shortly after the lma was removed, necessitating intubation. she had received 1l of crystalloid, decadron 10 mg and albuterol mdi x2 in the or. medications administerd in the pacu included ketoralac, albuterol nebulizers, racemic epi neb, terbutaline 0.5 sc, lidocaine iv, ketamine, propofol peri-intubation. her pre-intubation abg revealed: 7.26/59/113. of note, her post-intubation chest film did not reveal any infiltrates. . ms. has recured micu care from - . her micu course was notable for several complications, as follows. . 1) respiratory failure. she was maintained on empiric steroids, initially prednisone -> methylprednisolone, and then transitioned back to prednisone , as well as frequent nebs and inhaled steroids. she was successfully extubated and has demonstrated improved respiratory status. . 2) she was noted to have a lactic acidosis, with lactate up to 11 , perhaps secondary to adverse reaction to propofol versus ?albuterol. her propofol was dicontinued, and switched to fentanyl/versed for sedation, and albuterol was also held. her lactate rapidly returned to baseline by . . 3) she complained of l-sided cp, and was noted to have t wave flattening in the lat leads. she was given asa, started on captopril, and was briefly on a nitroglycerin drip, later transitioned to isosorbide dinitrate. serial cardiac enzymes were negative. an echo revealed an ef of 65%, with nl lv thickness and wall motion, and + mr. . 4) ?gib - after placement of an ng tube shortly after admission, she was noted to have ?coffee grounds. a lavage cleared shortly after infusion of saline. gi was consulted, who felt that her coffee grounds may have been secondary to stress gastritis in the setting of high-dose steroids, and she was begun on frequent ppi. her hct has remained stable. . 5) htn - patient has been noted to have significant htn, with sbps in the low 200s associated with mild ha. it is not clear what her pre-admission bp regimen was, though outpatient notes indicate lisinopril alone (?dose). she was begun on captopril -> lisinopril 20mg, hctz 25, and metoprolol, with improved control. a renal aretry u/s was obtained today for workup of ?secondary htn. past medical history: asthma htn knee oa s/p r knee arthroscopy in obesity colon resection social history: -speaking only. lives 1 hour from in a 2 floor home. eight children no tobacco no alcohol no illicit drug use. unable to exercise. physical : gen: patient appears stated age, found sitting up in bed, in nad heent: sclera anicteric, conjunctiva uninjected, perl, eomi, mmm, no sores in op, no evidence of thrush neck: no jvd, no lad, nl rom cor: rrr nl s1 s2 ii/vi hsm at apex chest: inspiratory, bibasilar crackles r>l. abd: soft, obese, nt/nd, +bs. no hsm appreciated. ext: no calf tenderness. no edema. 2+dp/pt pulses. r knee sutures intact, and knee is without evidence of inflammation (no fluctuance, warmth, or tenderness to palpation) neuro: ms , cn ii-xii in tact, ue/le strength 5+ bilaterally, nl cerebellar . gait not tested. pertinent results: 03:05pm glucose-170* na+-143 k+-3.7 cl--103 tco2-28 03:05pm o2-40 po2-113* pco2-59* ph-7.26* total co2-28 base xs--1 intubated-not intuba comments-cool neb 04:09pm type-art rates- tidal vol-500 po2-424* pco2-71* ph-7.21* total co2-30 base xs--1 intubated-intubated 04:48pm pt-13.1 ptt-23.7 inr(pt)-1.1 04:48pm plt count-145* 04:48pm neuts-85.2* lymphs-13.4* monos-1.0* eos-0.2 basos-0.2 04:48pm wbc-8.3 rbc-4.01* hgb-12.1 hct-35.2* mcv-88 mch-30.3 mchc-34.5 rdw-12.7 04:48pm calcium-8.9 phosphate-3.5 magnesium-1.7 05:25pm lactate-5.8* 08:53pm plt count-161 08:24pm type-art po2-158* pco2-39 ph-7.27* total co2-19* base xs--8 08:53pm neuts-85* bands-6* lymphs-7* monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 08:53pm wbc-10.9 rbc-4.15* hgb-12.6 hct-36.7 mcv-88 mch-30.4 mchc-34.4 rdw-12.7 08:53pm albumin-3.9 calcium-9.3 phosphate-2.5* magnesium-1.8 08:53pm ck-mb-3 ctropnt-<0.01 08:53pm alt(sgpt)-13 ast(sgot)-29 ld(ldh)-241 ck(cpk)-58 alk phos-100 amylase-88 tot bili-0.5 08:57pm pt-13.6 ptt-24.5 inr(pt)-1.2 09:00pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:00pm urine color-yellow appear-clear sp -1.020 09:06pm lactate-11.2* 11:06pm lactate-10.3* k+-3.6 09:06pm type- 11:06pm type-art temp-35.6 rates-22/ tidal vol-500 peep-5 o2-40 po2-117* pco2-39 ph-7.31* total co2-21 base xs--6 intubated-intubated brief hospital course: 53 yo female with h/o asthma s/p elective r knee arthroscopy , who developed hypercarbic respiratory failure requiring intubation , now recovering well on empiric steroids and nebulizers. . respiratory failure: likely asthma flare possibly from instrumentation vs. adverse medication reaction vs. aspiration. continued to do well since being successfully extubated . received solumedrol taper and was converted to prednisone. -rapid prednisone taper -mdis -outpatient pulmonary workup, including pfts. . lactic acidosis: resolved on hospital day 2. felt to be either propofol or less likely albuterol. . cp: currently chest pain free. prior lateral t wave flattening, ?etiology given serially negative cardiac enzymes. however, it is noteworthy that the cp occurred in the setting of coffee-ground emesis, and may actually have been gi in origin. -continue empiric asa. -bp control as below -consider d/c of empiric nitrates -recommend outpatient ett if has not been previously performed by outpatient cardiologist. . htn: managed by dr. (), affiliated with ). -continued lisinopril 20 mg daily -continued metoprolol, titrate dose (though given asthma flare, preferred to increase ace rather than b-blocker) -continued hctz . s/p arthroscopy: wound was healing well and eventually tolerated weight bearing with physical therapy. will need follow-up and suture removal. . gastritis: suspect coffee grounds were secondary to stress gastritis as above. -continued pantoprazole. -outpaient egd . anemia: hct stably low with hct ~31. with normal iron and ferritin. suspect anemia of chronic dz. . hyperglycemia: steroid induced, continue riss . occult bacteremia: 1/4 bottles with staph epi. in culture likely a contaminant. no intercurrent fevers or leukocytosis. . fen: maintained on cardiac diet . access: cvl (l subclavian). attempt piv, and then d/c cvl. . comm: , daughters, and interpreter. daughter phone . . code: full. . dispo: patient was afebrile with stable vital signs on the day of discharge. she was not dyspneic and was able to speak in full sentences without distress. she had no further comnplaints and was able to bear weight on her knee s/p arthroscopy. she was without wheezing or rales on physical and was euvolemic. she was discharged home in stable condition on a rapid prednisone rapid taper with pcp, , and gi follow-up. . follow-up: with pcp for asthma management during rapid prednisone taper, management of anemia, and for exercise tolerance testing or pharmacological stress (as limited by asthma). with gi for outpatient egd for possible stress gastroenteritis). medications on admission: lisinopril flovent oxycodone albuterol prednisone x 5days in ultram discharge medications: 1. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 inhaler* refills:*2* 2. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual asdir (as directed) as needed for pain: please let 1 tablet every 5 minutes for persistant chest pain. call your doctor if you need to take this medication. disp:*30 tablet, sublingual(s)* refills:*0* 3. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed for wheeze. disp:*1 inhaler* refills:*0* 4. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for indigestion. disp:*500 ml(s)* refills:*0* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 7. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). disp:*240 tablet(s)* refills:*2* 8. lisinopril 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 10. prednisone 10 mg tablet sig: see instructions below tablet po daily (daily): : 3 tablets daily : 2 tablets daily : 1 tablet daily. disp:*12 tablet(s)* refills:*0* 11. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: disk with devices inhalation (2 times a day). disp:*1 disk with device(s)* refills:*2* 12. oxycodone hcl 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*20 tablet(s)* refills:*0* 13. toprol xl 50 mg tablet sustained release 24hr sig: three (3) tablet sustained release 24hr po once a day. disp:*90 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: torn medial meniscus, asthma flare, respiratory failure requiring intubation and mechanical ventilation discharge condition: stable. discharge instructions: please take prednisone as directed: on take 30 mg (3 tablets) once each day. on , and 23 take 20 mg (2 tablets) once each day. on , and 26 take 10 mg (1 tablet) once each day. after , you are finished taking the prednisone. . please see dr. to follow up about your knee on at 10:50 am. . please take all the medications as listed by the prescriptions; you will be taking some new medications. . physical therapy will be assisting you at home. followup instructions: provider: , md where: orthopedics phone: date/time: , 10:50 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube excision of semilunar cartilage of knee diagnoses: acidosis anemia, unspecified esophageal reflux unspecified essential hypertension acute kidney failure, unspecified acute respiratory failure personal history of malignant neoplasm of large intestine unspecified accident obesity, unspecified other abnormal blood chemistry asthma, unspecified type, with (acute) exacerbation other specified gastritis, with hemorrhage tear of medial cartilage or meniscus of knee, current tear of lateral cartilage or meniscus of knee, current osteoarthrosis, localized, primary, lower leg 

Answer: The patient is high likely exposed to