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: sulfamethoxazole / quinolones attending: chief complaint: non-functional picc line major surgical or invasive procedure: peripherally inserted central venous catheter history of present illness: 80f pmh multiple hemorrhagic cvas amyloid angiopathy, non-vocal and unable to follow commands at baseline, s/p recent admission for aspiration pna (multiple admissions with last 3 months for pulmonary complications),hiatal hernia and discharged on tpn and no po meds, p/w fevers. the patient lives at home where her husband is her primary care giver. she was brought by husband on because picc not working well. unable to draw blood thru it. but had tpn last night. . the husband also noticed increased cough, mainly at night for 4 days no fever/chill/ redness at picc site or any other new symptoms. past medical history: - multiple intraparenchymal hemorrhages due to amyloid angiopathy. the first hemorrhage was in (presented with r hemiparesis). later had a large l fronto-parietal bleed (became aphasic). - focal motor facial seizures. previously treated with dilantin, now on neurontin. - myoclonic jerks - high cholesterol - hypertension - hx of hospital admission for pneumonia vs. bronchitis instigated by patient inability to clear secretions from upper respiratory tract. was intubated. social history: lives at home with her husband who is her primary caregiver. also has a home health aide. they take 24 hour care of her. she is unable to do any of her adls and requires a foley at baseline. she is fairly nonresponsive at baseline, but occ says words or laughs at the tv according to her family. no tobacco, etoh, or illicit drug use. family history: h/o cad and stroke in the family physical exam: upon presentation to : t bp 130/80 p 93 o2 93 on ra initially _> 85 on ra-> 99% on 100%nrb gen: respiratory distress, thin frail female heent: pupil equal and reactive, nc/at, mucus membrane moist neck: supple, no lad cv: rrr, no murmur/rubs/gallops resp: ant exam w/ good inspiratory throughout, no wheezing or focally decreased bp abd: soft, non-tended, non-distended, + bowel sounds ext: warm, no edema, no erythema, +2 distal pulses neuro: open eyes, does not follow command, moves hand and leg spontaneously (non-verbal at baseline) pertinent results: 09:35am glucose-110* urea n-20 creat-0.7 sodium-139 potassium-4.2 chloride-105 total co2-23 anion gap-15 09:49am lactate-1.5 09:35am calcium-9.8 phosphate-4.0 magnesium-2.0 09:35am wbc-7.6 rbc-3.60* hgb-11.5* hct-32.6* mcv-90 mch-31.9 mchc-35.3* rdw-15.6* 09:35am urine blood-mod nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.0 leuk-mod 09:35am urine rbc-0-2 wbc->50 bacteria-mod yeast-mod epi-0-2 brief hospital course: 80 year old female h/o cva, baseline mental status non-communicative, on tpn, aspiration precaution, h/o uti (klebseilla and pseudomonas), h/o mucus plugging, admitted for picc malfunction, now w/ acute respiratory distress of unclear etiology. . # hypoxic repiratory distress-this was thought to be most likely due to mucus plugging vs aspiration. her ekg was not suggestive of ischemic causes. initial abg 7.48/31/53 on 100% nrb was suggestive of significant hypoxemia. she received respiratory suctioning which produced significant amt of thick secretion. her o2 sats improved from 85 on room air initially to high 90s on 100 nrb to 99-100 on shovel mask on . she was briefly given vancomycin/flagyl along with ceftazdiime (already given for empiric uti treatment). this was stopped on days 2 () of her icu stay as her oxygenation improved and her hypoxic episode thought to be related to mucus plugging. by time of discharge she was breathing well with normal oxygenation on room air. . #uti - she was initially started on ceftazdime given recent hospitalization/ pseudomonas uti/ chronic foley cath. her urine on followup revealed poly-flora oganism thought to be chronic colonization given her chronic in-dwelling foley. the foley was changed on admission. ceftaz was d/c on day 2 as she was not thought to have uti. . #anemia-her hct remained stable while she was in the hospital. . # fen: the patient is tpn dependent at baseline secondary to her her neurologic defecits. after changing her picc line, she received daily tpn in consultation with the nutritionists. . #access- she initially came in for malfunction of picc. a new r picc was place in her antecubital area . # code status- extensive discussion was healed with the husband and he agreeed that she can be intubated if needed, but do not resucitate - this plan was made effective on . . # dispo: the patient was discharged to home with services. medications on admission: tylenol prn alb q6 nebs prn atrovent nebs q6 clonidine patch 0.1mg/24hr q sun vancomycin 500 mg q 12h x 7 days (finish on ) . meds on admission: alb q6 combivent tpn clonidine patch discharge medications: 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed for constipation. 2. acetaminophen 650 mg suppository sig: one (1) suppository rectal q6h (every 6 hours) as needed for pain or fever. 3. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsun (every sunday): apply patch if sbp < 95. disp:*5 patch weekly(s)* refills:*2* 4. tpn tpn per nutrition protocol include famotidine 40 mg iv per tpn bag 5. line care picc line care per protocol 6. atrovent 0.02 % solution sig: one (1) inhalation every six (6) hours. 7. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours). 8. wound care wound care to coccyx per included instructions discharge disposition: home with service facility: discharge diagnosis: primary: aspiration . secondary: bronchiectasis hiatal hernia multiple strokes discharge condition: stable. afebrile. normal oxygenation on room air. picc line functioning appropriately. discharge instructions: you have been evaluated and treated for a malfunctioning picc line and for aspiration. your picc line was changed. your breathing status improved with regular suctioning. . you will resume your home services of vna and tpn. . if you develop any new concerning symptoms please contact your doctor. followup instructions: please call your primary doctor a follow-up appointment within the next 1-2 weeks. md procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified pure hypercholesterolemia unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene personal history of other diseases of circulatory system compression of vein pressure ulcer, lower back bronchiectasis without acute exacerbation mechanical complication of other vascular device, implant, and graft foreign body in respiratory tree, unspecified inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to