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: no known allergies / adverse drug reactions attending: chief complaint: transferred for ebus major surgical or invasive procedure: ebus history of present illness: 83 yo f with hypothyroidism, htn, bipolar d/o, pvd, former smoker, recent incidental lung mass on ct angio of carotids (), f/u ct chest showed lll mass with ? necrosis and prominent lad (hilar, subcarinal, and pretracheal nodes), presented to hospital today for outpatient bronchoscopy/biopsy left main bronch mass, attempted biopsy, but with brisk bleeding just with suction, epinephrine injected. now requesting transfer to for bronch +/- ebus. per osh pulm, pt is asymptomatic and hemodynamically stable. . vitals prior to transfer: t: afebrile bp: 145/70 hr: 88 rr: 18 o2 sat: 95% on ra. here, on the floor, she appeared well without any respiratory distress. reported involuntary weight loss for the past 2 month (10lb). . past medical history: pvd/carotid stenosis htn gerd hld bipolar d/o hypothyroid social history: 20 pack year smoking history quite in etoh social no recent travel, no animal or tick exposure family history: non-contributory physical exam: vs: 98.8 122/74 78 20 95%ra general: thin appearing, elderly female nad heent: mmm. neck: supple, no thyromegaly, no jvd. heart: rrr, no mrg, nl s1-s2. lungs: cta bilat, no r/rh/wh, good air movement, resp unlabored. abdomen: nbs, sntnd extremities: wwp, no edema skin: no rashes or lesions. lymph: no cervical lad. neuro: awake, a&ox3, cns ii-xii grossly intact pertinent results: 07:45pm pt-12.5 ptt-23.1 inr(pt)-1.1 07:45pm plt count-345 07:45pm wbc-13.6* rbc-3.65* hgb-10.0* hct-29.0* mcv-79* mch-27.4 mchc-34.6 rdw-14.5 07:45pm calcium-8.5 phosphate-3.6 magnesium-2.1 07:45pm alt(sgpt)-9 ast(sgot)-17 alk phos-66 tot bili-0.3 07:45pm estgfr-using this 07:45pm glucose-100 urea n-16 creat-0.8 sodium-140 potassium-4.0 chloride-105 total co2-25 anion gap-14 brief hospital course: 83 yo f with hypothyroidism, htn, bipolar d/o, pvd, former smoker who was referred by dr. of hospital after flexible bronchoscopy on revealed a friable left mainstem tumor with airway obstruction. she underwent rigid bronchoscopy with tumor debridement and balloon dilatation on that was complicated by post-procedure hypoxemia requiring intubation in the or. she was a difficult intubation, however the rigid bronchoscope was able to be advanced to stablize the airway and was exchanged for an #8.0 ett. she was then transferred to the t-sicu, requiring small amounts of pressors felt to be related to the use of anesthesia and sedatives. a repeat bronchoscopy was performed on to remove clot and continue debridement with argon plasma coagulation laser that resulted in opening the left mainstem with a residual 50% airway obstruction. an endobronchial stent placement was attempted but was removed after noting it did not seat well within the airway without obstructing the left lower lobe. she was admitted to the t-sicu. sputum culture grew s. pneumoniae, and left lung continued with haziness consistent with evolving pneumonia. she initially failed spontaneous breathing trials for hypoxemia, however on , she performed well on pressure support trials and was then extubated in the early afternoon of . she developed hypoxemic respiratory distress and stridor in the first 30 minutes following extubation, that was not responsive to bronchodilators, racemic epinephrine, heliox, or a dose of iv steroids. the decision was made to re-intubate the patient after discussion with the health care proxy. several attempts to intubate by the senior staff were unsuccessful, using traditional blades, bronchoscopic-guided intubation, and a glide-scope. after nearly 30 minutes of attempts and worsening hypoxemia, the patient underwent an emergency cricothyroidotomy by the surgical service with stabilization of the airway and a slow return to normoxemia on 100% fio2. a flexible bronchoscopy with a detailed assessment of the glottis revealed severe post-extubation laryngeal edema and vocal cord trauma that explained the difficult airway. the small diameter bronchoscope had significant difficulties passing into the proximal trachea during assessment. in detailed discussion between the health care proxy and dr. , it was learned that the patient would never want a tracheostomy for any reason. the need to convert to a proper surgical tracheostomy was therefore declined. she was then transitioned to iv morphine for comfort, expiring within hours of terminal extubation. pathology of the tumor was still pending at the hour of death, with a high degree of certainty that the patient had a diagnosis of stage iiia lung cancer. the health care proxy and referring physician were notified of her death, autopsy was declined by the executor to the patient's estate. medications on admission: paxil 62.5 daily singulair 10mg daily zetia 10mg qhs synthroid 112 daily (6 days per week) lipitor 10 twice a week seroquel 100mg qhs depakote 500mg dialy norvasc 5mg dialy nexium 40mg daily lorazepam 0.5 prn discharge medications: none discharge disposition: expired discharge diagnosis: post-extubation laryngeal edema due to s. pneumoniae pneumonia due to lung cancer. discharge condition: expired discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more temporary tracheostomy closed [endoscopic] biopsy of bronchus biopsy of lymphatic structure endoscopic excision or destruction of lesion or tissue of bronchus bronchial dilation diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism personal history of tobacco use occlusion and stenosis of carotid artery without mention of cerebral infarction hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure loss of weight other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified disorder of kidney and ureter malignant neoplasm of other parts of bronchus or lung pneumococcal pneumonia [streptococcus pneumoniae pneumonia] ventilator associated pneumonia bipolar disorder, unspecified secondary malignant neoplasm of mediastinum staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified edema of larynx 

Answer: The patient is high likely exposed to