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 80 year old nursing home resident who is at baseline not oriented and unable to do her activities of daily living. she was diagnosed with a urinary tract infection at her nursing home on and was started on bactrim on . on the morning of admission, the patient was hypoxic with a room air saturation of 78%, which improved to 90% on a non-rebreather mask. the patient was then taken to where she was transiently put on bi-pap of which she did not tolerate, after which she was intubated for hypoxic respiratory failure without initial arterial blood gas. while at , she was found to be hypernatremic and received a total of six liters of normal saline which began to improve her hypernatremia. because the patient was found to be febrile and had an elevated white count, she was started on ceftriaxone and azithromycin. she was then transferred to emergency department for further evaluation after she stabilized. in the emergency department, the patient had a chest x-ray which revealed evidence of a left lower lobe infiltrate consistent with pneumonia along with a urinalysis that was positive for infection. she was then transferred to the medical intensive care unit service for treatment of likely aspiration pneumonia and possible urosepsis. past medical history: 1. alzheimer's dementia; the patient at baseline is disoriented to place and time, but she would recognize family. the patient does not perform activities of daily living. the patient has a history of geriatric psychiatric admission in because of severe agitation. 2. history of pneumonia. 3. history of urinary tract infections. 4. history of esophagitis. 5. history of hiatal hernia. 6. history of deep venous thrombosis times two as per nursing home. 7. glaucoma. 8. hypercholesterolemia. allergies: unasyn and penicillin which lead to a rash. medications: 1. zyprexa 2.5 mg q. a.m. and q. p.m.; 1.5 mg q. noon. 2. trazodone 25 mg p.o. q. h.s. 3. macrobid 100 mg twice a day. 4. depakote 250 mg twice a day. 5. vitamin e, 4000 units q. day. 6. multivitamin one p.o. q. day. 7. zantac 150 mg p.o. twice a day. 8. nystatin powder p.r.n. 9. timoptic one drop o.d. q. day. 10. vitamin c. 11. ativan p.r.n. family history: not obtained. social history: she lives at a nursing home since /. before that she lived with her husband at an facility. she cannot perform any activities of daily living. no history of tobacco use; no history of alcohol use. physical examination: vital signs are temperature 100.8 f.; pulse of 70; blood pressure 128/58; pulse of 67. on physical examination, generally, she was intubated and sedated. heent: her pupils equally round and reactive to light. extraocular movements are intact. her oropharynx was dry. cardiovascular was regular rate and rhythm. she had a grade ii/vi systolic ejection murmur heard best at the left lower sternal border. lungs are clear to auscultation anteriorly. abdomen was soft, nontender, nondistended, with good bowel sounds heard. no masses palpated. extremities: she had two plus pitting edema bilaterally with two plus dorsalis pedis and posterior tibial pulses. laboratory: her white blood cell count was 16.9, hematocrit 48.5, platelets 184. sodium 152, potassium 4.1, chloride 115, bicarbonate 23, bun 25, creatinine 1.5, glucose 134. her urinalysis was significant for 50 to 100 white blood cells. a chest x-ray revealed a left lower lobe infiltrate consistent with a pneumonia. hospital course: 1. pulmonary: she was started on vancomycin and ceftriaxone upon being admitted and transferred to the medical intensive care unit. the etiology of her left lower lobe pneumonia was thought to be due to aspiration. on hospital day number three, her nasotracheal tube was switched to an ett tube, and then the patient was extubated the next day without any difficulty. upon being transferred to the medicine floor, her antibiotics were changed to levofloxacin p.o. for which she will finish a 14 day course of antibiotics. over the past three days prior to being discharged, the patient was afebrile and with a normal white count. 2. fluids, electrolytes and nutrition: the patient was given additional intravenous fluids which completely corrected her hypernatremia. upon extubation and transfer to the floor, a swallowing evaluation was ordered to evaluation for aspiration. because there was a lack of staff available at the hospital, it was decided that the patient would have a swallowing study done as an outpatient. a peg tube may be warranted if the patient returns to the hospital again for pneumonia, likely secondary to aspiration. 3. neurologic: because the family noted a decline in mental status after starting her anti-psychotic medications, it was decided that these medications would be stopped. she may need re-institution of these medications if she were to become agitated or exhibit psychotic behavior. 4. dermatologic: a vesicular pustular rash was discovered on the patient's back after being transferred to the medicine floor. a direct antigen test for virus was negative. a direct antigen test also for herpes simplex virus types 1 and 2 were also negative. her viral cultures were pending at the time of discharge. it is likely that this rash is just folliculitis and may be treated with frequent turning and miconazole powder to prevent the possibility of a fungal infection. condition at discharge: the patient at the time of discharge was stable. discharge status: discharged to nursing home. discharge medications: 1. miconazole powder 2% applied to her back twice a day and p.r.n. 2. timolol maleate 0.25%, one drop o.d. twice a day. 3. multivitamins, one tablet p.o. q. day. 4. tylenol 325 mg to 650 mg p.o. q. four to six hours p.r.n. 5. heparin 5000 units subcutaneously twice a day. 6. levofloxacin 500 mg p.o. q. day, until . 7. protonix 40 mg p.o. q. day. 8. zinc sulfate 220 mg p.o. q. day. discharge instructions: 1. please return to the emergency room if you develop worsening cough, fever or increasing oxygen requirements. 2. to follow-up with your primary care physician, . , in one week to review the events of this hospital admission. discharge diagnoses: 1. aspiration pneumonia. 2. alzheimer's dementia. 3. history of urinary tract infection. 4. history of esophagitis. 5. history of hiatal hernia. 6. history of deep venous thrombosis times two. 7. glaucoma. 8. hypercholesterolemia. , m.d. dictated by: medquist36 d: 15:37 t: 15:59 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pure hypercholesterolemia urinary tract infection, site not specified hyposmolality and/or hyponatremia unspecified glaucoma pneumonitis due to inhalation of food or vomitus alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance 

Answer: The patient is high likely exposed to