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: cephalosporins / aspirin / motrin / iron attending: chief complaint: headache, fever, chills, tachycardia major surgical or invasive procedure: none history of present illness: this is a 34 year old female with suspected immunodeficiency being worked up as an outpatient who presented to the ed with sudden onset of headache and chills that were accompanied by tachycardia, neck stiffness, and shortness of breath. earlier that day she started taking amoxicillin she'd been given to take as needed after she began to feel ill. she'd had a recent prior admission to the icu for pneumococcal sepsis in , complicated by acute respiratory distress syndrome, disseminated intravascular coagulopathy, acute renal failure, and fetal demise. this admission, there was initial concern for pneumoccal sepsis and so the patient was aggresively fluid resuscitated with 9l normal saline in the ed. additionally, she received iv antibiotics (ceftriaxone, linezolide, and pen g) and high dose steroids. she had a maximum fever of 103f and leukocytosis with maximum wbc count of 44. the patient had lp which was unremarkable, without evidence of microorganisms or neutrophils on gram stain and without growth in bacterial/fungal cultures. she was admitted to the icu with diagnosis of sepsis; however all culture data (csf, urine, blood, stool)was negative to date. a recent mri of head revealed pansinusitis. chest x ray revealed bilateral basilar infiltrates with right costophrenic angle effusion that was improving in serial films. in the icu, she has been continued on iv ampicillin and ceftriaxone pre id consult recommendation and recovered quickly and followed the hospital's gluten free diet. the day before transfer to the medicine service, she had an episode of nausea and vomiting. at the time of transfer to the medicine floor, the patient was feeling well in her usual state of health. her only complaint was loose stools that started after hospitalization and were similar to past diarrheal episodes relieved by immodium. c.diff toxin and multiple stool cultures were negative. she has been referred to dr. , allergist/immunologist at , by her primary care physician . . initial evaluation has shown weak anti-pneumococcal titers, low complement levels, and high igg count. she has received pneumovax. -jolly bodies were seen on her peripheral smear although there has not been further evidence of splenic dysfunction. she sees a gastroenterologist for celiac sprue, which has been well managed in the past few months on a gluten-free diet. past medical history: pneumonia sinusitis secondary: celiac sprue asthma h/o pneumococcal sepsis complicated by ards, dic, and arf h/o nasal polypectomy one prior migraine headache with aura including diploplia, nausea, vomiting iron deficiency anemia social history: married with two children at home. moved to us from in . statistician at school of public health. denied alcohol, tobacco, or drug use. no recent travel. family history: her cousin's children have cf but the patient has tested negative. father had cancer. brother with asthma and hayfever. no positive history for immunodeficiency. physical exam: t 98.3 bp 122/70 hr 60 rr 18 o2 99%ra gen - alert, awake, in nad heent - extraocular motions intact, anicteric, mmmi neck - supple, no jugular venous distention chest - clear to auscultation bilaterally, no crackles/wheeze cv - normal s1/s2, regular rate and rhythm, no murmurs, rubs or gallops, 2+ pulses throughout abd - soft, nondistended, nontender, normoactive bowel sounds,no masses extr - warm, no clubbing, cyanosis, or edema neuro - aox3, cn2-12 intact, ambulatory, no ataxia, strength 5/5 throughout, denies loss of sensation, face symmetric, tongue non-deviated pertinent results: 05:30am blood wbc-15.0* rbc-3.20* hgb-9.3* hct-29.0* mcv-91 mch-29.1 mchc-32.1 rdw-14.6 plt ct-251 04:13am blood wbc-26.0* rbc-2.96* hgb-8.6* hct-27.0* mcv-91 mch-29.0 mchc-31.7 rdw-14.7 plt ct-230 06:11pm blood wbc-35.6* rbc-2.95* hgb-8.9* hct-27.1* mcv-92 mch-30.1 mchc-32.8 rdw-15.1 plt ct-210 08:35pm blood wbc-44.8* rbc-3.24* hgb-9.6* hct-29.6* mcv-92 mch-29.6 mchc-32.4 rdw-14.8 plt ct-256 06:11pm blood neuts-88.7* bands-0 lymphs-6.0* monos-2.6 eos-2.4 baso-0.3 06:11pm blood fdp-10-40 11:55pm blood gran ct-6180 06:11pm blood lupus-pnd 05:30am blood glucose-87 urean-8 creat-0.6 na-143 k-3.6 cl-108 hco3-25 angap-14 03:13am blood alt-32 ast-22 ld(ldh)-159 alkphos-51 amylase-19 totbili-0.2 03:13am blood lipase-19 03:13am blood albumin-2.9* calcium-8.3* phos-2.9 mg-1.9 06:11pm blood hapto-111 11:55pm blood tsh-4.6* 04:13am blood t4-6.6 t3-88 11:55pm blood cortsol-30.3* 04:30am blood lactate-1.0 02:20am urine color-straw appear-clear sp -1.018 02:20am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-neg 02:20am urine rbc-0 wbc-0 bacteri-none yeast-none epi-0 02:06am cerebrospinal fluid (csf) wbc-4 rbc-1* polys-0 lymphs-96 monos-0 macroph-4 08:00pm cerebrospinal fluid (csf) enterovirus pcr-pnd csf: cryptococcal antigen (final ): not detected. fungal culture (preliminary): no fungus isolated. gram stain (final ): no polymorphonuclear leukocytes or microorganisms seen. fluid culture (preliminary): no growth. stool:**final report ** cyclospora stain (final ): no cyclospora seen. microsporidia stain (final ): no microsporidium seen. fecal culture (final ): no salmonella or shigella found. campylobacter culture (final ): no campylobacter found. fecal culture - r/o e.coli 0157:h7 (final ): no e.coli 0157:h7 found. fecal culture - r/o yersinia (final ): no yersinia found. fecal culture - r/o vibrio (final ): no vibrio found. clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. ova + parasites (final ): no ova and parasites seen. charcot- crystals present. cryptosporidium/giardia (dfa) (final ): no cryptosporidium or giardia seen. urine culture (final ): no growth. 11:55 pm blood culture site: arm 4 bottles; no growth to date cxr : mild upper lung zone redistribution. small bilateral effusions and bilateral lower lobe patchy opacities. the right effusion is smaller. cxr :the previously identified pulmonary edema has been resolved. there is small left pleural effusion. patchy opacity is seen in both lower lobes. these findings most likely represent patchy atelectasis. the posterior pneumonia cannot be excluded. there is also a new patchy opacity in the right apex overlying the right 1st rib. this may represent patchy area of pneumonia ossification. cxr 4am:mild-to-moderate pulmonary edema, likely due to volume overload. development of infection is unusual since the prior study 2 hours earlier did not show the presence of significant pulmonary edema. cxr 2am:the lung volumes are low. the mediastinal and hilar contours are unremarkable. the heart size is normal. there is mild prominenc of the pulmonary vasculature. no focal area of consolidation is present. there are no pleural effusions head mri/mra : 1. no significant abnormality identified within the brain. specifically, no evidence of infarction, abnormal enhancement, or edema. 2. extensive mucosal thickening involving all of the sinuses. 3. meningitis cannot be excluded on the basis of this study. a lumbar puncture may be necessary for further evaluation. head head ct : there is no intracranial mass effect, hydrocephalus, shift of normally midline structures or major vascular territorial infarction. the density values of the brain parenchyma are within normal limits. the - white differentiation is preserved. the surrounding soft tissue and osseous structures are unremarkable. soft-tissue changes in ethmoid and sphenoid sinuses. brief hospital course: this is a 34 year old female with celiac sprue being assessed for possible immunodeficiency or underlying collagen vascular disease who presented three days ago with acute onset fever, chills, and headache. she has concern for pansinusitis per mri scan (without associated symptoms) and has a cxr is suggestive of pneumonia. she has not had sinus pain or drainage and her headache had resolved two days ago. she has mild burning in her frontal chest with deep inspiration and now has a mild non-productive cough with sore throat that is not bothering her enough to treat with lozenges or pain medication. albuterol nebulizer therapy did not help these symptoms. she denies no shortness of breath, wheeze, dyspnea on exertion, and chest pain. she has not had fever or chills for the past few days. her asthma is well managed at baseline with inhaled steroids and albuterol. she uses flonase for allergies and has had a prior nasal polyopectomy in the past. the patient does not report prior history of chronic or recurrent sinopulmonary infection. infectious disease consult was obtained and while in the icu, treatment with iv ceftriaxone and iv ampicillin was recommended for pneumonia and sinusitis. all culture data (csf, urine, stool, and blood) has been negative to date. the patient has been afebrile for several days and her leukocytosis is resolving with antibiiotic therapy (44->35->26->15). chest xray suggested improvement in bilateral pulmonary infiltrates and right small pleural effusion, determined not tappable, located in the right costophrenic angle. she reports feeling very well and is active and ambulating with ease. she was discharged in good condition with a normal lung exam. she is recommended to follow up with her primary care physician next week for a repeat chest x ray and exam to ensure resolution of the pulmonary effusion that was likely the result of aggressive fluid rehydration with 9l nasal saline in the ed. additionally, the patient plans to follow up with her immunologist to continue diagnostic work-up for an underlying cause for susceptibility to infection. the patient also had multiple loose stools and stool leakage that began at the same time as the headache at admission. she'd had similar diarrhea at her prior admission that improved with immodium. she has known history of celiac disease and was continued on a gluten free diet. stool cultures were negative for c. difficile and a large spectrum of microbes and parasites. in the past, the diarrhea resolved by resuming her home diet out of the hospital. she plans to follow up with her regular doctor next week. medications on admission: flovent rotadisk 250 mcg/actuation disk with device sig: one (1) inhalation twice a day. flonase 50 mcg/actuation aerosol, spray sig: nasal once a day. albuterol sulfate 0.083 % solution sig: one (1) inhalation every four (4) hours as needed for shortness of breath, wheezing. 60 mg capsule sig: one (1) capsule po twice a day. discharge medications: 1. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 13 days. disp:*13 tablet(s)* refills:*0* 2. flovent rotadisk 250 mcg/actuation disk with device sig: one (1) inhalation twice a day. 3. flonase 50 mcg/actuation aerosol, spray sig: nasal once a day. 4. albuterol sulfate 0.083 % solution sig: one (1) inhalation every four (4) hours as needed for shortness of breath, wheezing. 5. 60 mg capsule sig: one (1) capsule po twice a day. discharge disposition: home discharge diagnosis: pneumonia sinusitis secondary: celiac sprue asthma h/o pneumococcal sepsis complicated by ards, dic, and arf h/o nasal polypectomy discharge condition: good discharge instructions: please take all medications as prescribed. please call your doctor or go to the ed for severe headache, fever, chills, cough, shortness of breath, or other worrisome symptoms. followup instructions: please attend your follow up appointment with dr. on friday at 2pm for repeat chest x ray to make sure your lung effusion is improving. please follow up with your immunologist dr. . please call to make an appointment.provider: where: sc center surgical specialties phone: date/time: 8:45 provider: , rd where: medical specialties phone: date/time: 9:30 procedure: spinal tap incision of lung injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified unspecified pleural effusion asthma, unspecified type, unspecified nausea with vomiting celiac disease unspecified immunity deficiency other acute sinusitis 

Answer: The patient is high likely exposed to