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: out of hospital cardiac arrest major surgical or invasive procedure: endotracheal intubation central venous catheter placed history of present illness: the morning of she was being spoon fed pureed food at which point she she suffered an aspiration event with food coming out of her nose. she subsequently went into respiratory distress and lost her pulse. the event was witnessed and cpr was begun immediately. ems was called and the patient was intubated without rsi meds. acls was continued with a total of epi x4, with rosc en route. estimated downtime 20min. on arrival to the ed, the patient was moving her head and intermittently breathing spontaneously without sedation, however not following commands. she was subsequently started on cooling protocol for therapeutic hypothermia to preserve neurological function after pea arrest. she was continued on fentanyl and verset gtt. she was given iv vancomycin in the ed with plan to give cefepime and flagyl to empirically cover for infection with cxr showing bilateral intersitial and alveolar process on my read. vitals on tranfer were p: 80 rr:20 98% 100% fio2 500x20 peep of5 and sbp of 103 on phenylephrine. . on arrival to the micu, she was alrealy hypothermic with temp of 34.1. she was paralyzed with vecuronium 10 mg iv x 1 and started on versed/fentanyl/cis gtt. past medical history: cerebrovascular accident history chronic hepatitis b and alcoholic cirrhosis and possible hcc by us in and varices by ct in type 2 diabetes mellitus hypertension sclerosed papilloma in right breast social history: not obtained, patient intubated on arrival family history: not obtained, patient intubated on arrival physical exam: admission physical exam: cooling protocol, bp 88/67, hr 61, rr 20, spo2 95% patient intubated and sedated rrr, no m/r/g clear lungs b/l chronic contractures right upper and lower extremities . discharge physical exam: expired pertinent results: admission labs: 02:00pm blood wbc-7.1 rbc-2.90* hgb-9.9* hct-33.4* mcv-115* mch-34.3* mchc-29.8* rdw-18.3* plt ct-75* 04:48pm blood neuts-77.1* lymphs-17.1* monos-4.0 eos-1.4 baso-0.4 04:48pm blood pt-18.3* ptt-52.7* inr(pt)-1.7* 04:48pm blood fibrino-106* 04:48pm blood glucose-156* urean-20 creat-0.8 na-146* k-3.8 cl-120* hco3-22 angap-8 04:48pm blood alt-59* ast-90* ld(ldh)-402* alkphos-161* totbili-0.6 11:45pm blood ck-mb-10 mb indx-7.8* ctropnt-0.08* 04:48pm blood albumin-1.7* calcium-7.9* phos-3.1 mg-1.7 02:31pm blood type-art po2-33* pco2-20* ph-7.04* caltco2-6* base xs--25 02:08pm blood glucose-195* lactate-7.9* na-146* k-5.1 cl-120* calhco3-15* 02:08pm blood freeca-0.98* 04:15pm urine color-straw appear-hazy sp -1.006 04:15pm urine blood-tr nitrite-neg protein-30 glucose-150 ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-neg 04:15pm urine rbc-13* wbc-8* bacteri-few yeast-none epi-2 04:15pm urine castgr-6* casthy-1* . discharge labs: expired 02:13am blood wbc-18.4* rbc-2.75* hgb-9.4* hct-30.2* mcv-110* mch-34.0* mchc-31.0 rdw-18.1* plt ct-50* 02:13am blood pt-61.7* ptt-87.2* inr(pt)-6.2* 02:13am blood glucose-97 urean-26* creat-2.1* na-126* k-4.7 cl-105 hco3-14* angap-12 02:13am blood alt-* ast-2973* ld(ldh)-870* ck(cpk)-35 alkphos-268* totbili-2.3* 02:13am blood calcium-7.8* phos-4.6* mg-2.0 02:39am blood type-art po2-129* pco2-29* ph-7.30* caltco2-15* base xs--10 02:39am blood lactate-2.8* . imaging: initial chest xray: findings: an endotracheal tube tip is 3.7 cm above the carina. there is no evidence of displaced rib fracture or pneumothorax. there is diffuse asymmetrically distributed central opacification, left greater than right. there are no large pleural effusions. the cardiomediastinal and hilar contours demonstrate tortuosity of thoracic aorta and enlargement of the main pulmonary artery. there is mild cardiomegaly. incidentally noted are two ivc filters projecting over the mid abdomen. impression: 1. endotracheal tube in standard position 3.8 cm above the carina. 2. no evidence of pneumothorax. 3. diffuse asymmetrically distributed left greater than right central opacification, for which differential includes an acute pulmonary edema, hemorrhage, aspiration or infection. brief hospital course: ms. is an 83 year old female with past medical history significant for stroke, chronic hepatitis b and alcohol abuse complicated by cirrhosis, varices and hepatoma who presented to after having aspiration event leading to pulseless electrical activity (pea) arrest with successful return of spontaneous circulation after cpr and epinephrine x 4. . # pea arrest status post cooling protocol: the cause of her pea arrest was likely due to witnessed aspiration event. down time of ~20-30 minutes. she had some purposeful movements in the ed but not following commands so initiated on therapeutic hypothermia protocol to preserve neurological function. however, over the next 72 hours of the cooling protocol her neurologic function declined and she did not have brainstem reflexes on exam. after the full 72 hours, based on her eeg and clinical exam, it was concluded that the likelihood of meaningful neurological recovery was very low. her family was contact and they decided to make her dnr/dni after discussion with the neurology team. during this time, the patient was also pressor dependent, requiring up to three pressors. she was initially on 100% fio2 immediately after intubation, and was able to be weaned down to 40% fio2. . once re-warming was initiated, she experienced another episode of near cardiac arrest and underwent defibrillation in the icu. she was able to recover a perfusing heart rhythm although it was a junctional rhythm. she was treated with iv fluids and broad spectrum antibiotics as well, however, cultures never grew anything and she did not clinically develop an infection. as per rewarming protocol, an eeg was also placed, demonstrating severe anoxic encephalopathy. the patient remained pressor dependent after being rewarmed, and remained intubated. . # shock liver: the patient had a transaminitis in the 1000s, consistent with shock liver, with an inr that peaked at 6.2. . # acute renal failure: acute renal failure, likely related to her episodes of hypotension, with a creatinine that peaked at 2.1. . # hep b/alcoholic cirrhosis: for her hep b and alcoholic cirrhosis complicated by varices/hepatoma, her nadolol and lamivudine were not continued in the hospital. . # aspiration pneumonia: because the patient's cardiac arrest was likely related to her aspiration event, upon arrival to the hospital, she was treated with vanc/zosyn for aspiration pneumonia. medications on admission: not obtained on admission because she was intubated and sedated discharge medications: expired discharge disposition: expired discharge diagnosis: expired secondary to neurologic failure from prolonged hypoxia in the setting of out of hospital cardiac arrest discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more arterial catheterization diagnoses: acidosis thrombocytopenia, unspecified anemia, unspecified acute kidney failure with lesion of tubular necrosis toxic encephalopathy unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver atrial fibrillation acute respiratory failure pneumonitis due to inhalation of food or vomitus anoxic brain damage malignant neoplasm of liver, primary do not resuscitate status chronic viral hepatitis b with hepatic coma without hepatitis delta 

Answer: The patient is high likely exposed to