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: patient recorded as having no known allergies to drugs attending: chief complaint: emergent tracheostomy placement major surgical or invasive procedure: rigid bronchoscopy, tracheostomy history of present illness: 43-year-old woman whom has a 2 to 3-week history of dyspnea ultimately resulting in severe dyspnea and stridor and presented to the emergency room requiring intubation. she was unable to be intubated and therefore underwent an emergent surgical airway via a cricothyroidotomy with a #6 endotracheal tube. she was transferred to the for further management. she has severe supraglottic edema. we took her to the operating room today to remove the cricothyroidotomy airway and place a formal tracheostomy tube. past medical history: asthma, chronic obstructive pulmonary disease, hypertension, anxiety, depression, gastric esophogeal reflux disease, sleep apnea -no treated, childhood seizures social history: 20 ppy smoker. no etoh lves w/ husband (on disability)- , married. physical exam: general- obese middle age female, nad heent- perrla, trach in place 7 fr, passey-muir valve in place, normal palate/oral pharynx, poor dentition, no exudate, no adenopathy, neck obese/supple resp-clear bilat cor- rrr abd- obese- nt, nd, soft, + bs ext- no edema, clubbing neuro- grossly intact pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:36pm 10.0 4.22 12.7 36.6 87 30.2 34.8 14.3 181 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 05:36pm 181 chemistry renal & glucose glucose urean creat na k cl hco3 angap 05:36pm 257* 11 0.5 136 4.4 100 281 12 1 note updated reference range as of chemistry totprot albumin globuln calcium phos mg uricacd iron 05:36pm 8.5 3.3 1.6 radiology final report chest (portable ap) 8:20 am medical condition: 43 year old woman with emergent trach, astham , copd,? pna reason for this examination: eval for plug chest one view portable indication: 43-year-old woman with emergent tracheostomy. comments: portable erect ap radiograph of the chest is reviewed, and compared with the previous study of . the tracheostomy tube is seen in place. a nasogastric tube terminates in the gastric body. no pneumothorax is identified. the lung volume is small. patchy atelectasis is seen at the lung bases. the lungs are clear otherwise. the heart is normal in size. date: signed by , on affiliation: title: pmv and bedside green dye swallow passy-muir valve evaluation / dispense and bedside green dye swallow evaluation history: 43 year old woman w/copd, asthma and a 20 pack year smoking history who is s/p emergent trach at osh prior to being transferred to on for airway management. pmh notable for gerd, anxiety, sleep apnea, depression. she is s/p open tracheotomy here at on . biopsy results from read "hyperplastic squamous mucosa showing chronic inflammation and focal parakeratosis. malignancy not seen in this biopsy." ent exam showed thick aryepiglottic folds with difficulty visualizing the aryntenoids. false vocal cord edema and yellow, polypoid material overlying the true vocal cords. repeat bedside laryngosocpy by ent yesterday revealed continued supraglottic edema. given airway trauma from failed intubation, emergent cricothyroidotomy, and revision tracheotomy, severe supraglottic edema is expected. trach type: portex #7 secretions / ability to handle cuff deflation: no difficulty with cuff deflation. pmv tolerance / vocal quality / o2 sats: pt able to produce strangled vocal quality with finger occlusion. prior to pmv placement, pt with 92% o2 sats. after pmv placement, pt's o2 sats fluctuated between 89 and 94% on room air. she wore the pmv for at least 30 minutes with no overt distress. pmv was placed and removed several times with no evidence of breath stacking. pt taught how to place and remove pmv herself. vocal quality was very strangled and hoarse throughout. plan is for patient to be d/c'd to home today or tomorrow, therefore encouraged pt to wear pmv today, but to remove it immediately if breathing feels effortful and warned against sleeping with valve in place. pt warned against showering or swimming with trach, even with pmv on, instead pt will bathe and her husband will assist her with washing her hair. green dye swallow evaluation with the pmv in place, pt administered water via tsp, cup sip, and straw as well as applesauce, both with green food coloring. tracheal suctioning was administered intermittently throughout the trials. there were no overt s/s aspiration and no return of green dye via tracheal suctioning. then, pt ate some cracker, , and drank apple juice with no overt s/s aspiration. summary: pt appears to tolerate placement of the pmv with strangled/effortful vocal quality, without significant o2 desaturation and without evidence of breath stacking, despite known significant supraglottic edema. she appears to tolerate p.o.'s without evidence of aspiration. d/c to home is planned for later today, therefore education re: self placement and removal of the pmv was administered as well as basic precautions against showering or swimming with a trach. recommendations: 1. always deflate cuff prior to placing the passy-muir valve! 2. monitor o2 sats / respiration while valve is in place. 3. do not allow the patient to sleep with the valve in place. 4. if the patient is taking po's, please deflate the cuff and place the pmv for eating and drinking. 5. pmv wear schedule is up to the discretion of the nurse and/or respiratory therapist. these recommendations were shared with the patient, nurse and medical team. _______________________________________ , m.s., ccc-slp pager # brief hospital course: 43 y/o admitted for revision of emergent tracheostomy at osh w/ #6fr ett. patient followed by interventional pulmonolgy and thoracic surgery. patient admitted to icu on cpap/50/15ps/5 peep- sat 96% hd#1- evaluated by interventional pulmonology and ent for airway dispostion. hd#2- formal open tracheostomy done #7fr, trach collar 50% post-op tolerated very well. hd#3-pod#1- transferred to floor, post-op ent evaluation,trach collar 50%, pain control, tube feeding started. hd#4- tube feeding to goal, trach care and suctioning and teaching done by nursing. pt gaining independence, motivated. hd#5- ent eval via scope post-op; path result from osh>parakeratosis and inflammation, no evidence of malignancy seen at present. hd#6/pod#4- swallow eval passed, passey muir valve placed and pt instructed. ent eval via scope. patient stable for discharge, trach care and passey muir valve care given and reviewed with patient. home w/ husband in with services via gentiva health services and home o2. medications on admission: singular, xanax, trazadone, lisinopril, soma, darvocet discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours). 2. montelukast sodium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. xanax 0.25 mg tablet sig: one (1) tablet po twice a day. 4. trazodone 50 mg tablet sig: two (2) tablet po at bedtime. 5. tylenol-codeine #3 300-30 mg tablet sig: one (1) tablet po every 4-6 hours as needed for cough: for cough and pain. disp:*60 tablet(s)* refills:*0* 6. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 7. soma 350 mg tablet sig: one (1) tablet po every 6-8 hours as needed for pain. 8. combivent 103-18 mcg/actuation aerosol sig: one (1) 1 inhalation every 4-6 hours. 9. oxygen 50% via trach mask collar 10. suction catheters 14 french suction catheters 11. air compressor cool air compressor 12. trach care related supplies discharge disposition: home with service facility: gentiva discharge diagnosis: asthma, chronic obstructive pulmonary disease, hypertension, anxiety discharge condition: good discharge instructions: call dr. for: fever more than 102, shortness of breath and inability to suction secretions, chest pain, excessive blood from tracheostomy tube. follow trach care instructions for dressing and suctioning. follow passey-muir valve instructions as reviewed. followed by gentiva health services- //1-. //o2-. followup instructions: call dr. office for appointment in 3 weeks- call dr. for appointment in 3 weeks . at , ma. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy bronchoscopy through artificial stoma revision of tracheostomy diagnoses: esophageal reflux unspecified essential hypertension dysthymic disorder acute and chronic respiratory failure unspecified sleep apnea chronic obstructive asthma, unspecified 

Answer: The patient is high likely exposed to