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: penicillins / darvocet-n 50 / phenothiazines / percocet attending: chief complaint: healthcare acquired pneumonia. major surgical or invasive procedure: none. history of present illness: 81 yo f with history of htn, hypothyroidism, depression, seizure disorder, recent right hip orif complicated by pneumonia, presents with continued difficulty clearing infection. she had been discharged on last admission with cefpodoxime and metronidazole but has still done poorly. she was transitioned to levofloxacin on which still had minimal effect. cxr showed bilateral lower lobe pneumonia. she was reported to look worse this morning, with general malaise and respiratory distress. her vitals at the nursing home were t 99, 02sat 93% on 2l. . in ed, patient received meropenem and gentamicin because she is penicillin allergic. her chest x-ray showed a lll pneumonia and she had a white count of 15. on transfer, her vitals were: t 98.3, hr 64 bp 108/36, rr 22, sat 97% on 2l . currently, patient reports that she feels that her breathing is comfortable. she never felt that she was very short of breath at the nursing home, but was told by the staff that she was not improving on the antibiotics that she was on. currently feeling slightly nauseous, and having pain only when she is moving around. past medical history: - dementia. - depression with a history of suicide attempts (last hospitalized on the psychiatric unit at in 11/). - multiple falls with subdural hematoma . - seizure disorder. - paroxysmal atrial fibrillation, not on any anticoagulation due to history of falls. - hypothyroidism. - hypertension. - prior sth. - tardive dyskinesia. - cerebellar degeneration with chronic ataxia. - history of alcohol abuse. - hepatitis b. - iron deficiency anemia. social history: the patient is widowed; has 2 children (son and daughter). went to where she majored in english with a minor in history and worked a number of different jobs after graduating but primarily worked in editing for a publishing firm and at one point as a medical researcher. she ultimately had to quit work when she became psychiatrically ill in her 30s (also reports this is when her seizures started), and it appears this was all after she found her mother hanging after a suicide attempt, and her son says she has "ptsd" from this event). she has not worked since the early , and was divorced from her husband around this time as well. she had been living independently in her own apartment until about 4 years ago but had been failing for about the last five years of that stretch with multiple falls which went undiscovered for days at a time. she has been wheelchair bound for falls and cerebellar ataxia (possibly related to extended phenytoin use) for the last 6 years or so. her first placement was at , where she stayed for a year and did not like, and she has been at for the last three years. substance abuse history: per son history of alcoholism, now has occasional weekly drinks at with other residents and son. is unable to specify amount. distant history of tobacco use, none in past 40 years. denied knowledge of illicits. possible distant history of valium abuse in 70s. family history: mother with completed suicide, son unsure of etiology half sister who has been depressed and frequently hospitalized physical exam: on admission vitals - 98.8, 146/50, 67, 20, 95% 2l general: alert, easily arousable to name, non-verbal, tracking heent: atraumatic, normocephalic, no scleral icterus cardiac: rrr s1, s2, ii/vi sem at usb, apex lung: rales at left base abdomen: soft, ? tender suprapubic region (grimace), active bs, non-distended ext: 2+ radial and dp pulses bilat, no le edema; right knee dressed in splint neuro: cns intact, dtrs 2+ ues, unable to complete remainder of exam mental status pertinent results: chest (pa & lat) study date of 3:00 pm impression: worsened pulmonary edema, now mild to moderate. new right pleural effusion. . 02:00pm wbc-15.4* rbc-2.99* hgb-9.1* hct-28.7* mcv-96 mch-30.4 mchc-31.8 rdw-16.1* 02:00pm neuts-88.7* lymphs-6.4* monos-4.2 eos-0.4 basos-0.3 02:00pm plt count-928*# 02:00pm pt-14.8* ptt-35.0 inr(pt)-1.3* 02:00pm glucose-83 urea n-12 creat-0.6 sodium-138 potassium-4.1 chloride-104 total co2-25 anion gap-13 02:04pm lactate-1.0 . echocardiogram: the left atrium is elongated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: normal global and regional biventricular systolic function. mild mitral and aortic regurgitation. . lenis: no evidence of deep vein thrombosis in either leg. . brief hospital course: 81 f with recent admission for r hip repair complicated by aspiration pneumonia who presented with persistent hypoxia and infiltrates. pt had been treated with two different courses of antibiotics without resolution of the pna. she returned to the from rehab on with evidence of a bilateral lower lobe pneumonia and elevated wbc count. she was empirically started on vanc and meropenem prior to admission to the floor. however, she was noted to become increasingly somnolent, febrile and hypoxic on the regular medicine floor. she was transferred to the icu and hcp confirmed the code status as dnr/dni. pt underwent a speech and swallow evaluation and was cleared for a regular diet. she was supported in the icu with high flow oxygen and broad spectrum coverage with vanc/ and azithromycin. she was persistently febrile and all cultures were negative for growth. she was transiently hypotensive and responded minimally to bolus ivf. cxr infiltrates became progressively worse and oxygen requirement continued to increase. diuresis was attempted but was not well tolerated due to low bps and family felt that cvl and pressors were not really in line with goals of care. ct chest was performed on and showed interval progression of patchy infiltrates and effusions. lasix gtt was started in an attempt to improve oxygenation and despite almost 1l of volume removal, pt became more hypoxic and somnolent. hcp made the decision to transition to comfort care on and pt was started on a morphine gtt. she expired on at 1410 hours. after discussing with son , it was decided to proceed with autopsy. medications on admission: cholecalciferol (vitamin d3) 1000 units daily quetiapine 200 mg qhs rivastigmine 3 mg daily aspirin 325 mg daily calcium carbonate 500 mg tid omeprazole 20 mg daily levothyroxine 62.5 mcg daily ferrous sulfate 300 mg daily amlodipine 7.5 mg daily gabapentin 300 mg q12h lamotrigine 150 mg fluoxetine 20 mg daily amiodarone 200 mg daily enoxaparin 30 mg/0.3 ml daily for 4 weeks docusate sodium 100 mg hydrocodone-acetaminophen 5-500 mg q6h prn pain multivitamin 1 tablet daily discharge medications: expired. discharge disposition: expired discharge diagnosis: healthcare acquired pneumonia. hypoxic respiratory failure. discharge condition: expired. discharge instructions: expired. followup instructions: expired. procedure: venous catheterization, not elsewhere classified diagnoses: congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation depressive disorder, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere acute respiratory failure pneumonitis due to inhalation of food or vomitus iron deficiency anemia, unspecified epilepsy, unspecified, without mention of intractable epilepsy diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to