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: the patient is a 37 year old female with a complex respiratory and cardiac history including nonhodgkin's lymphoma, status post chop and radiation resulting in pulmonary fibrosis, pulmonary hypertension, status post left pneumonectomy for aspergillosis infection. also the patient has a cardiomyopathy with an ejection fraction of 20%. he is status post tracheostomy. on the day of admission while in pulmonary rehabilitation the patient experienced a transient near syncopal event lasting for 2 to 5 minutes with concomitant shortness of breath. the symptoms resolved spontaneously. upon arrival to the emergency department the patient was found to be hyperkalemic with a potassium of 7.8 and an increased blood urea nitrogen level of 43, up from a baseline of 20. in the emergency department the patient was treated with calcium, insulin and kayexalate. since arrival to the emergency department the patient had been asymptomatic. past medical history: nonhodgkin's lymphoma, pulmonary histoplasmosis and pulmonary aspergillosis, pulmonary fibrosis with the following pulmonary function tests, fvc .6, fev 1/fec 68%, tuberculosis in , status post splenectomy, status post left pneumonectomy, cardiomyopathy with an ejection fraction of 20%, anxiety and depression. medications on admission: trazodone, captopril, lasix 40 b.i.d., atrovent, serevent, protonix, tube feeds, ativan subcutaneous heparin, digoxin, haldol, risperdal, inhaled tobramycin, lopressor and remeron. allergies: the patient has allergies to sulfa, oxacillin and verapamil. social history: the patient has a distant smoking and drinking history. the patient lives with her mother but has recently required prolonged hospital care for tracheostomy and ventilator support. physical examination: vital signs, 100.7, heartrate 110, blood pressure 76/30, respiratory rate 19, oxygen saturation 97% on pressor support ventilation of 5 with a positive end-expiratory pressure of 5, and fio2 of .4. in general the patient is awake and alert in no distress. pupils are equal and reactive and anicteric. the patient has dry mucous membranes. neck, no jugulovenous distension is noted. tracheostomy tube is in place with minimal secretions. respiratory examination, the patient has diffuse expiratory wheezes on the right with no breath sounds on the left. cardiac, the patient is tachycardiac with a summation gallop palpable on the chest wall, ii/vi systolic murmur is auscultated best at the apex. abdominal examination, soft, nontender, gastrostomy tube in place with significant drainage at the bandage and erythema surrounding the gastrostomy tube site. extremities, the patient has 1+ peripheral edema with 2+ peripheral pulses. neurological examination, the patient is alert and oriented times three, moving all extremities. nonfocal examination. laboratory data: laboratory data on admission revealed sodium 133, potassium 7.8, chloride 88, bicarbonate 37, bun 43, creatinine .5, glucose 138, white blood cell count 15.6, 81 neutrophils, 11 lymphocytes. hematocrit was 35.7 and platelets 467,000. pt is 12.7, ptt 26.6, inr 1.1, calcium 8.3, magnesium 2.0, albumin 2.6, digoxin level 1.5, ck of 15, troponin of less than .3. urinalysis is significant for 20 hyaline casts. chest x-ray on admission revealed congestive heart failure, however, improved from previous x-rays during previous admission. hospital course: the hospital course by systems is summarized below: fluids, electrolytes and nutrition - the patient was admitted with hyperkalemia with an initial potassium of 7.8. the patient responded well to insulin, kayexalate and calcium given in the emergency room and repeat potassium was 5.6. on hospital day #2 the patient's potassium was down to 4.3 and remained in the normal range for three days. with the initiation of aggressive lasix diuresis, the patient became hypokalemic for the rest of her hospital course with values ranging between 3 and 3.6. the patient was placed on a standing dose of 40 of -ciel by gastrostomy tube once a day and additionally the patient required frequent intravenous doses of -ciel. at the time of discharge, the patient will likely require an increase in the dose of -ciel for maintenance. respiratory - the patient was having difficulty weaning off of ventilator support via tracheostomy during her previous admission and throughout her current hospital stay. the patient was initially on pressor controlled ventilation in the intensive care unit with inspiratory pressures of 35, fio2 of .4 and positive end-expiratory pressure of 5. the patient was soon changed over the pressor support ventilation initially at 20/5 with an fio2 of .40. the patient was clinically volume-overloaded and it was felt that the patient's ventilator dependence would improve with aggressive diuresis. throughout the remainder of the hospital course through , the patient was switched over the pressor support ventilation, initially 20/5 and eventually weaned down to 8/5. the patient had a successful tracheostomy masked trial lasting two and a half hours on tracheostomy mask on . the patient was rested during the evening of on pressor support of . throughout, the criteria used for pressor support weaning throughout the patient's intensive care unit stay was based on the title volumes the patient was taking as well as the patient's subjective feelings of shortness of breath and anxiety. at baseline the patient's title volumes are between 200 and 250. cardiovascular - the patient was felt to be volume overloaded upon admission and was felt that she would benefit from aggressive lasix diuresis. initially diuresis was difficult as the patient's blood pressures were consistently low with systolic pressures in the 70s and 80s. the decision was made to discontinue the patient's lopressor and captopril and after this change the patient's blood pressures were much more appropriate and lasix diuresis was instituted successfully. the goal of the diuresis was to bring the patient down from an admission weight of approximately 59 kg to her calculated dry weight of approximately 51 kg. the patient was initially on an intravenous lasix b.i.d. regimen, however, diuresis was not successful with this, therefore on hospital day #4 the patient was placed on a lasix drip. the initial dose was 3 mg/hr, however, the patient was soon moved up to a lasix drip of 7 mg/hr for successful diuresis. the patient remained on a lasix drip of 7 mg per hour through hospital day #10 () with daily diuresis between 1 and 1.5 liters. the patient's blood pressure remained stable with systolic pressures in the 80s during this time. on , the patient was taken off of lasix drip and was placed on a lasix dose of 80 mg intravenously b.i.d. the patient's digoxin dose was also increased on hospital day #4 after a digoxin level came back subtherapeutic at .7. the patient's digoxin dose was increased from .125 q.d. to .125 q.o.d. alternating with .250 mg q.o.d. follow up digoxin level on hospital day #9 was 1.2 within the therapeutic range. gastrointestinal - the patient presented with a percutaneous gastrostomy tube in place, however, there was a significant amount of drainage from the site in addition to some skin erythema and excoriation. the surgical service was consulted and made multiple attempts at bedside revision of the gastrostomy tube, however, none of these were successful and the patient continued to have drainage from the site. at the time of this dictation the patient is planned for laparotomy with gastrostomy tube resiting on , or tuesday . hematology - the patient was initially admitted with a hematocrit of 35.4, however, this coursed down throughout hospital days 1 through 4. on hospital day #4 the patient's hematocrit was 24.6. anemia laboratory data were notable for a low iron level of 24 and the patient was started on iron supplementation, 325 mg p.o. q.d. hemolysis laboratory data was negative. on hospital day #4 the patient was transfused 1 unit of packed red blood cells and on hospital day #5 the patient's hematocrit had gone up to 30.6. the patient's hematocrit remained stable, above 30 through hospital day #10, . infectious disease - the patient was initially admitted on a regimen of inhaled tobramycin 300 mg q. 12 hours. the patient continued this treatment throughout her medicine intensive care unit stay and will continue on a schedule of one month on and one month off, the present cycle of tobramycin is scheduled to end on . on hospital day #2 the patient had gram positive cocci on gram stain of blood drawn off of the patient's picc line and the patient was started on vancomycin. the resulting culture was sparse growth of staphylococcus epidermidis which was felt likely to be a likely contaminate. the patient was afebrile at this point with no leukocytosis. therefore on hospital day #4 the patient's vancomycin was discontinued. through hospital day #10 () the patient remained afebrile with white blood cell counts in the range of 7 to 11. endocrine - on hospital day #4 the patient underwent a cosyntropin stimulation test to check for adrenal insufficiency. the test was negative and the patient was not started on any supplemental corticosteroids. pain - throughout the patient's medicine intensive care unit the patient experienced a significant amount of pain related to manipulation of her gastrostomy tube as well as drainage from the site of her gastrostomy tube. the patient was treated with small doses of morphine for this pain after the failure of ultram and toradol to relieve the pain. at present, the patient is receiving 1 to 2 mg of aliquots of morphine every two to four hours. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other enterostomy enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions bronchoscopy through artificial stoma replacement of tracheostomy tube closure of other gastric fistula insertion of oropharyngeal airway diagnoses: other primary cardiomyopathies hyperpotassemia cellulitis and abscess of trunk congestive heart failure, unspecified other chronic pulmonary heart diseases chronic and other pulmonary manifestations due to radiation chronic respiratory failure tracheostomy status infection of gastrostomy 

Answer: The patient is high likely exposed to