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 49-year-old african american female with history of chronic bronchitis who was found by her family earlier tonight. they found her cyanotic and unresponsive. they called 911 and when she was found by ems, she was not moving air at all. she has albuterol at home but does not use it much. when she arrived at the emergency room, she could not move enough air to receive nebulizer treatment and she was intubated. she received etomidate, succinylcholine, fentanyl, ativan, and magnesium sulfate in the emergency room. she also received solu-medrol 103 mg iv in the emergency room. according to her family, she has been short of breath for a few days. she called her primary care physician who prescribed an antibiotic, possibly bactrim, four days ago. past medical history: chronic bronchitis, about 2 flares two times per year, but she has never been hospitalized for it. medications: albuterol, last use approximately a year ago and then again a few days ago. sulfa antibiotic for four days. social history: two packs per day smoking for past 25 years. she is a current smoker. allergies: no known drug allergies. social history: she lives with her husband, she has no children. she is a bank receptionist. family history: sister with asthma which is mild. physical examination: temperature 99.9, heart rate 110, blood pressure 122/64. after the succinylcholine and etomidate blood pressure dropped to 80-90. her respiratory rate was 40. she was satting at 97-100% on non rebreather. in general she was sitting up, unable to speak. she was then intubated. cardiovascular, tachycardic, lungs with equal breath sounds bilaterally, tight air movement, no rhonchorous sounds. abdomen soft, non distended, positive bowel sounds. extremities, no edema, weak pulses. rectal guaiac positive. laboratory data: white count 18.0, neutrophils 75, lymphs 15.7, monocytes 8.5, eosinophils .2, hematocrit 46.8, platelet count 366,000, mcv 89, sodium 139, potassium 4.4, chloride 91, co2 35, bun 32, creatinine .6, glucose 145, ptt 25.4, inr 1.3, abg 7.15 ph, pco2 104, po2 139 which was post intubation abg. she was on assist control, respiratory rate 10, total volume 400, peep 10. her chest x-ray showed clear lung fields. assessment/plan: this was a 49-year-old female who was thought to be in acute asthma. she was most likely in status asthmaticus. she required multiple sedative agents because she was fighting intubation. hospital course: she was admitted to the intensive care unit after being intubated. 1. pulmonary: the patient was brought up to the intensive care unit because she was in respiratory failure. she was thought to be in status asthmaticus. also on differential was anaphylactic attack but the only new medication she was on was the bactrim. however, she was on it for multiple days and is unlikely to be an allergic reaction. it is unclear what precipitated the event but she was treated for status asthmaticus. she was given continuous nebulizers with atrovent and albuterol. she was also started on solu-medrol 80 mg iv tid. she was started on heliox for improved oxygenation. cultures were taken. though the chest x-ray was clear, she did have fever and elevated white blood count. she was treated empirically initially with levofloxacin. she was continued on versed and fentanyl to keep her sedated on the intubation. total volume was increased to 500 and she was on assist control respiratory rate of 10 and fio2 was increased eventually to 30%. the nebulizers were given q one hour. her abg showed that she is in respiratory acidosis and the acidemia are going to be corrected slowly. she had increased peak inspiratory pressures most likely from her fighting the intubation. she required increased amounts of sedation involving ativan and fentanyl. there was some concern for auto peep considering her peak inspiratory pressure was elevated. they followed her. abgs were followed for evidence of auto peep. on the second day of admission, her abg was 7.26, pco2 64 and po2 90. the goal was to keep her ph at 7.2 and to increase it slowly. on the third day of admission, her abg showed that she had ph 7.28, carbon dioxide 61 and oxygen 129. she was thought to be hypercarbic. on the fourth day of admission, her abg was 7.38, pco2 47, po2 202. her ph had normalized. she was thought to have been auto peeping secondary to her bronchospasms. she was begun weaning on the fourth or fifth day of admission. however, she was not able to have spontaneous breaths. consequently she arrested on assist control. her sedation was then weaned to try to see if she would have spontaneous breaths. her abg on the 6th day of admission was 7.41/50/159. on that day, her solu-medrol was decreased the patient 80 mg iv bid as she had improved air movement. her vent settings, she was on intermittent mechanical ventilation with pressure support. her total volume was set at 550 and respiratory rate was set at 12. her fio2 was 40%. she was slowly improving. on the 7th day of admission, her blood gas was 7.44, pco2 54 and po2 89. she was now on respiratory rate set at 8 with spontaneous breaths. her total volume was 550. she was still on imv. it was felt that she is hypercapnic at baseline after it could not be fully corrected. it was thought that the patient had auto peep and may have been interfering with her ventilation. her peep was increased to 10. the goal was to see if patient could initiate her own breaths more frequently. throughout this whole time she was continued on the steroids and the bronchodilators. she was also on levofloxacin. on the 8th day of admission, the patient had a difficult time weaning off. her pressure support was reduced from 15 to 10. it was found from her husband, that she most likely has obstructive sleep apnea and she would need follow-up after her issues had resolved. her failure to wean was thought to be secondary to volume overload. she had been receiving large amounts of fluid for this decreased urine output but was most likely volume overloaded. she was diuresing on her own. on the 8th day of admission she had been started on a prednisone taper. she was on pressure support. she was attempted to be extubated on the , she was successfully extubated. she tolerated it well. she was started on prednisone and she was started on a prednisone taper. she was started on albuterol and atrovent and flovent inhalers. completion of this discharge summary is to be at a later time. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: congestive heart failure, unspecified unspecified acquired hypothyroidism obstructive chronic bronchitis with (acute) exacerbation other diseases of pharynx, not elsewhere classified unspecified sleep apnea nonspecific abnormal findings in stool contents mixed acid-base balance disorder asthma, unspecified type, with status asthmaticus 

Answer: The patient is high likely exposed to