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: codeine / lasix attending: chief complaint: respiratory distress. major surgical or invasive procedure: none. history of present illness: ms. is an 83f asthma/copd who returns with shortness of breath after being discharged today. she was originally admitted with 3d of worsening shortness of breath and wheezing and was treated for copd exacerbation after an uri (). she had been started on a course of steroids and completed course of azithromycin. she arrived home at 4pm and at approximately 630 she developed shortness of breath while sitting on the couch and told her daughter to call the ambulance. she felt dizzy at the time. she had no associated chest pain, diaphoresis, nausea. she denies fevers, chills, palpitations, abdominal pain. she states that she was concerned about leaving the hospital today because she was started on a new antihypertensive. she says she does not do well with new medications and was worried about how it would affect her. she took diltiazem 30mg this morning and reports weakness and fatigue beginning this morning. it continued throughout the day but did not necessarily worsen while at home. she continues to feel weak. she did not take any medications at home. in the ed, the patient's vital signs were t 97.2, bp 240/140, rr 26, o2 sat 100% on cpap. ems gave the patient sl ntg and brought her in on bipap. cxr was unchanged from previous. cpap was stopped on arrival to and patient was quickly weaned to 2l nc 95-100% oxygenation. an aspirin was given in the ed, but no nebulizers as patient was back at baseline. she is being admitted for monitoring of dyspnea. on arrival to the floor the patient says her breathing is close to her baseline. past medical history: 1. severe bronchitic asthma - followed by dr. 2. hypertension - poorly controlled on multiple antihypertensive agents with goal sbp 160 given dizziness/lightheadedness, arf in the past with more aggressive regimens 3. chronic renal insufficiency w/ baseline cr 1.5-2.0 4. polymyalgia rheumatica 5. hyperlipidemia 6. osteoporosis 7. gastritis 8. paretic left diaphragm status post pericardial window procedure 9. trigeminal neuralgia 10. iron-deficiency anemia 11. status post appendectomy family history: diabetes mellitus in siblings and children. no bleeding or clotting disorders. mom with ?mi physical exam: vitals: 184/82, 91, 18, 99% on 2l general: elderly female in nad heent: perrl, eomi, op clear neck: no lad, supple, jvp of 6cm heart: rrr no m/r/g lungs: diffuse expiratory wheezes, rales left base abd: +bs, ntnd, soft ext: 1+ edema bilaterally neuro: cn 2-12 intact, 5/5 strength, sensation intact to light touch psych: appropriate skin: no rashes pertinent results: admission labs: |95|58 ---------<157 5.4|33|2.0 k: hemolyzed, slightly -->repeat 4.9 ck: 51 mb: notdone trop-t: 0.05-->mb: notdone trop-t: 0.08 ca: 10.3 mg: 2.0 p: 4.2 probnp: 5535 cxr portable : no acute cardiopulmonary disease. cxr portable : faint right lower lobe opacity more prominent than prior study may reflect atelectasis or pneumonia. there is no evidence of pulmonary edema. ecg : sinus rhythm. left ventricular hypertrophy with secondary st-t wave changes. compared to the previous tracing of there is no significant diagnostic change. brief hospital course: impression: 83 yo woman with asthma, hypertension, and diastolic dysfunction who presents with sudden onset shortness of breath at home hours after discharge from hospital. 1 shortness of breath: this was thought largely related to anxiety of being discharged, with possible contribution of hypertensive urgency given presenting vital signs and rapidity of improvement initially. no evidence of worsening asthma exacerbation. she was thought to have increased rales on exam with possible increased pulm edema though cxr did not support this. she benefit from diruesis and would definitely benfit from improved control of hr and bp for diastolic dysfunction as her labile bp/hr and dyspnea appear strongly corelated but she does not tolerate medication to improve either parameter due to 'dizziness' or vaguely feeling unwell after these medications. she was continued on her prednisone taper, her albuterol, ipratropium, and budesonide via nebulizer, and her inhaled cromolyn. 2 asthma exacerbation: she was continued with treatment for recent asthma exacerbation with prednisone taper, home nebs: ipratropium, albuterol, budesonide, cromolyn, and supplemental home level of oxygen (3l nc when sleeping, 2l nc with ambulation). 3 leukocytosis: given complaint of urinary frequency and incontinence concerning for uti but ua and culture were negative. she remained afebrile and wbc trended down. 4 elevated troponin: noted on admission, trended down. ekg unchanged. this was thought demand in the setting of severe hypertension and will be slow to clear given renal failure. she was continued on aspirin, no bblocker given copd, statin, enalapril. 5 hypertensive urgency: no focal neurological findings. based on , pt baseline bp 170-190 (with goal of treatment in the past being sbp 160). she states diltiazem makes her weak so was switched to verapamil and bp quite labile. otherwise she was continued on enalipril, clonidine, nifedipine, and the verapamil. 6 diastolic heart failure, decompensated: this was thought contributing to shortness of breath as above. she would benefit from rate control/afterload reduction if she tolerates it. also benefit from a bit of diuresis but has not tolerated this in the past and would favor hr/bp control. 7 gastritis: continued on ppi. 8 osteoporosis: continued on vitamin d, fosamax qwk, and calcium. 9 chronic kidney disease: creatinine at baseline in house, she was continued on enalapril. 10 trigeminal neuralgia: not bothersome to her on this admit. she was continued on carbamazepine 300 mg . 11 urinary dysfunction: she was continued on tolterodine. 12 code: full. medications on admission: 1. albuterol sulfate neb q6h 2. ipratropium bromide neb q6h 3. cromolyn 800 mcg/2 puff q6h 4. quinine sulfate 324 mg hs 5. aspirin 325 mg tablet daily 6. nifedipine 180 mg tablet sustained release daily 7. cholecalciferol (vitamin d3) 400 unit po bid 8. omeprazole 20 mg capsule daily 9. detrol la 2 mg capsule, sust. release daily 10. ferrous sulfate 325 mg daily 11. guaifenesin 600 mg tablet 12. clonidine 0.1 mg/24 hr patch weekly qmon 13. clonidine 0.3 mg/24 hr patch weekly qmon 14. calcium carbonate 500 mg tablet,po tid 15. alendronate 70 mg tablet qwed 16 albuterol 90 mcg/actuation aerosol 1-2 puffs prn wheezine 17. budesonide 0.25 mg/2 ml q6h 18. prednisone 30mg two days, 20mg 3 days, 10mg daily 19. carbamazepine 300 mg tablet 20. atorvastatin 10 mg tablet daily 21. enalapril maleate 10 mg tablet daily 22. diltiazem hcl 30 mg tablet tid discharge medications: 1. cromolyn 800 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours): for breathing. disp:*1 inhaler* refills:*2* 2. ipratropium bromide 0.02 % solution sig: one (1) nebulizer inhalation q6h (every 6 hours): for your breathing. disp:*120 amps* refills:*2* 3. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) nebulizer inhalation q6h (every 6 hours). disp:*120 amps* refills:*2* 4. quinine sulfate 324 mg capsule sig: one (1) capsule po hs (at bedtime): for muscle cramps. disp:*30 capsule(s)* refills:*2* 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily): to protect your heart. disp:*30 tablet(s)* refills:*2* 6. nifedipine 90 mg tablet sustained release sig: two (2) tablet sustained release po daily (daily): for your blood pressure. disp:*60 tablet sustained release(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): for acid reflux. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily): to protect your bones. disp:*30 tablet(s)* refills:*2* 9. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily): for your anemia. disp:*30 tablet(s)* refills:*2* 10. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwednesday: for your blood pressure; use in addition to your 0.3 mg patch. disp:*4 patches* refills:*2* 11. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. disp:*1 inhaler* refills:*2* 12. prednisone 10 mg tablet sig: one (1) tablet po once a day: take one daily until your appointment with dr. . disp:*30 tablet(s)* refills:*2* 13. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily): for cholesterol. disp:*30 tablet(s)* refills:*2* 14. enalapril maleate 10 mg tablet sig: one (1) tablet po daily (daily): for your blood pressure. disp:*30 tablet(s)* refills:*2* 15. alendronate 70 mg tablet sig: one (1) tablet po qwed (every wednesday): to protect your bones. disp:*4 tablet(s)* refills:*2* 16. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day): to protect your bones. disp:*90 tablet, chewable(s)* refills:*2* 17. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwednesday: for your blood pressure; please use in addition to your 0.1 mg patch. disp:*4 patches* refills:*2* 18. detrol la 2 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po at bedtime: for your bladder. disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 19. carbamazepine 100 mg tablet, chewable sig: three (3) tablet, chewable po bid (2 times a day): for neuralgia. disp:*180 tablet, chewable(s)* refills:*2* 20. budesonide 0.25 mg/2 ml suspension for nebulization sig: one (1) nebulizer inhalation every six (6) hours: for your breathing. disp:*120 amps* refills:*2* 21. guaifenesin 600 mg tablet sustained release sig: one (1) tablet sustained release po bid (): for clearing mucous. disp:*60 tablet sustained release(s)* refills:*2* 22. home oxygen please use 3l nc oxygen when sleeping and 2l nc when ambulating. 23. verapamil 40 mg tablet sig: one (1) tablet po q8h (every 8 hours): for your blood pressure. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: primary: anxiety, asthma exacerbation, hypertensive urgency, chronic diastolic heart failure with mild acute exacerbation, trigeminal neuralgia. . secondary: chronic kidney disease iv, osteoporosis, gastritis, anxiety. discharge condition: stable on her home dose of oxygen, stable blood pressure. discharge instructions: please take all medications as prescribed. please keep all follow-up appointments. please notify your primary care doctor, dr. , or return to the emergency department if you experience fevers, chills, cough, shortness of breath, chest pain or pressure, dizziness, lightheadedness, or any symptoms that concern you. . we have stopped your diltiazem and started a new medication called verapamil. we are also tapering your prednisone. please take all medications as prescribed. followup instructions: please follow-up with dr. , md on monday at 10:40pm. please call if questions. please follow-up with dr. on monday at 8:20am. please call if questions regarding this appointment. please follow-up with dr. of pulmonology, on at 9:25am. please call if questions regarding this appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube non-invasive mechanical ventilation other intubation of respiratory tract diagnoses: polymyalgia rheumatica congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia osteoporosis, unspecified iron deficiency anemia, unspecified personal history of noncompliance with medical treatment, presenting hazards to health chronic obstructive asthma with (acute) exacerbation acute diastolic heart failure trigeminal neuralgia acute upper respiratory infections of unspecified site 

Answer: The patient is high likely exposed to