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: lisinopril / celexa attending: chief complaint: hypoxemic respiratory failure. major surgical or invasive procedure: none. history of present illness: 34f, g3p1 8 days s/p c-section () at 35 weeks gestation for fetal distress/non-reassuring heart rate after induction for oligohydramnios and low biophysical profile, now transfer from osh icu with hypoxemic respiratory failure. . her pregnancy has been complicated by chronic type ii dm, hypertension, and asthma. has followed her for dm. no significant proteinuria. patient was seen as an outpatient on for followup. bpp was and oligohydramnios was seen. she was admitted for induction of labor. received cytotec and pitocin. she progressed slowly and had variable decelerations. had combined spinal-epidural for anesthesia. csection was uncomplicated. baby went to nicu afterwards given prematurity. placenta was intact. . she was discharged home on . post op/incision check on ; bp at that time 168/88. per notes she was short of breath at her rest home x 2 days. initially with walking and then with rest as well. also noted cough, unclear if productive. no wheezing, fevers, chills, sick contacts. reported increasing le edema. reported pleuritic cp in ed. per report she was sent for an outpatient study (vq or cta; unclear who ordered this). she was unable to lay flat and thus test cancelled. after she left she developed worsening respiratory distress and went to the ed. had bilateral infiltrates on cxr. bnp 111. cta did not show pe but was somewhat poor study. given solumedrol, ceftriaxone, azithromycin. flu swab was sent and was negative. she went to the unit for respiratory distress for nippv. bronch/bal performed, showed friable mucosa, no endobronchial lesions, secretions or mucus. after bronch she developed worsening respiratory distress. plan was made to intubate. she was a difficult intubation and required intubation over flex bronchoscope. also developed fever to 103. antibiotics changed to vanco, zosyn, and cipro. sedation increased. relative hypotension to 90s. given 2 l ns. paralyzed with cisatra. after paralysis was able to come down on fio2 to 0.7 (peep still 15). decision was made for transport to at that point. . on arrival to , patient sedated but moving all extremities. o2 sats 80% on arrival on 100% fio2 and peep 15. minimal activity causing desats, but difficult to get o2 sats > 90%. . review of systems: (+) per hpi (-) unable to fully obtain. . past medical history: - g3p1, mab x2 s/p d+c x 2 - asthma - htn - t2dm - fibromyalgia - morbid obesity social history: no smoking, etoh, drugs per ob notes. unknown occupation. just given birth. lives with spanish speaking husband. supportive family. she speaks both english and spanish. family history: unknown. physical exam: general: intubated, sedated and paralyzed. initially (pre-paralysis) moving all extremities. heent: sclera anicteric, pupils very small but equal/reactive, mmm, ett in place. neck: supple, jvd very difficult to appreciate, no adenopathy. lungs: coarse anterolaterally, cannot obtain posterior exam. no wheezes or rales. cv: tachy and regular, normal s1 + s2, no murmurs, rubs, gallops appreciated. abdomen: very obese, soft, appears non-tender, bowel sounds present, no rebound tenderness or guarding, no organomegaly, pitting abdominal wall edema. suprapubic incision c/d/i, no bleeding or drainage, staples intact. no underlying mass appreciated. ext: warm, well perfused, diffuse 2+ edema/anasarca. neuro: paralyzed, but moving all extrems prior to paralysis. pertinent results: admission labs: 01:02am blood wbc-21.2*# rbc-3.34* hgb-8.3* hct-25.2* mcv-76* mch-24.8* mchc-32.8 rdw-16.3* plt ct-334 01:02am blood neuts-96.5* lymphs-1.3* monos-2.1 eos-0.1 baso-0 01:02am blood pt-13.2 ptt-23.4 inr(pt)-1.1 01:02am blood glucose-288* urean-21* creat-1.2* na-144 k-4.4 cl-108 hco3-27 angap-13 01:02am blood alt-18 ast-17 ck(cpk)-162 alkphos-59 amylase-30 totbili-0.2 01:02am blood ck-mb-2 ctropnt-<0.01 probnp-534* 01:02am blood lipase-15 01:02am blood albumin-3.0* calcium-7.6* phos-5.5* mg-1.9 01:02am blood tsh-1.2 01:40am blood type-art temp-37.2 rates-28/2 tidal v-350 peep-20 fio2-100 po2-67* pco2-56* ph-7.32* caltco2-30 base xs-0 aado2-608 req o2-97 -assist/con intubat-intubated 08:08am blood glucose-286* lactate-1.0 01:40am blood o2 sat-89 01:40am blood freeca-1.09* brief hospital course: 34f with asthma, dm, htn, g3p1 pod#8 from c-section, presenting with hypoxemic respiratory failure. # hypoxic respiratory failure. with low p:f ratio, bilateral infiltrates, and presumably normal l sided pressures (based on today's osh echo), patient met criteria for ards. she was treated with vancomycin, zosyn and levofloxacin for possible hospital acquired pnemonia. she was treated with acyclovir for possible varicella pneumonia. she was initially treated with oseltamivir for possible influenza, and treated was stopped once her respiratory viral screen was negative. myocardial infarction was ruled out by electrocardiogram and serial serum biomarkers. she was gradually weaned from the ventilator and extubated on . she defervesced and all anti infective agents were stopped. once on the floor, the patient had a normal pulmonary exam, and required no supplemental oxygen. a echocardiogram demonstrated normal ejection fraction. given her rapid recovery, it was suspected that hypertension may have precipitated flash pulmonary edema, especially given her relatively fluid overloaded state postpartum. #. s/p c-section. on hospital day two, fluid drained from her c-section incision. ob/gyn was consulted, and opend the incision at the bedside. a seroma was drained, but the fascial closure was intact, and the was no sign of infection. the wound culture was sent for culture and was negative. a pelvic ultrasound showed no evidence of retained products of conception. dressing changes were performed twice daily. wond care recommended a wound vac, but placement was not feasible secondary to her pannus. #. blood pressure. on admission, patient's systolic blood pressure was 100-110, which was lower than her baseline and there was concern for sepsis. her blood pressure gradually trended up to 200/100 by arterial line. she was treated with iv labetalol and hydralazine. she last was started on a labetolol drip. her blood pressure then decreased to sbp of 80s and she was given 1.5l ns bolus and her blood pressure increased to a sbp of 120s. he blood pressure stabilized and she was started on chlorthalidone 25 mg po daily, and labetalol 200mg po qid. . # fever, leukocytosis. at osh, patient was noted to be febrile to 103.0. hereher tempterature peaked at 102.5 on . she was treated with antibiotics as noted above. blood, urine, sputum, respiratory and wound cultures were all negative. on she defervesced. all antibiotics were stopped as the patient's repiratory status improved. . # dm type ii. patient was covered with a humalog sliding scale. on discharge she was restarted on her home dose of insulin nph 15 units , with 8 units of humalog tid with meals. . # asthma. patient was treated with nebulizers as needed. she with her home albuterol inhaler. . # code: full medications on admission: medications upon transfer from osh: cisatra 6 mg x1, then gtt propofol gtt midazolam gtt fentanyl gtt vanco 1 gram q12h zosyn 4.5 g q6h cipro 400 mg q12h solumedrol 125 mg q8h methyldopa 500 mg q8h labetalol 200 mg tid nph 15 units qam, qdinner lispro 4 units with meals regular insulin sliding scale heparin 5000 sq tid mvi daily reglan 5 mg q8h nystatin susp 5ml q8h ibuprofen 600 mg once chlorhexidine q8h artificial tears medications at home: flonase labetalol 100 mg methyldopa 500 mg tid (to control gestational hypertension) percocet, motrin prn mvi humalog 4 units with meals; nph 15 units discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 6-10 puffs inhalation q4h (every 4 hours) as needed for wheeze/sob. 2. chlorthalidone 25 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. labetalol 200 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 4. insulin please administer insulin as you were before you were admitted. please inject 15 units insulin nph underneath the skin, twice daily. please inject 4 units insulin humalog under the skin with meals. please check your fingerstick blood glucose four times daily. 5. flonase 50 mcg/actuation spray, suspension sig: two (2) spray nasal once a day. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. discharge disposition: home with service facility: guardian discharge diagnosis: hypoxemic respiratory failure s/p c-section discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were admitted with shortness of breath. your shortness of breath was severe, and you were intubated at an outside hospital. on arrival to , you were intubated and had a fever. you were treated for antibiotics for possible pneumonia. you blood pressure was very high, and you were treated with intravenous medications to lower your blood pressure. you rapidly improved, and we were able to take you off the ventilator. once on the regular medical floor, you did very well your blood pressure was well controlled. please note the following changes in your medications: please start labetalol 200mg by mouth, four times daily please start cholthiadone 50 mg by mouth, once daily please stop taking methyldopa. please continue taking your other medications as you were before. followup instructions: please follow up with the following appointments: dr. maternal fetal medicine - wednesday 3:00 pm dr. internal medicine telephone :00 am procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more arterial catheterization diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified asthma, unspecified type, unspecified acute respiratory failure morbid obesity diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication anemia of mother, postpartum condition or complication other current conditions classifiable elsewhere of mother, postpartum condition or complication unspecified hypertension complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication obesity complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication 

Answer: The patient is high likely exposed to