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: patient recorded as having no known allergies to drugs attending: chief complaint: transferred from hospital for possible open lung biopsy major surgical or invasive procedure: central line placement history of present illness: 71 yo female with pmhx sig for dx of ipf, severe mr, cad, copd, hypothyroidism who is transferred to for evaluation for open lung biopsy and possible valve replacement/ cabg after undergoing treatment for dyspnea, hypoxia at osh. pt arrived intubated, sedated, majority of history is obtained by notes from osh. pt initially presented c/o increasing sob, cxr revealed bilateral pulmonary infilrates. unclear if chf given elevated bnp and cardiomegaly vs. exacerbation of lung disease. pt treated with nebs, high-dose steroids, abx, and bi-pap with some improvement. workup for lung disease included bal, legionella, acetone, , , all of which were negative. tte on revealed ef 35-40% with wma, symmetric lvh. a swan-ganz cath was placed which revealed pa systolic pressures 50-60, wedge of . the patient then had worsening of the bl infiltrates and an episode of hemoptysis and was subsequently intubated. . per her medical chart, she did not have any preceding symptoms of fever, cough, weight loss or chest pain to accompany the shortness of breath. she did note increasing skin pruritis over past few months. speaking with her sister, it was reported the pt had experienced a chronic cough and recent weight loss, thought to be secondary to thyroid disease. past medical history: 1. pulmonary fibrosis- presumably dx by ct scan, no lung bx 2. asthma 3. severe chf w/ severe mr on 4. s/p ventricular pacemaker placement for high grade av block 5. hypothyroidism 6. hypertension 7. ? parathyroid disease 8. osteoporosis 9. newly dx umn disease (lle clonus) social history: divorced with children, lives on cape, family nearby. no tobacco, no etoh, no illicits. family history: per sister, multiple family members with cancers. one brother with lung cancer in his 40's. no known autoimmune disease. physical exam: pe: vitals: 96.8/ hr 92/ bp 108/56/ pap 61/32/ pcwp 17 vent settings: gen: intubated, sedated but arousable heent: atraumatic, anicteric, mmm, clear op neck: rij pa cath insertion site appears clean, no lad cv: holosystolic murmur, radiates to axilla. + l carotid bruit. equal radial pulses b/l, palpable dp pulses b/l, brisk cap refill lungs: rhonci b/l, no wheeze, appears comfortable on vent abd: soft, nt, nabs. + surgical scar in ruq. no organomegaly ext: warm, dry, no rashes visible. no clubbing noted on digits, no , mild chronic venous stasis changes. lue slightly edematious and > than rue neuro: sedated, arousable, responds to voice, follows commands. + upgoing toes on l, mild clonus elicited on left. pertinent results: cxr: severe chf . chest ct: marked progression of lung disease, increased groundglass attenuation, areas of fibrosis. b/l pleural effusions (improved when compared to cxr), no hilar or mediastinal adenopathy . head ct: negative . lue us: no lue dvt . ekg: v-paced . : mild global biventricular systolic dysfunction. severe mitral regurgitation. mild aortic stenosis. moderate to severe aortic regurgitation. moderate to severe tricuspid regurgitation. moderate pulmonary hypertension . bal from osh: cultures negative, cytology pending legionella: neg acetone: neg rpr: neg rf: neg : 27 (wnl) crp: 110 homocysteine: 12.8 influenza: negative urine culture: pan-sensitive e.coli . repeat chest ct: 1. micronodular pulmonary abnormality could be miliary tuberculosis or fungal infection, lymphoid interstitial pneumonia, acute-on-chronic allergic alveolitis. 2. no evidence of idiopathic pulmonary fibrosis. 3. enlarged mediastinal lymph nodes, most likely reactive in nature. 4. extensive coronary artery and aorta atherosclerotic calcifications. . bal: negative for pcp, negative, fungal culture consistent with yeast. . brief hospital course: 71 yo female with prior history of asthma, cad, uncertain diagnosis ipf, chf who was transferred to from hospital for further evaluation and treatment of respiratory failure, valvular disease, and arf. the respiratory failure was secondary to hypoxemia, cardiac vs. pulmonary etiology. the patient carried a diagnosis of ipf (based on radiologic findings) and asthma and had been on oxygen at home for the past three weeks. the initial differential dx included infection (bacterial vs. atypical vs. viral vs. pcp), inflammatory (churg-, wegener's), autoimmune, or shunt; a pe was thought to be less likely given pa measurements. she was continued on high dose steroids and given broad antibiotic coverage to include mrsa, atypicals, anaerobes. she underwent bronchoscopy which was consistent with alveolar hemorrhage, although it was unclear whether this was just related to heart failure. cultures from the bal were negative. she also underwent a repeat chest ct which showed micronodular pulmonary abnormalities, no evidence of idiopathic pulmonary fibrosis, enlarged mediastinal lymph nodes, and extensive coronary artery and aorta atherosclerotic calcifications. she was ruled out for influenza and legionella. , anca, anti-gbm ab were all negative. in terms of her cardiac disease, the pt had a history of chf w/ severe mr. she underwent repeat which showed mild global biventricular systolic dysfunction with severe mitral, aortic, and tricuspid regurgitation. cardiology was consulted and it was felt that she would not be a candidate for valve replacement. she was medically managed with afterload reduction and diuresis. in terms of her renal failure, the patient's creatinine doubled by 50% since admission to the osh from 1.2-->1.8. the differential included pre-renal from over diuresis vs. ain from antibiotics, vs. wegener's. urine lytes were sent along with ua, urine sediment, and urine eosinophils, which were negative. following extubation, the patient developed tachycardia with a rhythm most likely aflutter with varying block with demand ventricular pacing, and diltiazem was utilized for rate control. the following day, she was quite stable on minimal supplemental oxygen for several hours. however, around noon she developed a sense of dread and quickly became tachycardic and hypoxic with an oxygen saturation in the 60's, requiring reintubation. the patient's a-line failed, she became hypotensive, and pressors (levophed and dobutamine) were initiated. she was intubated, and became pulseless. full resuscitation was attempted with cpr, electrical defibrillation, and medications but the efforts were stop when she became unresponsively asystolic. the patient expired on . her hcp and next of were notified and requested an autopsy. . medications on admission: meds at home: bisoprolol 5 mg demadex 60 mg spiriva asmalix oxygen . meds on transfer: iv solu-medrol fentanyl/versed drips albuterol/atrovent nebs levoxyl protonix levofloxacin discharge medications: none discharge disposition: expired discharge diagnosis: respiratory failure mitral regurgitation aortic regurgitation tricuspid regurgitation anemia pulmonary fibrosis acute renal failure alveolar hemorrhage congestive heart failure discharge condition: expired md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus diagnoses: subendocardial infarction, initial episode of care anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified acute respiratory failure mitral valve insufficiency and aortic valve stenosis chronic obstructive asthma, unspecified other pulmonary embolism and infarction acute pancreatitis 

Answer: The patient is high likely exposed to