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: attending: chief complaint: respiratory failure secondary to severe tracheobronchomalacia and recent stenotrophomonas multophilia/serratia maracesans pneumonia gerd major surgical or invasive procedure: rigid bronchoscopy, placement of a 14mm y-stent rigid bronchoscopy, removal of y stent, and placement of bovona trach nissen fundoplication history of present illness: 62yo f w/ admission to st. vincents for complaints of a several days of increased sob/sputum change. ultimately, the patient required vent support and work-up at the osh discovered severe tbm. the pulmonary service at the osh sent the patient to for definitive management. she completed a course of bactrim for a stenotrophomans and serratia pna (?cap vs vap). upon transfer, she was on the vent but tolerating oral feeds., hd normal with no new culture or temparture findings. past medical history: respiratory failure gerd asthma dvt/pe ^lipidemia depression anxiety tracheobronchomalacia status post resection, vocal cord dysfunction presumably from gerd s/p tracheostomy in social history: married, no etoh, no tobacco family history: n/c physical exam: 98.1 68 (sr) 108/72 (bp) 22 (rr) 100% (on cpap/ps), fs = 176 heent: anicteric, mmm, no adenopathy cor: regular no m/r/g pulm: cta anteriorly, diminished at the bases abd: soft, nt, nd +bs ext: trace edema, calves soft, 1+dp/pt, trace-1+ edema pertinent results: 08:26pm type-art po2-124* pco2-39 ph-7.38 total co2-24 base xs--1 intubated-intubated 08:26pm freeca-1.19 06:05pm glucose-91 urea n-14 creat-0.8 sodium-142 potassium-4.1 chloride-109* total co2-23 anion gap-14 06:05pm estgfr-using this 06:05pm plt count-179 06:05pm plt count-179 brief hospital course: the patient was admitted to the csru where initial work-up included an airway ct scan and a bedside flexible bronchosopy. she was deemed a non-surgical candidate given her functional status and likely prior tracehal resection. on hd3, the patient had a 14mm y-stent and within 12 hours, she was able to extubate. speech and swallow as well as orl saw the patient. they agreed that the patient does have paradoxic movement of her cords -- continuance of her usual diet of soft solids & thin liquids. early on the morning of hd 5 the patient had an episode of acute respiratory distress for which she was bronched. thick secretions were suctioned and the patient improved. later that day a second bronchoscopy was performed with revealed an almost completely plugged l mainstem bronchus and distal portion of the left limb of the stent. this plug was removed with a much suctioning and ultimately the patient coughed it out. upon replacing the scope the stent was visualized to be in good position and now clear of secretions. she was started on mucomyst nebs and ciprofloxacin for 7 days. over the ensuing 72 hours, she was given aggressive pulmonary care and appeared quie stable clincally. her secretions were more easily managed and discussions were held between the interventional pulmonology service and the thoracic surgical service as to whether or not the y-stent was a tenable solution for long-term palliation of her severe tracheobronchomalacia. although not entirely documented, she appears to have had prior tracheal surgery/reconstruction and it is unclear if her recurrent laryngeal nerves were injured at this time, nonetheles, she does in fact have paradoxic cord motion and severe tracheobronchomalacia in the setting of prior tracheal reconstruction with the background of a prolonged hospitalization for respiratory failure and pneumonia. she is not an ideal surgical candidate, particularly since she has a high risk of recurrence/failure in the setting of where a major reconstruction would be the only realistic chance for potential palliation (i.e. thoracotomy, tracheal resection, bronchoplasty +/- mesh prosthesis). however, the patient continued to be suctioned for large amounts of thick yellow secretions. she also developed severe cough and chest tightness after the stent placement. she had a bedside bronchoscopy on with suction of large amounts of secretions. the patient was started on prednisone because of the possibility of an asthmatic component contributing to her cough and mucous production. the patient was re-bronched to evaluate the y stent as well as the secretions because it did not appear as if she was tolerating the stent. it was determined that the y-stent was in the appropriate position with only minimal secretions noted and distal granulation tissue forming at the left bronchial limb of the y-stent. however even though the patient is not an ideal surgical candidate, her tracheal malacia was so severe that it required treatment and surgery remained the only and best option for her. because a tracheobronchoplasty can result in proximal esophageal motility disorder, which can worsen acid reflux leading to aspiration and further vocal cord dysfunction, it is imperative that she undergo definitive surgical treatment for her reflux before the tracheoplasty is performed. as part of her gerd workup, the patient had an esophageal manometry study on which showed diffuse esophageal spasm and a slightly hypotensive lower esophageal sphincter. the patient had repeat bronchoscopies on and for therapeutic aspirations. on , the patient went to the or for a rigid bronchoscopy with granulation tissue excission, stent removal, and tracheostomy tube change which she tolerated well and improved the patient's symptoms. two days later, the patient went to the or again for a laparoscopic nissen fundoplication. the patient's post-operative course was uneventful as she was soon able to tolerate a regular diet. she was started on lovenox for dvt prophylaxis. after a recovery period of a week, the patient returned to the or on for tracheoplasty. pt recovered well from tracheoplasty and post bronch revealed good repair. she was maintained on empiric keflex for tracheal mesh. coumadin was resumed and lovenox was d/c'd once inr was therapeutic. her main issue post op was pain control-requiring prolonged use of parenteral narcotics. she is currently on po pain med and using parenteral narcotics for break thru. she requires ongoing hospital level of care at hospital and then transition to home. medications on admission: prevacid 30 mg singulair 10 mg daily combivent inhaler q6hr prn sertraline 200mg daily klonopin 1mg tid senna colace 100 mg tid lidocaine td' discharge medications: 1. sertraline 50 mg tablet : four (4) tablet po daily (daily). 2. clonazepam 0.5 mg tablet : two (2) tablet po tid (3 times a day) as needed. 3. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 5. lidocaine 5 %(700 mg/patch) adhesive patch, medicated : one (1) adhesive patch, medicated topical q24h (every 24 hours). 6. acetaminophen 325 mg tablet : two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 7. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). 8. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension : 15-30 mls po qid (4 times a day) as needed. 9. albuterol sulfate 0.083 % solution : inhalation q6h (every 6 hours). 10. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 11. acetylcysteine 10 % (100 mg/ml) solution : one (1) miscellaneous (2 times a day). 12. lidocaine hcl 0.5 % solution : one (1) ml injection q1h (every hour) as needed for cough. 13. heparin lock flush 100 unit/ml solution : one (1) ml intravenous daily (daily) as needed. 14. lorazepam 2 mg/ml syringe : .5-1 mg injection q4h (every 4 hours) as needed for anxiety. 15. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 16. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 17. outpatient lab work please check pt/inr with your pcp 18. cefazolin 1 g piggyback : one (1) gm intravenous every eight (8) hours for 3 weeks. 19. coumadin 1 mg tablet : 1 tablet po once a day: goal inr 2.5-3. 20. hydromorphone 2 mg/ml syringe : .5 mg injection q3-4h (every 3 to 4 hours) as needed. discharge disposition: extended care facility: st vincents center discharge diagnosis: 1-severe tracheobronchomalacia 2- remote history of respiratory failure/chronic paradoxic vocal cord movement 3- tracheostomy/recurrent pneumonia (history since ) 4- gerd 5- asthma 6- h/o dvt/pe (remote w/ ivc filter, on chronic anticoagulation) 7- hyperlipidemia 8- depression/anxiety 9- tracheoplasty discharge condition: deconditioned, tolerating a soft consistency/thin liquid diet, able to manage secretions, off the ventilator. pain control remains ongoing issue. inr therapeutic discharge instructions: patient can follow-up with her pulmonologist/pcp as needed. patient can follow-up with her pulmonologist/pcp as needed. continue kefzol x 3 weeks (total 4 weeks course) continue coumadin followup instructions: see above procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine enteral infusion of concentrated nutritional substances other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract other repair and plastic operations on trachea other repair and plastic operations on bronchus bronchoscopy through artificial stoma bronchoscopy through artificial stoma bronchoscopy through artificial stoma bronchoscopy through artificial stoma bronchoscopy through artificial stoma replacement of tracheostomy tube replacement of tracheostomy tube insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt endoscopic excision or destruction of lesion or tissue of bronchus local excision or destruction of lesion or tissue of trachea removal of intraluminal foreign body from trachea and bronchus without incision laparoscopic procedures for creation of esophagogastric sphincteric competence esophageal manometry diagnoses: esophageal reflux other and unspecified hyperlipidemia acute and chronic respiratory failure mechanical complication due to other implant and internal device, not elsewhere classified personal history of venous thrombosis and embolism acute bronchitis chronic obstructive asthma, unspecified gastrostomy status other diseases of trachea and bronchus dependence on respirator, status other tracheostomy complications stenosis of larynx foreign body in main bronchus inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation other abnormal granulation tissue paralysis of vocal cords or larynx, unspecified dyskinesia of esophagus stress incontinence, female 

Answer: The patient is high likely exposed to