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: tetracyclines / codeine / percocet / iodine / latex exam gloves / penicillins / avelox / biaxin attending: chief complaint: dyspnea major surgical or invasive procedure: none history of present illness: 43f h/o severe obesity/osa, possible myocarditis (10 y/a), seasonal/food allergies and presumed severe asthma/icu stays (no intubations) admitted to the (for a one day course) with respiratory distress. she states she was born with breathing problems (but was not premature) and had a prolonged hospital stay after birth for respiratory difficulty. she does not know if she was intubated. the patient presented on this admission with several days of increased wheezing, sob, doe and recently productive cough. there were subjective fevers and chills. she also had lower extremity myalgias and arthralgias. her daughter, who has had 'asthma' since eight months of age, was recently ill was a uri. the patient has never smoked. regarding her possible myocarditis, she reports being treated at ten years ago. she presented at that time with dyspnea. she had an echo, of which the results are not known to her. she was discharged on digoxin for several months and recalls the doctors question multiple times regarding her travel history. she has no carpets or pets at home. there are dust mite covers on her furniture and uses hypoallogenic sheets and pillow cases. she also reports allergies (itching, rash, tongue swelling, throat closing, lip swelling, lip tingling, nausea, and indigestion) to many foods, including pineapple, peanuts, oats, beef and corn. she had recent pfts () that revealed a restrictive pattern. she had been evaluated by dr. (pulmonary) who thought the patient may have an alternate diagnosis, such as vocal cord dysfunction. cardiac ros: occasional sharp bilateral chest pains (when she has her asthma attacks). no left-sided or sternal pressure. no exertional chest discomfort. occasional palpiations. no nausea or vomiting. at baseline, she has orthopnea, and possible pnd. there is occasional swelling of the lower legs. past medical history: severe persistent asthma (on prednisone), possible remote myocarditis (: had echo, placed on digoxin), h/o ectopic pregnancy, osa on cpap, obesity, endometriosis, paf, sciatica, ptsd, glucose intolerance. social history: she lives with her two daughters. she never smoked and has never used illicit drugs or etoh. currently, she collects disability. family history: her mother had an mvr for unknown reasons. her mgm has a problem. daughter has asthma, since age eight months. physical exam: admission exam: afebrile, hr 80s-110s, rr 24-30, os 92-97%ra to >95% on 2-3l nc. gen - mod resp distress. sev obestity. heent - clear op. mmm. no head/neck lad. resp - poor air flow. b/l wheezes. no crackles. cv - rrr. nml s1/s2. no mgr. abd - s/nt/nd. pos bs. ext - no clubbing or cyanosis. trace le edema. neuro - a&ox3. cnii-xii grossly intact. strength and to lt intact. pertinent results: echo/tte (): 1. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. cxr (): comparison with . the cardiac and mediastinal contours are stable. no new infiltrates, effusions, pulmonary edema, or pneumothorax. pfts (): impression - results are consistent with a restrictive ventilatory defect. since , fvc has decreased 600cc (30%) and fev1 has decreased 610cc (54%). influenza a/b dfa - negative. influenza cultures - pending. 05:30pm glucose-153* urea n-12 creat-1.0 sodium-140 potassium-3.7 chloride-105 total co2-22 anion gap-17 05:30pm calcium-9.3 phosphate-3.6 magnesium-1.7 05:30pm wbc-3.6*# rbc-4.59 hgb-11.2* hct-35.2* mcv-77* mch-24.5* mchc-32.0 rdw-16.2* 05:30pm neuts-55 bands-1 lymphs-34 monos-6 eos-2 basos-0 atyps-2* metas-0 myelos-0 05:30pm plt count-258 brief hospital course: on admission, the patient was afebrile, with an oxygen saturation at 97% on room air. she had poor air flow and wheezes on lung exam. an ecg showed sinus tachycardia (at 110) with a normal axis, t wave inversions/flattening inferiorly and in v1 (not new), along with a possible left atrial abnormality/enlargement. her cxr was normal, with a normal cardiac sillouette. she was given alb/atr nebulizers, prednisone 60 mg and admitted to the observation unit. because of lack of clincal improvemnt and increased work of breathing, she an icu evaluation was called. she was started on solumedrol and azithromycin. she was then admitted to the . the patient did well on ra and cpap overnight. abx were discontinued. her influenza dfas were then negative and her influenza viral cultures were pending on discharge. upon transfer to the medicine floor, she had no futher events. her breathing improved and she continued on her nebulizers, inhalers and prednisone taper. nph and ssi were added to her dm regimen while on higher doses of prednisone. she had a normal echo to evaluate for congestive heart failure. given the possibility of laryngospasm, given her clinical history, including mouth and lip swelling with a variety of exposure, ent was contact. she was set up for an outpatient evaluation. finally, the pt team assisted in her care and recommended acute rehab. the patient declined and deferred to an outpatient rehab referral. of note, her chronic microcytic anemia was noted. her baseline hematocrit was in the low 30's. she had negative fobs. given her recent low iron/ferritin with a high-normal tibc, she likely had an iron deficiency anemia. however, chronic inflammation via endometriosis could be contributing to body iron dysfunction. a transferrin receptor level was checked and pending on discharge to better characterize her anemia. she was instructed that she may benefit from an outpatient colonoscopy. medications on admission: metformin 500 mg qd albuterol prn fluticasone/salmeterol protonix prednisone taper ipratropium riss azithromycin discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*2 inh* refills:*0* 2. atrovent 18 mcg/actuation aerosol sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*2 inh* refills:*0* 3. advair diskus 250-50 mcg/dose disk with device sig: one (1) inhalation twice a day. disp:*1 inh* refills:*0* 4. metformin hcl 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 6. prednisone 10 mg tablet sig: see instructions tablet po once a day for 11 days: please take 50 mg po daily from , then 40 mg po daily from , then 30 mg po daily from , then 20 mg po daily from , then 10 mg po daily from to , then 5 mg po daily from . disp:*q/s taper tablet(s)* refills:*0* 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: 1) asthma exacerbation. secondary diagnosis: 2) severe obesity. 3) obstructive sleep apnea. 4) glucose intolerance. discharge condition: good/stable discharge instructions: 1) please call your doctor or return to the er if you have any increased shortness of breath, cough, fevers, chills or any other concerning symptoms. 2) take your medications as instructed. followup instructions: 1) please see your primary doctor (, t. ) in the next one to two weeks. call dr. tomorrow to arrange outpatient rehab. please have dr. check your hematocrit (blood level) in the next two days. 2) please see dr. from ent (, md ) in the next 2-3 weeks for an evaluation of your larynx. we are concerned that spasm of the larynx or vocal cords may be contributing to your breathing problems. 3) here is a list of your other scheduled appointments: provider , md where: surgical specialties phone: date/time: 10:30 provider density testing where: medical specialties phone: date/time: 11:40 provider , o.d. where: center phone: date/time: 10:00 procedure: non-invasive mechanical ventilation diagnoses: acidosis diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified sleep apnea morbid obesity iron deficiency anemia, unspecified intestinal disaccharidase deficiencies and disaccharide malabsorption asthma, unspecified type, with status asthmaticus 

Answer: The patient is high likely exposed to