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: sulfa (sulfonamide antibiotics) / aspirin / augmentin attending: chief complaint: cough major surgical or invasive procedure: none history of present illness: is a 70 year old female with a history of dm 2, htn, breast ca, hypothyroid with a productive cough found to have a left lower lobe pneumonia. the patient reports 2 days of productive cough with associated headache, myalgias, and dizziness. she has severe left shoulder pain for two days to the point where she felt like she might be having an mi. the pain radiated to her ears. felt fine on monday did water aerobics on in the afternoon and then had a deep tissue massage. she was very fatigued and had body aches worse in the shoulder region. she finally came to the ed as she was not getting better. . of note patient seen in clinic two to three weeks ago for a persistent cold. she was given 10 days of azithromycin. . in the ed, vs 99.6 127 134/70 16 98%ra. the patient had a cxr notable for a left base conslidation. she received levofloxacin 750 mg, had 1 set of blood cultures drawn, and was admitted to medicine for further management. on transfer her vitals were: hr 106, 22, 98% ra . currently, the patient is having some mild body ahces and just generally feels unwell. past medical history: past medical history: - breast ca - diagnosed s/p left mastectomy - thyroid ca - diagnosed s/p thyroidectomy and i-125. - dm 2 - hypothyroid - migraines - hyperlipidemia - htn - chronic pain - 60%-69% stenosis of the internal carotid social history: social history: no tob (quit 40yrs ago) no etoh family history: non-contributory physical exam: physical exam: vs: 98, 156/74, 107, 22, 97% ra gen: uncomfortable, nad heent: mmm, op clear cv: s1+, s2+, rrr, no m/r/g pulm: rhales on left side abd: soft, nt, nd, +bs ext: no edema neuro:cn ii-xii intact pertinent results: 06:30pm blood wbc-12.8*# rbc-4.34 hgb-10.0* hct-32.1* mcv-74* mch-23.1* mchc-31.2 rdw-14.9 plt ct-218 06:20am blood wbc-7.6 rbc-3.90* hgb-8.6* hct-29.4* mcv-75* mch-22.0* mchc-29.3* rdw-14.9 plt ct-182 06:10am blood wbc-6.1 rbc-3.55* hgb-7.9* hct-26.9* mcv-76* mch-22.4* mchc-29.5* rdw-15.0 plt ct-200 12:30pm blood hct-27.5* 06:30pm blood neuts-90.0* lymphs-6.2* monos-3.6 eos-0.1 baso-0.1 06:10am blood neuts-80.6* lymphs-12.4* monos-5.2 eos-1.5 baso-0.3 06:30pm blood glucose-148* urean-12 creat-0.6 na-137 k-3.8 cl-100 hco3-25 angap-16 06:20am blood glucose-83 urean-11 creat-0.5 na-144 k-4.0 cl-114* hco3-21* angap-13 06:20am blood alt-17 ast-15 alkphos-65 totbili-0.4 09:13pm blood lactate-1.9 cxr: left-sided pneumonia brief hospital course: assessment and plan: is a 70 year old female with a history of dm 2, htn, breast ca, hypothyroid with a productive cough found to have a left lower lobe pneumonia with recent therapy for uri. . # cap: patient with evidence of lll pneumonia. patient with antibiotic course (azithromycin) 2 weeks ago. no further risk factors for hap. however, given recent azithromycin therapy broadened antibiotic coverage given potential for resistence. on hd# 3, blood cultures were negative x 24 hours, patient remained afebrile with improvement in symptoms and leukocytosis resolved. given this, the decision was made to narrow her antibiotics to levofloxacin. of, note legionella negative. . # anemia: slow decline in hematocrit. no obvious source. pt denies any source of bleeding. hd stable and guaiac negative. hct stable at time of discharge. iron studies sent for further evaluation of anemia and can be followed up as an outpatient. - would consider repeating colonoscopy as outpatient. . # dm 2: fs and iss while inpatient. restarted home meds upon discharge. . # htn: continue diltiazem and simvastatin. . # carotid stenosis: patient with known 60-70% carotid stenosis. on plavix and statin. will continue. . # hypothyroid: cont thyroid replacement . # anxiety: continue valium . # chronic pain: continue gabapentin, paroxetine, percocet. . # fen: encouraged po hydration, iv hydration prn, replete electrolytes prn, regular diet. . ppx: heparin sq, bowel regimen, on omeprazole at home and continued medications on admission: plavix 75 mg daily valium 5 mg daily diltiazem xt 240 mg daily gabapentin 300 mg po bid glipizide er 2.5mg daily hydrocodone-homatropine 5mg-1.5mg/5ml syrup - 1 tsp q4h ibandronate 150 mg qmonthly levothyroxine 112 mcg daily metformin 500 mg qam and 1500mg qpm paroxetine 30mg daily maxalt 10 mg prn simvastatin 40 mg qhs vitamin d om3fa omeprazole 40 mg daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. diazepam 5 mg tablet sig: one (1) tablet po q12h (every 12 hours) as needed for anxiety. 3. diltiazem hcl 120 mg capsule, sustained release sig: two (2) capsule, sustained release po daily (daily). 4. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 5. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 6. paroxetine hcl 10 mg tablet sig: three (3) tablet po daily (daily). 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. levofloxacin 750 mg tablet sig: one (1) tablet po daily (daily) for 4 days. disp:*4 tablet(s)* refills:*0* 12. metformin 500 mg tablet sig: one (1) tablet po qam. 13. metformin 500 mg tablet sig: three (3) tablet po qpm. 14. glipizide 2.5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 15. outpatient lab work recheck cbc on discharge disposition: home discharge diagnosis: pneumonia anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you presented to the hospital with a cough and muscle aches. you were found to have a pneumonia. you were started on an antibiotic. you should complete the entire course of the medication. also, you were found to have anemia, but no evidence of bleeding. we sent some blood work that dr. will follow-up on. we will have you repeat blood work prior to your appointment with dr. . you should call your doctor if you feel lightheaded, dizziness, chest pain, shortness of breath, wheezing, abdominal pain, vaginal bleeding or rectal bleeding. followup instructions: appointment: primary care when: thursday, , 2:15pm with: , location: healthcare - medical group address: ,8th fl, , phone: procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization other intubation of respiratory tract closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnostic ultrasound of other sites of thorax thoracoscopic drainage of pleural cavity diagnoses: acidosis other chronic pain anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism personal history of malignant neoplasm of breast other opiates and related narcotics causing adverse effects in therapeutic use occlusion and stenosis of carotid artery without mention of cerebral infarction anxiety state, unspecified acute respiratory failure other specified cardiac dysrhythmias urinary frequency retention of urine, unspecified other and unspecified special symptoms or syndromes, not elsewhere classified altered mental status other extrapyramidal diseases and abnormal movement disorders antidepressants causing adverse effects in therapeutic use surgical or other procedure not carried out because of contraindication drug withdrawal migraine, unspecified, without mention of intractable migraine without mention of status migrainosus empyema without mention of fistula other nonspecific abnormal serum enzyme levels nonspecific abnormal electrocardiogram [ecg] [ekg] other sedatives and hypnotics causing adverse effects in therapeutic use personal history of malignant neoplasm of thyroid other diuretics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to