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: dka major surgical or invasive procedure: intubation and mechanic ventilation history of present illness: ms. is a g2p0010 26 yo f, now estimated to 10 weeks pregnant, transferred from hospital for asystolic cardiac arrest. lmp is not known but was sometime in . on , the patient began feeling achy and congested. she had received a flu shot about 1 week prior. she continued to feel poorly on , and developed hyperemesis. she was seen in the ed (but not admitted) at , where she was given ivf, reglan and tylenol and she was found to have a positive pregnancy test. on , she returned to the ed with worsening of symptoms. she was admitted to the ob service and given ivf and reglan. of note, her labwork on demonstrated a blood glucose of 160, bicarbonate of 11, beta-hcg of 3373 and ketones in her urine. on , her family noted that she was breathing rapidly and was quite somnolent. . early on , she appeared to be in respiratory distress. she was intubated and transferred to the icu at the osh. during transfer, she became unresponsive and experience asystolic cardiac arrest. a full code was initiated and pursued for approximately 30 minutes. . after resuscitation, she was found to have an alteration in mental status with report of fixed pupils. a head ct demonstrated cerebral edema with small ventricles. she was transferred to on ventilatory support and 2 pressors. . ros: unable to obtain from patient, per family report - no fever past medical history: iddm, type i diagnosed 4 years ago (endocrinologist - dr. , hunt medical center), last hga1c 9.3 adrenal insufficiency - work-up pending by outside endocrinologist pcos social history: cleans houses 2 days a week, o/w not employed; no etoh or tobacco. smokes marijuana and had +thc on outside ua. lives with her boyfriend in an apartment beneath her parents. has had several sick contacts with uri and nausea/vomiting. family history: father with iddm type ii, sister with pcos and hypothyroidism physical exam: t 98.3 bp 128/62 on levophed hr 128, o2 sat 100% on ac gen: intubated, sedated heent: et tube in place, pupils equal, reactive cor: tachy, regular pulm: wheezes bilaterally anteriorly abd: obese, soft, nt nd, quiet bowel sounds ext: wwp, no edema derm: tatoos, nipple rings bilaterally, hyperpigmentation on chest, hirsute neuro: pupils reactive bilaterally, transient downward gaze, normal dolls eyes, normal corneal reflex, decorticate posturing on upper extremities bilaterally to sternal rub, toes upgoing, myoclonic jerking of upper and lower extremities bilaterally. pertinent results: 02:00pm pt-14.7* ptt-38.0* inr(pt)-1.3* 02:00pm plt count-302 02:00pm neuts-82* bands-8* lymphs-3* monos-6 eos-0 basos-0 atyps-0 metas-1* myelos-0 02:00pm wbc-25.8* rbc-4.10* hgb-12.1 hct-33.8* mcv-83 mch-29.5 mchc-35.7* rdw-13.0 02:00pm hcg-634 02:00pm tsh-3.7 02:00pm acetone-moderate 02:00pm albumin-2.7* calcium-9.6 phosphate-3.3 magnesium-1.5* 02:00pm ck-mb-30* mb indx-1.5 ctropnt-.130* 02:00pm lipase-14 02:00pm alt(sgpt)-15 ast(sgot)-55* ld(ldh)-239 ck(cpk)-* alk phos-98 amylase-76 tot bili-0.3 02:00pm glucose-306* urea n-15 creat-2.1* sodium-126* potassium-3.9 chloride-100 total co2-10* anion gap-20 02:03pm lactate-2.1* 02:32pm urine blood-lge nitrite-neg protein-30 glucose-100 ketone-50 bilirubin-sm urobilngn-neg ph-5.0 leuk-neg 02:49pm type-art po2-199* pco2-21* ph-7.10* total co2-7* base xs--21 . eeg: abnormality #1: little activity of clearly cortical origin could be discerned during this tracing. occasional bursts lasting for less than one second of multifocal hz theta frequency or faster frequency activity was seen in several locations; this was not reproduced in any predictable way. it was not activated by vocal or noxious stimulation. sleep: there were no normal sleep or wake transitions seen. impression: this is an abnormal eeg due to the presence of only occasional bursts of apparent cortically generated background rhythms without reactivity consistent with a severe encephalopathy of toxic, metabolic, or anoxic etiology. note is made of a tachycardia on cardiac rhythm strip. . labs: notable for na 126, k 3.9, hco3- 10, cr 2.1, glu 306; mbi 1.5, tnt 0.130; beta hcg 634, wbc 25.8, hct 33.8; see below for remainder . imaging: portable cxr: increased density at the left lung base consistent with atelectasis or consolidation and possibly a small left effusion. endotracheal tube in satisfactory position. the nasogastric tube is slightly high. . portable cxr: l sc tip in svc. no evidence of pneumothorax. . abdominal u/s: 1. cystic structure within a poorly visualized endometrium, which may represent a gestational sac. its internal contents cannot be well visualized. the differential diagnosis includes a normal pregnancy or a nonviable pregnancy. 2. ovaries not visualized. . eeg: abnormal eeg due to the presence of only occasional bursts of apparent cortically generated background rhythms without reactivity consistent with a severe encephalopathy of toxic, metabolic, or anoxic etiology. note is made of a tachycardia on cardiac rhythm strip. . head ct: normal . echo: the left atrium is normal in size. left ventricular wall thicknesses are normal. there is moderate global left ventricular hypokinesis. lv systolic function appears depressed. tissue velocity imaging demonstrates an e/e' <8 suggesting a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size is normal. right ventricular systolic function is borderline normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. . head ct: findings consistent with diffuse anoxic injury are new since . recommendations were made to correlate with nuclear medicine brain scan to confirm suspected brain death. . ekg: sinus tach brief hospital course: ms. was admitted from an outside hospital with altered mental status after asystolic cardiac arrest presumed to be secondary to dka and subsequent metabolic derrangements. the patient was intubated and mechanically ventilated on arrival to . she was overbreathing the ventilator, likely a result of respiratory compensation for a metabolic acidosis. she had thick secretions which were presumed to be either from aspiration pna versus ards. she was started on broad coverage antibiotics to cover for possible aspiration pneumonia. . at the outside hospital, ms. required dopamine and levophed for hypotension which was most likely secondary to post-arrest cardiogenic shock with a subsequent surge in inflammatory mediators. other etiologies, such as sepsis or addison's disease, were also considered. she was started on stress dose steroids, aggressively rehydrated and eventually weaned off of dopamine. however, she required levophed throughout her stay. an echo demonstrated an ejection fraction of 35-40% with moderate global left ventricular hypokinesis. cardiac troponin peaked at 0.22 with an mb-index of 4.3. ekg demonstrated sinus tachycardia. blood, sputum and urine cultures were obtained. sputum cultures demonstrated only sparse growth of coagulase positive staph and haemophilus influenza. . it was felt that the patient's altered mental status was secondary to anoxic injury from cardiac arrest. neurology was consulted and therapeutic hypothermic cooling was implemented on the day of admission in attempt to improve post-cardiac arrest morbidity. her neurologic status continued to decline throughout her stay. brain death exam was attempted. however, the apnea test was not possible due to the inability to correct ms. hypocapnea as required by this test. . the patient was transferred to on an insulin drip for dka, which was maintained at until her anion gap closed. the clinic was consulted given the complicated nature of her case and possible intrauterine pregnancy. in addition, she was aggressively volume resuscitated. . the patient experienced acute renal failure that worsened throughout her stay. it was felt that the arf was secondary to hypoperfusion in the setting of hypotension and pre-renal etiology from dka. medications were renally dosed, electrolytes were monitored and she was aggressively rehydrated. hemodialysis was considered but not attempted given poor prognosis. . on admission, the patient was reported to have a 10-week intrauterine gestation. ob-gyn at was consulted. the falling beta-hcg and trans-abdominal ultrasound indicated intra-uterine fetal demise. . given worsening neurologic, respiratory and renal function, the family elected to change the goals of care to comfort measures only. she was made comfortable with morphine and she expired peacefully on . medications on admission: lantus 65 units qam novolog ssi cortef 3mg qam, 1mg qhs . meds on transfer: levophed dopamine solumedrol 80mg iv amiodarone load insulin in d10 discharge medications: none discharge disposition: expired discharge diagnosis: anoxic brain injury, dka, cardiac arrest discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours arterial catheterization arterial catheterization diagnoses: pneumonia, organism unspecified acidosis anemia, unspecified acute kidney failure, unspecified hyposmolality and/or hyponatremia acute respiratory failure anoxic brain damage hypovolemia other and unspecified coagulation defects diabetes with ketoacidosis, type i [juvenile type], uncontrolled spontaneous abortion, without mention of complication, incomplete 

Answer: The patient is high likely exposed to