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: penicillins / bactrim / erythromycin base / cephalosporins / biaxin / latex gloves / morphine / levofloxacin attending: chief complaint: hypoxia major surgical or invasive procedure: picc line placement history of present illness: patient is a 47 yo woman who was just discharged yesterday for influenza-like illness v. pneumonia, treated with doxycycline due to multiple drug allergies who presents for hypoxia at her pcp's office. pt reports that she woke up on tuesday with cold chills, body aches, malaise, and fatigue. she had uncontrolled coughing with phlegm with associated chest pain and shortness of breath. she also reports urinary incontinence with coughing, no dysuria, no urinary frequency. she was admitted and treated with doxycycline. she had refused the influenza swab. at home, pt reports that her sob was improved but she was still has coughing, associated chest pain, and continued wheezing. she continued to have fevers, chills. however, at her pcp's office, she was febrile, tachycardic to 122, tachypneic, and satting 86% after 2 nebulizer treatments. she also had basilar rales on exam. no sick contacts. recent travels. in the ed, initial vs were: 98.5. labs were notable for wbc 11.5. u/a was notabled for lg blood. cxr showed persistent bibasilar linear opacities, likely reflecting atelectasis. the patient received doxycycline. ed spoke with id, who rec. cont. doxy for now; if no improvement, consider desensitization. vitals prior to transfer to the floor were: 101.4, 115, 170/100, 25, 97% on 3l. review of systems: (+) per hpi plus night sweats, headaches (-) denies sinus tenderness, rhinorrhea or congestion. denies nausea, vomiting, diarrhea, constipation, or abdominal pain. no dysuria, urinary frequency. denies rashes. no numbness/tingling or muscle weakness in extremities. all other review of systems negative. past medical history: - htn - hypercholesterolemia - environmental allergies social history: patient works for the . she is married with 5 grown children. she denies h/o tobacco, etoh, and ivdu. family history: mother with h/o multiple heart attacks, now s/p cabg, starting at 62 yo. physical exam: vitals: 99.2, 178/121, 114, 28, 98 on 3l gen: nad, aox3 heent: mmm, sclera anicteric, not injected neck: no lad, no jvd cardiovascular: tachycardic, regular rhythm, normal s1, s2, no murmurs appreciated respiratory: ctab, no crackles, occ. wheeze abd: normoactive bowel sounds, soft, non-tender, non distended extremities: no edema, 2+ dp pulses neuro: face symmetric, no tongue deviation integument: warm, moist, no rash or ulceration psychiatric: appropriate, pleasant, not anxious pertinent results: cxr: impression: persistent bibasilar linear opacities, likely reflecting atelectasis. however, a more focal opacification within the retrocardiac region may be suggestive of an infectious process or possibly aspiration. cta chest final report history: 47-year-old woman with dyspnea, fever and tachycardia, not responding to antibiotics. comparison: chest cta . chest radiograph , . technique: pre- and post-contrast axial images were obtained through the chest, using a pe protocol. multiplanar reformatted images were generated. ct chest without and with iv contrast: the pulmonary arterial tree is adequately opacified, and there is no pulmonary embolus. the aorta is normal in size, without acute abnormalities. great vessels are unremarkable. the heart size is enlarged. there is no pericardial effusion. there is no hilar, mediastinal, or axillary lymphadenopathy by size criteria, although several small lymph nodes are present in the mediastinum measuring up to 5 mm. lungs demonstrate large, wedge-shaped peripherally based, relatively homogeneous airspace consolidation at both lung bases. these contain prominent air bronchograms, and consolidation extends to the hila. consolidation sometimes spares the most peripheral parts of the lungs. following contrast administration, these regions are relatively well enhancing. there is intervening normal parenchyma between the regions of consolidation. overall, this pattern is more consistent with cryptogenic organizing pneumonia rather than infection. no nodules or masses are identified, although evaluation is limited given respiratory motion artifact. there is no pleural effusion. findings: the tracheobronchial tree is patent to subsegmental levels. while this exam is not optimized for assessment of the abdomen, no acute abnormalities are noted in the upper abdomen. osseous structures: no worrisome bony lesions are identified. impression: 1. no pulmonary embolus or acute aortic abnormality. 2. multiple wedge-shaped consolidations at both lung bases, in a configuration most suggestive of cryptogenic organizing pneumonia rather than infectious pneumonia. 07:45am blood wbc-12.3* rbc-4.22 hgb-11.1* hct-33.6* mcv-80* mch-26.2* mchc-33.0 rdw-13.8 plt ct-655* 04:10pm blood wbc-11.5* rbc-4.42 hgb-11.8* hct-36.1 mcv-82 mch-26.7* mchc-32.7 rdw-13.6 plt ct-502*# 01:20pm blood neuts-89.9* lymphs-7.3* monos-1.8* eos-0.8 baso-0.2 04:10pm blood neuts-80.4* lymphs-13.9* monos-4.4 eos-0.9 baso-0.3 01:20pm blood pt-14.1* ptt-27.0 inr(pt)-1.2* 07:45am blood urean-13 creat-0.8 na-136 k-5.1 cl-96 hco3-31 angap-14 04:10pm blood urean-12 creat-0.8 na-141 k-4.1 cl-96 hco3-28 angap-21* 01:20pm blood alt-23 ast-23 alkphos-86 totbili-0.6 01:20pm blood calcium-10.0 phos-3.2 mg-2.4 04:10pm blood hapto-823* 08:05pm blood lactate-1.0 brief hospital course: 47 yo woman with pmhx sig. for htn who represents with fever and hypoxia 1 day after discharge for pneumonia on doxycycline. pneumonia: ct scan confirmed bibasilar pneumonia, concerning for aspiration. id and allergy consulted. given her multiple severe antibiotic allergies, she was taken to the icu for meropenem desensitization. she did well on meropenem with steady improvement in her hypoxia and fevers. a midline was placed . doxycycline discontinued per id. she will complete a 14 day course of meropenem. dr will see her in clinic in followup. given question of cryptogenic organizing pna and interstitial abnormalities seen on ct, she would also benefit from pulmonary followup. epipen provided at discharge. hypertension: continued home medications. tachycardia: the patient had intermittant sinus tachycardia throughout her admission. cta was negative for pe. she reports that she has tachycardia at baseline, suspect aggravated by infection. osa / ? aspiration: there is concern that the patient is having nocturnal aspiration with her osa. speech and swallow eval normal. refused cpap in house. urticaria: the patient developed hives 4 hours after her third dose of meropenem. she was seen by allergy, who felt this was likely due to chronic uritcaria and not a drug reaction. she was given one dose of solumedrol and benadryl. she was started on daily high dose fexofenadine. medications on admission: 1. amlodipine 10 mg po daily 2. hydralazine 50 mg po bid 3. hydrochlorothiazide 50 mg po daily 4. labetalol 400 mg po bid 5. doxycycline hyclate 100 mg po q12h. 6. acetaminophen 1000 mg po q6h as needed for pain, fever. discharge medications: 1. epipen 0.3 mg/0.3 ml pen injector sig: one (1) injection intramuscular once a day as needed for anaphylaxis. disp:*2 pens* refills:*2* 2. labetalol 200 mg tablet sig: two (2) tablet po bid (2 times a day). 3. meropenem 1 gram recon soln sig: one (1) gram recon soln intravenous q8h (every 8 hours) for 10 days. disp:*30 doses* refills:*0* 4. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 5. diphenhydramine hcl 25 mg capsule sig: capsules po q6h (every 6 hours) as needed for fever, rash, hives, itch, nausea . 6. fexofenadine 180 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. hydrochlorothiazide 50 mg tablet sig: one (1) tablet po once a day. 8. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 9. hydralazine 50 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home with service facility: critical care systems discharge diagnosis: pneumonia, bacterial discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with pneumonia that did not respond to prior treatment with doxycycline. due to your severe drug allergies, you were desensitized to the antibiotic meropenem in the icu. your symptoms, including fever and cough improved on meropenem. a picc line was placed so that you can complete a course of this antibiotic at home. if you develop any symptoms of an allergic reaction such as throat swelling use the epipen and go to the ed immediately. we have started fexofenadine; please take this medication every day. your other medications are unchanged. followup instructions: follow up with dr and dr at within 2 weeks. call the office tuesday morning to schedule this appointment. , m. . it is very important that you have an appointment with dr. within 2 weeks, if you are unable to make this appointment please call the hospitalist md () for help making this appointment. procedure: venous catheterization, not elsewhere classified diagnoses: obstructive sleep apnea (adult)(pediatric) pure hypercholesterolemia need for desensitization to allergens other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus gross hematuria benign essential hypertension bacterial pneumonia, unspecified other specified urticaria other allergy, other than to medicinal agents 

Answer: The patient is high likely exposed to