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: ards major surgical or invasive procedure: c section central line placement history of present illness: this is a 28yof 28 wks pregnant w/h/o asthma, tobacco use, narcotic addiction who presents w/ards due to progression of bilateral s.pneumonia pna. per osh records and signout from osh pulmonary fellow, pt presented to hospital ed w/n/v/myalgias, fever to 101.1, chills and productive cough associated w/cp. there, she was found to have cxr c/w bl pna. at that time, physicians wanted to admit her for treatment of pna, but she refused admission and was discharged ama w/a z-pak. she then presented to on w/similar sx including fever/chills and progressive sob. she was afebrile upon presentation sating 92%on ra. gram stain from was c/w strep pneumo so she was started on ceftriaxone and duonebs. she was also started on solumedrol 60mg iv q8h w/some improvement in her respiratory status. earlier on the day of admission, pt was transferred to osh icu where her initial abg showed 7.41/40/70. she was started on nppv, but she appeared to be tiring. the decision was made to intubate the pt prior to transfer to micu. a repeat abg prior to her transfer was 7.18/73/237 on ac 400, 100%fi02, peep 8, rr 20. also, per report pt had received around 5l ivf during her stay at the osh. prior to transfer, abx were broadened to vanc/zosyn/azithromycin. . data from osh: influenzae a/b antigen(-),blood cx from no growth, urine legionella ag(-) and urine strep pneumoniae antigen(+) on . echocardiogram from at osh possible mild mr o/w normal rv and lv fxn. past medical history: asthma, oxycontin abuse, tobacco use, hiv(-) in social history: opiate abuse on methadone. smokes. lives with husband and son. family history: down syndrome physical exam: vitals: bps for 12 hours prior to discharge 100-125/80s, otherwise stable, on room air gen -- pleasant, ambulatory, nad heent -- unremarkable heart -- regular lungs -- clear abd -- soft, benign gu -- c-section incision c/d/i, staples removed ext -- no edema skin -- improving macular rash on upper back and upper post arms pertinent results: 07:11pm wbc-23.1* rbc-3.71* hgb-10.1* hct-31.8* mcv-86 mch-27.2 mchc-31.7 rdw-13.7 07:11pm plt smr-normal plt count-270 07:11pm neuts-81* bands-4 lymphs-5* monos-6 eos-0 basos-0 atyps-0 metas-3* myelos-1* nuc rbcs-1* 07:11pm pt-12.6 ptt-23.2 inr(pt)-1.1 06:07pm type-art temp-37.3 rates-14/ tidal vol-400 peep-10 o2-100 po2-110* pco2-115* ph-7.08* total co2-36* base xs-0 aado2-503 req o2-83 -assist/con intubated-intubated 06:07pm lactate-1.1 07:11pm calcium-7.0* phosphate-4.8* magnesium-3.2* 07:11pm glucose-120* urea n-7 creat-0.7 sodium-143 potassium-5.0 chloride-106 total co2-30 anion gap-12 . micro blood ngtd sputum yeast . cxr impression: 1) diffuse bilateral confluent alveolar opacities most consistent with severe multifocal pneumonia with possible progression to ards. 2) ng tube terminates before the ge junction and should be advanced at least 20 cm. . mri/mrv/mra head impression: multiple confluent focal abnormalities in both cerebral hemispheres as well as in the cerebellum. the distribution and appearance of the lesions along with the clinical history are consistent with posterior reversible encephalopathy syndrome. no evidence of slow diffusion is seen in these foci of signal abnormalities. no mass effect or hydrocephalus. mra of the head: the head mra demonstrates normal flow signal within the arteries of anterior and posterior circulation. impression: normal mra of the head. mrv of the head: the head mrv demonstrates normal flow within the superior sagittal and transverse sinuses as well as in the deep venous system. impression: normal mrv of the head. . ct head attending note: subtle hypodensities are seen at the convexity. patient already had an mri showing diffuse hyperintensities suggestive of posterior reversible encephalopathy. . ruq u/s right upper quadrant ultrasound: liver demonstrates normal echotexture, without any evidence of focal abnormalities. the visualized portions of the pancreas are normal in appearance though distal body and tail are not well evaluated. there is no intra- or extra- hepatic biliary ductal dilatation. there is sludge/stones within the gallbladder, without any evidence of gallbladder dilatation or wall edema. doppler evaluation of the liver was performed. the main portal vein and its branches demonstrate normal hepatopetal flow and waveforms and patency. the hepatic veins are patent with appropriate directional flow. the hepatic artery demonstrates normal arterial waveforms. impression: normal appearance of the liver. normal hepatic vasculature. . eeg impression: this 24 hour eeg telemetry is most consistent with an encephalopathic appearance. no seizure activity was detected. discharge labs: 08:05am blood wbc-16.6* rbc-3.38* hgb-9.3* hct-28.5* mcv-84 mch-27.6 mchc-32.7 rdw-15.9* plt ct-313 08:05am blood neuts-67.8 bands-0 lymphs-27.6 monos-2.3 eos-1.9 baso-0.3 08:05am blood pt-11.9 ptt-22.1 inr(pt)-1.0 08:05am blood glucose-77 urean-14 creat-0.7 na-140 k-4.1 cl-103 hco3-28 angap-13 08:05am blood alt-453* ast-52* alkphos-71 08:05am blood albumin-2.5* calcium-8.4 phos-5.0* mg-2.1 brief hospital course: 1. pneumonia: upon transfer from osh, the patient's chest radiograph showed diffuse bilateral infiltrates, thought secondary to progressive pneumoccal pneumonia. her initial pao2/fi02 was 129. she was treated with broad spectrum antibiotics initially vancomycin, zosyn, and azithromycin. she was initially treated per ards protocol, but subsequently her oxygenation improved and she was quickly weaned off the vent. she was extubated initially on . she was reintubated on following a seizure and need for c section, as described below. she was again extubated on . her antibiotics were narrowed to ceftriaxone and azithromycin, which were discontinued on . by discharge, she was on room air, weaned off prednisone taper (for presumed reactive airway disease). she will follow up with outpatient pulmonary department on discharge. 2. seizure: on , the patient developed lip smacking with r head deviation progressing to generalized tonic-clonic seizures. her seizures broke with 2mg lorazepam. prior to her seizure, she had been hypertensive to 174/100. she was seen by the neurology service who recommended mri, which revealed evidence of posterior encephalopathy thought to eclampsia. she was treated with iv magnesium and underwent an emergent c section on . per neurology she will not need maintenance anticonvulsant therapy however was counseled *** she should not drive for 6 months *** following her seizure. she did not experience any further seizures. 3. hypertension: the patient's elevated blood pressures in the setting of proteinuria, seizures, and elevated lfts were thought to be eclampsia related. she was intiially treated with a labetalol drip and subsequently hydralazine. her blood pressures remained elevated after c-section, and were treated with oral nifedipine cr 60 mg po qday and labetolol 300 mg po bid. she was given a prescription for a home automated blood pressure cuff, with instructions to record am values for her next primary care appointment. her husband is an and understood to bring her back to the hospital with bp greater than 150/90 mmhg or symptoms such as heachache, chest pain, seizure. 4. elevated lfts: the patient's elevated transaminases were thought to be related to her eclampsia. hepatitis a, b, and c serologies were all negative. her lfts began to trend down appropriately prior to discharge. 5. asthma: she was treated with steroids and bronchodilators and will completed a steroid taper. 6. h/o narcotic abuse: the patient had been on methadone maintenanace at home and was intially treated in house with a fentanyl drip. she was changed back to methadone following extubation. medications on admission: docusate sodium (liquid) 100 mg po bid @ 1801 heparin 5000 unit sc tid @ 1812 azithromycin 500 mg iv q24h @ 1812 chlorhexidine gluconate 0.12% oral rinse 15 ml oral @ acetaminophen 325-650 mg po q6h:prn @ insulin sc (per insulin flowsheet) pantoprazole 40 mg iv q24h @ 2125 ceftriaxone 2 gm iv q24h @ 0926 methylprednisolone sodium succ 125 mg iv q8h @ 0928 multivitamins 5 ml po daily @ 1848 folic acid 1 mg po daily @ 1848 potassium chloride 20 meq po/ng once duration: 1 doses albuterol 0.083% neb soln 1 neb ih q4h @ 1032 ipratropium bromide neb 1 neb ih q4h @ 1032 betamethasone acet & sod phos *nf* 12 mg intramuscular once methadone 10 mg iv once @ 1348 haloperidol 1 mg iv once duration: 1 doses 01/25 @ 1450 potassium chloride 40 meq / 500 ml d5w iv once duration: 1 methadone 10 mg iv once @ 0259 methadone 20 mg iv q6 hold for rr<12, sedation please notify md ( has been taking methadone 120mg daily at baseline) lorazepam 2 mg iv once duration: 1 doses start: 0800 @ lorazepam 2 mg iv once duration: 1 doses 01/26 @ 0747 betamethasone acet & sod phos *nf* 12 mg intramuscular once lorazepam 2-4 mg iv q2h:prn anxiety/withdrawal @ 0844 magnesium sulfate 2 gm iv once duration: 1 doses 01/26 @ 0844 thiamine 100 mg iv once duration: 1 do discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. methadone 10 mg/ml concentrate sig: one (1) po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 5. labetalol 200 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 6. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). disp:*30 tablet sustained release(s)* refills:*0* 7. blood pressure cuff please dispense one home automated blood pressure cuff with appropriate directions for use. direct patient to take blood pressure once daily in the am, and record values. take recordings to next physician . discharge disposition: home discharge diagnosis: 1. pneumococcal pneumonia 2. acute respiratory distress syndrome 3. eclampsia discharge condition: stable discharge instructions: you came into the hospital because of a severe pneumonia that required you to be placed on a breathing machine (ventilator). you were treated with antibiotics with improvement in your pneumonia. during the course of your hospitalization you had a seizure. the neurologists and ob/gyn doctors thought this was due to a condition called eclampsia that can be seen during pregnancy. you needed to undergo an emergent c-section procedure because of the eclampsia. *** it is very important that you do not drive for 6 months, unless otherwise instructed by your neurologists. return to the hospital with blood pressure greater than 180 systolic (the top number), or if you have headache, chest pain, seizures or other alarming symptoms. followup instructions: you will need to follow up with the obgyn, primary care, pulmonology and neurology doctors. arrange to see dr. ,poul m by friday for blood pressure check. follow up with your primary obstetrician within one week from discharge. 1. neurology: dr. at 2. pulmonology: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube incision of adrenal gland low cervical cesarean section diagnoses: other pulmonary insufficiency, not elsewhere classified asthma, unspecified type, unspecified pneumococcal pneumonia [streptococcus pneumoniae pneumonia] opioid abuse, unspecified early onset of delivery, delivered, with or without mention of antepartum condition previous cesarean delivery, delivered, with or without mention of antepartum condition other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition outcome of delivery, single liveborn other specified infectious and parasitic diseases of mother, delivered, with or without mention of antepartum condition eclampsia, delivered, with or without mention of antepartum condition mental disorders of mother, delivered, with or without mention of antepartum condition 

Answer: The patient is high likely exposed to