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: aspiration pneumonia sepsis major surgical or invasive procedure: none history of present illness: f with recent pna, hypothyroidism, vvi pacer for bradycardia and av block awoke on morning of admit with dyspnea. she'd been increasingly dyspneic over the past 2-3d before admit. she'd had no chest discomfort, f/c, or significant cough. in the ed, she was found to have a wbc of 16.8 with 7%bands so was treated with levofloxacin; her o2 sat was 87% on ra in ed but rebound to 99% on 2l-nc. she was found to have 4+ bilateral lower extremity edema. chest xray in ed was unchanged from prior with densely calcified pleura due to fibrothorax. she had one meausre of o2 sat of 99% on 2 l. her bnp in the ed was found to be 5455 (last bnp was >6000). she was noted to have elevated wbc of 16 with 7 bands and was given dose of levofloxacin. she was hd stable in the ed however her uop has been none to minimal. she was given dose of dexamethasone in the ed for concern of adrenal insufficiency. . she was admitted to the where she received ceftriaxone and azithromycin and remained stable throughout the day, so was sent to the floor. here, she is frustrated over being ill and having to be in the hospital, so she'd answer few questions, though denies pain but does say she remains dyspneic. . patient was recently admitted for sob and weakness in and felt dyspnea could be secondary to pna. patient did have ct chest on prior admission that showed pleural calcifications. at that admission patient was noted to have b/l le edema with negative leni and felt edema secondary to low albumin. . she was doing well on the wards until when she began to be hypothermic. though she had been hypothermic in the icu with temperatures in the 95 range, she was more so on the floor with temps in the 93 axillary range with as low as 91. the team changed her abx from levoquin to vanc/zosyn for broader coverage on . she was also given increased lasix on (recieved 10 po and 20 iv at noon). attempts to warm her were unsuccessful. approximately 9:30 pm on , she began to become hypotensive as well with systolics in the 70's. she was given normal saline boluses 250 x2 with minimal effect and transferred to the icu. past medical history: 1. hospitalized 4 years ago for atypical chest pain, no mi 2. hypothyroidism 3. anemia, iron deficient 4. vvi pacemaker , for bradycardia and av block 5. query seizure disorder 6. s/p pneumothorax after pacemaker. 7. h/o falls 8. recent admission for pna social history: the patient previously owned a flower store in . she lives in facility. she was never married, though has a niece and nephew in the area who are primary supports. she denies tobacco, etoh, drugs. her nephew is her hcp. family history: non-contributory physical exam: pe: t 96.7, bp 130/60, hr 76, rr 16, spo2 96%2l pt defers exam appears non-tox, in nad breathing without accessory muscle use neurologically, she can tell me she's at -hospital, just came up from the and that she was in an icu, and that it's ; she's moving all extrm. pertinent results: cxr: overall unchanged appearance of the chest with densely calcified pleura due to fibrothorax and right upper lobe pleural-based density. evaluation of lung parenchyma is somewhat limited. . ecg: technically difficult study ventricular pacing pacemaker rhythm - no further analysis probable dissociated atrial rhythm, rate 60-70 bpm since previous tracing, no significant change . cxr: the patient's head is slumped over resulting in obscuration of the bilateral apices, right worse than left. there is also significant rotation. the position of her chin obscures the previously noted pleural-based entity in the right apex. of the visualized lung, most of it is obscured by the underlying fibrothorax previously described. the aerated left upper lung is clear. impression: nearly nondiagnostic examination secondary to multiple limitations detailed above. . ct chest: 1. no pulmonary embolism. 2. extensive diffuse bilateral calcified pleural plaques and pleural thickening/loculated pleural fluid causes marked volume loss of both lungs, right greater than left. again this is consistent with exposure. there is some concern for underlying pleural malignancy with evaluation for enhancing pleural mass limited by the very early timing of iv contrast. 3. increase in loculated pleural fluid of the medial right lower chest and mildly so elsewhere. 4. multifocal opacities of both lungs are probably mostly due to scarring and atelectasis, slightly increased. underlying lung parenchymal infection cannot be excluded. 5. moderate hiatal hernia. . 04:00am wbc-16.8*# rbc-3.26* hgb-9.0* hct-28.2* mcv-87 mch-27.8 mchc-32.0 rdw-18.0* 04:00am neuts-72* bands-7* lymphs-11* monos-7 eos-0 basos-0 atyps-3* metas-0 myelos-0 04:03am glucose-148* lactate-1.3 k+-6.2* 05:30am albumin-3.1* calcium-9.2 phosphate-4.1 magnesium-2.4 05:30am glucose-138* urea n-24* creat-0.8 sodium-126* potassium-5.3* chloride-93* total co2-28 anion gap-10 04:13am blood wbc-5.4 rbc-3.14* hgb-8.8*# hct-27.0* mcv-86 mch-28.0 mchc-32.5 rdw-18.1* plt ct-233 04:13am blood plt ct-233 04:13am blood glucose-87 urean-19 creat-0.8 na-139 k-3.8 cl-105 hco3-27 angap-11 04:13am blood calcium-8.8 phos-3.2 mg-2.2 brief hospital course: y/o female admitted for shortness of breath. hospitalization complicated by need for icu care for hypothermia and sepsis. sepsis believed secondary to chronic aspiration leading to pneumonia. covered broadly for this. with advanced age discussions had with patient and family of overall goals of care. all agreed that patient would not want prolonging measures. patient stabilized in icu with volume resucitation but decision made not to transfer back to icu if again became sick. day after transfer to floor patient again hypothermic. further discussions agreed to make patient cmo. patient made comfortable, visited by family. slowly blood pressure trended down; antibiotics and other medications stopped and patient given oral and iv morphine in low dose prn. died peacefully of cardiac arrest. medications on admission: levothyroxine 150 mcg po daily ferrous sulfate 325 po daily latanoprost 0.005 % drops ophthalmic hs dorzolamide-timolol 2-0.5 % drops one qam brimonidine 0.15 % drops ophthalmic levetiracetam 250 mg one po qhs ibuprofen 400 mg one po q8h prn aspirin 81 mg one po daily (daily). lasix 10 mg po once a day discharge medications: none discharge disposition: expired discharge diagnosis: aspiration pneumonia, sepsis discharge condition: dead discharge instructions: diet: speech/swallow recommending soft solid po diet texture with thin liquids. po meds to be given either whole or crushed in purees, as tolerated. followup instructions: none procedure: transfusion of packed cells diagnoses: unspecified septicemia hyposmolality and/or hyponatremia severe sepsis unspecified acquired hypothyroidism other convulsions pneumonitis due to inhalation of food or vomitus iron deficiency anemia, unspecified other disorders of plasma protein metabolism hypovolemia diastolic heart failure, unspecified fitting and adjustment of cardiac pacemaker pleurisy without mention of effusion or current tuberculosis edema unspecified hemorrhoids without mention of complication paraphrenia 

Answer: The patient is high likely exposed to