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: history of present illness: the patient is a 52 year old female with a history of right upper lobe bronchiectasis. she had a distant history at the age of 25 of aspirating some vinegar which subsequently required hospitalization for treatment of chemical pneumonitis. since then the patient has had progressive respiratory problems. initially it started with an active cough and eventually resulted in chronic bronchitis and recurring infections. these episodes of recurring bronchitis started approximately ten years ago and required intermittent antibiotics in the past three years. she has been on a constant stream of rotating antibiotics for three weeks and off for one week. the patient reports that during the week that she was off of antibiotics she began to feel sick, sleepy and developed a fever which promptly went away when she reinitiated antibiotic therapy. the patient usually develops fever with persistent cough building to episodes of bronchitis. she has never been admitted to the hospital for pneumonia but was admitted two years ago with shortness of breath versus pulmonary function course. the patient denies any chest pain, dyspnea on exertion or hemoptysis. the patient has been treated with prednisone in the past but reports that it did not help her and she wants to avoid it for fear of what might happen to her with chronic steroid use. the patient uses inhalers occasionally but reports that they are of minimal utility. past medical history: 1. fibromyalgia. 2. hepatitis c positivity with normal liver function tests. 3. right upper lobe bronchiectasis. 4. chronic bronchitis. 5. history of chemical pneumonitis. past surgical history: unremarkable. medications on admission: 1. zithromax. 2. levaquin. 3. singulair. 4. fosamax. 5. foradil. 6. ultram. 7. various inhalers. allergies: no known drug allergies. social history: the patient has approximate five pack year smoking history and no alcohol history. family history: significant for a father who died at the age of 49 of an myocardial infarction and mother who died at the age of 73 from chronic obstructive pulmonary disease. physical examination: on physical examination the patient is afebrile, vital signs are stable in no apparent distress. head was normocephalic, atraumatic. no scleral icterus noted. neck was soft, supple with no masses noted, no carotid bruits. heart was regular rate and rhythm, no murmurs. chest was clear to auscultation bilaterally. thorax was symmetrical with no masses or scars. the abdomen was soft, nontender, nondistended, positive bowel sounds. extremities showed no clubbing or edema. neurologically, the patient was grossly intact. laboratory data: computerized tomography scan preoperatively demonstrated moderate tracheal collapse and evidence of bronchiectasis throughout the right upper lobe. no evidence of bronchiectasis in the other lobes and there was no endobronchial lesions. hospital course: the patient is a 52 year old female with tracheobronchial malacia who presents to as a same day admission for tracheobronchoplasty. the patient was taken to the operating room on for said procedure by dr. and dr. . for a more detailed account, please see the operative report. postoperatively the patient was transferred to the floor. chest tube was discontinued on postoperative day #1. on postoperative day #2, epidural analgesia was discontinued as the epidural was capped and the patient was started on percocet and ibuprofen. the patient reported very poor pain control without the epidural and later in the day of postoperative day #2, the patient's epidural was restarted with straight local anesthetic with good effect. chest x-ray on postoperative day #2 revealed no pneumothorax. on postoperative day #4, the patient's pain control was much improved with local epidural which was later on in the day discontinued and the patient was again started on percocets and ibuprofen with moderate pain control. in addition, the patient was receiving morphine injections for breakthrough pain. on postoperative day #5, the patient was doing well, epidural was discontinued and the patient was deemed well enough to go home. the patient was comfortable with this plan with percocets and ibuprofen around the clock for pain control. discharge status: to home. discharge condition: good. discharge diagnosis: 1. tracheobronchial malacia. 2. fibromyalgia. discharge medications: 1. montelukast 10 mg p.o. q. day 2. percocet 1 to 2 tablets p.o. q. 4-6 hours prn for pain. 3. neurontin 300 mg p.o. q.h.s. 4. venlafaxine 300 mg p.o. q. am 5. trazodone 37.5 mg p.o. q.h.s. 6. ibuprofen 600 mg p.o. q. 6 hours 7. colace 100 mg p.o. b.i.d. 8. azithromycin 500 mg p.o. q. day. follow up: the patient is to follow up with primary care physician in two to four weeks and dr. in six weeks. please call for an appointment. , m.d. dictated by: medquist36 procedure: fiber-optic bronchoscopy other lavage of bronchus and trachea other repair and plastic operations on trachea other repair and plastic operations on bronchus diagnoses: bronchiectasis without acute exacerbation myalgia and myositis, unspecified foreign body accidentally entering other orifice unspecified chronic bronchitis foreign body in other specified parts bronchus and lung 

Answer: The patient is high likely exposed to