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: aspirin / penicillins / keflex / compazine / e-mycin / cipro / sulfa (sulfonamide antibiotics) / iodine-iodine containing / vasotec / prochlorperazine attending: chief complaint: respiratory distress major surgical or invasive procedure: eye surgery history of present illness: this is a 61 yo female with a history of laryngeal spasm, possible asthma, and anxiety who underwent elective l eye cataract removal and trabeculectomy today under general anestesia with lma, pacu course complicated by respiratory distress. she has had prior issues post-op with laryngeal spasm, sometimes requiring intubation. her pcp . notes that her asthma dx is not clear, and that when she has been intubated, there does not appear to be any obstructive issues, suggesting most of her symptoms are upper airway in nature. she has responded inconsistently to heliox in the past, and at her last admission at osh did not tolerate nppv well, but responded well to clonazepam. regarding recent events, per anesthesia and nursing, she initially developed dry cough, followed by progressive tachypnea and dyspnea over the afternoon (from ~2pm to 7pm). was given albuterol and ipratropium nebs without significant effect. called by anesthesia to see patient around 7pm, given rr reaching upper 30s and concern for need of nppv vs invasive ventilation. had recently received 60mg solumedrol and racemic epinephrine without significant effect. patient notes feeling dyspneic with dry cough intermittently, as well as wheezy. she denies fatigue, stating she knows what that implies. no fevers, pain, dysuria, nausea, vomiting. detailed ros not obtained in setting of patient's respiratory distress. past medical history: -asthma, per pcp dx is not clear -laryngospasm -rheumatoid arthritis -htn -coronary artery disease -diabetes type ii (pt denies) -vaginal hysterectomy in -appendectomy in -anxiety -depression -tonsillectomy -supraventricular tachycardia -peripheral neuropathy social history: denies tobacco, etoh, drugs. family history: coronary artery disease in father. hypertension in her father. asthma as in her two children. physical exam: general: alert, moderate respiratory distress heent: mm dry, eye patch over l eye neck: muscular retractions with inspiration lungs: high-pitched wheezing audible throughout respiratory cycle - noted over upper airway and appears to transmit throughout lung fields, poor air movement cv: tachycardic with regular rhythm, no murmurs, rubs, gallops abdomen: +bs. soft, non-tender, non-distended. ext: warm, well perfused, 2+ pulses, no edema pertinent results: admission labs: 08:18pm blood wbc-9.5 rbc-4.78 hgb-15.9 hct-45.7 mcv-96 mch-33.3* mchc-34.9 rdw-12.7 plt ct-196 08:18pm blood glucose-175* urean-25* creat-1.0 na-143 k-3.3 cl-101 hco3-26 angap-19 08:18pm blood calcium-9.7 phos-3.6 mg-2.0 brief hospital course: this is a 61 yo female with a history of laryngeal spasm, possible asthma, and anxiety who is in the icu for respiratory distress s/p elective eye surgery. # respiratory distress: felt most likely related to paradoxical vocal cord motion, although quite difficult to tell from physical exam alone. panting maneuver did alleviate wheezing. ent evaluated and noted only mild upper airway edema. she was supported with supplemental oxygen and heliox at time. she did not require niv or intubation. she was treated with prn nebs, but no high dose steroids as this was not felt to be consistent with asthma exacerbation. no clinical evidence of infection. she was evaluated by pt and cleared for home. she was walked around the unit and was saturating at 94% on ra. she felt well and safe to go home. dr. (her pcp) was called and he felt as though she was a good judge of being safe to go home. # trabeculectomy/glaucoma: she had her procedure and tolerated surgery well. dr. recommended tobramycin drops 4 times a day, tobraymycin oitnment at night, and apraclonidine with follow-up early next week. # rheumatoid arthritis: stable. she was continued on imuran. humira was to be continued on weekly. # coronary artery disease: stable. asa allergy. continued on ticlopidine, bb and statin. # diabetes type ii: pt denies dx, more likely hyperglycemia that is steroid related. she was covered with hiss, and with diet control. # depression and anxiety: continued on home meds of abilify, duloxetine, and lorazepam. # supraventricular tachycardia: stable. continued on digoxin, verapamil, metoprolol # htn: stable during admission. continued verapamil and metoprolol. # transition issues: she was home with follow-up established with pulmonology, ophthalmology, and her pcp. medications on admission: xalatan 0.005% gtt left eye hs brimonidine 0.15% gtt left eye tid pilocarpine 2% gtt left eye qid crestor 5mg daily digoxin 250mcg daily cymbalta 80mg daily duoneb q3h prn oxybutynin 15mg er daily humira 40mg sc weekly seroquel 75mg hs furosemide 40mg imuran 150mg daily (pt takes 50mg tid) lorazepam 1mg qhs verapamil 120mg daily advair 250-50 1inh combivent 2 puffs qid prn sob abilify 5mg tid (pt takes 15mg qday) metoprolol 50mg ticlopidine 250mg methylprednisolone 6mg daily ca/vit d 250mg daily kcl 40meq daily prn discharge medications: 1. aripiprazole 5 mg tablet sig: one (1) tablet po three times a day. 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. brimonidine 0.15 % drops sig: one (1) drop ophthalmic in your left eye tid (3x a day). 4. combivent 18-103 mcg/actuation aerosol sig: two (2) puffs inhalation every six (6) hours. 5. calcium carbonate-vitamin d2 250 (625)-125 mg-unit tablet sig: one (1) tablet po once a day. 6. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). 7. duloxetine 20 mg capsule, delayed release(e.c.) sig: four (4) capsule, delayed release(e.c.) po daily (daily). 8. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 9. duoneb 0.5 mg-3 mg(2.5 mg base)/3 ml solution for nebulization sig: one (1) nebulizer inhalation q3 hrs (every 3 hours) as needed for shortness of breath or wheezing. 10. humira 40 mg/0.8 ml kit sig: one (1) injection subcutaneous once a week. 11. azathioprine 50 mg tablet sig: three (3) tablet po once a day. 12. furosemide 40 mg tablet sig: one (1) tablet po twice a day. 13. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 14. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 15. methylprednisolone 4 mg tablet sig: 1.5 tablets po once a day. 16. oxybutynin chloride 15 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 17. phenrgan with codeine sig: ten (10) ml every four (4) hours as needed for cough. 18. potassium chloride 20 meq tablet, er particles/crystals sig: two (2) tablet, er particles/crystals po once a day. 19. quetiapine 25 mg tablet sig: three (3) tablet po qhs (once a day (at bedtime)). 20. verapamil 120 mg tablet extended release sig: one (1) tablet extended release po q24h (every 24 hours). 21. xalatan 0.005 % drops sig: one (1) drop ophthalmic at bedtime. 22. pilocarpine hcl 2 % drops sig: one (1) drop ophthalmic four times a day. 23. ticlopidine 250 mg tablet sig: one (1) tablet po bid (2 times a day). 24. tobramycin-dexamethasone 0.3-0.1 % drops, suspension sig: one (1) drop ophthalmic qid (4 times a day): until opthalmology follow-up. disp:*1 bottle* refills:*2* 25. tobramycin-dexamethasone 0.3-0.1 % ointment sig: one (1) appl ophthalmic qhs (once a day (at bedtime)). disp:*1 tube* refills:*2* 26. apraclonidine 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*1 bottle* refills:*2* discharge disposition: home discharge diagnosis: primary: cataract + mitomycin c trabeculectomy laryngeal spasm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. , you were admitted to for eye surgery and after the procedure you had more difficulty breathing. you were observed in the medical intensive care unit and were given oxygen to help with the breathing. you were treated with inhalers, and ent evaluated you and did not see any abnormalities in your airway. at the time of discharge, your oxygen levels were normal on room air. you felt much improved, and after discussion with your primary care doctor you home with follow-up with your pcp, , and ophthomology. we made the following changes to your medications: - please use tobradex drops in your left eye four times a day until you follow-up with dr. - please use tobradex ointment (melted - place the tube in warm water prior to use) in your left eye at bedtime until you follow-up with dr. - please use apraclonidine drops in your left eye two times a day until you follow-up with dr. please take all other medications as prescribed, and please follow-up with your doctors at the below. please call dr. office on at for instructions on when to remove your eye patch. followup instructions: name: , c. md specialty: ophthalmology address:, 5, , phone: appointment: tuesday at 10am name: , c. address: , , phone: appointment: thursday at 3:30pm department: pulmonary function lab when: monday at 1:40 pm with: pulmonary function lab building: campus: east best parking: garage department: pft when: monday at 2:00 pm department: medical specialties when: monday at 2:00 pm with: dr. /dr. building: campus: east best parking: garage md, procedure: phacoemulsification and aspiration of cataract injection into anterior chamber insertion of intraocular lens prosthesis at time of cataract extraction, one-stage trabeculectomy ab externo diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use dysthymic disorder other specified cardiac dysrhythmias other respiratory complications rheumatoid arthritis unspecified hereditary and idiopathic peripheral neuropathy unspecified cataract acquired absence of both cervix and uterus laryngeal spasm secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified pseudoexfoliation glaucoma 

Answer: The patient is high likely exposed to