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: compazine attending: chief complaint: cough and dyspnea major surgical or invasive procedure: - intubation, mechanical ventilation history of present illness: 37 year-old ethiopian female with metastatic colon ca to brain, lung (s/p whole brain radiation and xrt to chest, diagnosed in ), who presented to the ed with 3 weeks of increased cough which has worsened significally in the past 3 days. she was seen as an outpatient 2 days ago and started on levofloxacin. she was found to be flu swab negative at that time. . in the emergency department vs on arrival were 100.4 132 102/75 o2 sat 85%. she stated her o2 sat was 85% on ra at home. she had dyspnea and tachypnea. cxr showed markedly worsened bilateral opacities. lactate was 1.2. she was placed on a nrb. abg showed abg 7.44/43/41 and she was later intubated after an extensive discussion with patient and hcp (see code status below). blood and urine cultures were drawn and she received cefepime and vancomycin. she also received stress dose steroids with 100mg hydrocortisone as she was on home dexamethasone. total of 1l ivf given in ed. most recent vs: 138/96 117 100% on ac 400/15/5/100%. . currently, she is intubated and sedated and unable to provide any further history. past medical history: oncologic history: bezabhe was diagnosed with t3, n2, stage iiic colon cancer in by colonoscopy. she underwent right hemicolectomy on with resection of a 4.5cm poorly differentiated adenocarcinoma with lymphovascular invasion. seven of thirteen nodes were involved. mri of the abdomen at the time of diagnosis showed two hepatic hemangiomas; no metastasis. she then completed six months of adjuvant chemotherapy with 5-fu/leucovorin after having failed oxaliplatin due to severe nausea. cancer recurred with krukenberg tumor resected by left salpingoophorectomy and right salpingectomy in , and again in right ovary status post right salpingoophorectomy in 8/. cea rose and she was found to have pulmonary metastasis and then treated with irinotecan/erbitux, completed in 4/. . cea noted 95->276 in , ct torso on shows disease progression in the thorax and pelvis. she started first cycle of cpt-11 and erbitux on . . . pmh: - colon cancer as above - bilateral oophorectomies - now on hrt social history: originally from , now living with her siblings in , ma, denies etoh, tobacco, or ivdu. has a 9 year old daughter (father of daughter lives in ) family history: unaware of incidence of colorectal, gastric, uterine, ovarian ca in . physical exam: t= 99.9 bp= 108/67 hr= 132 rr= 24 o2= 94% general: intubated, sedated heent: alopecia. well healed craniotomy scar. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck: lij in place. no lad, no thyromegaly. cardiac: tachycardic regular rhythm. normal s1, s2. no murmurs, rubs or . chest: port in place. bronchial breath sounds at lul with coarsened breath sounds throughout. abdomen: well healed surgical scar. nabs. soft, nt, nd. no hsm extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. pertinent results: labs on admission: 09:40am blood wbc-9.4 rbc-3.78* hgb-10.0* hct-31.7* mcv-84 mch-26.5* mchc-31.6 rdw-15.3 plt ct-353 09:40am blood neuts-87.9* lymphs-8.9* monos-2.3 eos-0.6 baso-0.2 03:26am blood pt-15.4* ptt-32.1 inr(pt)-1.3* 09:40am blood glucose-90 urean-11 creat-0.3* na-137 k-4.1 cl-100 hco3-26 angap-15 05:37am blood albumin-2.2* calcium-7.4* phos-3.3 mg-1.8 cardiac enzymes: 09:40am blood ck(cpk)-28 03:44pm blood ck(cpk)-37 09:40am blood ctropnt-<0.01 10:02pm blood ck-mb-1 ctropnt-<0.01 03:44pm blood ck-mb-2 ctropnt-<0.01 cxr (multiple) extensive metatatic disease especially in lul. ij in good place. ett in good position. no ptx or effusions. . ct chest impression: marked interval progression of extensive pulmonary and left hilar nodal metastases with new bronchial compromise, left upper lobe. . mri head impression: 1. mild increase in the left frontal enhancing lesion, which now measures 1.0 x 1.0 x 1.3 cm in the transverse, ap, and cc dimensions compared to the prior of 0.8 x 0.9 x 1.0 cm in similar dimensions. 2. post-surgical changes noted in the left posterior fossa, with enhancement of the dura and mild enhancement in the surgical bed, with the area of blood products, in the surgical bed being smaller compared to the prior study. thrombosis/post-surgical changes in the left transverse sinus, unchanged. 3. new flair hyperintense focus in the left side of the splenium of the corpus callosum without enhancement and questionable decreased diffusion raising the possibility of subacute infarct or cystic change. attention can be paid to this on followup scans. 4. mildly low-lying cerebellar tonsils 0.8 cm below the margins of the foramen magnum, not significantly changed allowing for the technical differences. brief hospital course: ms. is a 37-year old ethiopian lady with widely metastatic colon cancer to the brain and lungs who was admitted from the emergency department, where she was intubated for respiratory distress. her course was complicated by hypotension/sepsis and sustained polymorphic ventricular tachycardia. she died on at 2:25pm. each of the problems addressed during this hospitalization are described in detail below: 1. respiratory distress- the patient was intubated for respiratory distress in the ed. prior to intubation, the patient understood that there is a high chance that she may not be able to get extubated if her respiratory failure is largely secondary to metastatic disease. she that she would not want to remain intubated indefinitely should extubation attempts fail. on presentation, the patient was maintained on mechanical ventilation. despite a course of empiric treatment for hap with vancomycin, cefepime, levaquin and flagyl for 10 days, the patient's lung compliance remained extremely poor. all attempts to wean her off ventilation were unsuccessful. decrease in peep resulted to volume loss and collapse. bronchoscopy was performed which revealed no mucous plugging, but showed extensive extrinsic compression by the tumor. there was no further evidence of infecion, as the patient was afebrile, normotensive, with normal wbc count. a discussion with the family about the patient's goals of care are ongoing. patient was made cmo on and remained intubated until until health care proxy elected to withdraw respiratory support. patient expired on at 2:25pm. 2. metastatic colon cancer- the patient was seen by oncology, who concluded that there are no further pallaiative treatments available at this point. drs. and in ongoing discussions with the family. rad onc commented to family on lack of options on . 3. hypotension/sepsis- on presentation, the patient was hypotensive likely secondary to sepsis and was maintained on levophed in order to keep maps>65. the patient was pan-cultured and immediate empiric treatment with vancomycin and zosyn was initiated. after the initial dose, zosyn was switched to cefepime, and levaquin and flagyl were added. over the next several days, hypotension has resolved and the patient remained afebrile with normal wbc counts. the patient completed a 10 day course of antibiotics. all cultures were negative. sputum culture was negative for pcp. 4. sustained polymorphic vt- on , the patient had sustained 41-beat run of polymorphic vt. etiology was believed to be likely metabolic. amiodarone gtt was initiated and the patient was transitioned to po amiodarone 400 the following day. dosing was decreased on and stopped on when was made cmo. medications on admission: 1. dexamethasone 4 mg q.a.m., 2 mg q.p.m. 2. keppra 500 mg b.i.d. 3. lorazepam p.r.n. 4. morphine elixir p.r.n. calf pain. 5. omeprazole 20 mg daily. 6. zofran 48 mg p.r.n. nausea, vomiting discharge disposition: expired discharge diagnosis: respiratory failure secondary to metastatic colon cancer to the lungs discharge condition: discharge instructions: followup instructions: md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy arterial catheterization diagnoses: anemia, unspecified unspecified septicemia secondary malignant neoplasm of other specified sites sepsis hypopotassemia paroxysmal ventricular tachycardia constipation, unspecified acute and chronic respiratory failure secondary malignant neoplasm of brain and spinal cord personal history of malignant neoplasm of large intestine hemangioma of other sites secondary malignant neoplasm of lung hypovolemia leukocytosis, unspecified 

Answer: The patient is high likely exposed to