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 37-year-old white female with a long history of pulmonary issues who is well known to the and i a patient of dr. who was admitted on for weaning off her ventilator. her ventilator on admission was cpap with an fio2 of 40%, peep of 5, and a pressure support of 30. she was transferred from the / facility because two weaning trials were attempted which were unsuccessful. hence, it was decided that a weaning would be carried out in the medical intensive care unit under the supervision of her attending dr. . past medical history: please see dr. ................... initial part of the discharge summary from . medications: please see dr. ................. discharge summary from . allergies: sulfa, oxacillin, verapamil. social history: she smoked tobacco for five years while in college. she currently resides at the kindres/ facility. hospital course: please see dr. .................. discharge summary from , as it describes her hospital course from the day of admission on , through . the remainder of the hospital course is as follows: 1. pulmonary: the patient has a long history of severe lung disease. she has a history of hodgkin's disease and is status post chop and radiation therapy complicated by histoplasmosis, adult respiratory distress syndrome, and she is status post left pneumonectomy for aspergillus. she was recently admitted in the spring for pneumonia. she had been on pressure support of 30 with a peep of 5 and an fio2 of 40% on her admission. two attempts were made at the / facility to wean her which were both unsuccessful. her baseline paco2 is in the 80s, and a renal compensation brings her bicarbonate in the range of 40-50. she has tolerated this well and was able to wean from her vent. she was kept on a ................... while she received her pressure support via tracheostomy at night. she had a tracheostomy revision on , and was found to have a posterior tracheal ulcer which was a very early te fistula. she had a temporary tracheostomy which was changed to permanent on . a bronchoscopy after that showed that the ulcer had healed. the patient is currently using a tp with an fio2 of 50% during the day time, and at night she uses a bipap with an epap of 6 and an ipap of 12. the plan is to send her back to her rehabilitation center where she will remain on her the patient during the day with blow-by oxygen and will remain on the bipap at night on her home ventilator. 2. cardiac: the patient has a history of biventricular congestive heart failure and cardiomyopathy and is known to have an ejection fraction close to 20%. her left-sided heart failure is thought to be secondary to tachycardia inducing cardiomyopathy, and her right heart failure is thought to be secondary to cor pulmonale. her resting pulse ranges anywhere between 100-120s and is sinus tachycardia, and based on previous experience, it has shown that any decrease or increase from this resting heart rate, can send her into respiratory distress and cause decompensation. she is also very volume sensitive, and given that she has biventricular heart failure, our goal is to keep her weight between 150-120 lbs. in addition, she is on a regimen of lasix, metolazone, and aldactone to help control her volume status. she remains at her baseline goal weight between 150-120 lbs on this diuresis regimen, and she does not appear to have any respiratory distress. the patient is also on digoxin 0.125 mg every other day and 0.25 mg every other day. she does have her digoxin level checked and should be checked on a regular basis. fluids, electrolytes, and nutrition: the patient is known to have a volatile/fluctuating potassium level. she has a history of constipation and sometimes develops hyperkalemia from her inability to excrete her potassium to her gi tract. in addition, with her large diuresis, she also is known to drop her potassium level significantly in the range of 2.4-2.5. to help maintain her potassium at a reasonable level since she is on digoxin, she is taking 40 meq potassium chloride t.i.d., and her potassium level has remained relatively stable in that we had been checking it twice a day, and it ranges from 3.1 to 4.0 with this current regimen in addition to the lasix, metolazone, and aldactone she is taking. her nutrition is delivered to her via her g-tube with a .................. tube feeds. the patient also has a baseline metabolic alkalosis as mentioned early on with bicarbs of 40-50 to compensate for her severely impaired and decreased ventilation. she has a significant amount of large dead space and a vd/vt ratio of 0.8. she is tolerating this metabolic alkalosis well. gastrointestinal: as mentioned, the patient has a history of constipation, especially when she uses narcotic analgesics. she had been on percocet for pain experienced from her tracheostomy site. she has had some bowel movements since dr. ................. discharge summary of , and her potassium levels have been relatively stable in the range of 3.0-4.0. in addition, she is getting colace 100 mg p.o. b.i.d., and she is getting senna tabs and simethicone. we are being very aggressive with her bowel regimen to help maintain and regulate bowel movements. infectious disease: given the patient's significant pulmonary history, she was taking inhaled tobramycin for pseudomonas prophylaxis. she was taking this for 28 days and then tried off for 21 days in which it was found that her white blood count was increasing, and the tobramycin was restarted. she does have a history of chronic leukocytosis from , but no specific signs of infection from her baseline was noted. on , she was found to have 15 bands on her cbc, and she was found to have a positive urinalysis, and she was started on levaquin 500 mg p.o. q.d. in addition on , she grew coag-negative staph from her picc line and was started on vancomycin because it was sensitive to that. on , her urine culture came back negative, and so the levaquin was discontinued, but she continued to receive vancomycin 1 g q.12 hours for a total of seven days; on the day of discharge, it will be day #5 of 7. psychiatry: the patient has a history of anxiety attacks with complicated respiratory failure. it was thought that the anxiety was a large component of this failure. she was relying on multiple pain medications which had been discontinued due to her constipation and other problems. she seems to be doing well on a regimen of amitriptyline 75 mg q.h.s., zyprexa 5 mg q.h.s., and she occasionally gets ativan p.r.n. tubes, lines, and drains: a central line was placed due to the picc line infection; however, since she is a very difficult stick and she need to get her blood checked on a regular basis, a right picc line is going to be placed by interventional radiology, and the subclavian is going to be removed prior to her discharge. she also has a tracheostomy and g-tube, and all of these sites are clean, dry, and intact. prophylaxis: the patient is able to get out of bed with physical therapy and occupational therapy. she is also getting a ppi per her g-tube. discharge status: the patient is stable. disposition: the patient is being discharged to either facility or the / facility depending on bed availability. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other esophagoscopy enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other bronchoscopy other bronchoscopy revision of tracheostomy replacement of tracheostomy tube replacement of tracheostomy tube replacement of tube or enterostomy device of small intestine diagnoses: other primary cardiomyopathies congestive heart failure, unspecified hyposmolality and/or hyponatremia hypopotassemia alkalosis hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites mechanical complication due to other implant and internal device, not elsewhere classified chronic respiratory failure 

Answer: The patient is high likely exposed to