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: clindamycin / ceftazidime attending: chief complaint: increased secretions and sob major surgical or invasive procedure: rigid bronchoscopy history of present illness: 54 y/o female with pmh sig for tracheal stenosis s/p multiple dilations, recent admission during which a t-tube was placed. she had a flexible bronchoscopy in showing a significant amount of granulation tissue build-up. on advancing to the distal limb of the t-tube, it was noted that the patient had a significant amount of granulation tissue build-up but leaving an approximately 6-mm airway. it was noted that distal to this build-up of granulation tissue, the patient had patent distal airways. . pt presented on this admission with increased tracheal secretions and doe over prior 2 days. denies pnd/orthopnea/f/c/night sweats/chest pain. no sob @ rest. pt admitted to micu where flex bronch revealed severe tracheal narrowing (4mm) at the distal end of the t-tube. no hemoptysis. pt underwent rigid bronch with placement of tracheal stent and was started on levaquin for tracheitis. pt now with no complaints and states that she feels much better. still has productive cough which is near baseline. past medical history: 1. tracheal stenosis - pt is s/p multiple dilatations 2. tracheal bronchitis 3. depression - no meds currently 4. h/o anxiety 5. type 2 dm - diagnosed 3-5 years ago, reports glucose usually 130s 6. hypertension - diagnosed 3-5 years ago 7. hypothyroidism - on synthroid 8. anemia 9. gerd 10. hypercholesterolemia social history: lives with care provider and her family, since . pt reports she is happy there. denies tobacco, alcohol, or recreational drug use of any kind. has not worked outside the home. has a legal guardian. family history: pt not aware of any illnesses in the family, including diabetes, cancer, or any tracheal difficulties physical exam: vs: t 99.0 hr 84 bp 130/82 o2 94% trach mask gen: laying in bed, occ productive cough. no dyspnea. very pleasant and able to talk with trach plugged. heent: mmm, pupils equal. neck jvp flat; white secrections coming from trach tube, minimal erythema around trach. chest: ctab, no stridor. very good insp effort and strong cough. cvs: tachycardic, regular without mrg abd: soft, nabs, nt/nd extrem: no edema, ecchymosis on rle. moves all ext. pertinent results: labs on admission: wbc-4.5 rbc-3.26* hgb-9.5* hct-27.9* mcv-86 mch-29.1 mchc-34.0 rdw-14.6 plt ct-193 glucose-116* urean-8 creat-0.8 na-140 k-4.1 cl-104 hco3-29 calcium-9.2 phos-4.0 mg-1.8 ua negative pt-13.2 ptt-25.4 inr(pt)-1.2 cxr: tracheal stents in similar position to the recent ct of the trachea. no evidence of acute cardiopulmonary process. ct trachea/chest: high-grade narrowing of the airway lumen just below the inferior aspect of the tracheostomy tube, with subsequent patency below this level. it is uncertain whether this is due to granulation tissue and/or retained secretions. disruption of the posterior wall of the tracheal stent in its inferior portion. patchy ground-glass opacities within the right apex and superior segment of the left lower lobe, most likely due to infection or aspiration. attention to these areas on followup ct scan may be helpful to ensure resolution. although the observed findings are most likely due to granulation tissue, tumor involvement cannot be fully excluded and direct correlation with findings at bronchoscopy is therefore suggested. bronchoscopy: high grade fibrosis beneath the inferior part of tracheostomy tube. bx: lung, endobronchial biopsy: 1. squamous metaplasia with regenerative epithelial change. 2. acute and chronic inflammation with ulceration. brief hospital course: ms. is a 54 y/o female with h/o tracheal stenosis s/p t-tube placement, type 2 dm, htn, hypercholesterolemia, who presented with increasing stridor and bronchoscopy showing 4 mm luminal narrowing distal to t-tube. . 1. tracheal narrowing: shortness of breath was likely due to granulation tissue and inflammation seen at old tracheal stent site, as well as increased secretions. the pt was initially stabilized with rigid bronchoscopy and stent placement. two days pta the pt went to the or for more permanent t tube placement without event. 2. increased tracheal secretions: this was believed to be secondary to tracheitis, given the elevated white count and left shift on admission. sputum culture revealed strep pneumonia. the pt was treated with levaquin 500 mg po qd for 7 days. the pt was continued on her inhaled steroids and nebulizers with good effect and dyspnea resolved. 3. anemia: the pt has a history of anemia per records, but no clear work up. there is an unclear etiology. iron studies ewre drawn and are likely consistent with anemia of chronic disease. 4. dm2: the pt was continued on a humalog insulin slide scale only during her stay, as her po status was questionable until her final two days in house. at discharged she was restarted on her oral hypoglycemics. her finger sticks were generally well controlled. . 5. nausea: throughout her stay nausea was a recurrent problem for ms. , especially after receiving anesthesia for her t tube placement. this was eventually controlled with prn anzemet, ativan, zofran, and phenergan in different combinations. 6. htn: we continued the patient's home dose of lisinopril throughout her stay. . 7. dyslipidemia: we continued the patient's home statin throughout her stay as well. . 8. hypothyroidism- we continued the patient's home dose of synthroid throughout her stay. her tsh was normal. 9. dispo- ms. was discharged to her home with her new ttube in place and all of her previous home services reinstated. she will follow up with interventional pulmonology in weeks for re-scoping. medications on admission: albuterol atrovent advair 250/50 1 puff lipitor 10mg qd protonix glipizide 5mg asa 81mg qd pepcid 20 mg qd synthroid 50mcg qd alprazolam 0.25mg tid prn discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. levothyroxine sodium 50 mcg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 6. glipizide 5 mg tablet sig: one (1) tablet po twice a day. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 8. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation every 4-6 hours as needed for shortness of breath or wheezing. 9. atrovent inhaled use atrovent inhaler as previously directed 10. compazine 5 mg tablet sig: one (1) tablet po every 6-8 hours as needed for nausea. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: tracheal stenosis tracheobronchitis discharge condition: stable discharge instructions: please take all of your usual medications. call dr. office for fever, shortness of breath, chest pain or questions. they will be in touch with you regarding returning for a follow up bronchoscopy in weeks. followup instructions: dr. office will be in touch with you to schedule for a follow up bronchoscopy in weeks. call interventional pulmonology if problems arise. md procedure: closed [endoscopic] biopsy of bronchus other operations on trachea replacement of tracheostomy tube diagnoses: anemia of other chronic disease esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism acute bronchitis attention to tracheostomy other tracheostomy complications 

Answer: The patient is high likely exposed to