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: no known allergies / adverse drug reactions attending: chief complaint: bowel obstruction and respiratory failure pod12 from emergent right hemicolectomy major surgical or invasive procedure: : tracheostomy and peg () : exlap right hemicolectomy () ] history of present illness: ms is a 50f with steroid-dependent copd known to the acs service from recent admission for free air & extensive pneumatosis now s/p ex-lap and r colectomy () who returns on transfer from osh for bowel obstruction and respiratory failure. pt was discharged in good condition with functioning bowels. hx obtained from daughter as pt is intubated: she has been increasingly distended and nauseated since discharge. she has been keeping her pills down but has been regurgitating into her mouth. this am at home she looked ill and her lips were blue. she was taken to where cxr and kub showed massive gastric dilatation and small bowel dilatation with stool/contrast in the rectum. an ngt was placed with hurricane spray and pt aspirated. she went into respiratory failure and was intubated prior to transfer. post intubation film confirmed the ngt well within the stomach, which was decompressed, and appropriate positioning of the ngt. past medical history: pmh: duodenal ulcers, copd on chronic steroids, asthma, tobacco dependence, hypothyroidism, chronic constipation, multiple t-spine compression fxs, depression w/hx suicidal ideation and suicide attempts/psych hospitalizations psh: open r hemicolectomy (), c-sxn, endoscopic "repair" of duodenal ulcers social history: lives with nephrew in , +tob 30 py, no etoh, no drugs family history: non-contributory physical exam: admission: vitals: hr 110's, bp 140's gen: intubated, no sedation since before transfer and pt is not moving or responding to stimuli, pt is cachectic, ill-appearing, w/skin changes c/w lonterm steroid use heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: coarse b/l abd: soft, distended, retention sutures and surgical staples to midline abdominal wound, no erythema hypoactive bowel sounds, no palpable masses ext: no le edema, l calf ulcer, venous stasis changes to b/l les cbc: 2.5 > 36.7 < 279 140 / 92 / 46 chem: --------------< 134 ca: 8.7 mg: 7.8 p: 3.5 3.4 / 36 / 1.4 alt 21; ap 118; tbili 0.7; alb 3.4; ast 37; lip 42; trop-t: 0.02 pt: 11.0 ptt: 22.8 inr: 0.9 lactate:3.5 - ucg negative - ph 7.43/pco2 56/po2 423/hco3 38/basexs 11/methb 16/o2sat: 83 imaging: cxr (osh): massively dilated stomach, dilated loops of sb, no free air kub (osh): dilated sb, gastric distension, stool w/contrast in rectum pertinent results: 05:20pm blood wbc-2.5* rbc-3.71* hgb-11.7* hct-36.7 mcv-99* mch-31.4 mchc-31.8 rdw-18.1* plt ct-279 02:07am blood wbc-35.3* rbc-3.48* hgb-10.4* hct-32.1* mcv-92 mch-29.8 mchc-32.3 rdw-16.5* plt ct-534* 02:07am blood glucose-131* urean-20 creat-0.3* na-137 k-4.7 cl-94* hco3-32 angap-16 06:31am blood type-art temp-37.6 peep-5 po2-64* pco2-59* ph-7.42 caltco2-40* base xs-10 intubat-intubated 06:31am blood lactate-2.6* : ct torso: 1. increased number and confluence of cavitary lesions noted in the left lower lobe consolidation. other previously reported diffuse cavitary lesions and ground-glass opacities appear relatively stable. these findings are consistent with necrotizing pneumonia or septic emboli with superimposed necrotizing lobar pneumonia; fungal infection such as invasive aspergillosis is also considered. 2. interval resolution of pleural effusion. 3. stable ileocolic anastomosis without evidence of anastomotic leak or bowel obstruction. 4. minimal residual debris at site of prior pigtail drain without evidence of reaccumulated or new focal abscess. 5. stable thoracic spine compression fractures. 6. pancreatic calcifications consistent with chronic pancreatitis. brief hospital course: ms was admitted to the icu upon her arrival to the emergency department. she arrived from intubated/sedated on mechanical ventilation. during her 3 week icu stay, her primary issues were pulmonary and infectious. in brief, we were unable to wean her from the ventilator but her mental status normalized and her gut tolerated tube feeds. a detailed hospital course is below. neuro: ct head () was performed at presentation as neurologic status could not be adequately assessed and precipitating insult was not confirmed. this showed no acute intracranial pathology. cv: she had an intermittent pressor requirement. she underwent trans-thoracic echocardiogram on and , both studies showed good cardiac function (ef 65%). there was question of valve vegetation, but no tee was performed. pu: ct chest on admission showed left lower lobe consolidation and peribronchial ground glass opacities bilaterally, thought to be due to infection with possible aspiration. she remained ventilator dependent during the stay. on hd3, she self-extubated and soon became tachypnic and hypoxic so was re-intubated. repeated attempts to wean pressure support were limited by tachypnea, tachycardia and hypoxia. she underwent multiple bronchoscopies to remove secretions and mucous plugs. repeat chest ct on showed interval worsening of the large left lower lobe consolidation and interval increase of innumerable small cavitary lesions compatible with diffuse dissemination of infection. once apparent she would likely never wean from the vent, she underwent tracheostomy . repeat chest ct on was consistent with worsening necrotizing pneumonia. gi: she arrived with an ngt in place given her sedation and risk for aspiration. tube feeds were started . repeat ct abd/pelv on showed the anastamosis to be intact, no evidence of bowel obstruction and near-complete resolution of abdominal ascites and resolution of deep pelvic collection. percutaneous gastrostomy tube was placed on and feeds were begun the following day. gu: urine culture from showed >100k yeast. renal ultrasound on showed no evidence of fungal infection. foley was kept in place, and urine output remained adequate. fen: she required few iv boluses. she was started on tpn and continued until could tolerate tube feed nutrition. hem: she exhibited an initial rise then persistently elevated wbc. on admit, was 2.5, rose to 13.0 by hd6, peaked at 35.3 . she was transfused 2 units prbc on hd 4 and required pressors and was not responding sufficiently to crystalloid resuscitation. however, once adequately rescusitated, the patient was weaned off of pressors, and did not require additional blood transfusions. id: in summary of her infectious course, she had a pelvic abscess growing c. perfringens and that was treated. she then developed findings concerning for cavitary pneumonia with mucocutaneous candidiasis in bladder, esophagus and lungs. she never had fungemia. possible fungal reservoir include heart valves, which would require amphoteracin treatment. on hd2, she underwent ir-guided drain placement of the pelvic abscess. this drain was removed after 8 days and ct pelvis showed resolution of abscess. her antibiotic therapy changed frequently based on recommendations from the infectious disease consult team and her culture data. pip-tazo vanco cefepime metronidazole - meropenem gent fluc - micafungin levoflox - she had many microbiology studies performed. of note, all growths were fluconazole sensitive and klebsiella was pan-sensitive. there were no positive blood cultures. | pelvic abscess: c. perfringens, c. albicans | bal: yeast | urine: c. albicans | "peritoneal fluid" (abscess drainage): c. albicans | bal: c. albicans, c. dublinensis, klebsiella pna | urine: >100k yeast pending spp. | bal: yeast, gnr pending spp. (requested ) the patient overall was not improving clinically. her white count continued to rise, and she was unable to be weaned off of the vent. her necrotizing pneumonia continued to worsen and it was decided that recovery for her was unlikely. a family meeting was held on , and it was determined that patient should be made cmo. the patient expired on . medications on admission: duloxetine 60mg daily, albuterol nebs q4h, ipratropium nebs q6h, levothyroxine 50mcg daily, quetiapine 25mg qhs, pantoprazole 40mg daily, fluticasone 110mcg , latanoprost 0.005% qhs, montelukast 10mg qhs, clonazepam 1 mg tid, colace 100mg , prednisone 15mg daily, ferrex 150mg daily, symbicort 160-4.5mcg inh , bactrim ds 800-160mg 3x weekly, miralax 17g prn, oxycodone 5-10mg q6h, lactulose 20g prn constipation discharge medications: none discharge disposition: expired discharge diagnosis: - severe copd - right colon perforation leading to pelvic abscess - necrotizing pneumonia discharge condition: expired discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus diagnoses: tobacco use disorder long-term (current) use of steroids acute kidney failure, unspecified unspecified septicemia unspecified protein-calorie malnutrition severe sepsis unspecified acquired hypothyroidism candidiasis of mouth pulmonary collapse dysthymic disorder acute respiratory failure pneumonitis due to inhalation of food or vomitus surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation septic shock paralytic ileus abscess of lung disseminated candidiasis encounter for palliative care chronic obstructive asthma with (acute) exacerbation do not resuscitate status ventilator associated pneumonia peritonitis (acute) generalized mixed acid-base balance disorder infected postoperative seroma septic pulmonary embolism 

Answer: The patient is high likely exposed to