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: iodine-iodine containing / ampicillin / phenergan plain / zaroxolyn / ambien attending: chief complaint: dyspnea major surgical or invasive procedure: intubation history of present illness: ms. is a yof with severe diastolic hf nyha class iv with multiple exacerbations in past year, htn, hld, afib, and gait abnormality related to ?dm who presented from home on after sustaining a fall 3 day before. her fall was unwitnessed, but was thought to be mechanical, as pt tripped while getting out of bed to the commode. l hip pain developed over the next few days, and her family brought her to the ed. ct scans of the cervical spine and head were negative for fracture or bleed. a plain film of the hip showed chronic fractures of the left superior and inferior pubic rami but no new fractures. ua was concerning for uti, she was started on macrobid. she was subsequently transferred to the floor. . on transfer to the floor, her vs were 98.2 128/70 98 18 98/4l. she was without acute complaints initially. her antibiotics were broadened to linezolid and cipro on . on the evening of , she triggered on the floor for desaturation to 88% on 2-3l; came up to 94-95% with 5l o2. at baseline, she is in the low 90s on 2-3l at home. she got lasix 60 iv x1 (takes torsemide 100 at home, but has been off since presentation due to hypotension), mucomyst, morphine 0.5, and nebs. repeat lasix 40mg iv x1. abg 7.51/45/51/37. hr was noted to be in the 120-130s (home b-blockers also stopped secondary to hypotension), got lopressor 5mg iv x 2 with little effect. attempted to put her on face mask for mouth breathing, but patient kept ripping it off. pt was also complaining of chest pain, and was felt to have altered mental status and increased agitation. pt was trasferred to the micu for further management. of note, she is speaking only; per her daughter, she has not had any decreased interaction or confusion. the patient lives in subsidized senior housing and has 24/7 care. the daughter notes a slow decline in her functional status since a admission for mrsa pneumonia in which she was temporarily intubated. she was recently admitted in for chf, and per the daughter, has not fully recovered functionally since. she has had multiple previous falls in the past related to neuropathy and already unsteady gait. past medical history: - chronic diastolic heart failure, last ef 65% () - hypertension - dyslipidemia - atrial fibrillation (not anticoagulated due to fall risk) - microvascular disease - extensive basal ganglia disease - gait disorder - advanced degenerative joint disease - meniere's disease - hard of hearing social history: patient lives at home by herself at subsidized senior housing in with assistance from family. she has a 24 hour care worker that watches her 5 days a week. her daughter watches her the other 2 days each week. her grandson is an interpreter at and is very active in her care. granddaughter is ?also hcp. aids help her with cleaning and shopping. no smoking or drinking. family history: nc physical exam: admission physical exam: vs - temp 98.2f, bp128/70 , hr98 , r18 , o2-sat98 % 4lnc dry weight 60.4 kg general - fatigued appearing elderly female in nad heent - bruising around right orbit with swelling, perrla, eomi, sclerae anicteric, mmm, op clear neck - supple, no thyromegaly, jvd to 8cm lungs - bibasilar crackles appreciated heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps). pain on palpation of the feet bilaterally. skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neuro - awake, alert, oriented to person and place. poor compliance with neurologic exam, though cn were intact bilaterally. strength 5/5 in all extremities. normal sensation to light touch in all extremities. patient declined getting out of bed for gait assessment and orthostatic vital signs. pertinent results: admission labs: 09:58pm urine color-yellow appear-clear sp -1.009 09:58pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-lg 09:58pm urine rbc-16* wbc-92* bacteria-few yeast-none epi-<1 09:58pm urine hyaline-18* 09:58pm urine mucous-rare 01:30pm glucose-117* urea n-32* creat-1.1 sodium-139 potassium-4.3 chloride-97 total co2-33* anion gap-13 01:30pm estgfr-using this 01:30pm ctropnt-<0.01 01:30pm phenytoin-8.1* 01:30pm wbc-7.0 rbc-3.50* hgb-11.0* hct-32.2* mcv-92 mch-31.5 mchc-34.1 rdw-18.3* 01:30pm neuts-75.2* lymphs-16.4* monos-4.5 eos-2.8 basos-1.2 01:30pm plt count-218 discharge labs: notable labs: 01:30pm blood ctropnt-<0.01 06:50am blood ck-mb-2 ctropnt-<0.01 12:10am blood ck-mb-1 ctropnt-<0.01 05:01am blood ck-mb-2 ctropnt-<0.01 03:34am blood probnp-5862* 06:50am blood caltibc-373 vitb12-1327* folate-greater th ferritn-41 trf-287 ekg : atrial fibrillation with a rapid ventricular response. variation in precordial lead placement as compared to the previous tracing of . the inferior st-t wave changes are slightly more prominent. otherwise, no diagnostic interim change. two views of the left tibia and fibula : diffuse demineralization limits of the osseous structures. no fracture or dislocation is present. the left knee is partially imaged and demonstrates mild-to-moderate degenerative changes within the medial and lateral compartments. no focal lytic or sclerotic osseous abnormality is seen. there are no radiopaque foreign bodies. no focal lytic or sclerotic osseous abnormalities are present. . pelvis plain films : limited . chronic fractures of the left superior and inferior pubic rami. no definite new fractures seen. if there is continued clinical concern for a pelvic fracture, a ct of the pelvis can be obtained for further . . ct c-spine : preliminary read shows no fracture or subluxation of the cervical spine . ct head w/o contrast : preliminary read shows no acute intracranial pathology, chronic small vessel ischemia and atrophy stable. sinus mucosal thickening new compared with prior, correlate for sinusitis . cxr : no acute traumatic injury identified. enlargement of the hila likely reflective of underlying pulmonary arterial hypertension. hiatal hernia with adjacent atelectasis. . brief hospital course: medicine floor course: ms. is a yo -speaking female with severe dchf, htn, hld, neuropathy, gait abnormalities who presents 3 days after likely mechanical fall without evidence of significant trauma. # respiratory failure: she developed hypoxia to the low 80s on 3lnc on hd3 with significant resipiratory distress and tachypnea. cxr showed mild fluid overload. she was given albuterol and ipratropium nebulizers and iv lasix with rebounding of her sats to the upper 90s on 5lnc. she was agitated and refused to wear an oxygen mask or complete her neb treatments. she calmed with iv morphine which likewise lessened her tachypnea. she again decompensated with respiratory distress that evening and was subsequently transferred to the icu for further care. the etiology was felt likely combination of pneumonia plus flash pulmonary edema in the setting of elevated hr in dhf, also possible aspiration in the setting of ams. pt was intubated and sedated. she was started on meropenam and linezolid for a 10d abx coverage and underwent significant diuresis with lasix gtt. she became afebrile, leukocytosis resolved and resp secretions decreased. there were ongoing discussions with palliative care regarding goals of care and eventually family decided to extubate without reintubation. soon after, patient's oxygenation deteriorated on nc and face mask and goals of care were shifted towards comfort measures only. non essential medications were discontinued and she was put on a morphine drip. she passed away secondary to hypoxemic respiratory failure on at 1:15am with her daughter at her bedside. . # s/p fall: she is a poor historian but states that she did not lose consciousness or suffer any prodromal syncopal or presyncopal symptoms. she sustained no major trauma from her fall aside from right eye echymoses, and ct of the head and cervical spine revealed no fractures or bleeds. she was admitted for a syncope workup. her ekg and cardiac enzymes ruled out mi. she had no abnormalities on telemetry. she was mentating normally on admission. she did not start new medications recently. she was not orthostatic. her daughter relates a progressive functional decline over the last year since being intubated in for mrsa pneumonia. she had fallen a number of times since. mechanical fall was suspected given her history of lower-half parkinsonism, previous cerebellar strokes, severe arthritis, unstable gait, and neuropathy. her family had previously decline rehab admission and had chosen to keep her home with 24 hour care. # atrial fibrillation: she has been rate controlled with diltiazem and metoprolol, which were continued on admission. these were continued on admission but were intermittently held due to hypotension. she is not on coumadin given her repeated falls. her rates ranged from the 90s to low 100s, but climbed to the 110s-120s at the time of her respiratory distress. metoprolol was continued during icu stay at 12.5mg tid, dilt was held. # seizure disorder: she has been on phenytoin since her cva about 10 years ago which was accompanied by severe seizures. phenytoin was continued until goals of care shifted. #) altered mental status / agitation - differential includes hypoxia, infection, mi, pe, antibiotic side effect, delirium. pt apparently had normal ms when she presented. ms appears to be altered in the setting of hypoxia and respiratory distress. infection is also a possibility with known uti and question of pna in the setting of worsened respiratory status. mi was considered as possibility as pt complained of chest pain, although she has had negative ce x 2 since admission. pt was started on cipro for uti, which is known to cause ams in elderly patients. pt was subsequently intubated and therefore it was difficult to assess her status, however she alternated between more agitated and more lethargic. she was started on seroquel 25mg with some improvement of agitation. as goals of care shifted, she was put on a morphine drip and agitation resolved. #) hypernatremia: pt developed hypernatremia to 150 in setting of lasix gtt with inability to take po. pt was started on free water flushes with tf with resolution of hypernatremia. #) hypotension: pt became hypotensive in setting of intubation and sedation. she was started on neo for pressure support given tachycardia from a.fib. this was then transitioned to levophed to improve peripheral perfusion. with decreasing sedation and decreasing diuresis patient was able to be weaned off pressure support. medications on admission: 1. diltiazem hcl 240 mg capsule, sustained release daily 2. metoprolol succinate 150 mg daily 3. phenytoin sodium extended 300 mg daily 4. aspirin 325 mg daily 5. ursodiol 300 mg 6. polyethylene glycol 17grams daily prn constipation 7. senna 8.6 mg as needed for constipation. 8. docusate sodium 100 mg 9. torsemide 100 mg tablet 10. potassium chloride 20 meq daily discharge medications: none. discharge disposition: expired discharge diagnosis: congestive heart failure pneumonia discharge condition: deceased. discharge instructions: none. followup instructions: none. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure abnormality of gait chronic kidney disease, unspecified acute and chronic respiratory failure pneumonitis due to inhalation of food or vomitus pain in joint, pelvic region and thigh epilepsy, unspecified, without mention of intractable epilepsy hyperosmolality and/or hypernatremia syncope and collapse fall from other slipping, tripping, or stumbling delirium due to conditions classified elsewhere black eye, not otherwise specified 

Answer: The patient is high likely exposed to