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: this was a 52-year-old female with a past medical history of pneumonia, chronic obstructive pulmonary disease, and a history of tuberculosis exposure with a negative ppd on , who presented to her primary care physician for symptoms. she was treated as an outpatient with levofloxacin; however, her symptoms continued to worsen. on , the patient went to an outside hospital with an oxygen requirement and a white blood cell count of 13.8. the patient was admitted and started on ceftriaxone, azithromycin, as well as levofloxacin and doxycycline. at the outside hospital, the patient had a bronchoscopy performed which showed no masses, negative bronchoalveolar lavage for acid fast bacilli, chlamydia, legionella. the patient was subsequently intubated for an oxygen requirement and transferred to for a lung biopsy. the patient was taken to the medical intensive care unit during her stay there on to . on admission, the patient was thought to have a community-acquired pneumonia which caused the oxygen requirement but also the possibility of an interstitial process. the patient was started on ceftriaxone, azithromycin, and levaquin for probable community-acquired pneumonia. a ct scan was performed which showed evidence of an infectious process bilaterally and some pulmonary edema. on , the cardiothoracic surgery service was consulted to perform a lung biopsy. the right middle lobe was biopsied which showed adult respiratory distress syndrome in the exudative phase. the patient continued to improve and was extubated on . at that time, her oxygen requirement was three liters for 97 percent oxygenation. an echocardiogram was performed which showed an ejection fraction of 65 percent in an otherwise normal heart. the medical intensive care unit stay was complicated by agitation and confusion after her extubation. psychiatry was consulted, and the patient was found to have a history of drug abuse and alcohol abuse. there was concern that she may have gone through withdrawal, and also this could be delirium secondary to sedation. the patient was monitored in the intensive care unit for several days. her symptoms improved. she required less oxygenation. the patient was transferred to the b service on . at that time, the patient stated that she was feeling good with an occasional cough and clear sputum. the patient had an occasional diarrhea, but at the time of transfer, she denied any fevers, chills, nausea, vomiting, chest pain, shortness of breath, dysuria or abdominal pain. past medical history: her past medical history is significant for hypertension, depression, gastroesophageal reflux disease, history of pancreatitis, chronic pain, chronic obstructive pulmonary disease, history of tuberculosis exposure with a negative ppd on . physical examination: on transfer, her temperature was 97.3, blood pressure 98/62, pulse 85, respiratory rate 20, oxygen saturation 94 percent in room air. in general, the patient was ambulating, in no acute distress, pleasant, talking in complete sentences. heent: pupils are equal, round, and reactive to light and accommodation. neck examination revealed no jugular venous distention, no lymphadenopathy. cardiovascular exam revealed a regular rate and rhythm, no murmurs, rubs or gallops. pulmonary exam revealed crackles at the bases bilaterally. he had no wheezing and no rhonchi. his abdomen was nontender and nondistended with positive bowel sounds. extremity exam revealed good pulses in all four extremities. neurological exam revealed he was alert and oriented times three. cranial nerves ii through xii were intact. laboratory data: on transfer, her white count was 19.0, hematocrit 32.3. ct of the head showed no acute intracranial hemorrhage or mass effect. hospital course: the patient was monitored on the medicine service. the patient had improving mental status without any episodes of confusion or agitation. the patient remained afebrile on the floor and had oxygen saturation of 98 percent in room air prior to her discharge. the patient was continued on ceftriaxone and azithromycin for her resolving community-acquired pneumonia. the patient was reevaluated by psychiatry, and she was deemed to be fit to go home and follow-up with an outpatient psychiatrist. condition at discharge: good. no shortness of breath, fever, or chills. discharge status: to home. discharge medications: 1. multivitamin. 2. thiamine 100 mg q.day. 3. folic acid 1 mg p.o. q.day. 4. nicotine patch 20 mg/24 hours once a day. 5. atenolol 75 mg p.o. q.day. 6. pantoprazole 40 mg p.o. q.day. 7. azithromycin 250 mg p.o. q.day. 8. amlodipine 2.5 mg p.o. q.day. 9. venlafaxine 37.5 mg p.o. q.day. 10. prednisone taper. 11. .................... 400 mg p.o. q.day for seven days. discharge instructions: the patient was asked to follow-up with case manager, , to arrange an outpatient drug rehabilitation program. she was also asked to see her primary care physician, . , to make an appointment within the next week. discharge diagnosis: 1. adult respiratory distress syndrome, exudative. 2. pneumonia. 3. mental status change with alcohol and drug abuse. 4. history of depression. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours arterial catheterization open biopsy of lung diagnoses: pneumonia, organism unspecified unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified chronic airway obstruction, not elsewhere classified iatrogenic pneumothorax postinflammatory pulmonary fibrosis diarrhea delirium due to conditions classified elsewhere sedative, hypnotic or anxiolytic dependence, unspecified 

Answer: The patient is high likely exposed to