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 female with past medical history significant for non hodgkin's lymphoma in treated with chemotherapy and radiation complicated by histoplasmosis, pulmonary fibrosis, aspergillus leading to left pneumonectomy in . the patient also suffers from cardiomyopathy with last ejection fraction measured in at 20%. the patient is being transferred for to medical intensive care unit for management of her congestive heart failure. the patient was admitted to medical intensive care unit at between and of this year for pseudomonas pneumonia requiring intubation for hypercapnic respiratory failure. at that time, the patient failed extubation and tracheostomy was placed. the patient was discharged to for pulmonary weaning, however she had minimal success in coming off of the respirator. per report, the patient's low systolic blood pressures in the 80s to 90s lead to holding off her ace inhibitors as well as lasix and gradual increase in her weight. past medical history: 1. non hodgkin's disease in treated with chop and xrt, complicated by histoplasma, ards, pulmonary fibrosis, bronchiectasis, aspergillus leading to left pneumonectomy in . the patient's last pulmonary function tests are from and revealed fvc of 0.6, fev1 to fvc of 68 and severely depressed total lung capacity indicating severe mixed obstructive and restrictive disease. 2. tuberculosis in 3. status post splenectomy 4. anxiety and depression/insomnia 5. cardiomyopathy with ejection fraction of 20% in social history: the patient is single, lives with her mom. recently has been in . she reports five year tobacco use in college. rare alcohol and no intravenous drug use. allergies: sulfa, oxacillin, verapamil admission medications: 1. pulmicort tube feeds at 65 cc 2. trazodone 100 q hs 3. captopril 6.25 tid 4. lasix 60 qd 5. atrovent 4 puffs qid 6. serevent 6 puffs 7. protonix 40 mg qd 8. ativan 1 mg q6h prn 9. guaifenesin prn 10. fleet's prn 11. heparin subcutaneous 5000 units 12. albuterol nebulizers prn 13. serzone 25 14. digoxin 0.125 qd 15. haldol 1 mg q 4 prn admission physical exam: vital signs: temperature 98.5??????, heart rate 114, blood pressure 94/49, weight 152 pounds up from a dry weight of 112 to 114, respiratory rate 35, o2 saturation 100% on 50% o2 with pressure support of 15. general: the patient appeared as a chronically ill young female in no apparent distress. head, ears, eyes, nose and throat: her jugular veins were distended to the angle of jaw. mucous membranes were moist. extraocular movements were intact. pupils were round and reactive to light. lungs: diffusely heard wheezes. heart: tachycardic, normal s1 and s2. abdomen: soft, distended, nontender, tympanic on the right and dull on the left. peg tube in place leaking stomach contents - food. extremities: 4+ edema to mid thigh bilaterally with good distal pulses. laboratory findings on admission: sodium 130, phosphate 3.7, chloride 85, bicarbonate 40, bun 19, creatinine 0.6, glucose 96, calcium 7.8, magnesium 1.8. her white count was 8.8, hematocrit 27.6, platelet count 429. the differential on the white count was 83 polys, 8 lymphocytes, 7 monocytes, 2 eosinophils. imaging: her chest x-ray showed left sided whiteout, small right pleural effusion. hospital course: during this hospitalization the patient's issues included: 1. congestive heart failure: on admission, the patient was severely fluid overloaded. with aggressive lasix diuresis, the patient was able to return to her dry weight of approximately 114 pounds. the patient's blood pressure as well as renal function tolerated diuresis well. an echocardiogram was obtained to confirm her cardiac function and revealed lv function of approximately 30%. her right ventricular cavity was markedly dilated. there was severe global right ventricular free wall hypokinesis. the abnormal septal motion was consistent with right ventricular pressure/volume overload. the aortic valve appeared structurally normal without aortic regurgitation. mitral valve leaflets were mildly thickened. there was mild 1+ mitral regurgitation. there was severe 4+ tricuspid regurgitation. the main pulmonary artery was dilated with at least moderate pulmonary artery systolic hypertension. at discharge, the patient was on 160 mg of lasix po and a low dose of captopril for afterload reduction. with these medications, the patient was able to maintain systolic pressure of around 80 without any signs of hypoperfusion. 2. supraventricular tachycardia: the patient had a history of supraventricular tachycardia. during this hospitalization, she had repetitive episodes of tachycardia to 160 leading to slight shortness of breath and anxiety. the patient was started on low dose lopressor with improvement in the frequency of the supraventricular tachycardia episodes. she was able to tolerate 12.5 mg of lopressor without significant change in her blood pressure. 3. vent dependence: the patient had history of difficulty weaning from respiratory in light of recent pneumonia. as her diuresis progressed, the patient was able to decrease her ventilatory support. over the last four days prior to admission, the patient was tolerating trach mask trials of three hours and pressure support of during the day. at night, the patient preferred to be rested on pressure control ventilation set at fio2 of 40%, peep of 5 and a driving pressure of 20. 4. gastrointestinal: during this hospitalization, the patient had two gastrointestinal issues. issue #1 revolved around her leaking g-tube. surgery was consulted and was able to replace the tube with a larger caliber tube. however, the patient persisted with slightly increased leaking around the g-tube. her second issue was constipation. she required very aggressive bowel routine including magnesium citrate and milk of molasses to maintain regular bowel movements. 5. anxiety, depression and insomnia: during this hospitalization, the patient initially had problems sleeping and appeared to be very anxious. psychiatry consultation was obtained and with their recommendation her medications were changed to remeron and risperdal in addition to prn po ativan. in addition, the patient remained on haldol. by the end of the hospitalization, she reported improvement in her insomnia. 6. prophylaxis: during this hospitalization, the patient was maintained on subcutaneous heparin and protonix. 7. frequent blood loss: a picc line was placed on . 8. infectious disease: during this hospitalization, the patient remained on percussions for prior methicillin resistant staphylococcus aureus pneumonia. she remained mostly afebrile with one episode of low grade temperatures to 100.4??????. the urine cultures from that day grew probable enterococcus. the patient was not treated with antibiotics with good resolution of low grade fever following change of the foley. while in the hospital, the patient was started on her inhaled tobramycin for history of pseudomonas pneumonia. on the date of discharge, she was on day #5 out of #21 for the therapy. discharge medications: 1. vitamin c 500 mg po pg tube 2. zinc 220 mg po qd 3. colace 100 mg po bid 4. serevent metered dose inhaler 6 puffs 5. atrovent metered dose inhaler 4 puffs qid 6. risperdal 0.5 mg po pg tube tid 7. tobramycin inhaled 300 mg nebulizer q 12 hours 8. magnesium citrate 75 mg pg tube , titrate to one bowel movement per day. 9. lopressor 12.5 mg po bid, hold for systolic blood pressure less than 75 10. tube fees at goal 11. lasix 160 mg po qd 12. captopril 6.25 mg pg tube tid, hold for systolic blood pressure less than 70 13. remeron 30 mg po qd 14. digoxin 0.125 mg po qd 15. heparin subcutaneous 5000 units 16. micro kcl capsules 400 milliequivalents po qd 17. protonix 40 mg po qd 18. simethicone 80 mg po tid peg tube dressing changes: 1. cleanse the skin beneath the phalange on the peg tube with normal saline and dry. 2. apply non stain barrier and wipe beneath the phalange dry. 3. do not place any dressing beneath the flange 4. gently apply dressing to top of the flange and secure with paper tape compression ulcer dressing change q 3 days and prn. 1. cleanse ulcer pore with normal saline and dry. 2. apply non stain barrier, wipe on all sites and allow to dry. 3. apply duoderm 4x4 dressing. apply paper tape to picture frame edges of duoderm. prn medications: 1. fleet enemas 2. prn lactulose 30 mm per g-tube q6h prn 3. haldol 1 mg po q4h prn agitation or insomnia 4. ativan 1 mg po q2h prn anxiety 5. guaifenesin 10 ml po q6h prn cough 6. albuterol nebulizers q4h prn 7. dulcolax 10 mg po pr qd 8. milk of molasses tid prn, titrate to one bowel movement qd dr., 12-746 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances replacement of gastrostomy tube diagnoses: other primary cardiomyopathies mitral valve disorders congestive heart failure, unspecified primary pulmonary hypertension methicillin susceptible pneumonia due to staphylococcus aureus chronic and other pulmonary manifestations due to radiation tracheostomy status mechanical complication of gastrostomy 

Answer: The patient is high likely exposed to