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: bactrim attending: chief complaint: s/p pea arrest major surgical or invasive procedure: intubation history of present illness: patient is a 50 year old woman with chf, copd and ckd who presents after pea prior to going to an clinic appointment in . per report for the patient's nursing facility, the patient was going to see her pcp to evaluate her tracheostomy (unclear indication and duration for tracheostomy) and also had a complaint of sob and ems was called to assist in transfer to this appointment. following initial contact with ems the patient was noted to be unresponsive with agonal breathing and oral secreation and was subsequently noted to be pulseless at 11:30am. cpr was initiated. 1mg epinephrine given q5minutes x3. after second dose she reportedly had ventricular fibrillation and was shocked at 150j. a pulse returned after third dose of epinephrine with hr of 12bpm. she was given 0.5mg atropine. she then returned to pea and cpr restarted. she recived another 1mg epinephrine. the patient did not have a stable rosc until arrival at ed at 12:49pm. she was evaluated and a dopamine drip was started; she was subsequently transfered to ed for further care. ems reports that she was difficult to ventilate via bag mask using tracheostomy and was suctioned for large amounts of secretions en route to . she desated to 57% and rose to 89% after suctioning. on arrival to the ed, initial evalation in the ed identified hr 130s sbp in the 80s and spo2 of 40% and the patient was endotracheally intubated with immediate impromement of oxygen saturation. dopamine was discontinued and she was started on a levofed drip. labs in the ed were notable for a wbc count of 16.5k with 87% neutrophils and a lactate of 5.6. troponin was 0.08 on initial evaluation in the ed. imaging was notable for ct head suggestive of anoxic brain injury without evidence of acute bleed or stroke, chest cta showed bibasilar consolidation, apical contusions and no evidence of pe and ct abdomen and pelvis without evidence of acute pathology. the patient was then transfered to the micu for further care. vitals on transfer were hr:100, bp:91/47, rr:22 and spo2:100% on 100% fio2. initial evaluation identifies an intubated unresponsive woman. review of sytems: (+) per hpi, patient intubated and unresponsive on admission past medical history: gout hld phtn copd dm cad (evidence of prior infact on ekg) social history: lives at health care nursing home (. family history: unable to obtain physical exam: admission: vitals: t:95.1f hr:102 bp:148/93 rr:18 spo2:97% general: obese intubated unresponsive woman heent: atramatic normocephalic head, pupils 6 mm fixed and dilated, mmm neck: plethoric neck, trachostomy covered by gauze, no overt lad lungs: bilateral inspiratory crackles, symmetric breath sounds cv: distant heart sounds, regular rate and rhythm abdomen: protuberant abdomen, soft, non-distended, bowel sounds present gu: no foley in place ext: right femoral central catheter in place, considerable bilateral lower extremity venous statis changes with lichenification neuro: intubated and sedated, not responsive to commands discharge: patient deceased pertinent results: admission labs: 02:50pm blood wbc-16.5* rbc-5.21 hgb-11.8* hct-42.7 mcv-82 mch-22.7* mchc-27.8* rdw-17.0* plt ct-222 02:50pm blood pt-11.4 ptt-31.2 inr(pt)-1.1 02:50pm blood glucose-283* urean-19 creat-1.3* na-142 k-4.4 cl-96 hco3-35* angap-15 02:50pm blood alt-199* ast-248* alkphos-164* totbili-0.3 02:50pm blood lipase-66* 02:50pm blood ctropnt-0.08* 06:09pm blood ck-mb-14* mb indx-5.1 ctropnt-0.44* 05:40am blood ck-mb-20* mb indx-7.4* ctropnt-0.23* 06:09pm blood calcium-9.7 phos-5.1* mg-1.8 02:58pm blood lactate-5.6* eeg impression: this eeg continues to show an exceptionally severe encephaolopathy with essentially an isoelectric eeg for the entire 24-hour period except for a period of five to six minutes, as noted above. during that period of time, there was an extremely severe encephalopathy but it was not isoelectric. this eeg may reflect underlying severe brain pathology or still may be the effect of medication or the hypothermia protocol. no seizure activity of any nature was identified. cxr impression: bilateral pulmonary opacities may be due to massive aspiration, although diffuse infection or pulmonary hemorrhage or contusion not excluded. ct chest/ abdomen/ pelvis 1. pulmonary consolidations likely represent combination of aspiration and atelectasis. more anterior ground-glass opacities raise concern for pulmonary contusion/hemorrhage. 2. no pulmonary embolism or other definite cause of pea arrest. 3. ett terminates 1 cm above the carina and should be withdrawn 2-3cm. 4. rib fractures of the right anterior sixth and seventh and left anterior fifth and sixth ribs, which are nondisplaced. echo the left atrium is elongated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. left ventricular systolic function is hyperdynamic (ef 75-80%). the right ventricular cavity is dilated with normal free wall contractility. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. there is no pericardial effusion. brief hospital course: patient was a 70 woman with copd, cad, hld and tracheostomy transfered from after pea arrest requiring >60 minutes of cpr and defibrillation x 2 no admitted to the micu who was placed on cooling protocol but did not regain corneal or gag reflexes. her eeg was isoelectric suggestive of cortical brain death. . # s/p pea arrest - report of events is suggestive of a respiratory arrest that progressed to a protracted cardiac arrest with likely compromise of circulation. possible etiology of respirtory arrest increased increased mucous production from pneumonia or and aspiration episode. ct chest was suggestive of significant aspiration. ctpa was negative for pe. on arrival to the icu, patient had fixed and dilated pupils. she was placed on the cooling protocol. she remained with fixed and dilated pupils, absent corneal and gag reflexes. eeg was isoelectric. the neurology service was following and a clinical diagnosis of cortical brain death was made. after the family was able to visit, all support measures were withdrawn. she died within several minutes and the time of death was . # hcap - patient complained of shortness of breath prior to pea arrest and had consolidations on chest ct. hcap may have contribulted to increased mucous producation and arrest episode. she was treated with vanc/zosyn for empric coverage. medications on admission: aspirin 81mg daily bumex 2mg daily lisinopril 5mg daiily viagra 25mg tid metformin 500mg qid simvastatin 40mg qhs zetia 10mg daily duonebs q4h inh flovent flonase zantac 75mg daily allopurinol 100mg calcium + d colace discharge medications: patient deceased discharge disposition: expired discharge diagnosis: patient deceased discharge condition: patient deceased discharge instructions: patient deceased followup instructions: patient deceased md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus cardiopulmonary resuscitation, not otherwise specified diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified other chronic pulmonary heart diseases chronic kidney disease, unspecified other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus old myocardial infarction morbid obesity ventricular fibrillation altered mental status do not resuscitate status coma attention to tracheostomy closed fracture of four ribs shock, unspecified body mass index 50.0-59.9, adult obesity hypoventilation syndrome brain death 

Answer: The patient is high likely exposed to