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: benzodiazepines attending: chief complaint: peg tube removed major surgical or invasive procedure: peg replaced using endoscopy history of present illness: 74-year-old female with als, peg/trach, and paf who was brought to the er because her peg was pulled and could not be replaced. she had a recent admission for pneumonia and respiratory failure requiring intubation and a tracheostomy. she was discharged on , and is now transferred back from the nursing home afer she pulled out her peg tube x3. it was replaced twice, but was unable to be replaced on the third attempt. in ed, she developed rapid afib (110's - 120's) with hypotension (bp 72/54). she was given 4 liters of ivfs without any additional beta-blocker (she is on lopressor as an outpatient) and she spontaneously converted back to nsr with sbp's in the 90-100 range. she was also started empirically on levofloxacin, flagyl and vancomycin (h/o mrsa) in the er given her persistent sbp in 90s. her vent settings at rehab were ac/10/5/550/0.40 past medical history: - paroxysmal atrial fibrillation - als diagnosed 3y ago - has gtube with tube feeds, has difficulty with speech - hypercholesterolemia - ?depression - h/o vent associated pneumonia - h/o mrsa in the sputum social history: lives at home with husband. she has three children two of whom live on the west coast and one of whom lives in . she has never used tobacco, does not drink alcohol, no other drugs. works as a writer. at baseline performs adls, writes, uses internet to chat with her grandchildren. family history: father mi age 52, mother deceased at age physical exam: ed vitals: t 99.8 rectal, hr 88 (nsr), bp 177/68, rr 17, o2 94% vitals: t 98.2, hr 97, bp 141/77 vent: ac 12/5/500/0.50 gen: alert, answers yes/no questions heent: perrl, supple neck. trach cuff with yellowish secretions around it. slightly dry mm. cv: rrr, borderline tachy, no murmurs. lungs: ctab anteriorly abd: soft, nt, nd ext: no le edema neuro: alert, moves all 4 extremities on command. good tone in all 4 limbs. preserved strength in the legs and arms. pertinent results: labs: wbc 9.8 (80p, 14l), hct 27.3, plt 280 na 150, k 4.1, cl 108, hco3 35, bun 43, cr 1.2, gluc 98 alb 3.1, lfts otherwise normal lactate 0.72 ua - negative for infection ekg#1: nsr, nl axis, nl intervals, no ischemic changes ekg#2: afib with rvr cxr: status post right picc and left upper quadrant peg tube removal, with no interval change in the appearance of the lungs. cxr: a nasogastric tube has been placed and terminates in the proximal stomach. the sideport is just above the expected ge junction level, and the tube could thus be advanced a few centimeters for optimal positioning. there is otherwise no change from the prior radiograph of few hours earlier. ct abd: pending echo : ef 65%. mild symmetric lvh. brief hospital course: 74-year-old female with als and chronic respiratory failure requiring a trach who presents with a removed peg tube and atrial fibrillation. afib - the patient has a known history of paroxysmal atrial fibrillation. this has been known to occur in the setting of dehydration. on admission to the er, the patient had not been getting tf's because her peg tube had fallen out. she wa hydrated with normal saline and converted back to nsr. she was given lopressor 5 mg iv q6 hours until the peg was re-established. she did have another episode of rvr during the admission so we restarted her on amiodarone on . she was started on 200mg and this should be continued for 2 weeks and then the dose should be changed to 200mg qd. for the first week she should have daily ekg's to check for prolonged qtc given her other psychiatric medications and potential interactions. after her peg was replaced she was restarted on her po metoprolol. peg tube - unable to find the track in the er. the gi team replaced the tube via endoscopic guidance. she will need to have g-tube placement checks prior to feeding. the site should be cleaned daily with benzoyl peroxide gel 10%. trach - the patient had some pain at her trach site. she was evaluated by the thoracics team who had placed the trach. they recommened trach care q4hrs x 2 days (). after this she should have trach care qshift and prn. trach care should include washing with peroxide, saline, and antibiotic ointment. she should have dressing changes daily and prn. constipation - the patient had to be manually disimpacted during her hospiatl stay. she had 2 days of lacutlose. she should be continued on colace/senna. the patient also needs mouthcare q4hrs and prn with swabs and saline. she also needs her teeth brushed . medications on admission: aspirin 81 mg daily esomeprazole 40 mg po daily olanzapine 5 mg po bid lopressor 37.5 mg tylenol prn colace senna albuterol 10 puffs q6 hours heparin 5000 units sc tid discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. 2. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. albuterol 90 mcg/actuation aerosol sig: four (4) puff inhalation q6h (every 6 hours). 5. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 6. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po bid (2 times a day). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) for 1 months. 11. benzoyl peroxide 10 % gel sig: one (1) appl topical daily (daily) for 1 weeks. 12. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks: after 2 weeks the dose should be changed to 200mg qd. 13. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po twice a day. discharge disposition: extended care facility: for the aged - acute rehab discharge diagnosis: als peg replacement atrial fibrillation discharge condition: stable discharge instructions: --please continue all medications as prescribed --please follow all trach and peg site care as outlined in the page 1 worksheet --the patient was started on amiodarone on . she should continue on at 200mg . she should continue on this dose for 2 weeks and then be changed to 200mg qd. followup instructions: --follow up with dr as needed procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine replacement of gastrostomy tube diagnoses: anemia, unspecified atrial fibrillation depressive disorder, not elsewhere classified constipation, unspecified amyotrophic lateral sclerosis hypotension, unspecified dehydration chronic respiratory failure tracheostomy status attention to gastrostomy 

Answer: The patient is high likely exposed to