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: penicillins attending: chief complaint: altered mental status major surgical or invasive procedure: none history of present illness: a 57 year old woman was transferred from intubated and sedated for pna, vomiting and altered mental status. per the patient's husband, she complained of a sore throat for the past few days without any other complaints of dyspnea or chest pain. her mental status declined last night to the point where she was unable to take her meds herself and she developed increased wheezing. it continued to decline into the morning with minimal responsiveness and so he called ems. he measured her blood pressure at 117/70s prior to ems arrival. . she is normally self-sufficient at baseline, walking with a cane +/- walker, but does have issues with swallowing and frequently aspirates. the husband has had a cold recently, but denies other sick contacts for his wife. . at nvmc per report & record, she received ceftriaxone, levophed after a failed attempt at narcan for arousal. osh utox significant for benzos & opiates, consistent with home medications. she appears to have developed hypotension after intubation/sedation. . in the ed, vital signs were initially: hr 113 bp 90/68 rr 25. the patient arrived intubated and sedated with a l subclavian in place. she was difficult to sedate requiring 400 fentanyl and 20 of midazolam. she was started on levophed to maintain map >65 after 4l ns. levaquin and flagyl added. past medical history: hypertension chronic pain- ruq with ?sphincter dysfunction, s/p ccy parkinson's disease diabetes mellitus type 2, diet controlled gerd depression asthma vs. copd social history: lives at home with husband, functionality as per hpi. h/o heavy cigarette smoking, quit ~10 years ago family history: not obtained physical exam: vs: 103.2 123 137/49 15 94% fio2 1.0 gen: intubated and sedated, uncomfortable appearing, does not open eyes to voice, does move extremities. heent: jvp not elevated, redundant neck tissue, no lad appreciated. chest: anterior exam limited by ventilator noises, air movement appreicated in all fields. cardiac: s1 & s2 rapid without murmur abdomen: distended/obese, tight but not rigid, not obviously tender extremities: upper/lower extremity edema. warm without cyanosis neurologic: sedated, non-responsive to stimuli, moves extremities. pertinent results: laboratory data on admission: 11:40a vbg: ph 7.21 pco2 54 po2 99 hco3 23 basexs -6 lactate:2.7 o2sat: 96 . 10:34a green top: k:4.0 glu:96 lactate:3.6 . 10:10a ck: 2796 mb: 18 mbi:0.6 trop-t: 0.01 . 142 107 48 ---------------<95 4.1 23 2.4 estgfr: 21/25 (click for details) alt: 32 ap: 47 tbili: 0.9 ast: 90 lip: 9 . 9.8 2.4>-----<154 28.7 n:35 band:39 l:12 m:2 e:1 bas:0 atyps: 1 metas: 9 myelos: 1 nrbc: 1 anisocy: 2+ . pt: 15.3 ptt: 37.7 inr: 1.3 . u/a: color yellow bld lg prot 75 glu neg ket neg rbc wbc bact mod yeast none epi . studies: cxr: ett 4.5cm from carina, r subclavian in place, rll consolidationm no evidence of effusion. . osh studies (read by our team): ct head: wetread: only 1 mm axial images in bone and standard algorithms provided. no largehemorrhage, edema, midline shift, hydrocephalus. no fracture. low sensitivity for small septic emboli if this is of concern. . ct abdomen/pelvis wetread: bilateral posterior pulmonary opacities in the vis lung bases, c/w pneumonia. given distibution and hx of emesis, consider aspiration. no effusion. . stomach decompressed by ng. surgical clips c/w ccy. no gross bil dil. no bowel dilation. no large fluid collection. no free air. ? left suprarenal mass vs splenic lobulation? foley decompresses bladder. . ekg: sinus tach, low voltage qrs, no st/twave changes, nml axis. . brief hospital course: a 57 year old woman transferred from nvmc intubated/sedated on pressors for pna. she died on at 0530 am. . #. sepsis: vancomycin, ceftriaxone, and levofloxacin were continued. oseltamavir was also given empirically. pressor requirements quickly escalated until patient required maximum doses of norepinephrine, vasopressin, phenylephrine, and finally epinephrine to maintain map >65. despite this, acidosis continued to worsen. bicarbonate was given repeatedly. urine output fell. blood cultures from osh demonstrated likely strep pneumo. given excessive pressor requirement and failure to improve, the decision was made with the patient's family to withdraw care. her blood pressure fell to 40/20 for several hours prior to death. . #. hypoxic respiratory failure: secondary to pneumonia. the patient was intubated for a combination of ams and hypoxia. ardsnet ventilation was provided. oxygenation was not a problem. she was terminally extubated after pressors were withdrawn. . #. altered mental status: likely secondary to illness. head ct unremarkable. . #. tachycardia: the patient was tachycardic, likely secondary to fever and norepinephrine. . #. leukopenia with bandemia: likely bone marrow derangement from sepsis. . #. anemia: iron studies were pending. . #. renal failure: likely atn in the setting of poor perfusion from sepsis. . #. parkinson's: azilect was held, sinemet continued. . #. depression/anxiety: cymbalta and xanax were held given ams. . #. diet controlled type 2dm: iss was given as needed initially. as she became more ill, she became progressively more hypoglycemic, requiring frequent d50 administration. . code status: patient was initially full code. this was changed to dnr/dni when the gravity of her situation was presented to her family. as her situation worsened hte made the decision to transition to comfort measures only. medications on admission: medications at home (confirmed with husband): omeprazole 20mg po daily sinemet 25/250 30mg po qid cymbalta 60mg po daily lyrica 75mg po bid dilaudid 4mg prn pain- approximately 4-8mg daily azilect 1mg po daily alprazolam 0.3mg po daily lisinopril-hctz 20-25mg po daily trazodone 150mg po qhs wellbutrin 150mg po bid asa 81mg po daily calcium carbonate 500mg po tid vitamin d 1000 units daily colace 100mg po daily mvi daily discharge disposition: expired discharge diagnosis: pneumonia, sepsis discharge condition: deceased discharge instructions: na followup instructions: na procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: pneumonia, organism unspecified acidosis anemia, unspecified esophageal reflux acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled severe sepsis dysthymic disorder paralysis agitans acute respiratory failure septic shock obesity, unspecified pneumococcal septicemia [streptococcus pneumoniae septicemia] 

Answer: The patient is high likely exposed to