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: quinolones / clindamycin / ciprofloxacin / prilosec / ensure attending: chief complaint: dyspnea major surgical or invasive procedure: hemodialysis history of present illness: 57 f with pmhx diabetes mellitus, met adenocarcinoma to lungs, copd, emphysema, recurrent utis, sarcoidosis was at rehab since after recent mrsa pna, tx'd then found unresponsive in rf, tx'd to bw and started on dialysis, then moved to rehab at , but spike fever sent to , dx'd with pseudomonoas and mrsa, started on vanco and aztreonam. finally tx'd to current rehab at rehab today was called for resp distress 132/75 92% p 96 rr 40-28, was given solumedrol, nebs, but worsened through the day, and was tx'd to osh. . at osh 101 141/63 32 91%nrb, abg 7.26/65/93 was given asa, vancomycin, 40mg solumedrol, lasix 80 iv, dilaudid and morphine, ddimer 3700. apparently recenctly at rehab, last dialyzed on with 2 kg taken off. . in our ed t 97 88 116/60 18 100% 15l facemask, received nebs, also kayexalate for her k5.6, . she was tx to 11r but was noted to be tachypneic and in respiratory distress and was tx to the icu. . in the icu, she was using accessory muscle use, but could state she was sob, but otherwise had minimal pain. past medical history: onc hx: adenocarcinoma of unknown origin (? gi/cervical). the patient initially had presented in with vaginal bleeding her vagina. her cervix was biopsied at women and hospital that showed malignancy involving her cervix and was treated with external beam radiation therapy and brachytherapy. her vaginal bleeding resolved, but in ct and pet scans showed multiple pulmonary nodules which were biopsied and suggested metastatic carcinoma of likely gastrointestinal tract origin and in she was found to have residual disease involving her cervix. the patient then was seen at the where she was seen by both the gastrointestinal oncology team as well as the gynecological oncology team. dr. and gynecological oncology mentioned to the patient that she was not a candidate for surgical resection of her disease because of the wide spread metastases on her ct of the chest. the treatment of her metastatic malignancy of likely gastrointestinal origin began fall of and consisted of folfox with avastin to begin, followed by folfiri with avastin. in , her treatment with folfiri plus avastin had to be held because she underwent toe amputations related to her diabetes mellitus. tumor markers inc. ca and cea were rising, suggesting refractoriness to folfiri, and she was switched to folfox in in , to which she responded favorably. in , the patient noted recurrence of her bleeding vaginally, and the patient was seen by dr. of gynecology oncology who felt that there was no possible benefit that could be obtained from local therapy or surgical options regard to her pelvic involvement. in , she started dialysis treatments; the etiology of her esrd is unclear. chemotherapy has been held the last few months due to multiple admissions for pneumonia/copd exacerbation. . past medical history: copd history of vocal cord polyp sarcoidosis type 2 diabetes mellitus charcot's arthropathy diabetic retinopathy mrsa pneumonia arthritis pseudogout end-stage renal disease adenocarcinoma of unknown primary with metastases. toe amputation social history: she lives at home with her sister and had worked as a switch board operator. the patient smoked for 43 years and quit about three years ago. she denies any alcohol exposure. family history: her sisters are healthy and her mother had cancer at the age of 62. physical exam: vs: 97.9, 130/60, 82, 14, 97% on cool neb fm. wt 157 lbs. general: tired appearing caucasian female, with slight accessory muscle use and speaking in full sentences with difficulty. heent: moist mucous membranes. neck: jvp at 10 cm. cor: rr, normal rate, difficult to hear heart sounds over audible breath sounds. lungs: bilateral rhonchi in both lungs diffusely with very little air movement and expiratory wheezes bilaterally. abdomen: normoactive bowel sounds, palpated with stool, mildly tender diffusely. extr: trace edema to the mid-tibia, slightly more prominent on the left. pertinent results: admission labs: 05:45pm wbc-10.6 rbc-3.44* hgb-9.7* hct-30.8* mcv-90 mch-28.3 mchc-31.6 rdw-17.5* 05:45pm neuts-95* bands-0 lymphs-3* monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 05:45pm plt smr-normal plt count-341 05:45pm pt-12.1 ptt-24.2 inr(pt)-1.0 05:45pm glucose-109* urea n-50* creat-4.0* sodium-135 potassium-5.6* chloride-94* total co2-23 anion gap-24* 05:21pm type-art o2-100 o2 flow-15 po2-144* pco2-49* ph-7.33* total co2-27 base xs-0 aado2-544 req o2-87 10:06pm type-art po2-157* pco2-44 ph-7.35 total co2-25 base xs--1 intubated-not intuba . pertinent labs: 05:45pm blood ck-mb-notdone probnp-9291* 05:45pm blood ck(cpk)-30 05:45pm blood ctropnt-0.02* 03:54am blood ck(cpk)-25* 03:54am blood ck-mb-5 ctropnt-<0.01 10:18am blood ck(cpk)-25* 10:18am blood ck-mb-5 ctropnt-0.01 . imaging: chest (portable ap) impression: diffuse patchy parenchymal opacifcation with effusions without prior for comparison. diagnostic considerations are extensive but include edema, multifocal pneumonia, sarcoid, and ards. brief hospital course: 57 year old female with multiple medical problems including dm2, copd, recent mrsa and pseudomonas pneumonia, and metastatic adenocarcinoma of unclear primary (cervical v. gi), who presented with increased dyspnea, attributed to copd exacerbation and pneumonia. . 1. sob: pt was initially admitted to the icu. she does have multiple contributing factors including copd, mrsa pneumonia, hd-dependence, and presence of metastases in lung. icu team also felt there was a significant component of anxiety as the dyspnea responded well to ativan and morphine. also, her abgs were not significantly abnormal, and she satted well on nc but insisted on having a face mask. it was not felt that she had a pe as lenis were negative and there was no sig. rv strain on echo. induced sputum was neg. for pcp but grew mrsa. she was treated with vancomycin and meropenem for 14 days for pneumonia. she was also treated with nebulizers and solumedrol and hd as needed for volume-overload. . 2. esrd: pt continued dialysis, calcium carbonate, lanthanum, and nephrocaps per dialysis team. . 3. adenocarcinoma: given pt's poor functional status, chemotherapy was held. pt did report sig. pelvic pain. radiation oncology was consulted and did not feel that the patient was a candidate for radiation therapy. her pain was controlled with fentanyl patch and dilaudid pca. . 4. htn: labetalol was restarted in the icu for sbp in 150-180's, and her bp responded well. . 5. dm ii: pt was placed on a iss while in house. . pt began to have worsening functional and mental status, and after discussion with her family, her goals of care were shifted to comfort. she died on . medications on admission: fentanyl patch 125mcg. labetalol 50mg daily oxycontin 10mg prevacid 30mg daily renal caps 1 pd daily megace 200mg ativan 0m5 mg for bipap levaquin 250mg daily fdc' on albuterol imipenem dc'd on vancomycin dc'd spiriva liderderm patch r upper back mucinex dilaudid 4mg q2hrs prn dulcolax ativan 0.5mg qid prn aspirin 81mg calcium carbonate 1250 tid discharge medications: n/a discharge disposition: expired discharge diagnosis: adenocarcinoma of unknown origin pneumonia chronic renal failure on hemodialysis chronic obstructive pulmonary disease diabetes mellitus type 2 hypertension discharge condition: expired discharge instructions: n/a followup instructions: n/a md, procedure: hemodialysis diagnoses: acidosis anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere infection with microorganisms resistant to penicillins obstructive chronic bronchitis with (acute) exacerbation secondary malignant neoplasm of pleura diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled sarcoidosis acute and chronic respiratory failure methicillin susceptible pneumonia due to staphylococcus aureus secondary malignant neoplasm of lung other malignant neoplasm without specification of site diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy neoplasm related pain (acute) (chronic) arthropathy associated with neurological disorders 

Answer: The patient is high likely exposed to