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: patient recorded as having no known allergies to drugs attending: chief complaint: sob major surgical or invasive procedure: vs pleurex? history of present illness: 63 yo f w metastatic breast ca recently on gemcitabine, afib on coumadin s/p recent admission for sob found to have malignant pleural effusion requiring thoracentesis who presented to the ed for worsening sob since discharge on along with chills but no fevers. since discharge on , the patient received oxygen as well as a neb machine at home but was unable to control her symptoms at home. . upon arrival to the ed, she triggered for an o2 sat of 80% on ra. she improved to the high 90s-100% with 5-6l nc. exam was notable for a chronically ill, non-toxic appearing woman. labs were notable for wbc 18.2 with predominance of neutrophils, hct 29.1, creat 1.2. cxr was c/w bilateral pleural effusions and a possible infiltrate. blood cultures were drawn and she was given tylenol, levaquin and vancomycin given her recent hospitalization due to c/f hap. prior to transfer to the floor, her vs were 98.2 84 104/65 24 98% on 3l. . upon arrival to the floor, she reports feeling much improved. she has no additional complaints. past medical history: past oncologic history: breast cancer - per patient, diagnosed 15 years ago and has received multiple rounds of chemotherapy, including adriamycin and taxol in the past. most recently on gemcitabine. oncologist is dr. at . has mets to bone, lung, and liver. neg head mri recently per patient. prior right sided talc pleurodesis. . other past medical history: cardiomyopathy/heart failure - likely secondary to adriamycin depression hyperthyroidism af with aberrency on coumadin social history: she lives with her husband in ; previously worked as an assistant in a store. she does not drink alcohol, smoke, or use drugs. family history: mother with afib. physical exam: vs: afebrile 110/80 100 96% on 2.5l gen: aox3, nad although clearly tachypneic, unable to complete a sentence; pulsus 6 heent: perrla. mmm. no lad. neck supple. jvp not visable. cards: heart sounds regular. s1/s2 normal. no murmurs/gallops/rubs. pulm: dullness to percussion in bilateral lower lobes, wheezy throughout abd: soft, nt, +bs. no rebound/guarding. neg hsm. extremities: wwp, no edema. dps, pts 2+. skin: no rashes or bruising pertinent results: 10:57pm pt-39.1* ptt-37.9* inr(pt)-4.1* 05:35pm glucose-161* urea n-18 creat-1.2* sodium-137 potassium-4.0 chloride-105 total co2-22 anion gap-14 05:35pm estgfr-using this 05:35pm probnp-3806* 05:35pm vit b12-347 folate-greater th 05:35pm wbc-18.2*# rbc-2.86* hgb-9.2* hct-29.1* mcv-102*# mch-32.1* mchc-31.6 rdw-21.3* 05:35pm neuts-97.3* lymphs-1.7* monos-0.7* eos-0.2 basos-0.1 05:35pm plt count-544*# brief hospital course: 63 yo f w metastatic breast cancer p/w reaccumulated pleural effusion and dyspnea s/p pluerex catheter placement on the left. the patient's respiratory status worsened upon transfer to the intensive care unit and she was intubated. goals of care discussion were ongoing and it was understood that the patient did not want to ventilated for a prolonged period. the patient was actively treated with antibiotics and also received pulse dose steroids for multiple days. there were no improvement in her symptoms. pt respiratory condition worsened and she became more and more dependent on the ventilator. after 5 days on the ventilator, the family had another discussion with the primary team. it was understood that ms was not going to improve in the short term and it was against her wishes to be ventilator dependent for a prolonged period of time. the patient was terminally extubated and she passed away on . medications on admission: aspirin 81 mg tablet warfarin 2 mg tablet sig: one (1) tablet po once daily lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). potassium chloride 10 meq tablet sustained release methimazole 10 mg tablet sig: one (1) tablet po daily fluoxetine 10 mg capsule sig: four (4) capsule po daily folic acid 1 mg tablet sig: one (1) tablet po daily (daily). vitamin b-6 50 mg tablet sig: one (1) tablet po once a day. fluticasone-salmeterol 100-50 mcg/dose disk metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po twice a day. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for neb furosemide 20 mg tablet daily discharge disposition: expired discharge diagnosis: n/a discharge condition: n/a discharge instructions: n/a followup instructions: n/a md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus other incision of pleura central venous catheter placement with guidance diagnoses: anemia, unspecified malignant neoplasm of liver, secondary congestive heart failure, unspecified unspecified septicemia severe sepsis atrial fibrillation personal history of malignant neoplasm of breast depressive disorder, not elsewhere classified thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm chronic kidney disease, unspecified constipation, unspecified acute respiratory failure septic shock long-term (current) use of anticoagulants do not resuscitate status secondary malignant neoplasm of lung secondary malignant neoplasm of bone and bone marrow bacterial pneumonia, unspecified secondary cardiomyopathy, unspecified antineoplastic antibiotics causing adverse effects in therapeutic use malignant pleural effusion 

Answer: The patient is high likely exposed to