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: nsaids / codeine / iodine / lipitor attending: chief complaint: shortness of breath, cough, weakness/fatigue major surgical or invasive procedure: none history of present illness: pt is a 63 yo woman who was in her usoh until 3 days pta when she developed a dry cough with no sputum, sob, increasing dyspnea on exertion, generalized weakness, and feeling like ??????i can??????t stand on my feet because i get so dizzy.?????? she notes some chills, subjective fever, nausea, diarrhea x 1, decreased appetite, and decreased po intake. she denies ha, sore throat, vomiting, abdominal pain, rigors, myalgias, diaphoresis, any recent sick contacts, and states that the only time she has ever felt this way in the past was ??????many years ago i had pneumonia.?????? she had one episode of ??????tightness in my chest?????? on the day pta which last a few minutes, but no palpitations, radiating pain, orthopnea, or pnd. she denies any recent heavy, salty meals. she did not receive a flu shot but did get a pneumovax 2 months pta. in the ed, she was slightly febrile 100.8 and saturating 83% onra. she received ceftraxone 1g, azithromycin 500mg, and albuterol nebs. past medical history: pmh: 1. htn: controlled with meds 2. hypercholesterolemia 3. : persantine mibi revealed no evidence of ischemia 4. dm type ii: treated with glyburide, does not check sugars regularly 5. rectal cancer: s/p surgery 6. hypothyroidism (subclinical) 7. osteoporosis 8. bilateral knee replacement 9. vein stripping social history: sh: pt lives with husband and son in . she is a retired credit worker. smoking: never etoh: rarely to never family history: fh: sister: died, ovarian cancer in 80??????s no family hx of dm, htn, mi, stroke, other heart disease, and thyroid disease physical exam: pe on admission: vs: t100.5 p 68 bp 118/70 rr 16 o2sat 88% ra general appearance: elderly woman lying in bed slightly labored breathing heent: unremarkable except for mucus membranes dry; oropharynx few whitish lesions that were difficult to scrape off mucosa neck: supple; no jvd; no thyromegaly or nodules; no lymphadenopathy. pulm: dry crackles heard half way up lung fields l>r; no abnormal dullness to percussion; no egophony, no tactile fremitus cor: rrr; no m/r/g abd: +bs, soft, obese, mild tenderness to deep palpation in luq, no masses, liver difficult to assess due to body habitus neuro: unremarkable pertinent results: labs on admission: 01:15pm glucose-318* urea n-30* creat-1.2* sodium-135 potassium-7.0* chloride-99 total co2-23 anion gap-20 01:15pm calcium-9.0 phosphate-3.6 magnesium-1.4* 01:15pm wbc-11.2*# rbc-4.40 hgb-12.6 hct-37.9 mcv-86 mch-28.6 mchc-33.2 rdw-13.3 01:15pm neuts-85.3* lymphs-9.3* monos-4.3 eos-0.7 basos-0.4 01:15pm ck(cpk)-141* 01:15pm ck-mb-2 ctropnt-<0.01 cxr : this study is compared to prior study of 1 day earlier. left lower lobe infiltration appears to be more pronounced at this time. the remainder of the lungs have not significantly changed. scattered areas of patchy infiltration throughout the right lung are noted. there is no evidence of pleural effusion or pneumothoraces. impression: interval increase in the degree of left lower lobe infiltration which may indicate a superimposed pneumonia. bilateral pulmonary vascular congestion and patchy areas of infiltrate are unchanged. abg: 10:14am blood type-art po2-106* pco2-43 ph-7.39 calhco3-27 12:37am blood type-art temp-38.3 po2-76* pco2-39 ph-7.40 calhco3-25 brief hospital course: 1. pulm: pt initally presented on with sob which improved when lying flat, dry, non-productive cough, and generalized weakness/fatigue. cxr showed patchy infiltrates, and given her lack of orthopnea and flat jvp, it was thought that she had either an atypical pna or influenza. she was started empirically on levofloxacin 250 mg. the next early morning , she developed a fever to 102.5, chills, and desats down to 70's on 6l nc with any movement. abx coverage was broadened to vanc/ceftraixone/azithro; nebs improved breathing moderately. the next morning, she was afebrile but continued to have desats down to 70's even with 10l nc. abg was 7.39/43/106 on 70% face mask, lactate 2.5. repeat cxr revealed more evidence of patchy infiltrates, particularly lll consolidation. at this point, given her rapid desaturations with even slight movements such as turning in bed, it was thought that she may benefit from closer observation in the micu. influenza a/b rapaid screen was negative. viral cx, urine legionalla negative. 2. cards: on initial presentation in the ed, her cxr was read as chf; however, this was thought to be unlikely given her lack of pnd, orthopnea, edema, or jvd on exam. --rhythm: nsr, occasionally tachycardic likely secondary to infection and dehydration. --ischemia: on , she had an episode of desaturation down to 70's. ekg at the time revealed some st seg depressions in i, v4-6. troponin was 0.05. repeat cardiac enzymes are pending. --pump: pt had no record of echo in omr, given hx of htn, dm, etc, and echo was obtained to further assess cardiac function. also, her bp remained stable throughout this hospitalization. initially, her antihypertensives were held given her dehydration. then, lopressor 12.5 mg tid was started with sbp 150's. 3. dm: pt has type ii dm which had been previously controlled on glyburide 10 mg . during the hospital stay, her regimen was changed to glyburide 5 mg with meals, 12u nph at bedtime, and regular sliding scale, which offered tighter glycemic control. the patient's pulmonary status continued to worsen, and thoracic ct scans showed evidence of persistent ards. she became increasingly difficult to oxygenate with marked acidosis and was eventually paralyzed and started on cmvi mode, but without benefit. as these heroic measures did not improve her status, following discussion with the next-of-, the decision was to focus care on comfort, and ms. quietly. medications on admission: amitriptyline 25 mg qd atenolol 100 mg qd darvocet 650 tid glyburide 5 mg hydralazine 100 mg lasix 20 mg qd levothyroxine 25 mcg qd lisinopril 20 mg simvastatin 20 mg qd discharge disposition: discharge diagnosis: discharge condition: md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring transfusion of packed cells infusion of drotrecogin alfa (activated) infusion of vasopressor agent diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes septic shock 

Answer: The patient is high likely exposed to