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: sulfa (sulfonamides) / verapamil attending: chief complaint: respiratory failure major surgical or invasive procedure: intubation attempt at insertion of a central line picc line insertion history of present illness: 79f copd, cad, lung ca, afib on coumadin, transferred initially from with respiratory distress, failed intubation attempt there c/b lacerated posterior pharynx. then went to osh where she was finally intubated. got lasix for presumed chf, but dropped pressures. cxr however did not show failure. osh did not have icu beds, so transferred to . . cbc remarkable for wbc 19 with 5 bands and foley drained frank pus. placed r fem line in ed for pressors and fluids, now on levo. applied gelfoam to post pharynx but still some oozing, as inr is supratherapeutic. getting cta because of acute nature of sob. started ctx/zosyn/azithro/flagyl for sepsis in rehab pt, although no specific infiltrate convincing for pna. past medical history: hypertension coronary artery disease s/p mi and cabg x 2 tachybrady syndrome s/p pacemaker placement atrial fibrillation diastolic chf (ef 60%) copd - previously on home oxygen but not currently squamous cell lung cancer - s/p ressection in small cell lung cancer - s/p chemotherapy and radiation in as well as cranial xrt. social history: she lives in in an facility. she has a 50 pack year smoking history but quit many years ago. she is divorced. she occassionally drinks alcohol. family history: mother died at age 54 of heart disease. her father was an alcoholic. she has one sister who died of cancer of the back. physical exam: gen: elderly female intubated neck: supple chest: bilateral decreased bs at bases and crackles cvr: distant heart sounds, ireg ireg abd: distended, llq tenderness ext: 3+ edema below knees. peripheral vascular: (right radial pulse: weak), (left radial pulse: absent), (right dp pulse: not assessed), (left dp pulse: not assessed) skin: not assessed neurologic: responds to: not assessed, movement: not assessed, tone: not assessed pertinent results: echo: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with basal infero-lateral hypokinesis. there is no ventricular septal defect. the right ventricular cavity is dilated the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. . . ct neck: 1. interval resolution of subcutaneous emphysema in the neck. 2. no gas or fluid collection in the neck or mediastinum. 3. moderate-sized bilateral pleural effusions with related atelectasis, slightly increased on the right. 4. small ascites. 5. anasarca. . . gastrograffin swallow study: 1. hypopharyngeal tear posteriorly. 2. silent aspiration. . . microbiology: urine : resistant klebsiella, sensitive to meropenam and zosyn sputum with stenotrophomonas brief hospital course: ms was admitted with urosepsis, which was determined to be caused by a very resistant klebsiella, sensitive only to zosyn and meropenam. she required intubation and levophed in the acute management of her septic shock. her extubation was complicated by her co-morbid congestive heart failure, which required a lasix drip to manage. after extubation, she sustained two episodes of demand ischemia secondary to the hypotension resulting from her diuresis. the hypotension and high doses of lasix were also causing elevations in her creatinine. she failed a speech and swallow evaluation, and was continuing to aspirate. palliative care was consulted about the overall goals of care. the family felt that she would not get a good quality of life with tube feeds, which the only option for her nutrition. the patient was also expressing desires to discontinue aggressive measures. her pcp . was brought into the discussion, and agreed that moving into comfort measures only was the best option. medications on admission: 1. ferrous gluconate 325 mg daily 2. fluticasone-salmeterol 250-50 mcg/dose disk 3. tiotropium bromide 18 mcg daily 4. lorazepam 0.5 mg qhs 5. digoxin 125 mcg every other day 6. alendronate 70 mg weekly 7. multivitamin daily 8. pantoprazole 40 mg daily 9. ropinirole 1 mg daily 10. benzonatate 100 mg daily prn 11. toprol xl 25 mg daily 12. furosemide 20 mg daily 13. spironolactone 50 mg daily 14. warfarin as directed discharge medications: patient deceased discharge disposition: expired discharge diagnosis: patient deceased discharge condition: patient deceased discharge instructions: patient deceased followup instructions: patient deceased procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other bronchoscopy non-invasive mechanical ventilation arterial catheterization transfusion of packed cells diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of bronchus and lung coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status sepsis acute respiratory failure septic shock long-term (current) use of anticoagulants accidental cut, puncture, perforation or hemorrhage during other specified medical care iron deficiency anemia, unspecified other septicemia due to gram-negative organisms acute systolic heart failure emphysema (subcutaneous) (surgical) resulting from procedure accidents occurring in residential institution other and unspecified coagulation defects nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] acute venous embolism and thrombosis of unspecified deep vessels of lower extremity open wound of pharynx, without mention of complication 

Answer: The patient is high likely exposed to