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: history of present illness: this is a 57-year-old female with a past medical history notable for down syndrome and wegener's granulomatosis who presented to the emergency department at the with altered mental status and acute shortness of breath. emergency medical service was called to the patient's group home, and the patient was intubated in the field. she was then brought to the emergency department where she was initially hypotensive and low-grade febrile with an oxygen saturation of 66%. she then became bradycardic, and a pulseless electrical activity cardiac resuscitation began with cardiopulmonary resuscitation and atropine as well as epinephrine given. the patient spontaneously regained a pulse after resuscitation but remained hypoxic. on the ventilator, she had elevated peak inspiratory pressures and had decreased breath sounds on the left. a chest x-ray revealed a right main stem intubation with collapse of the left lung, and the endotracheal tube was pulled back with resultant improvement in oxygenation and peak inspiratory pressures. however, the patient still remained hypotensive on dopamine, neo-synephrine, and levophed drips. the patient was then transferred to the medical intensive care unit for further treatment. past medical history: 1. corneal transplant. 2. down syndrome. 3. wegener's granulomatosis. 4. status post six cycles of cytoxan and prednisone. 5. idiopathic pulmonary fibrosis. 6. gastroesophageal reflux disorder. 7. hypothyroidism. 8. psoriasis. 9. hypoparathyroidism. 10. prosthetic eye on the left. 11. asthma. 12. acolasia, status post dilatation in . 13. aortic stenosis and aortic insufficiency. medications on admission: oxygen 2 liters, beconase, prednisone, levoxyl, tylenol, protonix, and azathioprine. allergies: penicillin, bactrim, ciprofloxacin, chlorophenol, erythromycin, flu vaccine, and typhoid vaccination. physical examination on presentation: initial examination by the medical intensive care unit team was notable for a blood pressure of 60/40, pulse was 119, respiratory rate was 16, and oxygen saturation was 65% on 100% fio2. the patient was intubated and not moving her extremities. head, eyes, ears, nose, and throat examination revealed left eye status post removal and a right pupil which was dilated and fixed. her heart was distant with audible heart sounds. the lungs had decreased breath sounds to the left. the right lung was rhonchorous throughout. the abdomen was soft and distended. the extremities were cool with radial pulses distant. there was no edema. she had a foley in place. pertinent laboratory values on presentation: sodium was 135, potassium was 6.5, chloride was 98, bicarbonate was 24, blood urea nitrogen was 31, creatinine was 2.3, and blood glucose was 70. white blood cell count was 12.5, hematocrit was 32.9, platelets were 351, and her mean cell volume was 101. differential with 90% neutrophils, 1% bands, 3% lymphocytes, and 5% monocytes. initial arterial blood gas was 7.04, pco2 of 82, oxygenation of 328, lactate was 7. pertinent radiology/imaging: notable laboratories included an electrocardiogram with anterolateral st depressions, sinus tachycardia to the 140 beats per minute. a chest x-ray with left lung collapse, right stem intubation. brief summary of hospital course: the patient was admitted to the medical intensive care unit with a diagnosis of pulseless electrical activity arrest and hypoxic respiratory failure. she was managed on the ventilator; however, she had difficulties with oxygenation requiring increased levels of positive end-expiratory pressure and 100% fio2. multiple maneuvers were attempted to increase the patient's positive end-expiratory pressure with resultant improvement in her oxygenation. however, she also had difficulty with bronchospasms and ventilator failure with elevated pco2 levels. the patient was maintained on multiple pressors for support of her blood pressure, and she was covered empirically for aspiration pneumonia with ceftriaxone and clindamycin. the patient also suffered from acute renal failure which was left to be likely secondary to hypoperfusion. perfusion was maximized using pressors as above. after extensive initial conversations with the patient's legal guardian (her brother), the patient was made do not resuscitate should she arrest further. the patient was continued to be managed throughout the day on with multiple ventilator changes and continued on cardiac pressors for her blood pressure. in the afternoon of the patient's legal guardian (brother) felt that if it was impossible for the patient to return to her prior level of functioning; which was good, alert, oriented, and living near independently, that the patient would not want to go on in this way. given that the patient had suffered a prolonged hypoxic period during her pulseless electrical activity arrest and intubation in the field, it was felt that the patient was unlikely to recover function back to her prior level, and the patient's legal guardian felt that the patient should be managed with comfort measures only. in the late afternoon on , the patient's ventilator and pressors were withdrawn. she expired soon thereafter, and the patient was pronounced dead at 15:49 on . final cause of death: the final cause of death was felt to be aspiration pneumonia resulting in altered mental status, respectively failure with intubation, hypotension, and septic shock. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acute kidney failure, unspecified severe sepsis acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock 

Answer: The patient is high likely exposed to