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: lisinopril / toprol xl / lipitor / levofloxacin / compazine / vancomycin / zocor attending: chief complaint: mental status changes, hypercarbic respiratory failure major surgical or invasive procedure: intubation history of present illness: 53f with esrd on hd, cad s/p cabg, htn, dm type 2, pvd, presents from dialysis with decreased responsiveness. she is reportedly drowsy at baseline and slept throughout her session. at the end of dialysis, the ambulance personnel who arrived to take her home were concerned for her increased lethargy and brought her instead to ed. vs stable in the field, 117/70, hr 95, rr 20, glucose 189. . in the ed she was reportedly drowsy but somewhat combative. her abg was consistent with hypercarbic respiratory failure (7.27/77/31) and she was started on cpap as she became more somnolent. cxr showed moderate chf. she received a head ct on the way to the unit that was normal. on arrival to the micu, her abg was 7.26/76/89 and she continued to be very somnolent, almost unresponsive to voice or touch. she was then electively intubated. . she was hospitalized in with a similar presentation and her hypercapnea was thought to be secondary to copd and obesity hypoventilation. during her hospitalization she suffered pea arrest likely trigerred by worsening hypoxia of unclear etiology. she was resuscitated after one round of epi and atropine and intubated for a short period. she was extubated without complication. cpap was unsuccessful due to claustrophobia. past medical history: 1. pvd: prior work-up at the 2. cad s/p cabg in at 3. dm 2 4. h/o cva - c/b residual numbness/weakness of left arm and leg 5. htn 6. hyperlipidemia 7. elevated lfts, unknown etiology (?nash) 8. ckd (type 4 rta) on hd (tuthsa) 9. copd social history: she works for the department of mental retardation. she lives alone. her son lives in the same building. she smokes ppd (used to be more) for ~15 years. she denies a history of alcohol/drug use. . family history: (+)htn, dm; no fh cancer physical exam: vs: 96.7, 113/56, 107, 99% bipap fio2 30% gen: somnolent obese woman, minimally arousable to voice and touch heent: anicteric, mmm neck: supple, difficult to assess jvp lungs: coarse breath sounds anteriorly bilaterally cv: rrr, nl s1s2, no m/r/g abd: +bs, obese, soft, nontender ext: warm, dry skin over lower extremities, 2cm-diameter crusted ulceration on lle, 1+ pedal edema b/l neuro: somnolent, minimally responsive to voice, painful stimuli pertinent results: 09:30pm wbc-9.8 hct-39# 09:30pm neuts-80* bands-0 lymphs-11* monos-5 eos-0 basos-0 atyps-4* metas-0 myelos-0 09:30pm hypochrom-3+ anisocyt-1+ poikilocy-1+ macrocyt-1+ microcyt-normal polychrom-normal target-1+ 09:30pm plt smr-normal plt count-343 09:30pm glucose-188* urea n-15 creat-3.9*# sodium-134 potassium-3.9 chloride-92* total co2-31 anion gap-15 09:30pm estgfr-using this 09:30pm calcium-8.7 phosphate-3.7 magnesium-1.9 brief hospital course: a/p: 53f w/ cad s/p cabg, dm2, htn, morbid obesity, ckd on hd presents with hypercarbic respiratory failure . ## hypercarbic respiratory failure: likely multifactorial including contributions from copd, obesity hypoventilation, osa. cxr showed moderate pulmonary edema although pt reportedly completed hd session without incident. she was intubated for hypercarbic respiratory failure and improved quickly. she was extubated the following day without incident. she maintained good oxygen saturation and was more interactive post extubation. she was transferred to the floor but was noted to be lethargic and was transferred to the micu second time, by arrival to micu she was back to her baseline. she was encouraged to use bipap, however patient refused. around 1 am patient demanded to leave, she was told of the risk of leaving against medical advise. she expressed understanding of risks and potential consequences of discharge and desired to be discharged anyway. patient signed a discharge ama form. . ## somnolence: likely from hypercarbic respiratory failure, had extensive workup during last hospitalization that did not find evidence of drug intoxication, sepsis, thyroid dysfunction. head ct negative. sepsis less likely given afebrile, wbc not elevated. urine tox was positive for methadone and otherwise negative. mental status improved post extubation and patient more interactive. . # uti - enterococus in urine sample, given ampicillin in the hosptial and given a prescription for amoxicillin at time of discharge. . ## ckd: completed dialysis session on day of admission. whe was dialysed on her usual cycle. ## cad: continued asa ## dm: insulin ss and glargine medications on admission: meds (from last visit w/ pcp ): - asa 325mg daily - pletal 100mg - protonix 40mg daily - tramadol 50-100mg prn - insulin glargine 38 units qhs - insulin humalog sliding scale - zetia 10mg qd discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. amoxicillin 500 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: hypercarbic respiratory distress sleep apnea esrd on dialysis cad dm 2 htn hyperlipidemia discharge condition: good discharge instructions: you are leaving against medical advise. we recommend that you stay in the hosptial for further work up however you are refusing further care. if you have any shortness of breath, lethargy, fevers or chills or any other concerning symptoms please return to the emergency room asap. followup instructions: please follow up with your pcp . in weeks. please continue to your scheduled dialysis sessions. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis non-invasive mechanical ventilation diagnoses: end stage renal disease urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure unspecified sleep apnea 

Answer: The patient is high likely exposed to