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: carbidopa/levodopa / lansoprazole attending: chief complaint: pneumonia major surgical or invasive procedure: none history of present illness: 88 year old female with h/o stroke and multiple aspiratioini pna, mds, severe dementia who is transferred from for acute hypoxia, fever and sob which developed yesterday. of note, recently discharged from () for ischemic strokes c/b right intramuscular thigh hematoma and s/p gj tube placement. , family noted that the patient had a junky nonproductive cough. , patient noted to have elevated bun with recent guiaic positive stools and desat to mid-70% on 2l o2 which was increased to mid-80's on 50% fm & standing albuterol nebs. , patient desated low 80% requiring nonrebreather up to mid-90% and tachycardic 110-120, t101.8 and wbc 13.5. given her h/o aspiration pna and clinical picture, pt was presumed to have aspiration pneumonia and was started on clindamycin and levofloxacin at rehab although per report cxr clear. tube feeds were held. pt was less responsive even to noxious stimuli. she was promptly transferred to for further management. . in the ed, vs 99.6 (rectally) 110 114/42 22 100 on nrb. given her recent h/o stroke, head ct was obtained and showed small intraparenchymal bleed. neuro and neurosurgery was consulted in the ed, and neurosurgery did not think surgical intervention needed and recommended no anticoagulation. lactate was initially 3.9 but with 4l ns, lowered to 1.3. . pt received clinda/cipro and vancomycin in ed for aspiration pna shown on cxr. . on the floor, patient unable to communicate hx. spoke to daughter who consented to blood transfusion, thoracentesis, central line. "anything that will help her get better" except chest compressions or intubation requiring a ventilator. past medical history: -stroke: , presented with left sided weakness was thought to have had an acute infarction in the right aca on mri and to be embolic in origin. workup included tte (no obvious source of emboli), carotid ultrasound (less than 40% stenosis bilaterally). treated with asa. per her son, she has had bouts of aspiration pneumonia since her last stroke. -htn -diverticulosis -dementia (baseline oriented to person) -s/p removal of basal cell carcinoma from left cheek -myelodysplastic syndrome -s/p lumbar spine surgery -asthma -cataracts social history: she lives at home with her son. health aid 3x/wk. vna 1x/wk. she uses a wheelchair and walker to ambulate. she is able to feed herself, but requires assistance with other adls since stroke. quit smoking cigarettes over 30 years ago. no history of alcohol or illicit drug abuse. family history: children unsure. physical exam: vs: temp:99.0 (ax) bp:130/58 hr:89 rr:20 o2sat 98% on nrb gen: opens her eyes spontaneously; breathing slightly labored heent: perrl, anicteric, mm dry with nonrebreather mask on, op clear resp: decreased breath sound at l base. occas crackles cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: pt is awake, unable to speak or follow commands rectal: guaiac positive stool in ed and on floor pertinent results: imaging: ct head: impression: 1. a small hyperdense foci within the left frontal lobe parasagittally in the aca territory which likely represents intraparenchymal blood. 2. new areas of hypoattenuation in the left mca and aca territories, which correspond to areas of diffusion abnormality seen on mri from , and likely represent encephalomalacia. . cxr: impression: new left lower lobe opacity with effusion concerning for pneumonia. . labs: . . . . . . . . . brief hospital course: 88 year-old woman with a history multiple strokes, hypertension, and aspiration transferred from for aspiration pna and found to have hemorrhagic stroke. once determined no more intervention could be done and pt's prognosis was deemed poor, a family meeting was held with respective house staff and physicians. the decision was made to discontinue all supportive measures including nutrition and fluids. at that time pt was transferred from the micu to medicine floor where pt was kept on comfort measures only given iv morphine and ativan as needed. on hd 9, pt. expired with family at bedside. medications on admission: clindamycin 300mg qid (started ) alb neb q2h prn guaifenesin/d-methorphan 5cc q6h prn modafinil 100mg qam metoprolol tartrate 12.5mg acetominophen liquid 650mg q6h senna 10cc qhs docusate 100mg tid epoeitin mwf riss bisacodyl 10mg qd prn pr vancomycin 500mg qd () ?unclear if rec'd dose levofloxacin 500mg qd lansoprazole 30mg discharge disposition: expired discharge diagnosis: n/a discharge condition: n/a discharge instructions: n/a followup instructions: n/a procedure: transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) intracerebral hemorrhage other persistent mental disorders due to conditions classified elsewhere myelodysplastic syndrome, unspecified pneumonitis due to inhalation of food or vomitus late effects of cerebrovascular disease, hemiplegia affecting unspecified side hypoxemia nonspecific abnormal findings in stool contents hemorrhage of gastrointestinal tract, unspecified diverticulosis of colon (without mention of hemorrhage) 

Answer: The patient is high likely exposed to