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: patient recorded as having no known allergies to drugs attending: chief complaint: cough, hemoptysis major surgical or invasive procedure: pericardial drain angioseal to right ventricle s/p pericardial drain insertion into right ventricle embolisation of right bronchial artery bronchoscopy history of present illness: this is a 71 year old woman with a 10 year history of non-small cell carcinoma of the lung who is transferred from hospital for care for a pericardial effusion as well as for potential treatment of hemoptysis. she is status post a number of courses of chemotherapy and radiation. she initially presented to the ed with increasing hemoptysis. per the ed note she reported having coughed up a large amount of blood 1.5 months prior to presentation, and then 4 days prior the bleeding increased again. she also was having chest pain with coughing (and only with coughing), described by the ed report as intermittent and sharp and associated with shortness of breath. she had a chest x-ray there and per report had a dense opacity in the right upper lobe with moderate airspace opacity in the right lower lobe with loss of lung volume; as well as mild mediastinal shift to the right and decreased aeration of the right lung. she had a hct of 32.1 with 88% neutrophils; and a k of 3.4. she was reportedly tachycardic in the 110s-120s and afebrile through her stay there and per the discharge summary these heart rates have been typical of her for the past "several weeks". she has been seen here at the earlier in for an attempt to stent her bronchus; this did not improve symptoms. in discussion with the patient and her family (including son and daughters , , and ), with a chinese interpreter, history was made somewhat difficult by the fact that ms is hard-of-hearing and evidently speaks a rural mainland chinese cantonese dialect distinct from the dialect spoken by her children and the interpreter. nonetheless, a review of systems suggested that hemoptysis and pain with coughing have been the most troubling symptoms; there has been no fever, chills, or sweats; she has had some white sputum when it is not bloody, but no other color of sputum; she denies troubling palpations although she says her heart beats much faster with exertion; she occasionally has chest tightness but distinct chest tightness or pain is not a prominent symptom; she does not have pain elsewhere. on arrival in micu 7, her vitals were hr 122 bp 96/69 (map 67) rr 24 88% ra. she came up to high 90s for o2 sat with nasal cannula. past medical history: lung ca, first diagnosed in , s/p radiation, s/p gemcitapbine and carboplatin, alimta, tarceva, taxotere, erbitux. hypertension anxiety reflux colonic polyps, partially removed social history: the patient grew up in mainland and then raised her children in . no tobacco or asbestos exposure. has lived in , , and the united states; worked as a kitchen worker; now lives with son and daughter-in-law. is , daughters are , , and . is informal family decisionmaker while is the spokesperson as she is the best english speaker. relevant to this admission, husband died after apparent pericardiocentesis. family history: nc physical exam: vitals: hr 122 bp 96/69 (map 67) rr 24 88% ra. pulsus gen: elderly woman in no acute distress, occasional paroxysms of coughing heent: dry mucus membranes; clear op; perrl. neck: several lymph nodes felt along the anterior cervical chain on the right side, ?one node on the left. heart: rrr, no murmur, rub, or gallop; distant heart sounds lungs: both sides, diffuse crackles. left side: bronchial and rhonchorous low-pitched breathing sounds. right: poor air movement; absent air movement at right base abdomen: bs active, nt, nd ext: no edema, wwp, pulses 1+ on all 4 ext; clubbing on fingers pertinent results: on admission: 11:23pm blood wbc-7.0 rbc-3.62* hgb-10.1* hct-31.5* mcv-87 mch-27.9 mchc-32.0 rdw-16.6* plt ct-317 11:23pm blood neuts-82.9* lymphs-12.0* monos-4.7 eos-0.2 baso-0.2 11:23pm blood pt-14.8* ptt-24.5 inr(pt)-1.3* 11:23pm blood glucose-125* urean-11 creat-0.5 na-142 k-3.3 cl-102 hco3-31 angap-12 11:23pm blood alt-41* ast-23 ld(ldh)-291* alkphos-60 totbili-0.4 11:23pm blood albumin-3.2* calcium-8.4 phos-2.9 mg-2.1 iron studies: 11:23pm blood iron-24* caltibc-261 ferritn-197* trf-201 on transfer from micu to floor: 02:46am blood wbc-10.7 rbc-4.31 hgb-13.0 hct-37.5 mcv-87 mch-30.1 mchc-34.5 rdw-16.7* plt ct-317 05:27am blood pt-14.9* ptt-23.9 inr(pt)-1.3* 02:46am blood glucose-82 urean-10 creat-0.5 na-138 k-3.7 cl-102 hco3-31 angap-9 02:46am blood calcium-8.2* phos-2.1*# mg-1.9 culture data: coag negative staph and clostridium species , blood cultures with no growth to date pericardial catheter iv tip no growth to date . 5:00 pm fluid, pericardial. no growth to date. . studies: echo moderate circumferential pericardial effusion with evidence of pericardial tamponade. left ventricular function is hyperdynamic. the right ventricle appears small and compressed during systole and diastole. the heart is moving around within the effusion with the result that the minimal amount of fluid anteriorly can be as little as 0.7cm. the majority of the fluid is at the apex (more than 2cm wide). . echo small organized pericardial effusion, without echocardiographic signs of tamponade physiology . echo: there is a very small, primarily inferolateral echogenic pericardial effusion without evidence for hemodynamic compromise. . cardiac cath: placement of pericardial drain 1. pericardiocentesis was performed with removal of 350 ml of bloody fluid. 2. resting hemodynamics revealed elevated right and left sided filling pressures with rvedp of 20 mm hg and mean pcwp of 22 mm hg. the pericardial pressure was 11 mm hg as was the initial ra mean. this is consistent with tamponade physiology. following the drainage of 350 ml of sanguinous fluid, pericardial pressure became neagtive with respiration. the systemic arterial blood pressure was normal at 119/65 mm hg. the cardiac index was preserved at 3.4 l/min/m2. 3. prior to successful pericardiocentesis, initial attempts to acess the pericardial space led to early removal of bloody fluid, with a transduced pressue similar to ra mean pressure. this was believed to be pericardial pressure. however, after draining 60-100 ml of fluid, the patient became hypotensive, and contrast injection through the catheter revealed opacification of the pulmonary artery, suggesting entry into the ra. final diagnosis: 1. successful pericardiocentesis 2. pericardial effusion with tamponade physiology. 3. procedure complicated by placement of pericardial drainage catheter into the right atrium. . ir report (prelim) successful embolization of the right bronchial artery. intercostal artery inferior to the right bronchus and artery was identified, which was also supplying the tumor activity. if the patient's hemoptysis does not stop, selective embolization of this intercostal artery can be offered. . cxr: the right-sided picc line has been readjusted, and the distal tip is now in the right subclavian/axillary vein junction. there is again noted deformity of the right chest wall with complete lung opacification. the catheter seen projecting over the left base has been removed, likely related to the patient's pericardiocentesis. the left lung is clear. no pneumothoraces are identified. brief hospital course: 71 year old woman with non-small cell lung ca who presents with complaints of hemoptysis, ongoing cough, transferred from osh with diagnosis of pericardial tamponade. pericardial tamponade repeat echo revealed rv collapse and signs of pericardial tamponade. patient underwent pericardial drain placement complicated by cannulization of the right ventricle. the right ventricle drain was removed and an angioseal was placed. during procedure patient went into svt/atrial fibrillation and was placed on an amiodarone drip. given subsequent hemodynamic compromise with atrial fibrillation in micu, patient was maintained on amiodarone drip for 24 hours and converted to oral amiodarone. patient did not have significant bleeding post procedure into her pericardial drain. the patient's pericardial drain was pulled on post op day 2. repeat echo on 12.13 and then 12.15 revealed evidence of small clot in pericardium without significant reaccumulation of fluid. she had persistent atrial fibrillation to 120, rarely as high as 160 for brief periods of time. metoprolol was added to amiodarone for improved rate control. home diltiazem was discontinued. the patient tolerated the addition of metoprolol for several days prior to discharge. hemoptysis patient's submassive hemoptysis was treated with ir embolization of right bronchial artery for palliation of symptoms. patient was followed by interventional pulmonary. flexible bronchoscopy on revealed tumor erosion of bronchi with near complete compression of the right bronchus intermedius. at the recommendation of the ip team and in accordance with the patient and her family's wishes, the patient underwent repeat palliative bronchial artery embolization on . lung cancer patient with metastatic non-small cell lung cancer. patient and family appreciated palliative care consult and plans to go home with hospice. patient was maintained on her home prednisone dose. patient was also given levofloxacin for empiric treatment of pneumonia given patient has new oxygen requirement and lung opacification with known bronchus compression. her oxygen requirement is also likely in part due to tumor progression and compression of right bronchus intermedius. the patient will complete a 10 day course of levofloxacin and was set up with home oxygen for continuous supplementation by nasal cannula. she will have home hospice services who will help with obtaining a nebulizer machine for ipratropium nebs and a home hospital bed. positive blood cultures: patient grew 3 different colonies of coag neg staph and a clostridium species on initial blood cultures. she was started on vancomycin. repeat surveillance blood cultures remained negative. the patient had a midline placed which was subsequently removed. ultimately the patient's positive blood cultures were felt most likely consistent with contamination. she was discharged on levofloxacin monotherapy for treatment of likely pneumonia as above. hypertension. she continues on metoprolol. her home diltiazem was discontinued. she did have relative hypotension during the beginning of her hospitalization, requiring no antihypertensives to maintain good blood pressure control. contact: daughter, : cell, , home, ; , , primary care doctor: dr. at . oncology: dr. at . patient and family agree with dnr/dni status. medications on admission: medications on transfer from osh: 1. acetaminophen 325-650 mg po q6h:prn pain 2. megestrol acetate 40 mg po daily 3. benzonatate 100 mg po tid:prn cough 4. multivitamins 1 tab po daily 5. clonazepam 0.5 mg po bid:prn anxiety 6. omeprazole 20 mg po daily 7. guaifenesin-dextromethorphan 5 ml po q4h:prn 8. prednisone 5 mg po daily 9. levofloxacin 500 mg po q24h 10. sertraline 100 mg po daily home meds: anitidine cheratussin prednisone 5 mg daily diltiazem cr 120 daily clonazepam 0.5 mg as needed megestrol 40 mg daily multivitamin naproxen 500 mg twice daily sertraline 100 mg daily, prilosec otc tylenol no. 3 discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*5* 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 3. megestrol 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 4. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*5* 5. clonazepam 0.5 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for anxiety. disp:*45 tablet(s)* refills:*5* 6. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: five (5) ml po q4h (every 4 hours) as needed. disp:*100 ml* refills:*5* 7. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for cough. disp:*90 capsule(s)* refills:*5* 8. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for wheeze. disp:*1 inhaler* refills:*5* 9. amiodarone 200 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*5* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*5* 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*5* 12. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 13. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. disp:*3 tablet(s)* refills:*0* 14. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*5* 15. home oxygen home oxygen: 3.5l nasal cannula continuous. pulse dose for portability. discharge disposition: home with service facility: vna discharge diagnosis: hemoptysis pericardial tamponade metastatic lung cancer discharge condition: stable discharge instructions: you were admitted with blood in the sputum. this is due to complications from lung cancer. you underwent several procedures to try to prevent further bleeding. a home nurse will come to your house and be available by phone to help with any new medical problems. you should continue to receive oxygen by nasal cannula at home. a home oxygen unit will be provided for you. in addition, your hospice nurse can help you obtain a nebulizer machine for further breathing treatments. the hospice nurse will also help you obtain a hospital bed. complete a course of the antibiotic levofloxacin for 10 total days to treat a possible infection in your lungs. you also must take prednisone as prescribed. take all medications as prescribed. call your home hospice nurse for any new or concerning symptoms that you would like with. followup instructions: a home hospice nurse with ongoing needs. you may call dr. or dr. office for further follow-up if you would like. procedure: venous catheterization, not elsewhere classified coronary arteriography using a single catheter pericardiocentesis other endovascular procedures on other vessels right heart cardiac catheterization endoscopic excision or destruction of lesion or tissue of bronchus infusion of vasopressor agent diagnoses: pneumonia, organism unspecified esophageal reflux unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified paroxysmal ventricular tachycardia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation malignant neoplasm of other parts of bronchus or lung cardiac tamponade 

Answer: The patient is high likely exposed to