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: penicillins / adhesive tape / codeine / nsaids / percocet / morphine / alcohol / band-aid clear spots / latex / aspirin / valium / sulfamethoxazole / betadine skin cleanser / diphenhydramine attending: chief complaint: dyspnea with adl's major surgical or invasive procedure: : right thoracotomy and thoracic tracheoplasty with mesh, right mainstem bronchus/bronchus intermedius bronchoplasty with mesh, left mainstem bronchus bronchoplasty with mesh, bronchoscopy with bronchoalveolar lavage. history of present illness: the patient is a 59-year-old woman who has had dyspnea and cough and was found to have severe diffuse tracheobronchomalacia more prominent in the distal trachea and bilateral bronchi. she underwent a stent trial and reported dramatic interval relief and functional improvement. the patient was consented for a tracheobronchoplasty and understood that the long-term performance of the operation was not clear, that there were risks of incomplete symptom alleviation, new symptoms creation, or recurrent symptomatology. past medical history: copd oropharyngeal candidiasis osa on cpap gerd insomnia fibromyalgia carrier of z alpha-1 antitrypsin gene svt s/p ablation cholecystectomy social history: lives with her boyfriend in . limited transportation to . occupation: unemployed smoking history: 35 pck/y, quit 10 years ago. alcohol: denies family history: mother- alive at 79 with breast cancer s/p mastectomy and pulmonary problems, dm, chf father with breast cancer, sister with thyroid cancer offspring other physical exam: discharge vital signs: t 97.8, hr 95, bp 118/66, rr 20, o2 sats 94% 2l resting, 91-95% 4l with ambulation. pain controlled. discharge exam: gen: pleasant in nad, a & o x 3 without deficits lungs: course b/l with clearing with cough. right thoracotomy incision with erythmema and slight swelling, which is stable from postop. cv: rrr s1, s2, no mrg or jvd abd: soft, nt, nd ext: warm without edema pertinent results: 06:35am blood wbc-8.8 rbc-3.49* hgb-11.6* hct-34.1* mcv-98 mch-33.2* mchc-33.9 rdw-13.9 plt ct-255 06:35am blood glucose-107* urean-11 creat-0.8 na-138 k-3.9 cl-98 hco3-30 angap-14 06:35am blood ck(cpk)-1076* 06:30am blood ck(cpk)-6187* 01:18pm blood ck(cpk)-9463* 01:53am blood ck(cpk)-* 02:11pm blood ck(cpk)-* 08:45am blood ck(cpk)-* 01:29am blood ck(cpk)-* 05:41pm blood ck(cpk)-4365* 06:35am blood calcium-8.7 phos-3.1 mg-2.0 cxr : findings: two views of the chest compared to prior study from demonstrate a small-to-moderate right-sided pleural effusion, small left-sided pleural effusion, bibasilar atelectasis, little changed from prior study. moderate interstitial prominence throughout right lung, little changed since prior study. brief hospital course: ms. is a 59 year old female with tracheobronchomalacia, from who underwent tracheobronchoplasty by dr. on . she transferred to the icu postoperatively for airway observation, and was kept until , at which time she transferred to the floor on telemetry. the following is her hospital course: neuro/pain: the patient had a bupivicaine epidural initially which was dc'd and pain controlled with pca dilaudid, then po dilaudid and tylenol, which was effective. she remained neurologically intact. pulmonary: aggresive pulmonary toilet continued with albuterol and mucomyst nebs. she was weaned to 2l nasal cannula oxygen at rest and 4l with ambulation. she used cpap at night for known osa. she had a right chest tube which dc'd without pneumothorax on post pull film. she was diuresed x 3 days with lasix 10mg po daily for pulmonary edema and small right effusion on chest xray, which improved. cardiovascular: she remained hemodynamically stable throughout her course. nutrition: she was started on sips which was advanced to a regular diet and tolerated without dysphagia. she was continued on ppi. renal: she had a foley from the operating room, which was dc'd with good urine thereafter. she was started on a bicarb gtt for rhabdo with ck max of 19,123 on and down to 1076 on date of discharge. her chemistry panel was watched daily and on date of discharge her creatinine was 0.8, with highest 1.2 date of surgery. electrolytes were replaced as needed. infectious disease: the patient's cbc and fever curves were monitored. she spiked to 102.2 on and had blood and urine cultures, which thus far were negative, without temperatures since . vancomycin x2 post-op completed. she had a right erythematous incision which was stable and not felt to require any antibiotics. dispo: pt evaluated the patient and cleared her for home without home pt. the patient was ambulating well with controlled pain, tolerating a regular diet, with ambulatory sats 4l nc of 91-95%. she was deemed stable for home discharge by dr. . she was initially going to leave with a service car but they could not take her oxygen tanks therefore she stayed another couple of hours until ambulance transport was arranged to take her with oxygen up to . home oxygen was arranged and were going to deliver a portable tank once she arrived home. the patient was given scripts for nebulizers, and will see us in clinic in two weeks. discharge medications: 1. home oxygen 4l nc continuous pulse dose for portability. dx tracheobronchomalacia with o2 sats <88% on room air. 2. tiotropium bromide 18 mcg capsule, w/inhalation device : one (1) cap inhalation daily (daily). 3. cyclosporine 0.05 % dropperette : one (1) dropperette ophthalmic (2 times a day). 4. venlafaxine 25 mg tablet : one (1) tablet po once a day. 5. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day) as needed for prn constipation. 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 7. hydromorphone 2 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 8. mucinex 1,200 mg tablet, er multiphase 12 hr : one (1) tablet, er multiphase 12 hr po twice a day as needed for thick secretions. 9. nitrofurantoin macrocrystal 50 mg capsule : one (1) capsule po at bedtime: per your pcp. 10. polyethylene glycol 3350 powder : one (1) capful miscellaneous once a day. 11. metamucil 3.3 gram/5.95 gram powder : one (1) dose po once a day as needed for constipation: or as you were previously taking. 12. caltrate 600+d plus minerals 600 mg (1,500 mg)-400 unit tablet, chewable : one (1) tablet, chewable po once a day. 13. viactiv multi-vitamin 200-0.4 mg tablet, chewable : one (1) tablet, chewable po once a day: as you were taking prior to admission. 14. vitamin c 500 mg tablet : one (1) tablet po four times a day. 15. nasacort aq 55 mcg aerosol, spray : one (1) squirt nasal twice a day: or as you were taking, instructed by pcp. 16. alvesco 80 mcg/actuation hfa aerosol inhaler : one (1) puff inhalation twice a day. 17. zolpidem 10 mg tablet : one (1) tablet po at bedtime. 18. spiriva with handihaler 18 mcg capsule, w/inhalation device : one (1) puff inh inhalation once a day. 19. omega-3 fatty acids 1,000 mg capsule : one (1) capsule po twice a day. 20. fluorometholone 0.1 % drops, suspension : one (1) drop ophthalmic once a day: to both eyes. 21. vitamin e 400 unit tablet : one (1) tablet po once a day. 22. pataday 0.2 % drops : one (1) drop ophthalmic once a day: continue as you were prior to surgery. 23. fluorometholone 0.1 % drops, suspension : one (1) drop to eyes ophthalmic once a day. 24. acetylcysteine 20 % (200 mg/ml) solution : three (3) ml miscellaneous every twelve (12) hours: take for thick secretions. disp:*200 ml* refills:*2* 25. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) neb inhalation three times a day as needed for shortness of breath or wheezing: give with mucomyst. disp:*90 nebs* refills:*2* 26. tylenol extra strength 500 mg tablet : two (2) tablet po every eight (8) hours. discharge disposition: home with service facility: homecare and hospice discharge diagnosis: tracheobronchomalacia copd osa on cpap gerd insomnia fibromyalgia carrier of z alpha-1 antitrypsin gene discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. if you have fevers greater than 101.5, worsening productive cough, or worsening shortness of breath. call if your incision develops drainage or worsening swelling or drainage. walk several times a day, and continue to use the incentive spirometer. home oxygen: 4l nc to keep oxygen saturations greater than 92% nebulizers: use mucomyst and albuterol twice a day, along with mucinex to help with thick secretions. drink fluids with this. followup instructions: provider: , md phone: date/time: 11:00, wpc 116 get a chest xray on radiology clinical center 30 minutes prior to your discharge. followup with your pcp : , location: medical center address: unit , five miles center, damariscotta, phone: fax: in weeks for postoperative check. call office for appt. we have left a message with them that you need a followup. procedure: closed [endoscopic] biopsy of bronchus other repair and plastic operations on trachea other repair and plastic operations on bronchus insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux chronic airway obstruction, not elsewhere classified myalgia and myositis, unspecified insomnia, unspecified other respiratory abnormalities other diseases of trachea and bronchus alpha-1-antitrypsin deficiency posttraumatic stress disorder postprocedural fever 

Answer: The patient is high likely exposed to