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 / dilantin / methotrexate / ticlid / bactrim ds / allopurinol / tetracycline attending: chief complaint: from ed for hypoxic resp distress major surgical or invasive procedure: 1. bronchoscopy history of present illness: this is a 51 y/o female with pmh significant for mixed connective tissue disease on chronic prednisone, cad, niddm, and h/o aspiration pna, who was recently admitted from for pna, who now presents to the ed today in acute respiratory distress with symptoms of increasing dyspnea and cough. . in ed, her vs on arrival were 104, hr 110, bp 90/palp, rr 30, sao2 80%/nrb. she was intubated for hypoxic respiratory distress. cultures were drawn and cxr was signigicant for widespread rml pna. she received 2 gm cefepime iv, 1 gm vancomycin iv, 500 mg flagyl iv, 1gm tylenol pr, digoxin 0.5 mg iv for svt/a fib, and dexamethasone 10 mg iv. patient was given 5 l ns for hypotension, but required pressors and was started on a neosynephrine gtt. . her last admission was for similar symptoms between . she had presented to the ed then with chills, cough, and a temp of 104. she was found to be hypotensive at that time with sbp's in the 60's, tachycardic, +leukocytosis with left shift and increased lactate of 2.2. her cxr was positive for a rml and rll pna. she was on levophed, vanc/ceftaz, hydrocort, and insulin gtt while in the for 2 days and eventually transferred to the floor in stable condition on . she was discharged on on a course of levaquin for presumed aspiration pna. she was seen by s+s during her course who recommended a regular diet with thin liquids and if needed, further w/u by gi if continued aspiration events. her steroids were tapered down during her hospital course and she was discharged on her home dose of 10 mg qd. past medical history: 1. cad, status post ami in , s/p lcx stenting in c/b instent restenosis --> restented with 2 cypher stents on . also s/p 2 cypher stents in mid rca and stenting of proximal rca. lad diffusely diseased up to 40%, no intervention. ef 48% on ventriculography. 2. mixed connective tissue disease manifested by myositis, + , gerd, raynaud's, sclerodactyly, malar rash, telangiectasia. 3. diabetes mellitus type 2 4. hypertension 5. gout 6. status post cva without residual deficit 7. gerd with barrett's esophagus 8. peripheral neuropathy 9. ? h/o gib in . c-scope unrevealing- grade 1 internal hemorrhoids. diverticulum in the sigmoid colon. bluish discoloration in the lateral wall of the terminal ileum compatible with unclear significance. 10. rt breast bx lobular carcinoma in situ social history: she lives with her husband. they have no children. she is a lifelong non-smoker. no etoh. at baseline, she ambulates with a walker. family history: notable for cad including her mother who died at age 52 of an mi. father had cabg in his 50s and later died of an mi. two brothers with in their 50's and one with a cva. physical exam: vs: tc 102, bp 95/57, hr 140-170's, rr 14, sao2 97% on ac/450 x 14/fio2 100%/peep 5, cvp 15 general: intubated, responsive to voice stimuli. heent: nc/at, perrl. dried blood on upper lips. ett secured in place. neck: r ij in place, difficult to assess for jvp chest: coarse rhonchi and rales throughout the lung fields cv: irregularly irregular and tachycardic, s1 s2 normal abd: soft, obese, nt, nabs ext: mottled distal extremities with faint dp's b/l neuro: intubated, responsive to voice stimuli brief hospital course: patient was admitted in shock without any clear etiology. patient received xigris, stress dose steroids, and broad-spectrum antibiotics. culutres never grew anything pt was admitted in shock, although unclear etiology with no cultures positive for yeast only. patient continued to require pressors and blood transfusions and her blood pressure was unable to be maintained. patient was changed to comfort measures only and died soon after. medications on admission: 1. gabapentin 300 mg 2. aspirin 325 mg qd 3. clopidogrel 75 mg qd 4. probenecid 500 mg qam 5. probenecid 250 mg qhs 6. metformin 500 mg 7. levofloxacin 500 mg qd 8. albuterol inh q4-6 prn 9. lipitor 80 mg qd 10. omeprazole 40 mg 11. prednisone 10 mg qd discharge medications: patient expired. discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: patient expired. md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy arterial catheterization closed [endoscopic] biopsy of bronchus infusion of drotrecogin alfa (activated) diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled unspecified diffuse connective tissue disease 

Answer: The patient is high likely exposed to