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: no known allergies / adverse drug reactions attending: chief complaint: jaundice major surgical or invasive procedure: none history of present illness: 32f with mild to moderate cf with pancreatic insufficiency who has subsequently developed secondary cirrhosis with biliary fibrosis and presents for urgent transplant evaluation. she was in usual state of health until at which time she was admitted to a hospital in for acute acetaminophen overdose, which she states was accidental. the circumstances around this are unclear, but apparently she was taking tylenol to treat a fever and additionally took some nyquil. she was taken to rush medical center in and ultimately was diagnosed with cirrhosis; notably her hospital course was complicated by mssa bacteremia and pneumonia for which she was treated with iv antibiotics. in , she was living with her girlfriend at the time, and after the magnitude of her illness became apparent she returned to her parents home for their assistance with her care. she was admitted to hospital with fever, ruq pain and jaundice on , additionally was found to have abdominal distension. workup demonstrated liver failure with poor synthetic function including inr of 2.9 and albumin 1.5, additionally she had thrombocytopenia and hyponatremia. gi workup was negative for clostridium difficile and the likely culprit for her abdominal distension, in addition to the ascites, was felt to be a distal obstruction syndrome. reportedly she recieved two units of blood for a low hematocrit, did not have evidence of active bleeding, and was discharged on after a transjugular liver biopsy demonstrated biliary fibrosis/cirrhosis. she was readmitted on with jaundice/anasarca and underwent diagnostic and therapeutic paracenteses with 4.5l of thin fluid removed, negative for sbp. she was subsequently transferred to for urgent transplantation evaluation. since arriving here, her transplantation evaluation has proceeded expeditiously on the hepatology service. additionally she has been seen by transplant infectious disease, transplant social work, and pulmonology. per records, she has a recommendation from pulmonology that she be on tobramycin daily and pulmozyme, which she is not on at this point. pulmonology recs from our center are pending. on initial examination she is resting comfortably with no immediate complaints. based on her current labs she is child's c/meld 38.2. past medical history: pmh: cystic fibrosis, pancreatic insufficiency, on creon, biliary fibrosis, cirrhosis, mssa pna and bacteremia , history of acetaminophen overdose (), history of moderate to heavy etoh use, last drink , chronic urinary tract infections on azithromycin prior to admission psh: none social history: sh: single, lives at home with parents and dogs, no tobacco/illicits, not currently working, prior moderate-heavy alcohol use ( cocktails, 3-4 days/week, last in 4/). seen by social work for pretransplant evaluation, strong family support and coping skills identified, no psychosocial barrier to transplantation identified. insured with medicaid, application for ssi is submitted and pending. family history: fh: denies significant family history of cardiovascular disease, early mi, arrhythmia or sudden cardiac death. father had testicular cancer in . no family history of liver or kidney disease. physical exam: on admission pe:98.3 98.1 74 134/83 18 100%ra gen: jaundiced, aox3, nad cor: rrr without mrg res: ctab, diminished at bases abd: distended, soft, not tender to palpation ext: edema bilaterally in le tld: right picc, no erythema at site pertinent results: 9.6>22.6<137 n:76.3 l:14.6 m:8.2 e:0.6 bas:0.3 131 99 9 -------------<82 4.6 28 1.5 ca: 8.6 mg: 2.0 p: 3.5 alt: 17 ap: 59 tbili: 18.8 alb: 2.2 ast: 46 ldh: 134 dbili: tprot: : lip: 3 pt: 45.2 ptt: 98.1 inr: 4.5 abg: ph 7.47 pco2 42 po2 78 hco3 31 basexs 6 brief hospital course: ms. was admitted for liver transplant evaluation. she was transferred from with decompensation of her liver (meld 38 at this time). no infection was found at first (bcx, ucx) to incite the worsening of her liver status, but later, she was treated for pneumonia in the setting of cystic fibrosis with vanc and cefepime after bilateral infiltrates were seen on cxr. on the floor, her condition deteriorated and her acute kidney injury worsened, thought to be due to hepatic renal syndrome (una<10). due to her worsening cr, she was to undergo dialysis as a bridge to transplant, and thought not to be able to maintain pressures during hemodialysis so she had to go to the icu to for cvvh. she also was not taking in enough nutrition and a ng tube was placed and she was transfered to the sicu. at that time, her meld was >40. sicu course: : lactulose titrated down from q2 to q6 after 1800+ stool output during first part of day, mental status remained clear, cvvh 100cc/hr, bp stable, repeat blood cx sent : cvvhdf goal 3000cc/24hrs. octreotide was stopped and creon increased to tid with meals as she was tolerating regular diet. hct 22.9, transfused 2u prbcs. (+)ua but had already been on cefepime, ucx sent. : lactulose back to q4, 2ffp, 1 cryo, bronch w/ip first attempt not tolerated nausea, emesis, 2nd attempt at bronch successful- no purulent material sample from rml, a little blood; paracentesis w/body fellow. dc cefepime and started meropenem. increasing fio2 requirement overnight, intubated at 10pm for worsening respiratory status and abg, and requiring neo gtt after intubation. 2u prbcs transfused. 500cc 5% albumin. likely hemorrhoidal bleed that wasn't stopping so started giving 2 u ffp and bleeding vessel suture ligated. inserted left ij and floated a swan. started fluconazole and tobramycin. 4l negative over course of the day. : tte revealed elevated pa pressures. bronch preformed and bal from rml showed 2+pmn's, no orgs. small left apical pneumothorax appreciated on cxr but did not appear to be clinically relevant. pressor requirement increased, levo/vaso were started given septic shock secondary to pneumonia, neo was weaned off. : mrs. was deactivated on the liver transplant list due to overall illness secondary to liver failure in setting of pneumonia and septic shock with pressor requirement. : repeat cxr secondary to asynchrony tachypnea on vent, relatively unchanged. bal from revealed pseudomonas aeruginosa, aspergillus fumigatus bal - stenotrophomonas (xanthomonas) maltophilia. 1645, bloody output noted from ngt, lavage, she was transfused 1 uprbcs, 1 u cryo. po2 69 on fio2 50%, peep 10 inc to 60% and 12 repeat abg : switched to ambisone from micafungin for better fungal. given poor ventilation and oxygenation she was paralyzed with cisatricurium. in the setting of hypotension, fluid was unable to be removed with cvvh. : pressor requirement markedly increased and neosynephrine was added. given msof secondary to septic shock in setting of pneumonia and extremely poor prognosis a family meeting was held and she was made dnr/dni. on the family decided to make the patient cmo. pressors were stopped and she was started on morphine for comfort. she expired shortly thereafter. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. azithromycin 500 mg po q24h start: in am 2. furosemide 40 mg po daily start: in am 3. oxycodone (immediate release) 5 mg po q6h:prn pain monitor for sedation or rr < 8 4. zegerid otc *nf* (omeprazole-sodium bicarbonate) 20-1.1 mg-gram oral daily 5. zenpep *nf* (lipase-protease-amylase) 10,000-34,000 -55,000 unit oral tid w/meals 6. multivitamins 1 tab po daily discharge medications: none discharge disposition: expired discharge diagnosis: esld complicated by pneumonia, septic shock and cardiopulmonary collapse discharge condition: expired discharge instructions: expired followup instructions: n/a procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring diagnoses: acidosis thrombocytopenia, unspecified acute and subacute necrosis of liver alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome unspecified septicemia hyposmolality and/or hyponatremia severe sepsis portal hypertension pneumonia due to pseudomonas septic shock other specified disorders of biliary tract other ascites awaiting organ transplant status do not resuscitate status hepatic encephalopathy duodenitis, without mention of hemorrhage other specified disorders of stomach and duodenum other and unspecified coagulation defects aspergillosis pneumonia in aspergillosis hypotension of hemodialysis unspecified deficiency anemia alcohol abuse, in remission personal history, urinary (tract) infection aromatic analgesics, not elsewhere classified, causing adverse effects in therapeutic use late effect of adverse effect of drug, medicinal or biological substance cystic fibrosis with other manifestations cystic fibrosis with pulmonary manifestations 

Answer: The patient is high likely exposed to