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: tachypnea major surgical or invasive procedure: bronchoscopy, intubation history of present illness: 77 f w/ pmh of parkinson's and sle, with history of resp failure, s/p trach which has been getting downsized. today the pt was going to have a t-tube placed. prior to procedure, trach was found to be decanulated. ip bronched her to remove granulation tissue. following the bronch/extubation she developed bronchospasm. she had to be re-intubated and was therefore double dosed with succinylcholine. she was extubated again and was tachypnic to 33 and thus felt to require icu monitoring. . in the icu, pt reports breathing is comfortable. she is having back pain consistent with her chronic back pain. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: sle, parkinson's disease atrial fibrillation/aflutter paralysis agitans episodic hypertension during previous hospitalizations h/o respiratory failure requiring tracheostomy placement tracheal and subglottic stenosis glaucoma, blind in r eye social history: patient lives at rehabilitation and nursing center. denies any history of tobacco, alcohol, or illit drug use. she is originally from and worked at corporation in . daughters lives in and in , fl. family history: non-contributory physical exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: tegaderm applied to neck, supple, jvp not elevated lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, ii/vi systolic ejection murmur at apex abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: a. labs 02:57am blood wbc-12.1*# rbc-4.16* hgb-11.3* hct-34.0* mcv-82 mch-27.1 mchc-33.1 rdw-15.4 plt ct-196 02:57am blood pt-14.9* ptt-27.2 inr(pt)-1.3* 02:57am blood glucose-112* urean-15 creat-1.0 na-144 k-3.5 cl-105 hco3-27 angap-16 02:57am blood calcium-9.7 phos-3.7 mg-1.6 b. radiology ct trachea (): 1. focal area of narrowing of the trachea just at the level of the thoracic inlet to be 9 x 7 mm in diameter, 71 mm2, with no significant change during dynamic expiration. the rest of the trachea is unremarkable. 2. local collection in the area adjacent to the right upper mediastinum that might represent local pneumothorax. no evidence of fluid collection in the area demonstrated to suggest infectious origin of this finding. 3. areas of ground-glass opacity in the lungs are concerning for infection/aspiration. 4. cardiomegaly, moderate. small amount of pericardial effusion. brief hospital course: 77 yo female with pmh tracheostomy respiratory failure, subglottic stenosis, parkinson's and sle who is s/p rigid bronchoscopy on for removal of granulation tissue who required icu admission for observation due to tachypnea post extubation. bronch revealed mild tbm and recidual tracehal stenosis. she has a tegaderm covering her stomal opening, which will stay in place for now. she had normal oxygen saturations throughout her icu stay. a ct airway was done to evaluate for tracheal stenosis, which showed tracheal and subglottic stenosis as noted above. in terms of atrial fibrillation, currently in sinus rhythm. maintained on metoprolol. inr was 1.3 on . warfarin was being held pre-procedure and was restarted on . healthcare proxy : , (daughter) medications on admission: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 2. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). 3. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day): one drop in r eye . 4. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed for constipation. 5. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 6. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime): one drop in r eye at bedtime. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 9. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: thirty (30) ml po qid (4 times a day) as needed for gi upset. 10. quetiapine 25 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). 11. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 12. pramipexole 0.5 mg tablet sig: one (1) tablet po q6 (). 13. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 14. metoprolol tartrate 75 mg tablet po bid 15. warfarin 3 mg tablet sig: one (1) tablet po once daily at 4 pm. 16. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 17. duoneb 0.5 mg-3 mg(2.5 mg base)/3 ml solution for nebulization sig: one (1) inhalation three times a day. 18. acetylcysteine 10 % (100 mg/ml) solution sig: two (2) ml miscellaneous three times a day: give with duoneb. 19. duoneb 0.5 mg-3 mg(2.5 mg base)/3 ml solution for nebulization sig: one (1) inhalation q2hr as needed for shortness of breath or wheezing. 20. acetylcysteine 10 % (100 mg/ml) solution sig: ml miscellaneous as needed as needed for mucous plugging. 21. tube feeding jevity 1.5 tf 22. acetaminophen 325 mg tablet sig: two (2) tablet po every four (4) hours as needed for pain, fever. discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 2. quetiapine 25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop to right eye ophthalmic twice a day. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 7. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: thirty (30) ml po qid (4 times a day) as needed for gi upset. 8. quetiapine 25 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). 9. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 10. pramipexole 0.5 mg tablet sig: one (1) tablet po every six (6) hours. 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 12. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 13. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 14. duoneb 0.5 mg-3 mg(2.5 mg base)/3 ml solution for nebulization sig: one (1) inhalation three times a day. 15. warfarin 1 mg tablet sig: three (3) tablet po once daily at 4 pm: please check daily inr while being restarted on warfarin post-procedure. 16. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 17. tube feeds tube feeding jevity 1.5 tf 18. latanoprost 0.005 % drops sig: one (1) drop ophthalmic at bedtime: one drop in r eye at bedtime. . 19. duoneb 0.5 mg-3 mg(2.5 mg base)/3 ml solution for nebulization sig: one (1) inhalation every 2 hours as needed for shortness of breath or wheezing. discharge disposition: extended care facility: health care - discharge diagnosis: primary diagnosis: tracheal and subglottic stenosis secondary diagnosis: lupus parkinson's disease atrial fibrillation/aflutter episodic hypertension during previous hospitalizations h/o respiratory failure requiring tracheostomy placement glaucoma, blind in r eye discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. mental status: clear and coherent. level of consciousness: alert and interactive. discharge instructions: you initially came to for placement of a t tube, but prior to this your tracheostomy had come out. the interventional pulmonologist did a bronchoscopy to remove excess tissue. when this happened, you had some airway spasming and a breathing tube had to be replaced. when the breathing tube was taken out, you were breathing fast and had to come to the icu for overnight monitoring. there were no further complications and you are being discharged back to your rehab facility. a ct scan of your airways showed mild tracheal stenosis. the following changes were made to your medications: 1. please restart your coumadin at 3mg every night. daily inr should be checked until back at your goal inr of . 2. stop acetylcysteine inhalation. followup instructions: please follow up with the interventional pulmonologists within 1 month dr. (extension or ) main number: you will be also followed by a physician at health care. md procedure: other bronchoscopy diagnoses: systemic lupus erythematosus atrial fibrillation unspecified glaucoma atrial flutter paralysis agitans leukocytosis, unspecified other diseases of trachea and bronchus mechanical complication of tracheostomy profound impairment, one eye, impairment level not further specified 

Answer: The patient is high likely exposed to