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: prochlorperazine attending: chief complaint: anaphylaxis major surgical or invasive procedure: intubation history of present illness: this is a 44 yo f with h/o asthma who presents with respiratory distress with likely anaphylaxis. per family and husband, pt was at work eating almonds and approximately 5-10 minutes afterwards began to feel short of breath. has apparently eaten nuts in the past without any difficulties. she became increasingly more short of breath and eventually obtunded. per ed report, ems gave pt dose of im epinephrine, benadryl, and nebs. past medical history: asthma - no h/o intubations, never on steroids, uses prn albuterol inhaler social history: sh: per family, no h/o tobacco, alcohol, illicits. as rn at nh. family history: no family h/o anaphylaxis, asthma. physical exam: physical exam t 97.6 bp 122/58 hr 155 rr 17 o2 sat 100% vent settings mmv fio2 50% 15/5 rr 20 tv 600-700 mv 11.8l gen - appears intermittently agitated, attempting to sit up in bed heent - intubated, perrl cv - tachycardic, no m/r/g lungs - fair air mvmt b/l abd - soft, nt, nd, normoactive bs ext - no le edema, wwp skin - no rashes or lesions pertinent results: admission labs 07:30pm blood wbc-36.9*# rbc-3.58* hgb-10.7* hct-34.2* mcv-96 mch-29.9 mchc-31.2# rdw-12.5 plt ct-496* 07:30pm blood neuts-73* bands-5 lymphs-18 monos-2 eos-1 baso-1 atyps-0 metas-0 myelos-0 07:30pm blood hypochr-3+ anisocy-normal poiklo-1+ macrocy-normal microcy-normal polychr-normal ovalocy-1+ burr-1+ tear dr1+ 07:30pm blood plt ct-496* 07:30pm blood glucose-283* urean-13 creat-1.0 na-140 k-3.7 cl-106 hco3-23 angap-15 07:30pm blood ck(cpk)-199* 07:30pm blood ck-mb-4 ctropnt-0.10* 03:26am blood calcium-8.0* phos-1.9* mg-2.1 06:00pm blood type-art po2-496* pco2-125* ph-6.87* caltco2-25 base xs--14 intubat-intubated 09:17pm blood lactate-3.6* ck trend 07:30pm blood ck(cpk)-199* 03:26am blood ck(cpk)-505* 04:31pm blood ck(cpk)-935* 03:30am blood ck(cpk)-1108* 06:44am blood ck(cpk)-572* 07:30pm blood ck-mb-4 ctropnt-0.10* 03:26am blood ck-mb-12* mb indx-2.4 ctropnt-0.31* 04:31pm blood ck-mb-17* mb indx-1.8 ctropnt-0.10* 03:30am blood ck-mb-12* mb indx-1.1 ctropnt-0.11* 06:44am blood ck-mb-pnd ctropnt-pnd abgs 06:00pm blood type-art po2-496* pco2-125* ph-6.87* caltco2-25 base xs--14 intubat-intubated 07:38pm blood type-art rates-/28 tidal v-320 peep-0 fio2-100 po2-447* pco2-59* ph-7.17* caltco2-23 base xs--7 aado2-221 req o2-44 -assist/con intubat-intubated 09:17pm blood type-art po2-105 pco2-41 ph-7.29* caltco2-21 base xs--6 06:32am blood type-art temp-37.2 peep-5 fio2-50 po2-212* pco2-37 ph-7.26* caltco2-17* base xs--9 intubat-intubated 11:48am blood type-art po2-177* pco2-40 ph-7.34* caltco2-23 base xs--3 06:34pm blood type-art peep-5 fio2-40 po2-190* pco2-41 ph-7.39 caltco2-26 base xs-0 intubat-intubated imaging cxr on admission- possible left upper lung contusion. bronchial wall thickening may indicate underlying infection. extensively distended stomach, may benefit from ng tube decompression cxr -heart size, mediastinal and hilar contours are within normal limits. no focal areas of consolidation are identified within the lungs, and there are no pleural effusions. brief hospital course: 44-year-old woman with history of asthma who p/w acute respiratory failure likely anaphylaxis. . #) respiratory failure - based off of reported history, suspicion highest for anaphylaxis, but possible severe asthma exacerbation also contributing. per rt report, edematous airway was visualized during intubation in ed; however, not documented on intubation note. she received epinephrine. she was in the micu for one day. she was treated for anaphylaxis with iv solumedrol, benadryl, pepcid. she was extubated and satting well on room air, transferred to the medical floor and did well. she will be discharged on advair and prn albuterol as well as with epi pens. . #) acidosis: on admission she has had both respiratory and metabolic. metabolic acidosis has an anion gap likely from lactate acidosis secondary to transient hypoxic organ injuries. respiratory acidosis likely from asthma. no longer acidotic. . #) elevated ck-199 on admission and increased to a peak of 1108, mb stable at 12, tn slightly elevated likely demand, renal function was never compromised. her ck was monitored and trended down. . #) tachycardia - hr was in the 150's, in the setting of receiving 2 doses of epinephrine for anaphylactic shock and agitation on arrival. rpt ekg on arrival to floor confirms sinus tachycardia. does have minimal st depressions on ekg, likely in setting of demand ischemia. tachycardia was thought to have represented hypovolemia although her uo is ok, and she is hypertensive. anxiety was also a component, and with ativan she did well. hr on discharge was 100. . #) htn-pt reports two week history fo htn, pcp was to start medication soon, no family history of early htn. no antihypertensives started in the setting of recent anaphylaxis. she will follow up with her pcp. . #) low grade fever-pt with fever to 100.2 at time of transfer from micu to medical floor, cough-may have aspirated and caused a chemical pneumonitis. repeat cxr showed no consolidation. she remained afebrile. . medications on admission: albuterol prn discharge medications: 1. epipen 0.3 mg/0.3 ml pen injector sig: two (2) intramuscular prn: please carry with you and use when suspecting severe allergic reaction/anaphylaxis. disp:*2 pens* refills:*2* 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) inhalation (2 times a day). disp:*60 disks* refills:*2* 3. albuterol 90 mcg/actuation aerosol sig: one (1) puff inhalation every 4-6 hours as needed for shortness of breath or wheezing. discharge disposition: home discharge diagnosis: anaphylaxis asthma discharge condition: stable, afebrile, 98%on room air discharge instructions: you were admitted and found to have anaphylaxis. you were briefly intubated and did well after extubation. you had a low grade fever, and your chest x ray and other tests did not show any signs of infection. please continue to take your medications as prescribed. you will take advair twice daily. in addition you will have an epi pen that you should carry with you. you should follow up as outlined below. go to the er or call your doctor if you have any fevers, chills, difficulty breathing, coughing or any other concerning symptoms. followup instructions: call your pcp and schedule follow up appointment within the next few days procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis unspecified essential hypertension acute respiratory failure asthma, unspecified type, with (acute) exacerbation anaphylactic reaction due to tree nuts and seeds 

Answer: The patient is high likely exposed to