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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: none history of present illness: 55 y/o female with hx of pulmonary fibrosis thought to be old tuberculosis, prsented to clinic on with a c/o dyspnea and increased productive cough x 1 week. in clinic, her pulse was 112, bp 130/70, and o2 sats were 64% on 2l. she was sent to the ed, where she was 82% on 2lnc improving to 94% on 4l. a cxr demonstrated a lll infiltrate. cta was negative for pe but confirmed lll infiltrate. they tried a trial of bipap, and she apparently didn't seem comfortable on it so was given 1 mg ativan. she then became somnolent and an abg was 7.20/107/72 on 100%. she was subsequently intubated and sent to the . past medical history: 1. pulmonary fibrosis thought old tuberculosis (on right side), on 2l o2 at home at baseline, unchanged x 5 yrs 2. pulmonary htn 3. osteoporosis 4. djd r knee 5. thalassemia trait 6. depression 7. anemia 8. tuberculosis, treated in and x 6 months 9. attention deficit disorder 10. hx pseudomonal pna , requiring intubation x 3 weeks social history: no etoh, no tobacco lives in , on disability family history: mother died of colon ca pertinent results: 05:58am blood wbc-9.5 rbc-3.74* hgb-10.5* hct-33.1* mcv-88 mch-28.2 mchc-31.9 rdw-13.3 plt ct-267 10:30pm blood hct-32.3* 05:43am blood wbc-10.1 rbc-3.30* hgb-9.5* hct-28.7* mcv-87 mch-28.7 mchc-33.0 rdw-14.2 plt ct-228 11:13pm blood hct-28.1* 05:15am blood wbc-11.6* rbc-3.01* hgb-8.7* hct-26.9* mcv-89 mch-28.9 mchc-32.3 rdw-14.1 plt ct-214 05:44pm blood wbc-10.0 rbc-3.39* hgb-9.6* hct-28.9* mcv-85 mch-28.2 mchc-33.1 rdw-14.8 plt ct-204 04:02am blood wbc-11.1* rbc-3.26* hgb-9.3* hct-28.4* mcv-87 mch-28.4 mchc-32.6 rdw-14.7 plt ct-198 10:11pm blood hgb-7.9* hct-24.9* 06:17pm blood hct-24.8* 04:42am blood wbc-9.9 rbc-3.02* hgb-8.5* hct-27.0* mcv-90 mch-28.3 mchc-31.6 rdw-13.3 plt ct-212 02:12pm blood hct-26.2* 04:57am blood wbc-8.3 rbc-3.19* hgb-9.0* hct-28.8* mcv-90 mch-28.3 mchc-31.3 rdw-13.9 plt ct-204 01:15pm blood wbc-8.9# rbc-3.92* hgb-11.1* hct-35.4* mcv-90 mch-28.3 mchc-31.4 rdw-13.0 plt ct-258 05:58am blood neuts-76.1* lymphs-16.4* monos-5.1 eos-1.6 baso-0.8 05:43am blood neuts-82* bands-0 lymphs-12* monos-3 eos-3 baso-0 atyps-0 metas-0 myelos-0 04:57am blood neuts-77* bands-1 lymphs-16* monos-5 eos-1 baso-0 atyps-0 metas-0 myelos-0 01:15pm blood neuts-66 bands-14* lymphs-9* monos-9 eos-0 baso-0 atyps-0 metas-2* myelos-0 01:15pm blood hypochr-2+ anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-normal 05:58am blood plt ct-267 05:58am blood pt-14.3* ptt-34.8 inr(pt)-1.3 05:43am blood plt ct-228 05:15am blood plt ct-214 05:15am blood pt-14.7* ptt-37.2* inr(pt)-1.4 05:44pm blood plt ct-204 04:02am blood plt ct-198 04:02am blood pt-15.6* ptt-33.2 inr(pt)-1.5 04:42am blood plt ct-212 04:42am blood pt-16.1* ptt-33.7 inr(pt)-1.6 04:57am blood plt ct-204 04:57am blood pt-15.4* ptt-32.1 inr(pt)-1.5 01:15pm blood plt ct-258 04:42am blood ret aut-0.8* 05:58am blood glucose-113* urean-9 creat-0.4 na-142 k-4.1 cl-92* hco3-42* angap-12 05:43am blood glucose-122* urean-6 creat-0.3* na-141 k-4.2 cl-97 hco3-39* angap-9 05:15am blood glucose-92 urean-4* creat-0.3* na-139 k-7.5* cl-101 hco3-37* angap-9 04:02am blood glucose-153* urean-7 creat-0.3* na-138 k-3.2* cl-97 hco3-35* angap-9 04:42am blood glucose-87 urean-10 creat-0.4 na-141 k-5.9* cl-96 hco3-34* angap-17 04:57am blood glucose-133* urean-14 creat-0.4 na-143 k-5.3* cl-103 hco3-35* angap-10 01:15pm blood glucose-150* urean-18 creat-0.4 na-147* k-4.0 cl-95* hco3-39* angap-17 04:42am blood alt-8 ast-28 ld(ldh)-591* alkphos-87 totbili-0.4 05:58am blood calcium-9.5 phos-5.0* mg-2.0 05:43am blood calcium-8.5 phos-4.2 mg-1.9 05:15am blood calcium-7.7* phos-3.0 mg-1.8 05:44pm blood mg-1.9 04:02am blood calcium-8.0* phos-2.2* mg-2.2 06:17pm blood mg-1.8 04:42am blood albumin-2.7* calcium-7.9* phos-3.3 mg-2.1 iron-24* 04:57am blood calcium-7.8* phos-2.0* mg-1.4* 09:49am blood vitb12-1641* folate-19.1 04:42am blood caltibc-194* hapto-496* ferritn-345* trf-149* 04:57am blood cortsol-23.2* 01:58pm blood type-art temp-37.4 tidal v-270 peep-0 o2-34 po2-73* pco2-73* ph-7.35 calhco3-42* base xs-10 intubat-not intuba 07:55am blood type-art temp-37.4 tidal v-275 peep-5 o2-34 po2-100 pco2-71* ph-7.34* calhco3-40* base xs-8 intubat-intubated vent-spontaneou 01:27pm blood type-art temp-37.5 rates-/26 peep-5 o2-35 po2-82* pco2-68* ph-7.37 calhco3-41* base xs-10 intubat-intubated vent-spontaneou 08:03am blood po2-57* pco2-89* ph-7.25* calhco3-41* base xs-8 05:22am blood type-art temp-36.4 po2-97 pco2-62* ph-7.40 calhco3-40* base xs-10 04:02pm blood type-art temp-38.6 rates-18/0 tidal v-400 peep-5 o2-35 po2-108* pco2-67* ph-7.39 calhco3-42* base xs-11 vent-controlled 02:04pm blood type-art temp-38.6 peep-5 o2-35 po2-99 pco2-70* ph-7.34* calhco3-39* base xs-8 intubat-intubated vent-spontaneou 04:53am blood type-art rates-18/ tidal v-400 peep-5 o2-35 po2-101 pco2-55* ph-7.43 calhco3-38* base xs-9 05:42am blood type-art temp-38.7 rates-18/ tidal v-414 peep-5 o2-35 po2-89 pco2-59* ph-7.36 calhco3-35* base xs-5 intubat-intubated vent-imv 08:41pm blood type-art temp-37.6 rates-18/0 tidal v-420 peep-5 o2-40 po2-86 pco2-58* ph-7.41 calhco3-38* base xs-9 -assist/con intubat-intubated 05:33pm blood type-art po2-86 pco2-87* ph-7.30* calhco3-45* base xs-12 01:45pm blood type-art o2 flow-4 po2-72* pco2-107* ph-7.20* calhco3-44* base xs-9 intubat-not intuba 08:03am blood freeca-1.03* 05:42am blood freeca-1.07* 08:41pm blood freeca-1.00* brief hospital course: 1. id: given pt's hx of pseudomonal pneumonia, she was double-covered for pseudomonas with ceftazidime 2 g iv q8h and levaquin 500 mg iv qd. she continued to spike fevers for days, up to 101-102. because of this, she was also begun on vancomycin. she eventually defervesced, and her sputum grew pseudomonas aeruginosa (sensitive to ceftaz and levaquin), moraxella catarrhalis, and h. flu. her blood cultures were negative x 5. on , she was clinically stable and it was felt she no longer needed vancomycin. her levaquin was changed to po. pt was continued to be double covered with ceftaz and levo while in house. upon transfer to medical service pt was stable and tolerated 4lnc. while on the medical floor pt remained afebrile and hemodynamically stable. pt completed a total 10 day course of ceftazidime and will be sent home on a total 14 day course of levofloxacin. 2. pulmonary: the pt remained intubated x6 days. she was begun on trials of pressure support every day beginning on hd#3, lasting longer and longer each time. her abgs reflected persistent hypercapnia which we felt was likely her baseline given her severe lung disease. on hd#6 she was extubated without complication and on hd#7 was transferred to the floor. her cxrs showed interval improvement each day although she has an extremely poor baseline with severe r lung volume loss. upon transfer to medical service pt was stable as above and quickly her o2 requirement titrated down to her preadmission baseline of 2lnc. pt was place on albuterol and atrovent while in the hospital, for which she seemed to tolerate and possible gain some benefit. pt's lung disease per report not bronchospastic, but probably has a component so could benefit from further treatment with bronchodilators. she will be discharged to rehab with nebulizer instructions, she should follow up as an outpatient to determine long term regimen of bronchodilators. 3. hematologic: she was anemic on arrival at 35.4, dropping as low as 24. she has had an anemia w/u in the past as an outpt felt to be c/w anemia of chronic disease. her labs this time reflected that as well, including iron, tibc, transferrin, ferritin, b12, and folate. she was transfused 1 unit prbcs after her hematocrit dropped from 28 to 24, with an appropriate response. it was felt that drop was likely dilutional as she was guaiac negative and there was no other clear source of bleeding. she was also begun on epo while in the icu. howvever given the picture of chronic disease induced anemia and that the epo caused a ha, it was susequently stopped. hct should be followed periodically as an outpatient. 4. cardiovascular: she was hypotensive during her first few days in the hospital, with systolics running in the low 80s-90s. this was likely due to the versed she received to calm her down as she was quite anxious due to the et tube. this resolved once she was extubated and her sbps were in the 110s at that time and continued to be normotensive while on the medical service. pt however did report some light headedness with ambulation and orthostatic changes. pt was instructed to drink plenty of fluids and to arise slowly. 5. fen: the pt was given maintenance ivf while she was intubated, which was discontinued once she began tube feeds. she was tube fed until extubation when she was switched to a cardiac diet. pt's diet advanced without problem. 6. prophylaxis: she was on pneumoboots, sq heparin, prevacid, and a bowel regimen throughout her stay. medications on admission: prilosec 40 mg qd fosamax 70 mg qweek mvi b12 oscal 500-125 x2 discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. fosamax 70 mg tablet sig: one (1) tablet po once a week. disp:*12 tablet(s)* refills:*2* 3. os-cal 500 + d 500-125 mg-unit tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 4. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days. disp:*6 tablet(s)* refills:*0* 5. zinc oxide-cod liver oil 40 % ointment sig: one (1) appl topical prn (as needed) as needed for itching. disp:*qs mg* refills:*0* 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 7. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 8. albuterol sulfate 0.083 % solution sig: 1 neb neb inhalation q6h (every 6 hours). discharge disposition: extended care facility: health care center discharge diagnosis: pna pulmonar fibrosis pulmonary hypertension discharge condition: good discharge instructions: please call pcp or return to ed if fever greater than 101, rigors, inability to tolerate food or liquid, persistent nause or vomitting, chest pain, acute shortness of breath, acute/severe headache. followup instructions: please follow up with the following appointments. dr could not see you until , please call earlier to see if there has been cancelations. 1)provider: , m.d. where: phone: date/time: 1:40 2)provider: , physical therapy -cc2 where: rehabilitation services phone: date/time: 1:00 3) provider: gates, rnc msn where: musculoskeletal unit phone: date/time: 1:00 md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: other chronic pulmonary heart diseases acute and chronic respiratory failure hypotension, unspecified pneumonia due to pseudomonas osteoporosis, unspecified postinflammatory pulmonary fibrosis pneumonia due to hemophilus influenzae [h. influenzae] other thalassemia personal history of tuberculosis 

Answer: The patient is high likely exposed to