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: percocet / codeine / ativan attending: chief complaint: 54f s/p completion vats lllobectomy for staple line recurrence, readmitted w/ resp distress. major surgical or invasive procedure: s/p tracheostomy, open jejunostomy tube , hemodialysis tunnel catheter history of present illness: 56 year old female admitted s/p completed vats for left lower lobe lobectomy c/b a. fib, collapsed left lung, and chf. pt was discharged on and readmitted on due to changes in ms, sob, and fever. pt was intubated on admission. bronch revealed significant in bilateral bronchi, worse in rul. pt was extubated on . pt has had increased o2 demand and is currently on 5l nc and 70% o2 via shovel mask, sating at 100%. we were consulted to evaluate pt's swallowing due to concern for aspiration as md have not grown out any flora. past medical history: cardiomyopathy, chf hodgkin's, diagnosed , s/p bmt hep c transfusion s/p chole endometriosis hypothyroidism s/p splenectomy carpal tunnel adenocarcinoma of lll, s/p wedge resection , recent lobectomy after development of additional nodule social history: lives with son. smoked from to . occasionally etoh. family history: mother had breast cancer. physical exam: from vs- t 98.0, hr 74, bp 93/42, rr 13, o2 98% on tm 50% fio2 gen- nad, comfortable cards- rrr, s1s2 lungs- coarse b/l abdomen- soft, nt/nd, bs + extremities- 2+ pitting edema b/l neuro- axox3 pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 02:12am 10.9 3.51* 10.8* 33.0* 94 30.9 32.9 21.4* 61* source: line-a-line differential neuts bands lymphs monos eos baso atyps metas myelos nrbc 11:34am 72* 0 14* 12* 0 0 0 0 2* 1* red cell morphology hypochr anisocy poiklo macrocy microcy polychr 11:34am normal normal normal normal normal normal basic coagulation (pt, ptt, plt, inr) pt ptt plt smr plt ct inr(pt) 02:12am very low 61* source: line-a-line 02:12am 28.3* 56.8* 2.9* source: line-a-line basic coagulation (fibrinogen, dd, tt, reptilase, bt) fibrino 07:57am 507* hemolytic workup ret aut 03:24am 4.7* chemistry renal & glucose glucose urean creat na k cl hco3 angap 02:12am 64* 1.5* 140 111* 23 source: line-a-line enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili indbili 03:08am 32 101* 149* 1.9* other enzymes & bilirubins lipase 11:34am 16 cpk isoenzymes ck-mb ctropnt 05:33pm notdone1 0.08*2 vancomycin @ trough @19:00 1 notdone ck-mb not performed, total ck < 100 2 ctropnt > 0.10 ng/ml suggests acute mi 11:34am notdone1 0.08*2 1 notdone ck-mb not performed, total ck < 100 2 ctropnt > 0.10 ng/ml suggests acute mi 05:56am notdone1 0.07*2 tnt added @ 11:26 1 notdone ck-mb not performed, total ck < 100 2 ctropnt > 0.10 ng/ml suggests acute mi chemistry totprot albumin globuln calcium phos mg uricacd iron 02:12am 7.7* 3.6 2.4 source: line-a-line hematologic caltibc vitb12 folate hapto ferritn trf 02:19am 129* 341* 99* green top tube lipid/cholesterol cholest triglyc 03:10am 921 1 ldl(calc) invalid if trig>400 or non-fasting sample pituitary tsh 04:18am 4.7* micro data cx: opf from bal blood: no growth : rare opf bal: oropharyngeal hcv viral load: vl>700,000 bal: no growth : neg. pneumocystis scx: gs-gpc, cx: opf rpr: neg. b/ucx , bal:gs(-), no microrganisms, opf, cathtip: no growth urine: no growth radiology final report chest (portable ap) 8:06 am reason: asses pneumonia/effusion medical condition: 56 year old woman s/p left lower lobectomy with pna, s/p intubation for resp failure, ?aspiration reason for this examination: asses pneumonia/effusion ap chest, 8:47 a.m. . history: left lower lobectomy. intubated. respiratory failure. impression: ap chest compared to through 10: lung volumes are smaller today than yesterday, accounting for increase in the radiodensity of predominantly dependent pulmonary edema but shifted to the left. tracheostomy tube and right internal jugular line are in standard placements. no pneumothorax. cardiac echo- conclusions: 1. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is mildly depressed. 2. the right ventricular cavity is moderately dilated. there is moderate global right ventricular free wall hypokinesis. 3. the aortic valve leaflets are moderately thickened. moderate (2+) aortic regurgitation is seen. 4. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 5. there is mild pulmonary artery systolic hypertension. 6. there is a trivial/physiologic pericardial effusion. 7. compared with the prior study (images reviewed) of , rv and lv function has decreased. radiology final report bilat lower ext veins port 10:59 am reason: w/u for dvt s/p acute desat. and resp. arrest medical condition: 56 year old woman with acute desat ? dvts reason for this examination: w/u for dvt s/p acute desat. and resp. arrest indication: 56-year-old female with acute desaturation. comparisons: none. bilateral lower extremity venous ultrasound: scale and doppler son of the bilateral common femoral, superficial femoral, popliteal, and calf veins performed. in the proximal right common femoral vein, a small focus of echogenic material is seen along the posterior venous wall, consistent with a small nonocclusive thrombus. normal compressibility, augmentation, flow, and waveforms were demonstrated throughout. no echogenic thrombus is seen within the remaining vascular structures. impression: 1. echogenic material along the posterior wall of the right common femoral vein consistent with nonocclusive thrombus, likely not acute. 2. no evidence of deep venous thrombosis within the left lower extremity. misc- radiology results: ct head w/o contrast: acute sinusitis cta chest: neg. pe, b/l effusions, r. breast mass (need f/u ), stenotic svc liver/gb u/s: fatty liver b/l leni: echogenic material posterior wall r. common femoral vein - nonocclusive thrombus. echo: lvef mildly depressed, mod. r. wall hypokinesis, 2+ aortic regurg., trivial mitral regurg brief hospital course: 54f s/p completion vats lllobectomy for staple line recurrence , course complicated by: occassional desat r/t secretions/ activity intolerance, bronchoscopy x1 for secretion clearance, afib- treated w/ amiodarone, hit -neg, and transfusion of 2u prbc post-op. patient d/c'd to rehab . patient readmitted w/ pneumonia, resp distress, +/- ms changes. patient presented to ed with sob and increase in o2 requirement, then intubated. bronchoscopy done w/ bal: gram + cocci in pairs and clusters, started on antibiotics. patient extubated on and transferred to floor . resp- on floor patient required aggressive pulmoonary toilet and cpt as tolerated w/ fair outcome. transferred back to icu for worsening resp status/ aggressive pulmonary toilet, ultimately requiring re-intubation for respiratory failure, resp arrest/coded, and intubated. patient required mechanical ventilation until weaned and extubated . events of - respiratory failure, coded, intubated ct head w/o contrast: acute sinusitis cta chest: neg. pe, b/l effusions, r. breast mass (need f/u ), stenotic svc liver/gb u/s: fatty liver b/l leni: echogenic material posterior wall r. common femoral vein - nonocclusive thrombus. echo: lvef mildly depressed, mod. r. wall hypokinesis, 2+ aortic regurg., trivial mitral regurg started on tpn (day 1), argatroban started for dvt 9/6-7 episode hematemesis followed by incr resp distress. intubated and bronched w/diffuse blood in airways. og placed w/ blood..lavaged for clots. intermittent blood in aspirate overnight. transfused 1u prbc. trach and open jejunostomy tube planned. trach, open gastrojejunostomy tube placed. egd (severe gastritis, no active bleeding).mechanical ventilation resumed p-op- assist control mode and transitioned to cpap w/ ps mode 16/8. - w/ stable secretions, afebrile, wbc normal and antibiotic course completion active aggressive cpap wean started and tolerated well. pt to trach mask during day tolerated well, cpap overnight on .9/14 overnight pt tolerated trach mask alone. cardiac- afib- on amiodarone w/ second pauses . ep consulted and amiod/ and propofinone-150 tid started w/ low dose atenolol (bb indicated w/ use of propofinone). long term course. anticoag- anticoag for afib and thrombus: heme- concern for hit w/ plt decreasing on heparin iv for tx afib and thrombus. hit negative x2 but low plt <50-60 persisted. pt anticoag w/ argatroban started for dvt , and transitioned to fundaparinox w/ coumadin(start ) until inr therapeutic . coumadin continues daily per inr. - inr 3.7 and 3.6 respectively and therefore coumadin held. id course-all negative for organisms. antibiotic course of vancomycin, levofloxacin, flagyl completed . pt has remained afebrile, w/ wbc wnl since . vanco d/c . culture data in pertinent results. gi-9/6-7 episode hematemesis followed by incr resp distress. intubated and bronched w/diffuse blood in airways. og placed w/ blood..lavaged for clots. intermittent blood in aspirate overnight. transfused 1u prbc. open gastrojejunostomy tube placed . g-tube remains to gravity w/ daily outputs of 300-500. all meds should be give via j- tube w/ tubefeedings. reflux work-up when patient when more stable and recovered from surgery and current hospital/post-surgical course ct head w/o contrast: acute sinusitis cta chest: neg. pe, b/l effusions, r. breast mass (need f/u ), stenotic svc liver/gb u/s: fatty liver b/l leni: echogenic material posterior wall r. common femoral vein - nonocclusive thrombus. echo: lvef mildly depressed, mod. r. wall hypokinesis, 2+ aortic regurg., trivial mitral regurg hospital course since : she was doing well, tolerating her pmv, and her voice was improving. that night, she had to be placed back on the ventillator for respiratory acidosis. she was weaned off of the ventillator, but on on , she had to be put back on the vent for a ph of 7.19. she resonded on cpap and her gas improved (ph 7.34). her bp was maintained on low dose neosynepherine. her uop was very low, at 252 over the course of the previous day. her createnine was gradually increasing (it had reached 3.1). the renal department implemented cvvhd on (uop was 139 the previous day). she was tolerating tube feeds at goal (nepro 3/4 strength at 50cc/h). her vent was weaned off and she was maintained on trach mask at 50% fio2. she was on ceftriaxone for an e.coli pneumonia (14 day total course). she had a renal ultrasound, which was normal. she recieved 1 unit of rbc for blood loss anemia. on , she was started on a heparin drip for a goal ptt of 50. cvvhd had taken off over 4 liters the day before. they took off another 4+ liters the follwing day. her total body edema was decreasing noticably. her bp tolerated it, although she was maintained on low dose neosynepherine. by , she had lost 8 kg due to her cvvhd. her ptt was difficult to control as she tolerated only 200-300 units/hr of heparin. on , we stopped cvvhd in an effort to transition to hd. she was off of pressors. she was dialyzed later that day. on , her heparin drip was held due to elevated ptts. she only made 20cc of urine on her own. on , she received another unit of rbcs for blood loss anemia. she was dialyzed on . she was off of antibiotics and had a low grade temperature of 100.4, and her wbc was elevated to 18. we removed her quentin hd catheter and her a-line empirically, and subsequent were negative. on , she spiked to 101.1. reglan was held for a prolonged qtc. on , linezolid was started for vre in the urine. off of hd, she was essentially anuirc and her createnine rose to 5.2 on . later that day, levophed was started for a goal map 60-65. zosyn and levaquin was started for pseudomonas in the . on , she had to be put back on the ventillator (simv 50%, 450x16, ). she was on low dose levophed and a heparin drip at 200. on , a tunned hd line was placed by ir and she was dialyzed (1 l taken off). she was taken off all antibiotics and started on meropenem for pseudomonas in the (14 day course). on , she had a swallow evaluation during which she had signs of aspiration after thin liquid. she was to repeat a video-swallow prior to discharge. levophed had to be restarted. coumadin was started at 0.5. on , she was dialyzed and had her video swallow. she failed her video swallow so nothing by mouth and she will continue her current tube feeds. her heparin drip was at 50. she is doing well and is stable for rehab with trach care and ventilation. she will also need to continue dialysis. medications on admission: miscalcin, synthroid 125', toprol xl 50', combivent prn, ecasa 81', protonix 40', prempro 0.045', zoloft 25 prn, calcium 500' discharge medications: 1. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 3. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: six (6) puff inhalation q6h (every 6 hours). 4. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 5. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours). 6. ferrous sulfate 300 mg/5 ml liquid sig: five (5) cc po daily (daily). 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed. 8. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 9. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 10. calcium acetate 667 mg capsule sig: two (2) capsule po tid (3 times a day). 11. metoclopramide 10 mg tablet sig: 0.5 tablet po qidachs (4 times a day (before meals and at bedtime)): do not stop-has had high gastric residuals w/ emesis/aspiration. 12. propafenone 150 mg tablet sig: one (1) tablet po tid (3 times a day). 13. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 14. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 15. lansoprazole 30 mg susp,delayed release for recon sig: one (1) dose po daily (daily). 16. meropenem 500 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours) for 14 days: started . 17. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 18. opium tincture 10 mg/ml tincture sig: five (5) drop po daily (daily). 19. olanzapine 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 20. pramoxine-mineral oil-zinc 1-12.5 % ointment sig: one (1) appl rectal qid prn (). 21. insulin regular human 100 unit/ml solution sig: as directed injection asdir (as directed). 22. warfarin oral 23. outpatient lab work we have been giving her coumadin 0.5 mg every night which was just restarted. please give 0.5mg tonight and then check an inr tomorrow and adjust her coumadin accordingly. discharge disposition: extended care facility: & rehab center - discharge diagnosis: vats lllobectomy for staple line recurrence: re-presented with pneumonia, resp distress, and mental status changes. s/p trach/open j-t , acute tubular necrosis requiring hd, afib, left lower extrem dvt on coumadin, urinary tract infections, multiple nosocomial pneumonias. pmh: hd s/p chemo/rads/bmt; hep c; chf; chole; splenectomy; kidney stones; endometriosis; carpal tunnel; cervical ln bx; hypothyroid discharge condition: stable. discharge instructions: call dr./ thoracic surgery office for any hospital issuesat . please call for any fevers, nausea, vomiting, blood pressure lability, respiratory distress, or any other concerning issues that may arise. please see detailed instructions on the page 1 form, system by system. followup instructions: call dr./ thoracic surgery office () for appointment in 3 weeks. provider: : pftlab-cc2 pulmonary lab-cc2 date/time: 10:30 provider: , intepretation billing date/time: 10:30 provider: , m.d. phone: date/time: 11:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other enterostomy insertion of endotracheal tube insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus transfusion of packed cells transfusion of other serum replacement of tube or enterostomy device of small intestine infusion of vasopressor agent diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified end stage renal disease acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia unspecified acquired hypothyroidism unspecified viral hepatitis c without hepatic coma atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bone marrow replaced by transplant anxiety state, unspecified acute respiratory failure pneumonia due to pseudomonas long-term (current) use of anticoagulants pneumonia due to escherichia coli [e. coli] personal history of urinary calculi hematemesis malignant neoplasm of lower lobe, bronchus or lung acute sinusitis, unspecified personal history of hodgkin's disease 

Answer: The patient is high likely exposed to