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: history of present illness: the patient is an 85-year-old female with a history of severe chronic obstructive pulmonary disease and congestive heart failure. a chest x-ray done in the emergency department subsequently revealed a left lower lobe pneumonia. meanwhile, the patient had an episode of hypotension with a systolic blood pressure in the 70s despite a 500-cc intravenous fluid bolus. dopamine was started briefly until approximately 2 liters to 3 liters of normal saline was infused with a systolic blood pressure increasing to 95. the patient was on initial intravenous antibiotics of ceftriaxone and azithromycin along with nebulizers. past medical history: 1. bilateral hip fracture; status post open reduction/internal fixation. 2. chronic obstructive pulmonary disease. 3. atrial fibrillation. 4. congestive heart failure. 5. anemia. 6. osteopenia. 7. history of lung cancer; left upper lobe with resection in . 8. obstructive sleep apnea. allergies: the patient has an allergy to morphine. medications on admission: 1. flovent. 2. home oxygen of 2 liters to 3 liters. 3. coumadin 2 mg p.o. every other day and 1 mg p.o. every other day. 4. lasix 40 mg p.o. once per day. 5. detrol p.o. twice per day. 6. amiodarone 200 mg p.o. once per day. 7. fosamax 70 mg p.o. every week. 8. potassium chloride. physical examination on presentation: temperature was 100.8, blood pressure was 92/34, heart rate was 76, respiratory rate was 14. the patient was saturating 92% on 50% mask. the patient is an elderly female in no acute distress. head, eyes, ears, nose, and throat examination revealed the oropharynx was clear. mucous membranes were dry. neck examination revealed no jugular venous distention. lungs showed diffuse wheezes bilaterally. no crackles. cardiovascular examination revealed a regular rate and rhythm. normal first heart sounds and second heart sounds noted. a ii/vi systolic ejection murmur was noted. the abdomen was soft, nontender, and nondistended. bowel sounds were present. extremity examination revealed bilateral trace lower extremity edema. on neurologic examination, the patient was sleepy but arousable. the patient was alert and oriented times three. she was moving all extremities. pertinent laboratory values on presentation: platelets were 252 and mean cell volume was 76. sodium was 138, potassium was 5.4, chloride was 102, bicarbonate was 25, blood urea nitrogen was 37, creatinine was 1.5, and blood glucose was 104. differential with 82 neutrophils, 14 bands, 2 lymphocytes, and 1 monocyte. prothrombin time was 17.4, partial thromboplastin time was 30.1, and inr was 2. creatine kinase was 38. mb was zero. troponin was less than 0.3. arterial blood gas showed ph of 7.32, pco2 of 51, po2 of 52, and a bicarbonate was 27. urinalysis revealed bacteria with a white blood cell sediment of 11 to 20, and trace nitrites. pertinent radiology/imaging: a chest x-ray revealed a left lower lobe infiltrate. electrocardiogram revealed st depressions of 0.5 mm in v4 to v6. hospital course: the patient was admitted due to acute renal failure, likely noted to be prerenal. blood cultures and urine cultures were drawn; about the same the previous day. a repeat chest x-ray done in the morning showed a new effusion in the left lower lobe encompassing almost the entire left lung. the decision was made to reverse the patient's coagulation profile and to perform a thoracentesis which was performed without any complications. approximately 50 cc of straw-colored fluid was removed. at approximately 9 p.m. later that day (on ), the patient subsequently desaturated. the patient was minimally responsive during this time period. thus, a portable chest x-ray was done which showed worsening effusion. electrocardiogram was done and showed a question of a junctional rhythm with st-t wave changes. due to the patient's deteriorated status, appropriate family members were called, and there was disagreement among family members as to the patient's code status. due to the fact that neither family members (sons) involved could produce documentation showing that they were a health care proxy, it was felt that the patient's wishes for do not resuscitate/do not intubate would be maintained if neither son could produce paperwork showing that they were a health care proxy. a repeat arterial blood gas showed increasing acidosis. the sons met with the on-call (who was dr. . after a lengthy discussion, the son agreed to................... perform in the event of respiratory failure. it was known by the patient that the patient did not want to be intubated. subsequent discussions with the patient's husband showed that the husband was also supportive and in agreement with the patient's wishes. repetitive arterial blood gases demonstrated worsening respiratory acidosis and worsening hypoxemia. a 2 a.m., was pronounced at patient's bedside for event. , m.d. dictated by: medquist36 procedure: thoracentesis diagnoses: pneumonia, organism unspecified acidosis anemia, unspecified unspecified pleural effusion congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation personal history of malignant neoplasm of bronchus and lung 

Answer: The patient is high likely exposed to