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: codeine / demerol / plavix / percocet attending: chief complaint: sob major surgical or invasive procedure: intubation history of present illness: 57 y.o. female with hx asthma, cad, dm ii, hypothyroidism, anxiety/agarophobia and depression, who presented to the ed today with sob and agitation. patient is unable to provide history as she is intubated at this time. history is obtained from patient's daughter who does not live with the patient. according to the patient's daughter the patient has been in her usoh until a few days ago when she started complaining of sob initially relieved with albuterol inhaler. daughter reports speaking with pt on the phone day prior to admission and pt has not mentioned any complaints to her. her sob has been getting progressively worse and this morning she developed increased wob and had to come in to the ed. in the ed, the patient was noted to have increased wob and was very agitated. ed initial vitals 98.3 108 207/78 20 100% on nrb and 88% on raher lung exam was described as having bilateraly wheezing and crackles. she was given nebs, 125 mg of solumedrol iv, levofloxacin for presumed uti, 5 units of insulin, a total of 3 mg of ativan and valium 5 mg for anxiety, and was placed on oxygen. she then was noted to be somnolent and difficult to arouse. patient was intubated and placed on ac 500x15; peep 5; fio2 100%. abg was checked post-intubation and was 7.06/98/374. cxr and cta done (see below). . per family, no fevers, chills recently. no cough. no ill contacts. bloody stools recorded in ed record. patient's so reports that she ran out of levothyroxine x 2 wks recently. . of note, the patient was recently seen in pcp's office. her tsh was noted to be 9 and levothyroxine dose was increased. she was also started on bactrim for presumed uti. . called out to floor on - patient reports that she is feeling well. sob is significantly improved, no cough. no chest pain, abdominal pain. eating well. urinating without difficulty after removal of foley. past medical history: 1. diabetes type ii on nph and ss at home, last hgba1c 9.4% () 2. htn 3. hypothyroidism, last tsh 9.3 () 4. major depressive disorder 5. anxiety with agoraphobia 6. cad, s/p stent in mid lcx, mid and distal rca and lvef 58% lv-gram 7. two prior episodes of confusion with abnormal eeg findings (evidence of focal irritability). she was started on tegretol and recent level was 6.2. 8. asthma. on flovent and albulterol at home. no pfts on record. never hospitalized for asthma exacerbation. never intubated. 9. s/p hysterectomy social history: widow. lives at home with boyfriend. as a secretary at a red cross. has a daughter. alcohol: occasionally. tobacco: a few cigs/day. has smoked x 35 years and "much more" than just a few cigs in past. family history: fx of dm ii and heart disease, no asthma hx known of relatives physical exam: vs: 97.8 78 (78-80) 145/65 92% on a vent current vent ac 500x20; peep of 5; fio2 30% general: intubated, sedated, follows some simple commands, does not appear to focus heent: nc, at, per sluggishly reactive from 3 mm to 2 mm, no scleral icterus, mm sl dry neck: supple, no elevated jvp appreciated cv: regular, nl s1s2, no m/r/g pulm: soft crackles bilterally abd: + bs, soft, obese, nt, nd, well healed vertical midline scar c/w prior c-section ext: trace le edema, no pretibial myxedema, extremities are cool to touch neuro: moving all 4 xtr; lightly sedated skin: maculopapular rash with excoriated papules on abdomen and arms pertinent results: ekg: sinus rate 116, st depressions in v4-v6 and ii, iii, avf (new c/w prior). . cxr : persistent bilateral interstitial pattern. this could represent recurrent interstitial pulmonary edema, but differential diagnosis includes interstitial infection and a more chronic interstitial infiltrative process. if there is clinical evidence of volume overload, initial evaluation with follow up chest x-rays after diuresis would be suggested. if persistent, high-resolution ct may be helpful for better characterization if warranted clinically . cta : 1. no evidence of pulmonary embolism or aortic dissection. 2. focal opacity seen at the anterior aspect of the left and right lungs, possibly representing focal area of atelectasis versus infection. . prior studies: exercise-mibi : 4.8 mets probable reversible defect involving the basal inferior wall. moderately depressed left ventricular function with inferior hypokinesis. . brief hospital course: 1. hypercarbic respiratory failure: etiology is not entirely clear - ? chf exacerbation and/or asthma causing development of initial respiratory symptoms, further exacerbated by multiple doses of benzodiazepines given for anxiety in the ed. also has history of hypothyroidism - abnormal tfts but no bradycardia, hypothermia, or other symptoms that suggest myxedema coma. cxr with interstitial infiltrate vs. pulmonary edema. patient required intubation in the ed for respiratory distress. she was able to be extubated on hospital day 2 and was transferred to the floor. asthma exacerbation was treated with solu-medrol and then was switched to a prednisone taper. patient received albuterol and ipratropium inhalers. she was also started on levofloxacin and azithromycin empirically to cover for a uri. a nasopharyngeal aspirate for viral pathogens was negative. patient was started on furosemide and diuresed. wbc elevated during her stay although most likely secondary to steroids - wbc were wnl on admit, increased after getting solu-medrol, and trended down as steroid dose was decreased. antibiotics were discontinued. on discharge patient was continued on albuterol and ipratropium, a prednisone taper, and furosemide. . 2. pleural effusions: etiology unclear. fevers, chills to suggest infection. profound hypothyroidism may results in pleural effusion but unlikely to be the case here. most likely can be attributed to her chf. echo on with ef of 40 % (this is unchanged from exercise mibi in with calculated ef of 40%). patient will be discharged on standing furosemide. she will follow-up with her pcp next week who will repeat her cxr and adjust her furosemide dose as necessary. she should also have her electrolytes checked at that time. . 3. anemia: acute hct drop from 35.8 on admission to 28. ed chart has documented blood in stool. recent colonoscopy negative. no bowel movements during admission. no obvious source of bleeding. gastric lavage was negative. no recent instrumentation to be concerned about retroperitoneal bleed. bilateral pneumothoraces unlikely. hct stable since admission. coags wnl. no transfusions during this admission. anemia may be related to hypothyroidism and should be followed up in out-patient setting. . 4. cad s/p stents: st depressions in lateral and inferior leads on ekg changes. ck slightly elevated, but mb and trop negative. patient with recent stress mibi in and seen by cardiology in , recommended ongoing medical management. no chest pain during this admission. patient was continued on asa, atorvastatin, metoprolol and lisinopril. . 5. uti: treated with a course of levofloxacin. . 6. hypothyroidism: tsh up to 17 from 9.4 recently. discussed with endocrine fellow: no indications for t3 at this time. levothyroxine 150 mcg po daily, per endocrine - recheck tfts in one month. . 7. dm: poorly controlled, was initially on insulin gtt when on the icu. seen by endocrine who made recommendations for a home regimen of nph and a regular insulin sliding scale. patient was discharged on nph and regular insulin. . 8. depression/anxiety/psych: continued on home regimen of paxil, klonopin, and valium. medications on admission: albuterol inh 1 puff qid prn wheezes aspirin 325mg every day atenolol 50mg every day atorvastatin calcium 10 mg daily carbamazepine xr 400 mg daily diazepam 5 mg qhs flovent 2 puff twice a day insulin klonopin 0.5mg prn levothyroxine sodium 150 mcg daily lisinopril 10 mg po daily nortriptyline 50 mg po qhs paxil 20 mg po qd bactrim (started ) x 7 days discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. nortriptyline 25 mg capsule sig: two (2) capsule po hs (at bedtime). disp:*60 capsule(s)* refills:*2* 5. senna 8.6 mg tablet sig: 1-2 tablets po daily (daily) as needed for constipation. disp:*60 tablet(s)* refills:*3* 6. carbamazepine 100 mg/5 ml suspension sig: two (2) po bid (2 times a day). disp:*qs qs* refills:*2* 7. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day) as needed for constipation. disp:*qs qs* refills:*3* 8. levothyroxine 150 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. pantoprazole 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* 10. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs* refills:*2* 11. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. disp:*qs qs* refills:*3* 13. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*qs qs* refills:*2* 14. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 15. prednisone 10 mg tablet sig: five (5) tablet po once a day: take 50 mg (5 pills)on mg (4 pills)on mg (3 pills)on - you should discuss further dosing with your pcp . disp:*30 tablet(s)* refills:*2* 16. furosemide 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 17. insulin nph human recomb 100 unit/ml suspension sig: 40 units in am, 20units at bedtime subcutaneous qam and qhs. disp:*qs qs* refills:*2* 18. insulin regular human 300 unit/3 ml insulin pen sig: per sliding scale subcutaneous 4 x daily per sliding scale: sliding scale as recommended by the endocrinologist will be provided in your discharge paperwork. disp:*qs qs* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses congestive heart failure asthma exacerbation * secondary diagnoses coronary artery diease hypothyroidism depression anxiety discharge condition: good discharge instructions: please take all of your medications as prescribed. you were started on a new medication called furosemide (lasix) - your pcp will adjust the dosage of this as needed. you were also given a prescription for prednisone. you should take this as prescibed until your see your pcp in clinic. he will then advise when to stop the prednisone. . please call your doctor or return to the emergency department if you develop chest pain, shortness of breath, if you cannot eat, drink, or take your medications, or you develop any other symptoms that are concerning to you. followup instructions: please follow-up with your pcp , .d. on thursday - please call to confirm your appointment . you should have your electolytes checked then, and you should have your thyroid function checked again in two weeks. * you also have the following apointments coming up: 1. provider: , psychiatry opd phone: date/time: 5:00 . 2. provider: , psychiatry opd phone: date/time: 5:00 . 3. provider: , md phone: date/time: 3:15 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: tobacco use disorder unspecified pleural effusion congestive heart failure, unspecified acute respiratory failure major depressive affective disorder, single episode, unspecified chronic obstructive asthma, unspecified diabetes with unspecified complication, type ii or unspecified type, uncontrolled panic disorder without agoraphobia 

Answer: The patient is high likely exposed to