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: penicillins / tetracyclines / compazine / aminoglycosides attending: chief complaint: resp distress major surgical or invasive procedure: intubation and mechanical ventilation history of present illness: 44f with h/o including copd, restrictive lung dz secondary to neuromuscular disease (muscular dystrophy, possibly congential myasthenia ) and scoliosis, central sleep apnea, h/o ards, s/p cath w/ clean coronaries admitted w/ upper respiratory symptoms x 2 weeks followed by onset of cough productive of dark colored sputum, dyspnea, chest tightness, and pleuritic chest pain between scaplae x 3-4 days. the patient was seen by a vna today who was concerned b/o symptoms the patient was having and called her pulmonologist, dr. . dr. advised the patient to go to the emergency room. the patient was in her usual state of health until approximately two weeks ago when she developed subjective fevers (checked temp at home but was afebrile), chills, rhinorrhea, sore throat with associated headaches. this was followed by productive cough, then she developed sensation of chest tightness. she is on chronic oxygen at home 3l during the day and 4l at night and her o2 requirement have not changed. the patient's daughter was ill with upper respiratory infecton prior to the onset of the patient's symptoms two weeks ago. the patient was recently admitted to from for dyspnea and abdominal pain and was treated for pna/copd exacerbation and then was discharged to rehab. extensive gi w/u was unrevealing. she walks with walker or cane. ros she has chronic generalized muscular pain/aches and c/o burning with urination here in the emergency room because of foley. denies n/v, abd pain, diarrhea, constipation. no recent swelling in her legs. allergies: tetracyclin (vomiting) penicillin (edema) past medical history: neuromuscular disease (followed by dr. at ) central sleep apnea h/o ards s/p trach (for cardiopulmonary arrest after giving birth) h/o dvt copd restrictive lung dz severe scoliosis, depression fe deficiency anemia s/p clean cath migraines h/o ventricular tachycardia with question of rv dysplasia s/p appyndectomy c-section social history: lives at home with her boyfriend and daughter, 17. smoking: 100+ py history (5 packs per day) quit 8 year ago. etoh: denies ivdu: denies immunizations utd family history: mother, 67 colon cancer, heart problems. father died from etoh. sister with nm disease. two sisters with cancer. physical exam: physical exam: tc 98.3 110/37 89 18 97% on 4l o2 general: pale woman who appears older than her stated age, breathing comfortably on supplemental o2. a&ox3. nad. heent: marked ptosis bilaterally. dry muc membranes. op clear, no erythema, no tonsillar enlargement. cardiac: rrr. nml s1, s2. no m/g/r. lungs: bilateral crackles at bases. abdomen: +bs, soft nt, nd extremities: no c/c/e. neuro: cn 2-12 grossly intact. decreased tone. 4/5 strength proximally and 4+/5 distally. intact sensation to light touch throughout. + clonus at ankles with passive flexion. patellar reflexes brisk bilaterally. pertinent results: 04:12pm wbc-11.0 rbc-4.49 hgb-13.0# hct-37.4 mcv-83 mch-28.9 mchc-34.7 rdw-13.5 04:12pm plt smr-normal plt count-248 pltclm-1+ 04:12pm neuts-77* bands-7* lymphs-10* monos-4 eos-2 basos-0 atyps-0 metas-0 myelos-0 04:12pm glucose-74 urea n-10 creat-0.5 sodium-138 potassium-3.7 chloride-100 total co2-26 anion gap-16 04:12pm ck-mb-4 ctropnt-<0.01 04:12pm ck(cpk)-232* 04:12pm albumin-4.0 05:35pm urine color-yellow appear-clear sp -1.026 05:35pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-150 bilirubin-neg urobilngn-0.2 ph-5.0 leuk-neg 05:35pm urine rbc-0-2 wbc-0-2 bacteria-none yeast-none epi-0-2 trans epi- other: lung volumes c/w restrictive echo ef 60-70% rv dilated. mod pa htn. brief hospital course: patient was admitted to the micu with respiratory distress presumed secondary to underlying lung disease along with a new pneumonia. unfortunately, mrs. progressive respiratory failure was refractory to ventilatory efforts and antibiotic management and she passed away. 1. pna: again, the patient's pneumonia caused her acute respiratory failure. it was a presumed community-aquired pneumonia, but antibiotics were broadened to cover mrsa and gram-negative organisms. she was continued on vancomycin hcl 1000 mg iv q12h, metronidazole 500 mg iv q8h, azithromycin 500 mg iv q24h, aztreonam 1000 mg iv q8h. blood cultures and sputum cultures were unremarkable. 2. resp failure: as the patient did not with to be intubated, she was ventilated on bipap with suboptimal results. she had several episodes of agitation and required sedation to decrease her work of breathing and increase her level of comfort. the causes of her respiratory failure were a combination of pna as well as her underlying copd/restrictive lung disease (congenital ). she was also continued on albuterol and atrovent nebs. her outpatient pulmonologist ( , md) also followed her throughout her course. 3. myasthenia: pt had known congenital mg. she was followed by neuro for her course. they recommened no 3,4-dap or pyridostigmine for concern of worsening her resp status (along with avoiding ccbs, mg2+, quinidine-derivitives and aminoglycosides). she was initially started on dexamethasone 3 mg iv q8h, but this was tapered off as the benefit of this was unclear with her mg subtype. medications on admission: 1. lexapro 10 mg tablet 2 tabs po qd 2. pantoprazole 40 mg po qd 3. senna 8.6 mg po bid prn 4. gabapentin 300 mg po bid 5. oxycodone onaverage 20 mg po per day 6. diazepam 10 mg po q 12 hrs as needed. 7. bisacodyl 5 mg tablet, delayed release (e.c.) 2 po qd prn 8. furosemide 20 mg po qd (on the list but paitent states she does not take) 9. atenolol 25 mg po qd 10. polysaccharide iron complex 150 mg po qd 11. advair discus 12. vitd and calcium 13. methadone 20 mg po tid for chronic pain discharge medications: none discharge disposition: home facility: death discharge diagnosis: primary diagnosis: pneumonia, , death discharge condition: death discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified obstructive chronic bronchitis with (acute) exacerbation hematoma complicating a procedure other chronic pulmonary heart diseases acute and chronic respiratory failure hypotension, unspecified pneumonitis due to inhalation of food or vomitus diastolic heart failure, unspecified myasthenia gravis with (acute) exacerbation 

Answer: The patient is high likely exposed to