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: this is a 45-year-old woman with a past medical history of back pain with pain medication addictions, who presented from an assisted-living facility with shortness of breath. patient was in her usual state of health until approximately three days prior to admission, when she noted onset productive of green sputum. she denied any fever or chills. this persisted over the next three days and was eventually accompanied by shortness of breath. over the last 12 hours prior to the presentation at , she became progressively more shortness of breath, requiring an emergency room visit. in the emergency room, she was noted to be hypoxic and tachycardic, with initial room air sats in the high 70's. initial arterial blood gas on 8 liters nonrebreather was 7.42/34/48. this improved to 7.39/42/372 with bipap. chest x-ray showed diffuse pulmonary edema/ards. cardiology was consulted, and a bedside echocardiogram was performed, and it was reportedly normal. when the patient remained persistently hypoxic and had increasing work of breathing, she was intubated. she was also pancultured, and given doses of levofloxacin and erythromycin. patient was admitted to the micu for hypoxic respiratory failure. past medical history: 1. back pain. 2. torticollis. 3. depression/bipolar disorder. 4. alcohol use. 5. posttraumatic stress disorder. 6. gastroesophageal reflux disease. 7. substance use. 8. history of overdoses on medications. medications prior to admission: 1. prempro. 2. tramadol 100 mg po qid. 3. klonopin 0.25 mg po bid. 4. fluoxetine 20 mg po q day. 5. benztropine 0.5 mg po bid. 6. protonix. allergies: penicillin and tricyclics - unknown reaction. social history: patient lives in assisted-living facility, the at . smokes 1-2 packs per day of tobacco times last 20 years. no known history of iv drug use, cocaine use. history of overdoses to tylenol, benadryl, xanax in the past. of note, the day prior to admission was the 18th anniversary of the patient's daughter's death. physical examination: vitals: temperature 98.3, pulse 96, blood pressure 121/83, 98% on fio2 100%. general appearance: patient was intubated, sedated. heent: pupils are equal, round, and reactive, and accommodated to light. sclerae are anicteric. extraocular eye movements intact. mucous membranes moist. no oral lesions noted. neck: supple. positive jugular venous distention. no bruits. no lymphadenopathy. lungs: crackles at both lung fields. heart: regular, rate, and rhythm, s1, s2 auscultated, no murmurs, rubs, or gallops. abdomen: soft, nontender, nondistended. normoactive bowel sounds. extremities: no clubbing or cyanosis, trace pretibial edema. pertinent laboratories, x-rays, electrocardiogram, and other tests: laboratory data on admission showed a white blood cell count of 14.3 with 88.8% neutrophils, 9% lymphocytes, hemoglobin 10.7 with mcv of 97, hematocrit 31.4, platelets 254. serum electrolytes on admission were a sodium of 134, potassium of 4.1, chloride 97, bicarb 20, bun 21, creatinine 0.9, glucose 159. coagulation profile showed a pt of 12.4, ptt 25.3, inr 1.0. urinalysis showed red blood cells, white blood cells, moderate bacteria, no yeast, epithelial cells. initial arterial blood gas: 7.4/34/48. this improved to 7.39/42/372 on 100% nonrebreather. chest x-ray upon admission showed bilateral air space opacities affecting the mid and lower lung zones. ct scan of the chest (): demonstrated diffuse alveolar process with ground-glass opacification and scattered areas of more confluent opacification, as well as thickened septal lines, particularly in the right lower lobe. differential diagnosis for this appearance is broad and included pulmonary edema, infection, and pulmonary hemorrhage. given the normal size of the heart, causes of noncardiogenic pulmonary edema should be considered, emphysema. electrocardiogram (): sinus tachycardia, rate 117. otherwise, normal tracing with no acute st-t changes. chest x-ray (): interval decrease in the extent of diffuse opacities over lung fields suggestive of improved pulmonary edema. there are no pulmonary effusions. soft tissue osseous structures unremarkable. lines and tubes in appropriate position. sputum culture: rare op flora. sputum gram stain: gram-negative rods. blood cultures: negative x2. urine culture: negative with no growth. urine legionella antigen negative. serum toxicology screen: positive for acetaminophen. urine toxicology screen: positive opiates, status post intubation. hospital course: 1. hypoxic respiratory failure, diffuse pulmonary edema: patient presented with an ards-like picture. etiology included infectious versus toxic ingestion related. she was started on the ards-net ventilation strategy. permissive hypercapnia was allowed for. fio2 was weaned as tolerated. in light of the concerns for an infectious etiology, she was started on levaquin and azithromycin. after results of her sputum culture returned showing gram-negative rods, she was switched to levaquin and gentamicin. by , the patient was awake and moving. her fio2 and peep were weaned down throughout the course of the day, she tolerated this well. by , the patient was in clinically improved via stable oxygenation status and improving chest x-ray. on the morning of , she was extubated without incident. after extubation, the patient was transferred to general medicine floor. initially, she was started on o2 via nasal cannula. her o2 was weaned down as tolerated by her saturation levels. at the time of discharge, she was stable on room air. additionally, she was continued on levaquin for the course of her stay in order to cover for an infectious etiology for her diffuse pulmonary edema, although her cultures returned negative. 2. hypotension: on , the patient had an episode of hypotension to blood pressure of 70/40. a right radial arterial line and left subclavian central line were placed in the micu. the patient required dopamine for this episode of decreased blood pressure. initially she was started on hydrocortisone 100 mg iv q8h. her blood pressure stabilized, and dopamine was weaned. 3. psychiatric: a possible etiology of the patient's diffuse pulmonary edema included toxic ingestions. as patient had history of overdoses, serum urine and toxicology screens were sent with results as above. she was started on ativan and fentanyl to cover for benzodiazepine or narcotic withdrawal. initially her outpatient psychiatric medications were held with the exception of her fluoxetine. a psychiatric consultation was obtained. impression was that the patient likely had impaired judgement and poor impulse control. she may well have taken excess medications without suicidal intent. recommendations from psychiatry included continuation of standing klonopin doses ordered, and monitoring for possible alcohol withdrawal with treatment of benzodiazepines per ciwa protocol if clear symptoms of withdrawal. the patient initially expressed interest in discharge to a hri mental health program. she was screened by social work and a psychiatric nurse case manager. however, ultimately, patient decided that she would like to be discharged to home with additional mental health nursing services. condition on discharge: good. discharge status: home with services. discharge diagnoses: 1. pulmonary edema. 2. depression/bipolar disorder. 3. anxiety. 4. past history of overdose. discharge medications: 1. levofloxacin 500 mg one tablet po q day x7 days. 2. tramadol 50 mg two tablets po qid. 3. fluoxetine 20 mg one tablet po q day. 4. benztropine 0.5 mg one tablet po bid. 5. ferrous sulfate 325 mg one tablet po bid, do not take at the same time as levofloxacin. 6. clonazepam 0.5 mg one tablet po tid. follow-up plans: 1. patient was instructed to make an appointment with her primary care physician, . within the next two weeks. she was instructed to have her hematocrit checked at dr. office as her last hemoglobin was 9. 2. additionally, she had an appointment with dr. at the clinic center, department of neurology on at 1:15 pm. post-discharge services: tender loving care mental health services, nursing. will provide outpatient home psychiatric services, home safety evaluation, and mental health nursing service as needed. , m.d. dictated by: medquist36 d: 18:01 t: 06:58 job#: procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances arterial catheterization arterial catheterization diagnoses: pneumonia, organism unspecified esophageal reflux iron deficiency anemia secondary to blood loss (chronic) depressive disorder, not elsewhere classified acute respiratory failure pulmonary congestion and hypostasis 

Answer: The patient is high likely exposed to