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 a 50-year-old female who presents with an acute episode of shortness of breath to the . she has a past medical history significant for hypertension, diabetes mellitus, obstructive sleep apnea and question restrictive lung disease. she was in her usual state of health until the day of admission when, while walking at , she became acutely short of breath. over the next 30 minutes, the dyspnea became worse and she became diaphoretic. she did not have any chest pain. she was transferred by ems to where she was found to be in pulmonary edema, had small st elevations in v1 and also became hypotense. she was intubated, given nitroglycerin, started on a dobutamine drip and then brought to the for further management. past medical history: 1. hypertension 2. question restrictive lung disease 3. sleep apnea 4. type ii diabetes mellitus medications before admission: 1. metformin 850 mg tid 2. nph insulin 85 in the morning, 35 in the evening 3. aspirin 325 mg qd 4. lisinopril 5 mg qd 5. atenolol 100 mg qd 6. lasix 40 mg qd 7. theophylline 300 mg 8. beclomethasone inhaler 9. dexamethasone 1 mg qd allergies: seafood - she had a severe reaction requiring hospitalization. family history/social history: both parents died when she was very young. she is an ex-smoker, ex-alcoholic. does not work. she is on disability. hospital course by system: 1. cardiac: she had three issues - rhythm, pump and coronary artery disease. in terms of her rhythm, the patient was shocked twice in the emergency department because of concern for a flutter versus sinus tachycardia. there was no response. she was transferred to the ccu where she was taken off the dopamine drip, but she remained tachycardic. she was eventually felt to be in sinus tachycardia secondary to pneumonia. pulmonary embolus was ruled out by ct angiogram. lopressor was started and her rate became under control and lopressor was eventually increased to 75 tid. in terms of her pump, a chest x-ray initially revealed bilateral infiltrates consistent with pulmonary edema. a bedside echocardiogram showed no lv dysfunction. she was felt to have diastolic dysfunction, which in the context of her sinus tachycardia put her into failure. while in the ccu, she was aggressively diuresed. diltiazem was started, but then it was discontinued because it had no effect on her rate. in term of her coronary artery disease, she has no past medical history significant for coronary artery disease, but risk factors are present. an ace inhibitor was started, but it was also discontinued in the ccu secondary to hypotension. 2. pulmonary: pneumonia: on admission, she had a white blood count of 28. on hospital day 2, she was found to have sputum and blood cultures that were growing gram positive cocci in pairs. she was started on ceftriaxone and levaquin and the ceftriaxone was eventually discontinued. ventilation: she was intubate in the emergency department and when admitted to the ccu, was on 100% inspired oxygen ventilator settings. she was aggressively diuresed given albuterol nebulizers and intravenous steroids and on hospital day 4, was transferred to the medical intensive care unit because of failure to wean from the vent. on hospital day 7, she was extubated and saturating 93% on 5 liters nasal cannula. she is on 3 liters nasal cannula at baseline at home. restrictive lung disease: this was believed to have been a contributing factor to her dyspnea. the history, though, is unclear. 3. infectious disease: as mentioned previously, the pneumonia on hospital day 2, the sputum culture grew strep. she was started on levofloxacin and ceftriaxone. the ceftriaxone was discontinued. over time, her white blood count gradually decreased from 28 to 11.9 and she became afebrile. blood cultures from grew alpha streptococci and gamma hemolytic strep. these were felt to be a contaminant. on , blood cultures were drawn and these were shown to be negative. urinary tract infection: a urine culture from was negative. 4. endocrine: diabetes: she was placed on a regular insulin sliding scale and once she started taking po's, was put on standing nph insulin orders. hypercalcemia: calcium was noted to be persistently greater than 10 towards the end of her hospital stay. pth level was drawn and her hypercalcemia will be worked up as an outpatient. 5. gastrointestinal/fen: she went from npo to tube feeds to eating solid foods on . she did develop diarrhea while in the intensive care unit. clostridium difficile antigen was negative. the diarrhea eventually improved. when she was transferred from the intensive care unit to the medicine service on which was hospital day 9, vital signs were the following: temperature 98.6??????, blood pressure 128/80, pulse 96, respirations 20 and saturating 96% on 3 liters. she was sitting comfortably. pupils were equal, round and reactive to light. mucous membranes were moist. the lungs were clear to auscultation. on cardiac examination, regular rate and rhythm, s1, s2, no murmurs, rubs or gallops. the abdomen was soft and there was trace edema in the extremities. the patient had a stress test in . it was a persantine mibi. there were no anginal type symptoms with no ischemic electrocardiogram changes. there was also no evidence of myocardial perfusion defects. the ejection fraction was approximately 55%. there were no wall motion abnormalities and a prominent right ventricle was noted. on , the day after her stress, the patient was deemed fit to return home. she had had a physical therapy evaluation that felt that she would be fine to go home on this day. the patient had a pth done which is still pending to work up her hypercalcemia. the patient also had a urine cortisol done because of concern for a slightly cushingoid appearance. the patient is to follow up with these results with her primary care physician. patient was discharged home in good condition. discharge diagnoses: 1. pulmonary edema likely secondary to diastolic dysfunction in the setting of a sinus tachycardia secondary to pneumonia 2. hypertension 3. sleep apnea 4. diabetes 5. restrictive lung disease on discharge, the patient was to continue her previous medications from before her hospital admission. she was also given a prescription for combivent, for albuterol and she was also given a prescription for levofloxacin 500 mg qd to finish a 10 day course of treatment for her pneumonia. she was admitted on and discharged on . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute respiratory failure unspecified sleep apnea paroxysmal supraventricular tachycardia cushing's syndrome 

Answer: The patient is high likely exposed to