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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: intubation history of present illness: ms. is a 59 year old woman with a history of chronic paranoid schizophrenia and copd who presented to the ed from her group home brought in by ems. she had respiratory distress while in the group home and her son called ems, who found her to be hypoxic to mid 80s. she was given nitro and lasix en route to the hospital, and was intubated shortly after arrival for labored breathing. first sets of labs found her to be hyponatremic (112). there is an issue of guardianship of this woman as her son, who also has schizophrenia, has been suspected to abuse her in the past. in the ed, her vitals were afebrile, bp 92/50, hr 70, sats 100% on ac 450 x 16, peep 5. she received dopamine, ceftriaxone and azithromycin. she is transferred to the for further monitoring and management of her hypoxia. her pcp is dr , phone . past medical history: - h/o schizophrenia, diagnosed after first hospitalization in , at age 26 for psychosis - last hospitalized at - received care at until , when she transferred to because she "would get more attention" - dmh client, case worker - case manager at house - denies suicide attempts or h/o violence - current psychiatrist dr. at - rep payee through behavioral health ( ) social history: the patient was born and raised in , and moved with her son to 10 years ago. there is no history of substance abuse problems except for smoking tobacco. family history: family history: house, pt has 2 brothers with schizophrenia physical exam: vs: t 97.7, bp 119/53, hr 78, sat 94% on fm general: well-appearing middle-aged woman, lying flat in bed in nad, using face mask with hydration heent: eomi, anicteric, mmm neck: flat jvp chest: expiratory wheezes and rhonchi throughout cardiovascular: rrr, prominent s2, no m/r/g abdomen: soft, nt, nd, nabs extremities: no edema neuro: asleep but awoke to voice; good attention; cooperative; cn 2-12 intact; 5/5 strength in ue/le bilaterally; sensation to lt intact throughout; gait deferred. pertinent results: 06:05pm wbc-8.3 rbc-4.09* hgb-12.7 hct-34.3* mcv-84 mch-31.0 mchc-37.0* rdw-13.1 06:05pm neuts-89.1* bands-0 lymphs-8.1* monos-2.6 eos-0.1 basos-0.1 06:05pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 06:05pm plt smr-normal plt count-299 . iron 36, tibc 243, ferritin 67, folate 8.2, b12 699 06:05pm pt-11.5 ptt-30.7 inr(pt)-1.0 . lactate-0.9 . 06:05pm glucose-146* urea n-3* creat-0.4 sodium-112* potassium-4.5 chloride-79* total co2-28 anion gap-10 06:05pm calcium-9.0 phosphate-3.6 magnesium-1.8 uric acid-1.5* . ck(cpk)-445, 308, 202 ckmb 21, 16, 12 ctropnt-<0.01 x 2 . probnp-504* am cortisol 13.3 . 06:05pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg . 08:38pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg . 08:38pm urine hours-random creat-22 sodium-69 08:38pm urine osmolal-261 serum osm 230 . 06:30pm urine color-straw appear-clear sp -1.006 06:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg . mrsa screen: pending 11:01 pm sputum source: expectorated. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive cocci. in pairs. respiratory culture (final ): sparse growth oropharyngeal flora. blood cx: pending urine cx: no growth . cxr : one view. comparison with the previous study done earlier the same day. the lungs remain clear. the heart and mediastinal structures are unremarkable and unchanged. an endotracheal tube has been inserted and terminates at the thoracic inlet. a nasogastric tube has been inserted and ends beneath the left hemidiaphragm in the region of the gastric fundus. a fracture of the right seventh rib is again demonstrated. impression: status post intubation. no other significant change. brief hospital course: a/p 59 year old woman with history of asthma/copd and paranoid schizophrenia, admitted with hypoxia and hyponatremia. 1) hypoxia: suspect copd flare due to uri. no pneumonia on chest xray. she initially required intubation but was quickly weaned and treated with azithromycin, steroids, and nebs. a mrsa swab is pending given gpc were noted on sputum gram stain but given her clincal improvement, she does not need any further antibiotics at this time, regardless of the results of this test. her o2 sats are now in the low 90s on room air with occasional desats into the upper 80s. she has completed her azithromycin and is weaning off the steroids. she will continue on advair and tiotropium with prn albuterol as an outpatient. please encourage continued incentive spirometer. . 2) hyponatremia: suspect psychogenic polydypsia given low urine osm (so unlikely siadh) and continued to improve with subsequent lasix diuresis (so unlikely hypovolemia). her sodium remained stable in house on a 2 liter fluid restriction. . 3) iron deficiency anemia: hematocrit remained stable at 33 and patient was continued on her iron. . 4) schizophrenia: psychiatry was consulted in house to assess her competency. they feel patient does not have the capacity to make the decision to leave dmh housing and agree with pursuing guardianship, as pcp is . they suggested continuing her current psychiatric regimen. patient's mood remained stable. she had no suicidal ideation or hallucinations. . 5) metabolic alkalosis: onset following intubation, even without diuresis. suspect due to quick correction of a chronic respiratory acidosis. her bicarb is now improving. . 6) dispo: patient discharged to () medications on admission: risperidone 2 mg tablet sig: three (3) tablet po hs (at bedtime). clonazepam 0.5 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). combivent ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 2. risperidone 2 mg tablet sig: three (3) tablet po hs (at bedtime). 3. clonazepam 0.5 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). 4. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath/wheezing: please use with spacer. 8. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 9. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. prednisone 10 mg tablet sig: 1-2 tablets po once a day for 4 days: follow taper. discharge disposition: extended care facility: center - discharge diagnosis: primary: copd flare hyponatremia due to psychogenic polydypsia metabolic alkalosis secondary: iron deficiency anemia schizophrenia discharge condition: good: stable with intermittent need for supplemental o2, afebrile, breathing comfortably discharge instructions: please monitor for temperature > 101, worsening shortness of breath, chest pain, decreased mental status, or other concerning symptoms. please monitor for excessive water intake (suspect psychogenic polydypsia). please taper prednisone as follows: take prednisone 20 mg po qdaily take prednisone 10 mg po qdaily followup instructions: please follow-up with dr. within 1-2 weeks to follow-up this hospital admission and to discuss a screening colonoscopy. phone: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: hyposmolality and/or hyponatremia iron deficiency anemia, unspecified chronic obstructive asthma with (acute) exacerbation mixed acid-base balance disorder paranoid type schizophrenia, chronic 

Answer: The patient is high likely exposed to