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: failure to thrive major surgical or invasive procedure: none history of present illness: yo female with recent diagnosis of metastatic cancer with unkown primary, who presented to the ed with abdominal discomfor and nausea and poor po intake for three days. she denies chest pain, shortness of breath, n/v, fever, chills, dysuria. she is a poor historian and notes that she "feels uncomfortable". she has 2 pillow orthopnea, no pnd, no increased swelling. at home, she is functional, cooks for herself, cares for herself. she has 2 nieces that check in on her. past medical history: metastatic cancer - primary unknown arthritis social history: lives alone at home. she denies tobacco, alcohol use. family history: mother - hypertension physical exam: vs: 96.5, 120/54, 50-100, 20, 97%on 2l genl: cachectic female in nad heent: jvp sligtly elevated lungs: cta anteriorly cv: rrr, nl s1,s2, no murmur abd: soft, nontender ext: ulnar deviation, 1+ pedal pulses, no edema neuro: a&o, pertinent results: 10:33pm glucose-157* urea n-16 creat-1.2* sodium-139 potassium-6.4* chloride-99 total co2-13* anion gap-33* 10:33pm alt(sgpt)-12 ast(sgot)-62* ck(cpk)-136 alk phos-1195* amylase-130* tot bili-0.4 10:33pm lipase-30 10:33pm ck-mb-5 ctropnt-0.86* 10:33pm calcium-10.7* phosphate-8.3*# magnesium-2.9* 10:33pm cortisol-72.0* 10:33pm wbc-19.1* rbc-4.22 hgb-11.7* hct-39.2 mcv-93# mch-27.8 mchc-30.0*# rdw-13.8 10:33pm neuts-66 bands-4 lymphs-23 monos-3 eos-2 basos-0 atyps-0 metas-2* myelos-0 10:33pm hypochrom-1+ anisocyt-normal poikilocy-2+ macrocyt-normal microcyt-normal polychrom-normal ovalocyt-1+ burr-1+ teardrop-1+ 10:33pm plt count-557* 10:14pm type-art temp-36.1 o2-70 po2-115* pco2-41 ph-7.10* total co2-13* base xs--16 intubated-not intuba 10:14pm lactate-12.1* 07:02pm ck(cpk)-60 12:48pm urine color-straw appear-clear sp -1.013 12:48pm urine color-straw appear-clear sp -1.013 12:48pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 12:25pm glucose-115* urea n-14 creat-0.7 sodium-136 potassium-4.8 chloride-101 total co2-22 anion gap-18 12:25pm alt(sgpt)-8 ast(sgot)-41* ck(cpk)-70 alk phos-1162* amylase-61 tot bili-0.4 12:25pm ck-mb-notdone ctropnt-0.70* 12:25pm lipase-25 12:25pm albumin-3.5 calcium-9.8 phosphate-3.1 magnesium-2.1 cholest-208* 12:25pm triglycer-144 hdl chol-50 chol/hdl-4.2 ldl(calc)-129 12:25pm wbc-13.3* rbc-4.47 hgb-12.5 hct-37.1 mcv-83 mch-28.0 mchc-33.7 rdw-14.0 12:25pm neuts-79.1* lymphs-16.0* monos-3.8 eos-0.7 basos-0.3 12:25pm plt count-513* studies: tte: ef=40%, multiple wma head ct: large right mca stroke brief hospital course: yo female, with multiple medical problems, s/p mi and large r cva, who failed extubation, was made cmo due to poor prognosis, and passed away comfortably. 1. respiratory failure: known cancer metastatic, likely lung ca despite bal neg with mass on cxr. now with likely pneumonia. abg on micu admission with extremely acidemic anion gap metabolic acidosis with elevated lactate, likely respir distress inability to compensate with respirations from underlying disease. also with rll pna on cxr, on levaquin/flagyl, 7-day course; pt extubated, did well initially, then was reintubated for increased work of breathing. need for reintubation thought to be pulmonary edema/chf (as pt s/p new mi). pt was made cmo by family after prognosis was discussed. pt passed away on . 2. nonanion gap metabolic acidosis: ag 27 on micu admission, likely acute mi with spilled lactate. intubation allowing for respiratory compensation. lactate and abg improving. pt was initially extubated, was reintubated for increased work of breathing, eventually made cmo before she passed away. 3. malaise/neuro - antiemetics prn for nausea - likely myocardial ischemia- repeat ekg showed improved st changes lateral precordium. pt to get mri/mra ; ct showed large stroke of r-mca/right posterior parietal and pt with left hemineglect. will ck more thorough neuro exam when pt completely alert. what will be her prognosis for regaining function? can she handle her secretions post-extubation. after pt was reintubated, neuro recommended carotid duplex if aggressive workup was pursued, but pt was made cmo, and expired. 4. + cardiac markers and tachypnea: large lateral v5 and v6 st depressions on primary ekg. tachypnea noted on exam though pt denied sob, o2 sats high 90s on minimal o2 (2l). pt thought to have had a large mi by cardiac markers, ekg changes. ef showed decreased systolic function (ef=40%). when pt was extubated, she had increased pulmonary edema/chf (likely to the pressure effects of extubation on preload and afterload). re-extubation was thought to be an unlikely possibility given her cardiac status. family did not want to pursue aggressive measures (cardiac cath/cabg), she was made cmo, and passed away. 5. hypotension: likely cardiogenic shock, on levophed. goal cvp 15 (given it may be falsely elevated given pulm htn); will give fluids (and blood products as necessary). pt now with a-line. goal sbp>120 given recent stroke. bp stable now off pressors. pt failed extubation as above. 6. sinus tach: unclear etiology, afebrile, denies pain, no pulsus. is anxious. have pe given ca hx, but given cxr and phys exam will diurese first, if no improvement, consider cta (again question if we would heparinize). now stable. 7. cancer: no treatment now, pt has declined treatment in the past. 8. leukocytosis: 79% neutrophils. , follow for now. rll pna on cxr. on levaquin and flagyl; wbc is coming down and pt afebrile; will monitor. 7-day empiric course levo/flagyl 9. anemia: pt with low hct; guaiac negative; are cking hemolysis labs as well as b12/folate; c/w acd; will transfuse for goal>30 10. gerd: ppi 11. fen: nutrition c/s. tube feeds. 12. proph: ppi, sqh; constipation: bowel meds 13. code: pt was initially full code as per her wishes. after she failed extubation, prognosis was discussed with her family, and she was made cmo. pt was extubated, put on a morphine drip, and she passed away comfortably on . medications on admission: darvocet asa k-dur discharge medications: none discharge disposition: extended care facility: pt expired on discharge diagnosis: respiratory failure myocardial infarction with resultant congestive heart failure and pulmonary edema stroke discharge condition: deceased discharge instructions: none followup instructions: none md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: pneumonia, organism unspecified acidosis anemia, unspecified esophageal reflux congestive heart failure, unspecified unspecified protein-calorie malnutrition acute myocardial infarction of other anterior wall, initial episode of care occlusion and stenosis of carotid artery without mention of cerebral infarction acute respiratory failure cardiogenic shock malignant neoplasm of other parts of bronchus or lung cerebral artery occlusion, unspecified with cerebral infarction secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to