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: no known allergies / adverse drug reactions attending: chief complaint: respiratory distress major surgical or invasive procedure: none history of present illness: this is a yo f with a history of cva, baseline swallowing difficulties. she was apparently in her usoh at her long term care facility at 4pm when her son visited her. she had a recent diagnosis of progressing pulmonary fibrosis. she was found to be hypoxic to 79%on 3l nc and presented to where she was found to be hypotensive to 80/48 and remained hypoxic at 82% on nrb with respiratory distress. she was intubated and started on dopamine peripherally for hypotension. she was given zosyn/flagyl and 2l ivf and transferred to . prior to transfer she was made dnr for the ambulance ride, and thereafter. . in the ed, initial vs were: 99.6 130 119/51 99% on vent. cxr with bilateral patchy infiltrates and question of pna, pleural effusions, concern for aspiration. vancomycin added here. now on peripheral norepinephrine (0.04), son doesn't want cvc or other invasive procedures, nor does he want escalation of care. no increase in peripheral pressors. plan is for family to come back in am to address goals of care. access is 18g and 20g x2 piv. has gotten 2l ivf at . current vs: 78 152/52 18 100% on vent. on midazolam for sedation. . on the floor, she is intubated, not responsive. . review of systems: unable to obtain past medical history: cva with resultant aphasia, dysphagia chf pulmonary fibrosis dm htn depression. neuropathy. social history: lives in a long term care facility family history: unable to obtain physical exam: general: very thin elederly woman, intubated and sedated, unsresponsive heent: sclera anicteric, dry mmm, oropharynx clear neck: jvp not elevated, no lad lungs: clear to auscultation anteriorly with crackles laterally, bilaterally, no wheezes cv: normal rate and regular rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: cool, well perfused, 2+ pulses, no clubbing, cyanosis or edema skin: multiple ecchymoses, skin tenting neuro: left pupil large 4mm, non reactive- right pupil 2mm reactive pertinent results: admission labs 11:26pm blood glucose-152* lactate-4.8* na-160* k-3.5 cl-123* calhco3-19* 11:26pm blood ph-7.30* comment-green top 11:28pm blood urean-41* creat-1.1 11:28pm blood ctropnt-0.05* 11:28pm blood lipase-11 . cxr findings: in comparison with the study of , there is substantial increase in opacification bilaterally, especially at the right base. this suggests developing pneumonia on a substrate of significant interstitial lung disease. there are probable bilateral pleural effusions with compressive basilar atelectasis. monitoring and support devices remain in place. . wrist(3 + views) left port study date of 5:45 am three bedside radiographs of the left wrist. there is a comminuted prominently angulated colles fracture of the distal radial metaphysis which probably involves the distal articular surface. the navicular bone is poorly assessed with probable old postfracture deformity and marked narrowing of the radial talonavicular joint. there is loss of length of the dorsal portion of the radius with corresponding positive ulnar variance. prominent generalized emineralization. impression: comminuted intra-articular colles fracture . chest (portable ap) study date of 2:11 pm pending brief hospital course: this is a year old woman with pulmonary fibrosis, prior cva with resultant aphasia, htn, and dm who presented to -n in respiratory distress and was intubated for hypoxic respiratory failure thought to be secondary to aspiration. she had a history of swallowing problems related to her prior cva, as well as progressing pulmonary fibrosis contributing to baseline poor pulmonary function. she was admitted intubated after sudden onset of hypoxic respiratory failure. given recent hospitalization, she was started on vancomycin and zosyn for aspiration/hcap treatment. mini-bal was performed and cultures revealed yeast. her hypotension was from septic shock from a pulmonary source. she was hypotensive on arrival to -n requiring pressure support with dopamine, then levophed. she was volume resuscitated with 4 l of ns and initially continued on levophed 0.04 delivered peripherally upon arrival to . her son (healthcare proxy) requested no central venous catheters, pressors, or escalation of care. she was weaned off levophed and hypotension was managed with fluid boluses. in preparation for extubation she was diuresed with lasix drip. during her icu stay the patient began to experience large amounts of diarrhea. stool was sent for c difficile toxin assay, which was negative x 2. given her impressive leukocytosis, she was started on empiric therapy with po vancomycin and iv flagyl. c difficile pcr was sent. she had anion gap metabolic acidosis secondary to lactic acidosis with a lactate of 4.8. she was volume resuscitated as above and acidosis resolved. on admission, sodium was 160 which was likely an acute rather than chronic elevation. she appeared grossly volume depleted suggesting hypovolemic hypernatremia. she received 4l ns prior to arrival and was treated with dw5 with correction of serum sodium. the patient's left wrist was noted to be swollen with overlying hematoma on presentation. an x-ray was obtained that revealed a comminuted intra-articular colles fracture. orthopedics was consulted and performed a bedside reduction. her clinic condition improved moderately and she was able to be called out to the floor on . she was extubated on . goals of care were changed to cmo per family wishes. all of her medications were discontinued except morphine. foley catheter and rectal tube remained for comfort. she became dnr/do not re intubate. she was transferred back to her nursing home under hospice care. pending at the time of discharge: pcr of the stool for c difficile. medications on admission: 1. colchicine 0.6 mg daily. 2. gabapentin 200 mg t.i.d. 3. nph insulin adjusted to 10 units with dinner, 8 units with breakfast along with an insulin sliding scale. no longer getting novolog twicedaily. 4. multivitamin 1 tablet daily. 5. aricept 5 mg daily. 6. zocor 40 mg daily. 7. senna 2 tablets daily. 8. colace 100 mg b.i.d. 9. aspirin 81 mg daily. 10. valium 5 mg at 9:00 p.m. 11. celexa 40 mg daily. 12. lisinopril 10 mg daily. discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 2. morphine concentrate 100 mg/5 ml (20 mg/ml) solution sig: five (5) mg po every four (4) hours as needed for pain. disp:*60 ml* refills:*0* 3. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed for diarrhea. discharge disposition: extended care facility: - discharge diagnosis: aspiration pneumonia and respiratory failure advanced dementia cva possible clostridium difficile colitis discharge condition: mental status: confused - always. level of consciousness: alert. activity status: bedbound. discharge instructions: you were admitted because of aspiration and respiratory failure. you were intubated, extubated and treated with broad spectrum antibiotics. after discussions with your son, you were made dnr/dni with comfort measures only. all medications were stopped, except those used in comfort oriented care followup instructions: with hospice care providers at procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other diagnostic procedures on lung or bronchus diagnoses: acidosis anemia, unspecified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia unspecified protein-calorie malnutrition severe sepsis other persistent mental disorders due to conditions classified elsewhere acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock postinflammatory pulmonary fibrosis hypoxemia diarrhea do not resuscitate status hyperosmolality and/or hypernatremia accidents occurring in residential institution late effects of cerebrovascular disease, aphasia closed colles' fracture other late effects of cerebrovascular disease, dysphagia body mass index less than 19, adult fracture, cause unspecified dysphagia, unspecified 

Answer: The patient is high likely exposed to