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: cc: sob reason for micu admission: respiratory distress major surgical or invasive procedure: endotracheal intubation from history of present illness: this is a 53 y.o with multiple sclerosis and asthma with 2 days of cough, sob, and fever upto 102 per husband. she had increased agitation, ams, and unwitnessed fall per husband. . in the ed, inital vitals were tm 101.6, bp 129/60, hr 88, rr 16, sat 96% on 6l. abg 7.31/44/65. cxr found opacification of the left lung with question of layering pleural effusion vs. lobar collapse. the right lung with patchy airspace opacity with concern for pna. she received dose of levofloxacin and ceftriaxone. pt also given nebs and lorazepam. ekg unchanged, head and neck ct was negative. . per neurology, she has limited o2 sats, advanced ms, and sleep disturbances. . upon speaking with pt's family, pt normal waxes and wanes in terms of alertness. . of note, she was admitted and treated for left sided pneumonia with flagyl/levo. however, abx switched to vanco/azithro/flagyl/cefepime. her symptoms gradually improved. . ros: unable to assess for complete ros as pt with altered ms. . past medical history: multiple sclerosis venous stasis dermatitis constipation disruption of sleep wake cycle depression chronic pain . social history: lives with husband in . quit smoking for seven years and just restarted this past summer. currently smoking a pack a week. family history: mother with breast cancer at 76. alzheimer's disease son with asthma physical exam: on presentation: vitals: t. 99.7 bp 127/61, hr 97, rr 23 sat 99% on 15% nrb gen: obese,ill appearing, mild respiratory distress, 2 word sentences, confused, lethargic heent: +l.eye abrasion, ~3cm, dried blood. +ecchymoses l.eye. eomi, anicteric, perrla, mmm neck: supple, unable to assess for jvp 2/2 body habitus, no lad chest: b/l ae, anterior exam, +diffuse rhonchi l.lung, exp wheezing l.lung heart: s1s2 rrr no m/r/g abd:+bs, ttp llq, soft, distended, obese, no guarding/rebound ext: no c/c/ trace edema, 2+pulses, chronic venous status changes. neuro: aaox2 (name/place) perseveration over place, +full body intermittent twitching, fromx4, no tremor. . pertinent results: admission labs: 05:05am wbc-7.4 rbc-3.68* hgb-11.7*# hct-35.3* mcv-96 mch-31.7 mchc-33.1 rdw-14.0 05:05am neuts-90.6* lymphs-6.2* monos-2.8 eos-0.1 basos-0.2 05:05am plt count-163 04:55am type-art po2-65* pco2-44 ph-7.31* total co2-23 base xs--4 intubated-not intuba 05:05am albumin-4.0 calcium-9.6 phosphate-2.9# magnesium-2.0 05:05am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:05am ck-mb-8 ctropnt-<0.01 probnp-1300* 05:05am lipase-16 05:05am alt(sgpt)-22 ast(sgot)-52* ld(ldh)-656* ck(cpk)-184* alk phos-117 tot bili-0.5 05:05am glucose-126* urea n-22* creat-1.0 sodium-141 potassium-4.3 chloride-110* total co2-22 anion gap-13 05:10am urine hyaline-0-2 05:10am urine blood-neg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 05:10am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 05:10am urine color-yellow appear-clear sp -1.023 05:10am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg . cta : 1. no evidence of pulmonary embolus or dissection. 2. multifocal confluent airspace opacities, left lung greater than right. the pattern is similar to , and the differential diagnosis includes atypical pneumonia, aspiration. less likely etiologies of pulmonary hemorrhage and drug reaction are also possibilities. brief hospital course: 53 y.o woman with h.o ms, asthma, chronic pain who presents with sob/cough/ fever s/p fall. . # atypical vs cap: she presented with dyspnea on . ct and cxr of lung showed opacification of the left lung (effusion vs.collapse), and right lung with patchy airspace opacity. ct findings of ground glass opacities in both lungs suggested atypical pneumonia. on , she was started on methylprednisolone 60 q 8 and given lasix 20 iv x 1. pt continued to have worsening dyspnea and was intubated on until . pt's abx was broadened to zosyn for 5 days and after extubation, she was placed on levaquin again by icu to finish a 7 day course of abx. on floor, pt continued to have productive cough but oxygen requirement is stable at 0 liters and has remained afebrile. pt finished levaquin on . for ongoing cough, pt is on frequent nebs, guaifenisen, prn suctioning and also ordered for chest pt. . # s/p fall: she had a fall with no available history for pre/post symptoms to suggest syncope from vasovagal, orthostatic, or cardiac cause. pt remembers the fall and she denies pre-syncopal/syncopal sx. she thinks she tripped. she has an l eyelid superficial lac which was steri-stripped in icu. ct head and c spine are negative. # altered mental status: pt appeared delerious upon admission. it was believe that the pt was aox3 at baseline, however had been noted to be suffering from hallicinations/paranoia prior to admission. ddx included infection, narcotic intake (although tox negative), toxic metabolic. pt is s/p fall but ct head/neck negative for acute process. following extubation on , the patient's mental status cleared and she was subsequently aox3 on the morning of and has continued to remain oriented and calm on floor. . # advanced ms (multiple sclerosis). neurology was consulted for help on medical management, they recommended continuing all her ms meds but they were inaccurately dosed in icu. home meds reconciled with husband on and except for soma, pt is on all of her ms meds again as of . # chronic pain: per husband, pt is on oxycontin 40mg . pt continued on oxycontin 20mg here with prn oxycodone and appeared to be doing well. # diarrhea - in icu. stool studies sent when came to floor. cdiff x 1 neg. cdiff x 2 pending. stool cx ordered. she was started on flagyl for 14 days for high clinical suspecion. . . . total discharge time 36 minutes. medications on admission: the following list verified with husband on : 1. on 0.3mg sq qod 2. kcl 10meq tid 3. lamictal 400mg tid 4. azetazolamide 250mg 5. amantadine 100mg 6. baclofen 20mg at 8am, 40mg at noon, 20mg at 6pm and 70mg qhs 7. celexa 20mg qd 8. wellbutrin xl 150mg qd 9. oxycontin 40mg (and prn - advised husband and pt to not do prns w long acting agents) 10. meclizine 25mg qid 11. soma 350mg qam, 700mg qhs 12. flonase ns prn 13. colace qod 14. feso4 325mg twice a week discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain/fever. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 5. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 6. lamotrigine 100 mg tablet sig: four (4) tablet po tid (3 times a day). 7. betaseron 0.3 mg recon soln sig: one (1) subcutaneous qod (). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 11. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 13. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 14. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 15. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 16. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 17. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 18. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 19. amantadine 100 mg capsule sig: one (1) capsule po bid (2 times a day). 20. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 21. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*15 patch 24 hr(s)* refills:*2* 22. baclofen 10 mg tablet sig: two (2) tablet po bid (2 times a day). 23. baclofen 10 mg tablet sig: four (4) tablet po noon (at noon). 24. baclofen 10 mg tablet sig: seven (7) tablet po hs (at bedtime). 25. meclizine 12.5 mg tablet sig: two (2) tablet po tid (3 times a day). 26. acetazolamide 250 mg tablet sig: one (1) tablet po q12h (every 12 hours). 27. carisoprodol 350 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 28. carisoprodol 350 mg tablet sig: two (2) tablet po hs (at bedtime). 29. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 10 days. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: pneumonia discharge condition: excellent discharge instructions: you had pneumonia and you were in the icu. you finished treatment. you developed diarrhea while on antibiotics. this could be related to infection called c-diff. you were started on flagyl. please follow with your pcp the stool studies testing for that bacteria. followup instructions: , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified other chronic pain unspecified fall acute respiratory failure intestinal infection due to clostridium difficile unspecified accident injury to bladder and urethra, without mention of open wound into cavity multiple sclerosis delirium due to conditions classified elsewhere asthma, unspecified type, with status asthmaticus superficial injury of eyelids and periocular area 

Answer: The patient is high likely exposed to