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: hemoptysis, respiratory distress. major surgical or invasive procedure: bronchoscopy. history of present illness: this is a 53-year-old woman with a pmhx. significant for recent right frontal intraparenchymal bleed with intraventricular extension, left mca infarct, obstructive hydrocephalus, and pneumonia now s/p trach and peg who is admitted from hospital for hemoptysis in setting of trach suctioning. . according to houseofficer and nurse at rehab, patient was having increased o2 requirements over the last two days. on the morning of admission, patient had cannula change at 10am, and then developed hemoptysis about 30 minutes later. there was frank blood and clots within the cannula itself, not around the trach site. the amount of blood is not quantified. moreover, whereas patient has been satting well on 3-4l, her o2 requirement has increased to 8l in the past few days. this has been attributed to mucous plugging requiring frequent suctioning. ms. has been been tachycardic as well into the low 100s. . in the ed, initial vitals were: 97.7, 110 110/60 20 99% 6l. she was producing sputum flecked with blood. patient was transferred to icu for bronchoscopy and observation. upon arrival in the icu, vitals were: 88, 137/81 19, 98% on 5l by tach mask. immediately upon arrival in the icu, patient had an episode of acute mucous plugging and became cyanotic. she quickly recovered her airway after aggressive suctioning. past medical history: --right frontal intraparenchymal bleed with intraventricular extention --left mca infarct --obstructive hydrocephalus --acinetobacter pna --hypertension --strokes x 2 with residual right-sided weakness, mild --alcohol abuse --depression --cocaine abuse social history: patient currently lives at hospital since her strokes. she is close with her daughter who visits her at rehab. patient has a history of tobacco, etoh, and cocaine abuse. family history: non-contributory. hypertension in several family members. physical exam: vs: afebrile, hr: 109, bp 132/26, sp02 100% on 5l general: chronically ill appearing, slightly distressed mouth: no blood, throat is clear chest: rhonchi bilaterally, heavy secretions cardiac: slightly tachycardic, regular rhythm abdomen: +bs, soft, non-tender, non-distended extremities: limited movement on right side of body, no edema bilaterally neuro: responds to simple commands, non-verbal pertinent results: 08:58pm d-dimer-724* 01:40pm glucose-94 urea n-12 creat-0.5 sodium-142 potassium-4.5 chloride-106 total co2-28 anion gap-13 01:40pm estgfr-using this 01:40pm probnp-629* 01:40pm wbc-6.5 rbc-3.10* hgb-11.0* hct-32.1* mcv-103* mch-35.4* mchc-34.2 rdw-15.5 01:40pm neuts-66.4 lymphs-25.7 monos-3.7 eos-3.6 basos-0.6 01:40pm plt count-346 01:40pm pt-12.4 ptt-31.2 inr(pt)-1.0 . cxr : right picc tip in mid svc. tracheostomy tube is standard position. trace fluid in the right fissure. brief hospital course: assessment/plan: this is a 53-year-old woman with a pmhx. significant for recent right frontal intraparenchymal bleed with intraventricular extension, left mca infarct, obstructive hydrocephalus, and pneumonia was admitted to the icu for hemoptysis and increasing oxygen requirement. . # hemoptysis: bronch via both nasopharynx and tracheostomy showed evidence of tracheal irritation likely secondary to increased suctioning from increased secretions due to recent pneumonia. also likely given that this started following change of cannula. a d-dimer was checked but we decided not to further evaluate for pe given that the blood was likely from tracheal trauma and the hypoxemia improved. . # increased o2 requirement: likely from mucous plugging, as patient's oxygen improves immediately after suctioning. increased secretions are expected from recent pneumonia. patient has intact cough mechanism and clears secretions. would continue with chest pt and nebulized bronchodilators. . # h/o stroke, hypertension, depression: were not active issues. outpatient therapies continued. medications on admission: --albuterol/ipratropium --buspirone hcl 5 --clotrimazole cream to groin --docusate sodium 50mg --ferrous sulfate --fluconazole 100mg qd x4 weeks --heparin 5000 subcu --folic acid 1mg qd --lisinopril 10mg qd --nystatin swish --ranitidine 150mg --senna 8.6mg --multivitamin --acetaminophen 1000mg q8 prn --albuterol/ipratropium prn --bisacodyl 10mg pr --lorazepam 0.25mg q3 prn restlessness --meropenem (last dose ) --vancomycin (last dose ) discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 4. buspirone 5 mg tablet sig: one (1) tablet po bid (2 times a day). 5. clotrimazole 1 % cream sig: one (1) appl topical (2 times a day). 6. docusate sodium 50 mg/5 ml liquid sig: five (5) ml po twice a day. 7. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 8. fluconazole 100 mg tablet sig: one (1) tablet po q24h (every 24 hours). 9. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 11. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 12. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 13. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 14. ranitidine hcl 15 mg/ml syrup sig: ten (10) ml po bid (2 times a day). 15. senna 8.8 mg/5 ml syrup sig: five (5) ml po twice a day. 16. therapeutic multivitamin liquid sig: five (5) ml po q24h (every 24 hours). discharge disposition: extended care facility: - discharge diagnosis: 1. hemoptysis 2. hypoxemia 3. prior stroke discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: you were admitted to the icu due to concern for blood in your airway secretions. you were observed overnight and found to be stable with frequent suctioning. we looked in your lungs with a camera that showed some trauma by your tracheostomy site, likely from suctioning. there was no active bleeding in your lungs or in your mouth/throat. you are being discharged back to your rehab facility for further care. followup instructions: department: neurology when: tuesday at 1 pm with: , m.d. building: campus: east best parking: garage procedure: bronchoscopy through artificial stoma diagnoses: obstructive hydrocephalus unspecified essential hypertension acute and chronic respiratory failure other late effects of cerebrovascular disease other malaise and fatigue tracheostomy status hemoptysis, unspecified 

Answer: The patient is high likely exposed to