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: multifocal bacterial pneumonia; probable viral illness major surgical or invasive procedure: bronchoscopy intubation/extubation mechanical ventilation history of present illness: 20 yo female student presents with multifocal pneumonia. pt states that she was in usogh until sunday , when she began to develop shaking chills, mild myalgias, sweats, and headache. the following day, developed a cough as well, which progressively worsened through the next several days and became productive of yellow-green sputum. her fevers continued to progress, and presented to the ed and was found to have a fever of 105.4. she was started on tamiflu, and levofloxacin (first dose 3/17 at 2am). pt was taking tylenol, aspirin, and ibuprofen, but contin to spike fevers to >104. she has had a couple of post-tussive emesis, but denies nausea; only abd discomfort d/t muscular strain from cough. . in the ed today, pt had a fever of 104.2, was tachycardic to 134. her respiratory status remained stable with rr 19-25 and 95% 2l nc. in , pt given 2 l ns and levofloxacin 750 mg iv. nasal swab for influenza was negative, but pt had been on tamiflu >24 hrs. cxr yesterday showed small retrocardiac pneumonia, but per discussion with radiology, today's cxr is much worse with lll white-out and bronchograms, and rul and rll involvement as well. . pt admitted to medicine for ongoing management and evaluation. . ros: +: as per hpi, and fever, chills/rigors, night sweats, anorexia, sore throat, chest pain with cough, minimal sob, cough, headache several days ago (now resolved), mild myalgias - most notable lower back (pt states not uncommon for her), mild-moderate dizziness with standing - improved s/p ivf. . denies: weight changes, photophobia, loss of vision, palpitations, le edema, doe, hemoptysis, nausea, abdominal swelling, diarrhea, constipation, hematemesis, hematochezia, melena, lad, dysuria, rashes, arthralgias, confusion, vertigo, paresthesias, weakness, depression. past medical history: hx pyloric stenosis as an infant social history: student. she would like her records forwarded to their student health center. tobacco: denies alcohol: occasional. no recent heavy drinking. does not drink to stupor or unconsciousness. drugs: occasional marijuana. increased use over recent weeks d/t spring break. family history: mother - denies father - ocd brother - ocd physical exam: vs: 99.5 108/59 98 20 94% 2l nc gen: aaox3. pleasant. good historian. non-toxic. heent: eomi, perrl, mmm. neck: no lad. jvp wnl. resp: able to speak in full sentences without difficulty. large area of bronchial breath sounds with +egophony lll fields. other areas with good ae, and minimal insp rales. cv: rrr. no mrg. not tachy. abd: +bs. soft, nt/nd. ext: no cee. neuro: cn 2-12 grossly intact. pertinent results: 12:45am blood wbc-5.1 rbc-4.60 hgb-12.5 hct-37.1 mcv-81* mch-27.2 mchc-33.7 rdw-12.9 plt ct-177 12:45am blood neuts-91.4* lymphs-7.3* monos-1.2* eos-0.1 baso-0.1 12:45am blood glucose-133* urean-6 creat-0.9 na-136 k-3.3 cl-103 hco3-25 angap-11 12:09am urine color-straw appear-clear sp -1.006 12:09am urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 12:09am urine rbc-0-2 wbc-0-2 bacteri-few yeast-none epi-0-2 12:14am urine ucg-neg . cxr (per conversation with radiology): multifocal pneumonia, with dramatic worsening since yesterday. worst in lll, with near white-out and air bronchograms, as well as areas in rll and rul. no lad, no pleural effusion. official read pending. cxr : chest, frontal and lateral views: dense retrocardiac consolidation is concerning for pneumonia of the superior segment of the left lower lobe. the right lung is clear. heart size is normal. leftward mediastinal shift may be due to scoliosis. increased density of the left hilus may be due to the pneumonia; however, a follow-up chest radiograph in 6 weeks is recommended to ensure resolution of these findings. influenza a/b by dfa direct influenza a antigen test-neg; direct influenza b antigen test-neg inpatient ct chest : 1. severe bilateral pneumonia affecting the left lung to a greater degree than the right, with an associated moderate left parapneumonic effusion. there are no ct findings to suggest an empyema, but correlation with thoracentesis may be helpful if this diagnosis is being entertained clinically. 2. enlarged mediastinal and hilar lymph nodes, consistent with hyperplastic nodes in the setting of a severe pneumonia. lower extremity non-invasive impression: no deep venous thrombosis. ct chest 1. interval increase in the degree of patchy and ground-glass opacities noted throughout the lungs, now extending into portions of previously spared lung. also noted are increasing bilateral pleural effusions. given these findings, progressive pneumonia versus other etiologies such as ards are not entirely excluded. 2. bilateral consolidative opacities at the lung bases, slightly improved at the left lung base, consistent with the known multifocal pneumonia. 3. no abnormality identified within the abdomen or pelvis. cxr : compared to the prior study, there is slight improvement in the left basal aeration with still present significant left retrocardiac consolidation most likely consistent with atelectasis with potential superimposed infection and small pleural effusion. no evidence of pneumothorax is present in this supine radiograph, but repeated examination with upright radiograph is recommended to exclude the possibility of subtle pneumothorax given the history of pleural tapping. right basal opacity is unchanged. mild fluid overload is present. overall, there is significant improvement when compared to and . brief hospital course: 20 yo female college student presents with multifocal pneumonia, with signif white-out of lll, and also with involvement of rll and rul, without pleural effusions, despite levofloxacin which was started approx 36 hours prior to admission. suspect pt may have had a viral infection with superimposed bacterial pneumonia. # hypoxic respiratory failure. on arrival patient required a non rebreather to maintain oxygen saturation above 90%. she became progressively hypoxic, and tachypneic with rr in the 50s, with significant respiratory distress. on , she became acutely hypoxic with coughing to an spo2 of the 60s, with a very slow recovery to an spo2 in the high . patient was electively intubated for hypoxia, requiring high levels of sedation with midazolam and fentanyl, and ultimately paralysis with vecuronium. initially, she had oxygen saturations of 80% on mechanical ventilation. a cxr demonstrated diffuse interstitial markings, presumably from pulmonary edema. she was given 40mg lasix iv, and put out ~2l and her respiratory status improved. her ventilator oxygen concentration was steadily decreased, and her tidal volumes were decreased and respiratory rate was increased with the goal of ardsnet low tidal volume ventilation. over the following days, her fio2 and peep were gradually weaned down. extubation was delayed for several days secondary to tongue swelling. etiology of the tongue swelling was thought to be positional vs. allergic. her airway was evaluated on by bronchoscopy and found to be patent. allergy was consulted and could not find a clear cause for allergy on her med list. her tongue swelling resolved with a three day course of iv steroids, and she was successfully extubated on . she had initial difficulty with swallowing but was evaluated by speech & swallow therapy, who felt it was safe for her to try eating, which she did so without significant difficulties. # multifocal pneumonia. given pattern of pneumonia, clinical suspicion was high for streptococcus pneumoniae, although the initial cause may have been a viral infection with a bacterial superinfection. she was treated with vancomycin, ceftriaxone and azithromycin. on day 8, ctx was discontinued as patient had persistent low grade temps and id felt that ctx could be causing drug fever. sputum cultures grew normal respiratory flora. the patient completed a ten day course of antibiotics. antibiotics were then stopped and the patient remained subsequently afebrile and stable from a cardiopulmonary standpoint. # deconditioning - the patient became deconditioned during this hospital stay and will need outpatient physical therapy. she was assessed by physical therapy in the hospital and will not need home oxygen in order to conduct her daily activities. medications on admission: oral contraceptive pills discharge medications: 1. fluconazole 150 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 2. outpatient physical therapy please perform evaluation & treatment of patient for deconditioning following hospitalization. discharge disposition: home discharge diagnosis: primary diagnosis: 1. community-acquired multifocal pneumonia complicated by respiratory failure and mechanical ventilation discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were seen at for pneumonia complicated by difficulty breathing that required a breathing tube and mechanical ventilation. your pneumonia responded appropriately to intravenous antibiotics and your breathing tube was removed without difficulty or complications. you do not need to continue antibiotics for your pneumonia after discharge. additionally, you had a fungal infection of your skin treated with fluconazole. you should take a few more days of this antifungal medication before stopping treatment. you will need to continue physical therapy as an outpatient to regain your strength lost through deconditioning during your hospital stay. the following medications were changed during your hospitalization: added fluconazole to treat your fungal infection followup instructions: appointments have been scheduled for you with both a primary care physician (dr. and the allergist (dr. . it is important for you to follow up in order for us to monitor your chest x-ray findings as well as your symptoms. please call to update the clinic with your home address and insurance provider when you get a chance. please call , dr. office, to obtain further information regarding appointment time and place. provider: , md phone: date/time: 3:00 provider: , md phone: date/time: 2:00 md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy diagnoses: anemia, unspecified unspecified pleural effusion acute respiratory failure unspecified accident hypoxemia angioneurotic edema, not elsewhere classified benign neoplasm of colon acute edema of lung, unspecified bacterial pneumonia, unspecified 

Answer: The patient is high likely exposed to