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: history of present illness: ms. is a 79-year-old woman with a severe history of chronic obstructive pulmonary disease, a history of a benign lung tumor, with a left lower lobe resection 20 years prior to admission who was initially admitted to the a-cove service on with a chronic obstructive pulmonary disease exacerbation. six days prior to admission she had felt fatigued with fevers. she had a temperature spike to 100 at home. her visiting nurse felt that she was breathing poorly, had a fast heart rate, and appeared weak and had her evaluated in the emergency room. the patient did not complain of cough, hemoptysis, nausea, vomiting, or abdominal pain. she had lost approximately seven pounds in the preceding six months. in the emergency room, her temperature was 99.8. her heart rate was 107. her blood pressure was 144/77, and her respiratory rate was 20, with a saturation of 97%. she appeared comfortable, spoke in full sentences. a chest x-ray was remarkable for a left upper lobe spiculated opacity; new since and concerning for pneumonia, tumor, or tubercular infection. a ct scan was obtained and was pending while she was evaluated in the emergency room. she was initially treated with normal saline, levofloxacin intravenously, albuterol, and atrovent and admitted to the a-cove service for further management. past medical history: 1. chronic obstructive pulmonary disease. 2. a benign lung lesion; status post resection 20 years prior. 3. breast cancer, status post lumpectomy with radiation therapy. 4. rectal cancer, status post radiation therapy. allergies: no known drug allergies. medications on admission: (medications on admission were) 1. flovent 220 4 puffs b.i.d. 2. albuterol 2 puffs q.4h. 3. lasix 20 mg p.o. q.d. 4. xanax 0.25 mg p.o. q.h.s. 5. rhinocort. 6. tylenol. 7. home oxygen at 2 liters. social history: a nonsmoker currently, but with a 37-pack-year history. physical examination on presentation: on admission temperature was 98.9, blood pressure was 126/62, heart rate was 108, respiratory rate was 20, saturating at 99% on 2 liters. in general, a cachectic, frail, elderly woman speaking in full sentences on 2 liters nasal cannula. pupils were equal, round and reactive to light. sclerae were clear. heart rate and rhythm were regular with a normal first heart sound and second heart sound. she had a high-pitched inspiratory wheeze bilaterally in her upper lobes, left greater than right. her abdomen was soft and nondistended. it was tender in the right upper quadrant to deep palpation. she had multiple ecchymoses diffusely with peripheral tissue wasting. she had no rash. neurologically, she was alert and oriented times three. cranial nerves ii through xii were intact. pertinent laboratory data on presentation: laboratory data on admission revealed she had a white blood cell count of 13.2 (which was elevated from a prior of 11.2), hematocrit was 35 (down from the 40s), and a platelet count of 479. sodium was 1453,, potassium was 3.8, chloride was 99, bicarbonate was 29, blood urea nitrogen was 22, creatinine was 0.7, blood glucose was 92. radiology/imaging: electrocardiogram revealed sinus tachycardia at 123, normal axis. no st changes. a chest x-ray revealed increasing opacity with spiculated appearance, chordae at the left apex in a region previously described as scarring; worrisome for scar, carcinoma, or recurrent tumor. also concerning for infectious source. hospital course: ms. was initially admitted to the a-cove service for further management of pneumonia versus chronic obstructive pulmonary disease exacerbation. given the findings on her chest x-ray, the pulmonary service was consulted, and she underwent a diagnostic bronchoscopy and lavage. she tolerated the procedure poorly and needed to initially be placed on bipap and admitted to the medical intensive care unit. shortly after being admitted to the intensive care unit, she had severe respiratory decompensation and required intubation for management of her respiratory. she also had an a-line placed. over the subsequent 12 days in the intensive care unit, ms. was treated aggressively for presumed pneumonia; although no infectious source was ever found. she was also treated aggressively for a chronic obstructive pulmonary disease exacerbation with high-dose steroids as well as inhaled bronchodilators and atrovent. despite these intense interventions, she remained ventilatory dependent requiring pressor support at all times. she failed to tolerate several attempts to wean. during this time, the medical intensive care unit team was in close contact with the patient's family including her daughters. the patient did remain alert and able to interact and confirm her wishes during this course. toward the end of her admission, it became evident that she would require a tracheostomy to further maintain her ventilatory status. this was discussed with her daughters and with ms. as well. mr. made it quite clear that she did not wish tracheostomy, and this was confirmed by her daughters. on , ms. deliberately self-extubated herself. she was initially placed on a mask and cpap. her attending and family were notified, and the decision not to reintubate was confirmed. she was started on a morphine drip for comfort, and her family and sister were present. she ultimately expired on . an autopsy was declined. discharge diagnoses: 1. chronic obstructive pulmonary disease exacerbation. 2. pneumonia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: obstructive chronic bronchitis with (acute) exacerbation personal history of malignant neoplasm of breast cachexia personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus 

Answer: The patient is high likely exposed to