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: the patient is a 73-year-old female who came to the from her primary care physician's office with frothy sputum production and respiratory distress. in the emergency room, the patient had a systolic for less than a minute. the patient was intubated in the emergency room and admitted to the medical intensive care unit and transferred out to the floor on . electrocardiogram on admission showed left bundle branch block, qrs rate of 120, questionable changes of st elevations in v1-v3, and questionable old anterior myocardial infarction. past medical history: diabetes. hypertension. ................... status post total abdominal hysterectomy. l4-l5 herniation. urinary tract infection. fatty liver. allergies: penicillin and bactrim. medications on admission: atenolol, lipitor, digoxin, cozaar, klonopin, vitamin e, aspirin, procardia, nph, lasix. laboratory data: white count 23.4, hematocrit 42.5, platelet count 387,000; pt, ptt, inr of 14, 30, and 1.3; chem7 of 136, 4.0, 96, 17, bun and creatinine of 29 and 1.0, glucose 584, anion gap 23; urinalysis was positive for some white cells and some red cells; arterial blood gases on admission on 100% oxygen was 7.08, 46, 52, then on 60% a little while longer of 7.23, 46 and 81. chest x-ray showed positive congestive heart failure and question of pneumonia. electrocardiogram was concerning for a qrs of 120, left bundle branch block, and questionable old anterior myocardial infarction. physical examination: vital signs: temperature 100.8??????, 75, 135/30, 100% oxygen. general: the patient was intubated. the patient was in no acute distress. she was oriented and was squeezing fingers. raised toes on command. heent: normocephalic, atraumatic. extraocular movements intact. questionable surgical pupils. oropharynx frothy. could not assess jvp. chest: coarse breath sounds bilaterally. heart: tachycardia. s1 and s2. abdomen: soft, nontender, and obese. extremities: trace edema of the legs. hospital course: the patient was admitted to the medical intensive care unit for questionable urinary tract infection and respiratory decompensation, as well as questionable pneumonia, or question due to ischemia. cardiovascular: the patient was stated on aspirin, lopressor, and aggressive ............. to help with diuresis. the patient had evidence of a non-q-wave myocardial infarction with elevated troponins to 10.0 on admission. echocardiogram in the emergency department showed low to normal left ventricular function, no wall motion abnormalities. on the patient was extubated but then had the event of an increased temperature, was tachycardiac, and she was respiratory distress. on the patient was reintubated for this which was thought to be due to another ischemic event. the troponins at the time were greater than 50 x 3. the patient was on lopressor 37.5, aspirin, cozaar, and isordil. the patient needs some sort of catheterization work-up for question of why of the patient was so ischemic. pulmonary: the patient was intubated as mentioned above with questionable pneumonia on . the patient was started on levofloxacin and flagyl. the patient also had evidence of a urinary tract infection and was started on levofloxacin and flagyl. the patient was given a protime pump inhibitor, as well as hematocrit checks, as well as lfts and dic panels for the increased inr; however, these came back negative. chest x-ray showed congestive heart failure and question of pneumonia. the patient was extubated on but then was reintubated on because of respiratory distress and chest x-ray showing increased right lower lobe infiltrate with congestive heart failure versus pneumonia. it was thought that the patient had flash pulmonary edema from another ischemic event with a non-q-wave myocardial infarction with troponins greater than 50 x 3 and then was started on heparin and was discontinued because the patient was stable. the patient was reextubated on with repeat chest x-ray on showing no pneumonia or chronic. the patient was started on lasix 20 mg q.d. to keep the patient dry, and the patient remained stable throughout her stay. endocrine: the patient had increased fingersticks and anion gap. the patient was started on insulin. the patient had evidence of diabetes mellitus. she was continued on a regular insulin sliding scale. infectious disease: on the unit, the patient had a fever and increased white count of 23.4. the patient was started on levofloxacin and flagyl for a urinary tract infection, plus or minus question of pneumonia. the patient continued to spike temperatures with a positive urinalysis growing klebsiella on . other than this, all other blood cultures and sputum cultures were negative. the patient was started on a 14-day dose of flagyl, as well as levofloxacin. the latest cultures are still pending from . hematocrit: the patient's hematocrit on admission was 42.5 with a pt of 14 and inr of 1.3, fibrinogen of 409. the patient was not in dic. the patient's hematocrit was dropping from an unknown etiology and was transfused 1 u of packed red blood cells on . hematocrit remained stable since transfusion. the patient has been ob negative and has been stable. the patient was had renal insufficiency with excessive diuresis in the unit; however, once the patient was rehydrated, that remained clear. prophylaxis: the patient was placed on a protime pump inhibitor, as well as some subcutaneous heparin. the patient was transferred out to the floor on , and was stable. on discharge the patient was stable with good oxygen saturations and no shortness of breath and no complaints of chest pain or palpitations. on discharge the patient's vitals signs were 98.9, 64, 28, 124/50. the patient was an obese, elderly woman, in no acute distress. oropharynx clear. moist mucous membranes. regular, rate and rhythm. s1 and s2. poor inspiratory efforts throughout. soft, nontender, nondistended. positive bowel sounds. trace edema. the patient's hematocrit was 31.7 and stable. chem7 was within normal limits. bun and creatinine was 20 and 1.7. the patient was seen by physical therapy and rehabilitation, and it was decided that the patient would need some acute rehabilitation. the patient will follow-up with her primary care physician in terms of the cardiac aspect in terms of getting an outpatient catheterization. condition on discharge: the patient was stable on discharge. discharge medications: isordil 20 mg t.i.d., aspirin 325 mg q.d., lopressor 50 mg b.i.d., cozaar 50 mg q.d., lasix 40 mg q.d., klonopin 1 mg t.i.d., nph 10 and 20, prilosec 40 mg q.d., nystatin swish and swallow, boost t.i.d. follow-up: the patient will follow-up with her primary care physician and have further cardiac work-up as an outpatient. discharge diagnosis: respiratory distress due to congestive heart failure, pneumonia, and urinary tract infection. dr., 12-595 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other pulmonary insufficiency, not elsewhere classified bundle branch block, unspecified 

Answer: The patient is high likely exposed to