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: erythromycin base attending: chief complaint: shortness of breath, cough, fever major surgical or invasive procedure: low transverse cesarean section intubation history of present illness: 31 yo g5p21112 @ 34w1d w/pmhx of type i dm and asthma, who initially presented to ob triage with fevers to 102, cough, and myalgias x 3 days at home. she denied any sinus congestion or rhinorrhea associated with this. she did receive her flu shot this year. she notes sob as well as difficulty lying flat, as well as worsening of her chronic le edema and periorbital edema. patient endorses sick contacts at home, with children age 7 and 9 with uri/gastroenteritis symptoms. she had a mild headache, but denied visual changes or ruq pain. no ctx, no lof, no vb, +afm. past medical history: past obstetric history - nsvd 38 wk c/b pre-e - nsvd 35.5 wk c/b pre-e - sab past medical history - tidm on insulin pump - asthma - no steroids/intubations past surgical history: none social history: lives with partner and children. denies tobacco or alcohol use. physical exam: (on admission to icu) vs: temp 99.4 bp gen: tearful appearing, tachypneic. increased wob. heent: mmm, periorbital edema, perrl, anicteric sclera resp: expiratory wheezing. +rhonchi in the right lower lung field. +crackles at the left base. cv: tachycardic. 2/6 systolic ejection murmur at rusb. abd: soft, nontender, nondistended. normoactive bs. no hepatomegaly. ext: 3+ pitting edema to knees as well as edema noted in hands. neuro: alert and oriented x 3. reflexes symmetric bilaterally. pertinent results: wbc 9.1 - 21.0 creatinine 0.8 -> 3.8 -> 1.3 blood gases: 12:20am blood type- temp-37.1 fio2-70 po2-81* pco2-31* ph-7.36 caltco2-18* base xs--6 intubat-not intuba 06:07pm blood type- po2-114* pco2-34* ph-7.33* caltco2-19* base xs--6 10:12pm blood type-art temp-38.2 rates-24/2 tidal v-420 peep-8 fio2-100 po2-250* pco2-42 ph-7.24* caltco2-19* base xs--8 aado2-438 req o2-74 -assist/con intubat-intubated 11:47pm blood type-art temp-37.7 po2-116* pco2-51* ph-7.23* caltco2-22 base xs--6 01:29am blood type-art temp-37.7 po2-105 pco2-49* ph-7.23* caltco2-22 base xs--7 02:52am blood type-art temp-37.8 po2-199* pco2-36 ph-7.34* caltco2-20* base xs--5 04:43am blood type-art temp-38.8 po2-127* pco2-38 ph-7.26* caltco2-18* base xs--9 07:22am blood type-art temp-37.2 rates-30/ tidal v-500 peep-8 fio2-50 po2-85 pco2-40 ph-7.25* caltco2-18* base xs--9 intubat-intubated 08:48am blood type-art temp-37.2 rates-30/ tidal v-500 peep-10 fio2-60 po2-137* pco2-40 ph-7.25* caltco2-18* base xs--9 intubat-intubated 12:03pm blood type-art ph-7.03* comment-cord 01:16pm blood type-art temp-37.1 rates-30/ tidal v-450 peep-12 fio2-40 po2-135* pco2-35 ph-7.29* caltco2-18* base xs--8 -assist/con intubat-intubated 06:10pm blood type-art rates-30/ tidal v-500 fio2-40 po2-161* pco2-32* ph-7.39 caltco2-20* base xs--4 -assist/con intubat-intubated 05:04am blood type-art temp-36.3 rates-30/ tidal v-500 peep-10 fio2-40 po2-143* pco2-28* ph-7.44 caltco2-20* base xs--3 -assist/con intubat-intubated 11:41am blood type-art temp-36.2 rates-/14 tidal v-620 peep-8 fio2-40 po2-140* pco2-42 ph-7.31* caltco2-22 base xs--4 intubat-intubated vent-spontaneou 02:38pm blood type-art temp-36.1 peep-5 po2-136* pco2-42 ph-7.31* caltco2-22 base xs--4 intubat-intubated vent-spontaneou 05:07pm blood type-art rates-/8 peep-5 fio2-40 po2-137* pco2-50* ph-7.26* caltco2-23 base xs--4 intubat-intubated vent-spontaneou 08:14pm blood type-art temp-38.2 rates-16/4 tidal v-400 peep-5 fio2-40 po2-148* pco2-51* ph-7.24* caltco2-23 base xs--5 -assist/con intubat-intubated 10:22pm blood type-art rates-28/0 tidal v-400 peep-5 fio2-40 po2-146* pco2-36 ph-7.36 caltco2-21 base xs--4 -assist/con intubat-intubated 12:07pm blood type-art temp-36.7 peep-5 po2-134* pco2-38 ph-7.36 caltco2-22 base xs--3 intubat-intubated ekg: normal sinus rhythm, rate 82. delayed precordial r wave progression, probably normal variant. borderline low voltage. no previous tracing available for comparison. lower ext doppler : no evidence of dvt. cxr : et tube tip is in standard position 3 cm above the carina. ng tube tip is in the stomach partially coiled in the stomach. cardiomediastinal contour is obscured by the parenchymal abnormalities. diffuse airspace consolidations have worsened in the left lower lobe and lingula. there is no pneumothorax or sizable pleural effusions. tte : the left atrium and right atrium are normal in cavity size. left ventricular wall thicknesses and cavity size are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size is normal. with borderline normal free wall function. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a fat pad. cxr : interstitial edema which worsened over the preceding two days has nearly resolved, though pulmonary vascular congestion remains and the heart is still mildly to moderately enlarged. small right pleural effusion may be present. no pneumothorax. brief hospital course: ms. was admitted to the antepartum service for bacterial pneumonia. she was initially febrile, her wbc was 11.9 with 12% bands, and her initial cxr showed acute interstitial or peribronchial thickening that could represent atypical pneumonia. she was initially started on po azithromycin. . fwb was reassuring with bpp , afi 17, efw 2543g (55%). her t1dm was initially very well controlled on her insulin pump. . on admission, she was noted to have a high blood pressure of 150/90. she denied headache, visual changes, or ruq pain. she did, however, have 3+ pitting edema to her knees bilaterally (bilat le us neg for dvt). serum pre-eclampsia labs were normal. a 24 hour urine collection revealed 4,456mg protein. she had known baseline proteinuria with 1796mg at 26 weeks and mg at 33 weeks ga. . on the night of hd #1, she was transiently transferred to the icu for relative hypotension with sbps in the 120s and concerns for early sepsis. iv ceftriaxone was added to broaden her antibiotic regimen. she improved with iv fluids and tylenol and was called out of the unit on the next morning. . on the night of hd #3, she was noted to have an episode of respiratory distress with tachypnea in the 30s-40s, with o2sat 89-90% and abg 7.36/31/81 on 70% fm. cxr at the time showed significant interval progression of the right lower lobe consolidation as well as worsening of peribronchial opacities in the rest of the lungs consistent with progressing infection. she was started on high dose iv prednisolone q24h. . on hd #4, she became more dyspneic with walking and had another episode of respiratory distress with o2 sat 90% on 70% face mask. wbc increased to 18. ekg showed sinus tachycardia with rbbb. she was transferred to the and intubated. vancomycin was added to her antibiotic regimen. she was started on an insulin gtt. . on hd #5 (), she had a primary ltcs at 34w5d for worsening maternal status. course: ms. was admitted to the 34 weeks pregnant with hypoxia felt to be secondary to multilobar pneumonia. # respiratory failure/sepsis. multifactorial in setting of underlying asthma, multilobar pneumonia, and volume overload (was aggressively fluid resuscitated and had leaky capillaries from her preeclampsia). she was intubated, given steroids for her asthma, and treated for cap with ceftriaxone and azithromycin. although initially given vancomycin, this was stopped when it was decided that mrsa was unlikely in this patient from the community. viral studies were negative, and sputum cultures did not yield a pathogen. her respiratory status improved with time, and she was extubated . # preeclampsia: patient had ltcs done by ob on . her blood pressures and renal function slowly improved after delivery. # acute renal failure: patient's urine output decreased during the course of her icu stay, and her cr climbed to a peak of 3.8. renal was consulted, and she was felt to have a mixed picture due to preeclampsia and probable atn in the setting of sepsis/hypotension. she was thus managed with supportive care and close monitoring. her urine output began to improve her cr was decreasing rapidly at the time of transfer out of the icu. #. anemia. patient with low hematocrit. stable. patient's peripheral smear initially showed evidence of occasional schistocytes. dic labs followed and proved unremarkable. the patient was transfused prbcs during her icu stay with appropriate hct response. #. dm1. patient has history of difficult to control diabetes. she was put on an insulin gtt and had labile blood sugars. once she was extubated, was consulted for assistance in managing her transition to subcutaneous insulin in the setting of recent pneumonia, s/p c section, and treatment with steroids. # bradycardia after extubation, the patient was noted to have a sinus bradycardia with rates in the 40s and 50s. she was asymptomatic and this was thought to be a normal variant. of note, she did have one episode of bradycardia to 25-30 after using the commode; this was felt to be a vagal episode. the patient was transfered out of the to the postpartum floor on postoperative day #5 (). her clinical status and chest x-ray were both much improved with oxygen saturations in the high 90s on room air and an improving lung exam. the patient completed her 10 day courses of azithromycin and ceftriaxone. she was prescribed an oral steroid taper since high dose methylprednisolone had been given in the setting of repiratory failure and asthma. . the patient had a superficial separation of the right aspect of her c-section incision which was packed with wet to dry dressings 2x/day and then left open with just a dry dressing. . on postoperative day #8, the patient was transitioned from sliding scale insulin to her insulin pump, with adequate blood glucose control. followed her during her admission. . blood pressures were intermittenly elevated to the 160s-170 systolic with diastolics in the 60s-80s. the patient was asymptomatic with no headache, visual changes or right upper quadrant pain. no antihypertensives were started as the blood pressures settled in an acceptable range with no intervention (only an occasional systolic in the 160s). . the patient was discharged home on postoperative day #10. she had no pain, she was afebrile and vital signs were stable. she was ambulatory and tolerating a regular diet. she will follow up with dr. and her endocrinologist as an outpatient. medications on admission: insulin pump discharge medications: insulin pump (completed prednisone taper on day of discharge) discharge disposition: home discharge diagnosis: primary c-section ;type i diabetic; atypical pneumonia, acute renal failure, ? preeclampsia discharge condition: good discharge instructions: routine post-op instructions; will f/u w/dr. on friday in . she will call for f/u with dr. in endocrine. complete prednisone taper today - reviewed warning signs, when to call, what number to call followup instructions: as above - w/dr. in 48 hrs. f/u w/dr. in endocrine department procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube incision of adrenal gland low cervical cesarean section transfusion of packed cells diagnoses: anemia, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis asthma, unspecified type, unspecified viral pneumonia, unspecified anemia of mother, delivered, with mention of postpartum complication early onset of delivery, delivered, with or without mention of antepartum condition other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition outcome of delivery, single liveborn other specified infectious and parasitic diseases of mother, delivered, with or without mention of antepartum condition diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition mild or unspecified pre-eclampsia, delivered, with or without mention of antepartum condition other current conditions classifiable elsewhere of mother, delivered, with mention of postpartum complication diabetes with unspecified complication, type i [juvenile type], not stated as uncontrolled disruption of cesarean wound, delivered, with mention of postpartum complication 

Answer: The patient is high likely exposed to