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: hemoptysis x 3 weeks major surgical or invasive procedure: multiple bronchoscopies ivc filter placement history of present illness: 72yo f w/distant h/o tuberculosis who presents w/hemoptysis x 3 wks. per pt's daughter, she had febrile illness ~1 month ago associated w/cough and had 2 episodes of hemoptysis with it. she coughed up 1 teaspoon of blood the first time ~4wks ago and she was treated with a z-pak for bronchitis; then another episode of coughing spasm 1 wk later w/~ cup blood she was treated with 10 days of levofloxacin for possible pna. she went to and had a sputum afb negative for tbx 1. the fever and cough seemed to resolve and she did not have any more episodes of hemoptysis until wed night, 3 days prior to presentation. at that time she had coughing and small volume-1 teaspoon-of hemoptysis. it resolved until the next morning when she had another episode of hemoptysis which again was ~ cup and her daughter brought her to the . no recent fever/chills, no cp, but +sob w/coughing. . in the ed, her vitals were t 98 bp hr 94 rr 18 sat 100%ra. she was intubated for airway protection. at 3pm had 200cc of hemoptysis in the ed. ct chest revealed dense colidation in lul. interventional pulmonology was consulted and bronch was performed - blood clot was seen at the level of the carina, between the apicoposterior and anterior segments of the left upper lobe. no endobronchial lesions or active bleeding was noted. pt's hct was stable at that time, she was not transfused. covered for pna w/azithromycin 250 mg, ceftriaxone 1g. . on ros, her daughter notes that prior to her febrile illness 1 month ago, she had been very well. she was active and did not have any ongoing medical problems. since the illness, she has had a 10lbs weight loss. she had one recent episode of lightheadedness. no hematemesis/abdominal pain, no diarrhea/hematochezia. + night sweats with the febrile illness 4wks ago, none since or prior. . pt was then transferred to the micu. . past medical history: medical history: tuberculosis at age of 20 - treated with triple therapy for 1 year thyroid dysfunction social history: retired teacher, never worked in a factory, no known inhalant exposures, emigrated to us in . lives with 2 daughters, never smoked, no etoh, no other drugs. widowed 4 years ago. recent travel to within the past couple of months to visit famiy. family history: noncontributory physical exam: physical examination: vitals: tmax 98.8 tcurrent 98.2 bp 144/79 hr 70-90s rr 19-27 o2sat 96% on 2lnc general: nad, lying in bed heent: perrl, eomi, op clear, voice hoarse whisper. few remaining teeth. neck: supple, no lad, no jvd cv: rrr, + systolic murmur loudest at apex. no rubs/. lungs: bibasilar crackles abdomen: +bs, ntnd, soft, no guarding or rebound. large echymosis over r hip and suprapubic region. ext: no edema, 2+ pulses bilaterally neuro: cn iii-xii grossly intact. pertinent results: 3:45 pm blood culture #2. **final report ** blood culture, routine (final ): staph aureus coag +. final sensitivities. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. penicillin sensitivity available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin-------------<=0.25 s trimethoprim/sulfa---- <=0.5 s aerobic bottle gram stain (final ): gram positive cocci in clusters. 4:00 pm bronchoalveolar lavage gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. smear reviewed; results confirmed. respiratory culture (final ): 10,000-100,000 organisms/ml. oropharyngeal flora. acid fast smear (final ): no acid fast bacilli seen on direct smear. no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): 8:31 pm urine source: catheter. **final report ** urine culture (final ): no growth. acid fast smear negative from sputum x 5 acid fast smear negative from bal x 2 all acid fast cultures pending blood cxs negative x 9 after starting abx for mssa (original culture on ) 4:00 pm sputum site: endotracheal source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. no microorganisms seen. respiratory culture (final ): no growth. legionella culture (final ): no legionella isolated. fungal culture (preliminary): no fungus isolated. acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): c diff toxin negative x 2 (, ) chest ct performed on : 1. unusual airspace consolidation in the left upper lobe, anterior segment with central foci of hypodensity. additional findings of scattered ground-glass opacities in the left upper lobe adjacent to the dense consolidation. overall, findings are most likely related to an infectious etiology (must consider tuberculosis), though other considerations include mucoid impaction or neoplasm. recommend correlation with bronchoscopy. 2. no evidence of pulmonary embolism. 3. calcified mediastinal, hilar, and mesenteric lymph nodes with calcified granulomas in the lung and liver, compatible with prior granulomatous disease (patient is known to have had prior treated tuberculosis). cta chest w&w/o c&recons : 1. multiple segmental and subsegmental right-sided pulmonary emboli. this was discussed with dr. at the time of interpretation on . 2. bilateral pleural effusions and atelectasis, with new regions of consolidation as outlined above. 3. region of consolidation/mass in the anterior left upper lobe now contains a small focus of air. this may be related to biopsy. ct chest w/o contrast : improved multifocal airspace consolidation. specifically, there is continued improvement of the previously noted left upper lobe anterior segement consolidation which suggests that it is likely to be infectious in etiology. recommend followup to resolution. bilat up ext veins us : 1. occlusive dvt in the right brachial and cephalic veins. 2. partially occlusive dvt in the right internal jugular vein. 3. echogenic, noncompressible material in the left axillary and subclavian veins most consistent with partially occlusive catheter- associated thrombus. less likely this could represent chronic wall thickening in these vessels. brief hospital course: micu course (per micu housestaff) pt is a 72 year old female with history of tuberculosis that presented with hemoptysis for three weeks. the patient was sedated and intubated in the micu. the patient's inr was high and of unclear etiology. the patient was bronched looking for the source of the bleeding , but no source was found. the next day, there was an episode of hemoptysis again, and the patient was again bronched. again, no source was found. ir attempted to find some vessels to cauterize but they were also unsuccessful. the patient was stable and did not have another hemoptysis. but then the following day, when intubation was in the process of being weaned, the patient began to desaturate and become hypotensive. cta was done and pe was diagnosed. pt had ivc filter placed on . lower extremity doppler was done and no dvt was found. the patient developed contrast nephropathy from the cta which slowly self resolved over the enxt few days. an upper extremety ultrasound was done and it showed bilateral clots, but no treatment was undertaken because of the recent history of hemoptysis. patient developed mssa bactermia and was started on naficillin and clindamycin. zosyn was d/c'ed on . <br> all sputum cultures were negative, but the patient was placed on respiratory precautions and started on four drug treatment. the four drug treatment was started with the intention of treating until the culture results are back. the symptoms were suspicious for tuberculosis because of the lul cavitary mass. after discussion with id and additional negative afbs, respiratory precautions were removed. lung adenocarcinoma was also considered in the differential. there was noted development of bilateral plerual effusions despite normal cardiac function. patient self extubated on and has been stable since on nc. <br> hospital course ms. was transferred to the medicine floor extubated and without episodes of hemoptysis in the last five days. she was on r.i.p.e. therapy for possible tuberculosis infection and naficillin for mssa bacteremia. she was off of contact precautions per micu housestaff. family refused further tuberculosis treatment that night and, after consult with pulmonology and id the medical team discontinued the r.i.p.e. since multiple afb negative sputum cultures had been collected. on the second day of her admission ms. y developed several episodes of watery diarrhea and was put on metronidazole. c.diff toxins were sent and returned back negative x3. the diarrhea resolved the following day without repeat episodes. thoracic surgery was consulted regarding a tissue specimen. they recommended a transthoracic approach and a biopsy was scheduled. however, the medical team, in discussion with the patient and her daughters decided to first do a repeat ct scan which showed improvement. as ms.y was clinically stable it was decided to cancel the biopsy and treat ms.y for a presumed necrotizing pneumonia. since she had bilateral upper extremity thrombi it was not possible to put a picc line in for at home administration of antibiotics. ms.y was continue on metronidazole and naficillin administered through her peripheral iv. in addition, the medical team deemed it necessary to begin anticoagulation to manage the bilateral ue dvts and subsegmental pulmonary emboli found on the micu cta. ms.y was begun with a low therapeutic target of a ptt between 40-59. she was able to reach this level on subcutaneous heparin and was given 5000 heparin sc tid for two days. she remained stable without signs of bleeding and it was decided to increase her dose to iv heparin. she was then transitioned to coumadin and after inr levels showed target levels of she was taken off of the heparin. she had a final repeat ct which showed improvement of the left upper lobe lesion and complete resolution of the bilateral pleural effusions. she is being discharged on coumadin with scheduled blood checks and follow up with her primary care dr. the day after discharge. she will complete a 14 day course of flagyl, diclox, and probenecid and follow up with id in 3 weeks. medications on admission: medications at home: bp medication - daughter can't remember name chinese taichi medications on transfer: nafcillin 2 gm iv q6h bacteremia clindamycin 300 mg iv q8h pna rifampin 300 mg po q12h tuberculosis isoniazid 300 mg po daily tuberculosis pyrazinamide 1000 mg po daily tuberculosis ethambutol hcl 800 mg po daily tuberculosis pyridoxine 25 mg po daily (for isoniazid) metoprolol tartrate 25 mg po bid codeine sulfate 15-30 mg po q4h:prn cough trazadone 50 mg po hs:prn sleep acetaminophen 325-650 mg po/ng q6h:prn famotidine 20 mg po q12h gi proph. bisacodyl 10 mg po/pr daily:prn bowel docusate sodium (liquid) 100 mg po bid bowel senna 1 tab po bid:prn bowel discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. outpatient lab work please draw pt/ptt/inr saturday 3. outpatient lab work standing order: pls draw ptt/pt/inr 2-3 times per week for coumadin monitoring 4. warfarin 2 mg tablet sig: take one tablet unless directed by dr. to change dosage tablet po once a day. disp:*30 tablet(s)* refills:*1* 5. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 14 days. disp:*42 tablet(s)* refills:*0* 6. dicloxacillin 250 mg capsule sig: one (1) capsule po four times a day for 14 days. disp:*56 capsule(s)* refills:*0* 7. probenecid 500 mg tablet sig: one (1) tablet po twice a day for 14 days. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: necrotizing pneumonia pes bilateral upper extremity dvts discharge condition: improved. afebrile. hemodynamically stable. inr therapeutic. discharge instructions: you were hospitalized for coughing up blood and found to have a pneumonia as well as blood clots in your lungs. you were treated with iv antibiotics for your pneumonia. you will continue to take antibiotics by mouth at home. please take these medications as directed. you were started on a blood thinner called coumadin (warfarin) for the blood clots in your lungs. you will need to closely follow with dr. to monitor the levels of blood thinners. you should go to the lab at dr. office tomorrow morning at 10:00 am to have your blood drawn. you should then return for an appointment with the doctor at 4:00 pm. at that time he should instruct you what dose of your coumadin (warfarin) you should take. you will have to have your blood drawn 2-3 times per week (likely tuesday and friday) and depending on the results dr. may instruct you to increase or decrease the amount of coumadin you take. please follow closely with dr. as it is important to closely monitor the levels of this medication. you will likely need to take coumadin for 6 months. return to dr. or the emergency room for shortness of breath, fevers, chills, chest pain, bleeding, coughing or vomiting blood, confusion, headache, weakness, numbness, changes in your vision, or any other concerning symptoms. followup instructions: you should go to the lab at dr. office tomorrow (saturday ) at 10:00 to have you blood drawn. you should return for an appointment with dr. at 4:00 pm (saturday ). you will then have to return for lab draws 2-3 times per week, please schedule per dr. instructions. you will follow up with the infectious disease doctor, dr. on @ 11:00 am. please call ( with any questions. on your ct a stable mildy aneurysmal 4.2 cm widened ascending thoracic aorta was noted. please follow up with your primary care physician regarding this finding. you may follow up with ent if you desire further follow up regarding your hoarse voice. you may schedule an appointment at your convenience. call (. md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube interruption of the vena cava arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: acidosis thrombocytopenia, unspecified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified hypopotassemia pulmonary collapse acute respiratory failure bacteremia abscess of lung hypoxemia diarrhea other pulmonary embolism and infarction pneumonia due to other streptococcus 

Answer: The patient is high likely exposed to