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: thyoma major surgical or invasive procedure: sternotomy, thymectomy flexible bronchoscopy, therapeutic aspiration of secretions. history of present illness: ms. is a 56 year old female with an anterior mediastinal mass detected following a diagnosis of myasthenia. she had severe myasthenic crisis requiring prolonged ventilation and tracheostomy along with a rehabilitation stay. she continues to do well from her myasthenia standpoint. she is taking cellcept and prednisone 10 mg po daily for her myasthenia. she has no double vision while taking steroids. multiple attempts to wean steroids has resulted in diplopia. she is being admitted for sternotomy, thymectomy. past medical history: myasthenia cholelithiasis hypertension hyperlipidemia diabetes mellitus type 2 anxiety social history: pt lives at home with her husband and two children. she works in customer service at . she denied use of tobacco, alcohol, or illicit drugs. family history: dad who is healthy. mom had lung cancer with brain mets and died at 52. two brothers - one with hypercholesterolemia and one with obesity and diabetes. physical exam: vs: t: 98.6 hr: 88 sr bp: 124/68 sats: 97 1.5 l general: sitting up no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 no murmur/gallop or rub resp: clear breath sounds throughout gi: obese, benign extr: warm tr-1+ edema incision: sternal clean dry intact with steri-strips neuro: non-focal pertinent results: wbc-8.3 rbc-3.41* hgb-9.2* hct-29.2* plt ct-323# wbc-20.8*# rbc-4.05* hgb-11.0* hct-34.1* plt ct-279 glucose-165* urean-9 creat-0.6 na-137 k-4.3 cl-95* hco3-32 glucose-105 urean-11 creat-0.6 na-144 k-3.8 cl-101 hco3-34* glucose-188* urean-12 creat-0.8 na-144 k-4.0 cl-110* hco3-25 sputum gram stain (final ): normal flora urine culture (final ): escherichia coli. 10,000-100,000 organisms/ml.. of two colonial morphologies. | ampicillin------------ 4 s ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 16 i ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s cxr: no pneumothorax. atelectasis, right middle lobe. no pneumothorax. atelectasis, right middle lobe. some but not for re-expansion of left lower lobe. small apical pneumothorax persists. brief hospital course: mrs was admitted on for sternotomy, thymectomy. she was extubated in the operating room and transferred to the sicu for further management. respiratory: oxygen saturations 94% on 3l nc with bipap overnight. on her oxygenation requirements increased. cxr revealed left lower collapse with possible effusion. interventional pulmonology was consulted and on ultrasound no effusion was detected. they then did bedside flexible bronchoscopy and aspirated a large left mainstem mucus plug. her oxygenation improved. aggressive pulmonary toilet, chest pt and nebs were continued. the mediastinal chest tubes were removed on pod4. with ambulation her oxygen saturations were in the low 80's requiring supplemental oxygen. neuro: neurology followed her throughout her hospital course. nif & fvc were q6h to monitor for myasthesia crisis. her cellucept, prednisone & mestinon were restarted pod 1. plasmapharesis catheter was placed on and removed 0n . pain: managed with dilaudid pca and toradol. converted to po pain meds. cardiac: she remained hemodynamically stable in sinus rhythm throughout her hospital course. endocrine: diabetes was well controlled on lantus. metformin will restart as an outpatient. gi: no issues. renal: renal function remained stable. foley was removed diuresed with lasix iv for mild volume overload. her lytes were repleted as needed. id: she had a low grade temp on pod 3. she was pancultured. blood cultures no growth to date. urine culture was positive for e. coli and was treated with 3 day course of cipro. nutrition: she tolerated a diabetic diet. dispositon: she was followed by physical therapy. sternal precautions were enforced. she ambulated in the halls. medications on admission: mycophenolate mofetil 1500 mg , prednisone 10 mg daily, pyridotigmine 60 mg tid, rosuvastatin 10 mg daily, lisinopril 20 mg daily, metformin 500 mg , lantus 20 units qhs. discharge medications: 1. mycophenolate mofetil 500 mg tablet sig: three (3) tablet po bid (2 times a day). 2. prednisone 10 mg tablet sig: one (1) tablet po daily (daily) as needed for myasthenia . 3. pyridostigmine bromide 60 mg tablet sig: one (1) tablet po every eight (8) hours. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. rosuvastatin 10 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 20 mg tablet sig: one (1) tablet po once a day. 8. oxygen o2 at 1-2 liters continuous conserving device for portability 9. lasix 20 mg tablet sig: one (1) tablet po once a day. disp:*5 tablet(s)* refills:*0* 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours. disp:*60 tablet(s)* refills:*2* 11. insulin continue previous insulin dose 12. metformin 500 mg tablet sig: one (1) tablet po twice a day. 13. lantus 100 unit/ml solution sig: twenty (20) units subcutaneous at bedtime. 14. famotidine 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: myasthenia discharge condition: stable discharge instructions: call dr. office if develops: -fever > 101 or chills -increased shortness of breath, cough or sputum production -chest pain -sternal incision develops drainage or redness or click -no lifting greater than 10 pounds -steri-strips remove in 10 days or sooner if start to come off -you may shower. no tub bathing or swimming for 4 weeks -no driving for 1 month. -daily weights: take lasix 20 mg daily if have weight gain. -eat a banana & drink oj with taking lasix -monitor fingerstick blood sugars and restart previous insulin dose followup instructions: follow-up with dr. np on date/time: 1:00pm in the chest disease center building report to the clinical center 3rd radiology for a chest x-ray 45 minutes before your appointment procedure: other bronchoscopy other intubation of respiratory tract other total excision of thymus diagnoses: urinary tract infection, site not specified unspecified essential hypertension long-term (current) use of steroids diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse anxiety state, unspecified long-term (current) use of insulin calculus of gallbladder without mention of cholecystitis, without mention of obstruction other diseases of trachea and bronchus myasthenia gravis without (acute) exacerbation benign neoplasm of thymus 

Answer: The patient is high likely exposed to