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: service: history of present illness: this 67-year-old woman with a history of atrial fibrillation and newly-diagnosed non-small cell lung cancer with left main stem bronchus occlusion by bronchoscopy, is transferred from hospital for further management. the patient has had several months of chronic cough and increased dyspnea on exertion. she also has treatment-refractory atrial fibrillation (with difficulty with rate and rhythm control, being evaluated at hospital). a v/q scan to rule out pulmonary embolism was done as a workup for atrial fibrillation, and revealed marked decreased ventilation of the left lung. a follow-up ct of the main stem bronchus with extensive mediastinal extension was discovered. a bronchoscopy at on revealed a soft tissue endobronchial lesion causing greater than 90% occlusion of the left main stem bronchus as well as extrinsic compression of the carina and extension to the right main stem bronchus. an initial biopsy revealed results consistent with non-small cell lung cancer. at the time of transfer, the patient has mild dyspnea at rest, significant dyspnea on exertion. oxygen saturations are 92 to 95% on 2 liters nasal cannula. her atrial fibrillation is rate controlled in the 80s and 90s. she is transferred to for attempt at rigid bronchoscopy to open the left main stem bronchus. past medical history: 1. atrial fibrillation diagnosed two years ago 2. non-smell cell lung cancer as above 3. history of positive ppd, negative acid fast bacilli on bronchoscopy 4. history of thyroid surgery medications on transfer: digoxin 0.25 mg once daily, flecainide 100 mg twice a day, albuterol metered dose inhaler every two hours as needed, duoneb aerosols every four hours, fluticasone 220 mcg two puffs twice a day, brimonidine ophthalmic solution, diltiazem 60 mg every eight hours, synthroid 0.075 mcg once daily, montelukast 10 mg once daily, protonix 40 mg once daily, ativan intravenously as needed. allergies: no known drug allergies. allergy to shrimp. social history: retired nurse . tobacco: history of one pack per day for 20 to 30 years, quit 10 to 15 years ago. family history: mother with breast cancer, father with cancer. physical examination: on admission, temperature 97.6, heart rate 100, blood pressure 149/70, respirations 22, oxygen saturation 94% on 10 liters. general: awake, alert, dyspneic, mildly uncomfortable. head, eyes, ears, nose and throat: pupils equal, round and reactive to light and accommodation, extraocular movements intact, mucous membranes moist, oropharynx clear. heart: regular, normal s1, s2, no murmurs. neck: bounding carotid pulse, no jugular venous distention. lungs: bilateral coarse rhonchi and trace expiratory wheezes, decreased breath sounds at left base. abdomen: soft, nontender, nondistended, normal active bowel sounds. extremities: no edema. neurologic: strength 5/5 and equal bilaterally in upper and lower extremities. laboratory data: on admission, white count 25.8, hematocrit 35.6, platelets 404. inr 1.2. sodium 134, potassium 3.8, chloride 97, bicarbonate 24, bun 13, creatinine 0.7, glucose 127. magnesium 1.9. hospital course by system: 1. pulmonary: the patient was transferred to the medical intensive care unit on day number one of admission for further management of her left main stem bronchial obstruction. a rigid bronchoscopy with tumor debridement and stent placement was performed without complications. a ct of the chest done prior to this procedure had confirmed the left main stem occlusion extending into the right upper lobe bronchus, and additionally showed a small left pleural effusion, extensive right ground-glass opacities, septal thickening consistent with lymphangitic spread. the patient was placed on levofloxacin and clindamycin given the possibility of post-obstructive pneumonia. after the procedure, the patient was transferred to the medical service, where she continued to have a substantial oxygen requirement at rest. at baseline, she required 5 to 6 liters nasal cannula to maintain an oxygen saturation of 89 to 90%. she received periodic atrovent and albuterol nebulizer treatments, which increased her oxygen saturation when she would desaturate to the mid-80s. she also required non-rebreather mask treatment on several occasions to maintain her oxygen saturation. it was felt that mucous plugging was partially responsible for this, as her oxygen saturations would improve after she coughed up mucous. she had two follow-up chest x-rays which were consistent with the prior findings and revealed no interval development of heart failure or pneumonia. 2. cardiac: the patient was noted to be in paroxysmal atrial fibrillation/flutter during the entire course of her admission. a cardiology consult saw the patient when she was in the medical intensive care unit, and recommended initiation of amiodarone and discontinuation of flecainide. she was rate controlled with metoprolol. on the evening of transfer to the floor, which was , the patient returned to atrial fibrillation/flutter with a ventricular rate of 100 to 140 beats per minute. her rate was brought down with both oral and intravenous metoprolol. the following day, the patient agreed to undergo ablation of her right atrial flutter focus upon consultation with the electrophysiology service. this procedure was performed on without incident. the patient was initially in sinus rhythm following the procedure, but had two instances where she returned to what was felt to be a left atrial flutter rhythm with ventricular rates between 80 and 100. she is transferred to hospital with plans to continue amiodarone 400 mg three times a day for seven additional days, followed by 400 mg once daily for three weeks, followed by 200 mg once daily. she is to obtain of hearts monitor upon discharge. the patient was anticoagulated with heparin throughout this admission for atrial fibrillation/flutter. she was placed on warfarin after the ablation procedure. she is to be overlapped with heparin until her inr becomes therapeutic. 3. oncology: the patient had been seen by a medical oncologist and a radiation oncologist at prior to transfer to . she expressed the wish that she be treated at hospital by these physicians, so management of her lung cancer was deferred. the pathology from her bronchoscopy returned consistent with poorly-differentiated large-cell carcinoma. she is being transferred to hospital for resumption of this care. 4. infectious disease: as above, the patient was initiated on a 14 day course of levofloxacin and clindamycin for post-obstructive pneumonia. upon transfer, the patient has five days remaining to complete this course. the culture from her bronchial washings grew sparse oropharyngeal flora. on discharge, her white blood count was down-trending from 19.0 on the 21st to 17.3 on the 22nd, to 15.4 on the 23rd. 5. gastrointestinal: the patient had problems with both constipation and nausea this admission. her constipation was resolved with a light bowel regimen. her nausea was improved with scheduled compazine and as needed zofran. liver function tests drawn the day prior to discharge are pending at the time of this dictation. 6. endocrine: the patient was continued on her admission dose of levothyroxine. a tsh drawn this admission was normal. discharge diagnosis: large-cell lung cancer, status post left bronchial stent, atrial fibrillation/flutter, status post ablation, pneumonia, hypothyroidism discharge condition: fair to poor discharge medications: metoprolol 25 mg by mouth three times a day, coumadin 5 mg by mouth once daily, heparin per protocol, amiodarone 400 mg by mouth three times a day, ipratropium two puffs inhaled four times a day, albuterol two puffs inhaled every six hours as needed, fluticasone 440 mcg inhaled twice a day, salmeterol two puffs inhaled twice a day, clindamycin 300 mg by mouth every six hours for five days, levofloxacin 500 mg by mouth every 24 hours for five days, levothyroxine 75 mcg by mouth once daily, brimonidine ophthalmic solution, protonix 40 mg by mouth once daily, compazine 10 mg by mouth every six hours, zofran 4 mg intravenously every six hours as needed discharge status: to hospital for further treatment of her lung cancer. addendum patient was set to leave for hospital, howver it was noted on day of discharge she was noted to be veyr short of breath and cxr revealed lobasr collapse c/w stent obstruction. she was taken to the operating room for repeat rigid bronch that revealed repeat occlusion with tumor. this was treated with laser treatment but pt continued to have respiratory difficulty. she elected to make herself comfort measures only. she was started on a morphine drip to treat her respiratory distress and eventually passed away in her room at the . , m.d. dictated by: medquist36 procedure: excision or destruction of other lesion or tissue of heart, endovascular approach other bronchoscopy other intubation of respiratory tract other intubation of respiratory tract endoscopic excision or destruction of lesion or tissue of bronchus endoscopic excision or destruction of lesion or tissue of bronchus bronchial dilation diagnoses: pneumonia, organism unspecified unspecified acquired hypothyroidism atrial fibrillation atrial flutter secondary and unspecified malignant neoplasm of intrathoracic lymph nodes malignant neoplasm of main bronchus 

Answer: The patient is high likely exposed to