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: compazine / cephalosporins / amoxicillin / reglan / imitrex / erythromycin base / penicillins attending: chief complaint: cough, pleuritic chest pain and headache admitted to the icu for hypotension in the setting of fever to 105 major surgical or invasive procedure: none history of present illness: a 36 year old female with past medical history iv drug use, migraines presented to the ed with complaints of malaise, fever, chills, dyspnea x 1 days. she reports rinorrhea and sore throat 2 days ago. yesterday, she developed worsening dyspnea, nonproductive cough and fever to 103. at that time, she also noted pleuritic chest pain. she reports that other residents at her half way house have similar symptoms. . of note, she was seen in the ed for headache similar to previous migraines, given medication refill and discharged home, also on for malaise and lethargy and was observed overnight with improvment, thought to be related to methadone. . in the ed, initial vs were: t105.8 p150 bp130/90 r20 o2 sat 99%ra. she initially complained of headache and dyspnea with cough. labs were notable for wbc 5.1, 75% pmn, lactate 1.5, ucg neg, u/a negative. chest xray showed no effusion or infiltrate. she had a bedside echo cardiogram which was negative for vegitations. patient was given acetaminophen 500mg ketorlac levofloxacin 750mg, vancomycin 1g, meropenem 1g, oseltamivir 75mg. she developed hypotension to sbp 90's, a right ij was placed and she was treated with 4l ns and started on levophed. vitals on transfer were t103.7 bp142 bp86/40. sbp in 90s. rr 18 99% on ra . on arrival to the icu vitals were t101.3 p129 bp70/40 r18 o2 sat98%. she reported that headahce has improved since presentation to ed and is now . reports continued dyspnea and non-productive cough with bilateral pleuritic chest pain. denies iv drug use x 1 month. denies numbness/tingling, denies photophobia, states that she is squinting because she needs her glasses. . review of sytems: (+) night sweats, weight gain, (-) denies nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: multiple suicide attempts iv drug abuse (heroin and cocaine) mrsa pneumonia endometriosis hypercholesterolemia questionable history of hepatitis c (ab postive, rna negative) asthma migraines depression appendicitis restless leg syndrome social history: living at res in x 1 month. patient has been homeless for years living in shelters and half way houses. history of iv drug abuse with heroin and cocaine, denies use in last 4 weeks. family history: father hypercholesterolemia, mother hypertension, maternal grandmother cad. physical exam: admission physical exam: vitals: t101.3 p129 bp70/40 r18 o2 sat98% ra general: alert young female appearing uncomfortable heent: eomi peerla, sclera anicteric, mmm, oropharynx clear neck: supple full range of motion, jvp not elevated, no lad lungs: normal tactile fremitus, resonant to percussion. clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: tachycardic 2/6 sem regular rhythm, normal s1 + s2, abdomen: well healed surgical scar, soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: exceptionally warm to touch, 2+ pulses, no edema. neuro: cn ii-xii intact, no nystagmus dtrs not elicited in patella bl, 2+ in biceps tendon bl, babinski downgoing, sensation to fine touch intact bl pertinent results: admission labs : -wbc-5.1 rbc-4.11* hgb-13.3 hct-36.7 mcv-89 mch-32.3* mchc-36.2* rdw-13.9 plt ct-223 -pt-14.7* ptt-35.6* inr(pt)-1.3* -glucose-128* urean-13 creat-1.0 na-136 k-3.2* cl-104 hco3-19* angap-16 -alt-37 ast-46* ld(ldh)-242 ck(cpk)-126 alkphos-113* totbili-0.3 -albumin-4.7 calcium-9.4 phos-1.7*# mg-1.7 -tsh-1.1 -asa-5.1 ethanol-neg acetmnp-neg bnzodzp-neg barbitr-pos tricycl-neg -lactate-1.5 . admission cxr: cardiac, mediastinal and hilar contours are normal. both lungs are clear with no focal consolidation, pleural effusion or pneumothorax. . repeat cxr on : tip of the new right internal jugular line ends in the upper svc. there is no mediastinal widening, pneumothorax, or pleural effusion. there is new heterogeneous opacification in the right mid and upper lung zones strongly suggestive of developing pneumonia. left lung is clear. heart size normal. no pleural effusion. . ruq us trace ascites in morison's pouch not amenable to ultrasound-guided paracentesis. . echo tte the left atrium is normal in size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef 70%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: no vegetations seen, but suboptimal image quality . ruq ultrasound: impression: small periportal nodes, subcentimeteric in short axis diameter.no other remarkable abnormalities noted. . hiv viral lode was negative all blood & urine cx were all negative for growth legionella ag negative hepatitis c antibody was positive, viral loade returned without any detectable virus vaginal g/c pcr pending at the time of this dictation brief hospital course: # hypotension/pneumonia: patient was admitted to the icu with tachycardia, fever, and hypotension which was felt most likely from acute pneumonia given cough, pleuritis, and opacities on cxr. pt was covered with vancomycin/levofloxacin due to her history of mrsa pna. she was aggressively fluid resuscitated and supported with pressors with resolution of hypotension. pt did not require ventilator support and later had significant autodiuresis of large volumes of urine and bp remained stable off pressors. she was called out to the floor with resolution of fevers. additional infectious work up included multiple negative urine & blood cx, an echo that did not show any vegetations, negative hiv viral load, negative viral influenza screen and negative legionella antigen. leukocytosis continued to resolve on linezolid with high dose levofloxacin. pt was continued on linezolid for an 8 day course and pre-authorization was obtained for po linezolid on discharge to sober house. levofloxacin was transitioned to moxifloxacin to complete the 8 day course due to insurance approval requirements. . # abnomal lfts: pt reports intermittent ruq pain and initial u/s showed small amount of ascites though not enough for paracentesis and lfts revealed a mildly elevated transaminases with mild alk phos elevation. hepatitis panel was sent and returned positive for hep c ab though hep c vl was negative. hep b studies revealed prior immunization and repeated ruq u/s was performed prior to discharge which showed small periportal lymphadenopathy. these results were discussed with the patient and she was given an appointment to follow up with the liver clinic for further investigation. . # narcotic addiction: pt was continued on methadone at confirmed clinic doses but had an epsiode of somnolence in the icu thought due to multidrug interaction. there was concern raised for in hospital drug abuse though repeat urine drug screen returned positive for opiates (on methadone) and barbituates (on fioricet) without any unexplained positive substances on the screen. given this concern, all visitors were screened prior to visits. after being transitioned to medical floor, pt was restarted on her home medication regimen including clonidine, clonazepam and methadone with mild intermittent somnolence though no acute episodes of confusion. it was suggested that this regimen may be overmedicating her and pt felt that it was necessary to treat her anxiety and withdrawal. she was discharged with plan for pcp and clinic follow up but was not given any refills on these medications. . # vulvovaginitis: pt reported symptoms of vaginal itching/burning consistent with prior yeast infections. symptoms were only somewhat relieved with fluconazole/miconazole cream. pt endorsed some concern of possible exposure to an sti prior to admission and pelvic exam was performed on that was significant for vulvar irritation most likely c/ . cervical swabs were sent for gonorrhea/chlamydia but were pending at the time of this dictation. we will follow up on the final results. pt was discharged with a course of miconazole and acidophilus per her request. medications on admission: crestor 40 mg tablet fioricet 50-325-40 mg po q4h prn headache mirtazepine 30 mg daily duloxetine 60 mg daily topirimate 100 mg clonidine 0.1 mg tid klonopin 0.5 mg tid ibuprofen 800 mg tid ambien 10 mg qhs tab ranitidine 150 mg methadone 60 mg daily propranolol 80 mg requip 1mg qhs discharge medications: 1. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. disp:*4 tablet(s)* refills:*0* 2. moxifloxacin 400 mg tablet sig: one (1) tablet po once a day for 2 days. disp:*2 tablet(s)* refills:*0* 3. crestor 40 mg tablet sig: one (1) tablet po twice a day. 4. fioricet 50-325-40 mg tablet sig: one (1) tablet po three times a day as needed for headache. 5. mirtazapine 30 mg tablet sig: one (1) tablet po once a day. 6. duloxetine 60 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 7. topiramate 100 mg tablet sig: one (1) tablet po twice a day. 8. clonidine 0.1 mg tablet sig: one (1) tablet po three times a day as needed for anxiety/withdrawal. 9. klonopin 0.5 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. 10. ambien 10 mg tablet sig: one (1) tablet po at bedtime. 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 12. methadone 10 mg tablet sig: six (6) tablet po once a day. 13. propanolol sig: eighty (80) mg twice a day. 14. requip 1 mg tablet sig: one (1) tablet po at bedtime. 15. acidophilus 175 mg capsule sig: one (1) capsule po twice a day for 10 days. disp:*20 capsule(s)* refills:*0* 16. miconazole 7 100 mg suppository sig: one (1) vaginal once a day for 7 days. disp:*7 suppositories* refills:*0* discharge disposition: home discharge diagnosis: primary: bacterial pneumonia fevers hypotension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with fevers and low blood pressure to the intensive care unit. you were found to have a pneumonia and have improved significantly on antibiotics. you will need to continue taking antibiotics for another 2 days to complete the 8 day course. you were also reporting intermittent epigastric pain and underwent a ruq ultrasound which showed some fluid and mildly enlarged lymph nodes around the liver. this will need to be followed up and you have been scheduled to see the liver specialist, please keep this appointment as shown below. . you were reporting some vulvovaginitis and underwent pelvic exam that was most consistent with yeast candidiasis. you have received two days of fluconazole and you have been given a prescription for miconazole and acidophilus to help clear this infection. there are additional cultures pending from your exam and i will notify you if they return positive. . followup instructions: you have a follow up appointment scheduled for at 11am with dr. to help with refills on your medications. please speak with him about your abnormal liver function tests as these will need follow up. . department: liver center when: monday at 8:30 am with: , md building: lm campus: west best parking: garage new pcp appointment department: when: tuesday at 1:45 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: venous catheterization, not elsewhere classified diagnoses: thrombocytopenia, unspecified pure hypercholesterolemia unspecified septicemia severe sepsis asthma, unspecified type, unspecified hypopotassemia opioid type dependence, continuous dysthymic disorder disorders of phosphorus metabolism septic shock drug withdrawal migraine, unspecified, without mention of intractable migraine without mention of status migrainosus delirium due to conditions classified elsewhere candidiasis of vulva and vagina restless legs syndrome (rls) posttraumatic stress disorder bacterial pneumonia, unspecified personal history of methicillin resistant staphylococcus aureus cocaine abuse, in remission unspecified episodic mood disorder history of physical abuse 

Answer: The patient is high likely exposed to