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: history of present illness: this is an 83-year-old female with a history of copd on home oxygen, obstructive sleep apnea on cpap, congestive heart failure with an ejection fraction of 65 percent, diastolic dysfunction, and atrial fibrillation on coumadin who presents with chest pain. the patient reports chest pain, shortness of breath, diaphoresis. the patient states she is very tired and is not answering any more questions. the patient did say she just did not feel well overall. the patient is a rehab resident and apparently, by report has sudden onset of diaphoresis, shortness of breath, and tachycardia. ekg showed atrial fibrillation. she was given sublingual nitroglycerin and aspirin, then transferred to emergency department. in the emergency department, the patient received nitroglycerin 0.3 mg sublingual times 2, received lasix 120 mg intravenous times 1, then lasix 120 mg intravenous times 1, verapamil 2.5 mg intravenous times 1 and then 5 mg intravenous times 1, dilitiazem 10 mg intravenous times 2, lopressor 5 mg intravenous times 1, 1 inch nitro paste, and then bipap was attempted. past medical history: copd on home oxygen. atrial fibrillation. obstructive sleep apnea on bipap. congestive heart failure with an ejection fraction of 65 percent. sjogren syndrome. osteoarthritis. gastroesophageal reflux disease. hiatal hernia. bilateral narrow angle glaucoma. coronary artery disease with catheterization in that was negative. status post right hip repair. allergies: penicillin causes a rash, zoloft causes nausea, metolazone and codeine cause nausea. social history: a 100-pack-year history of tobacco. no alcohol use. the patient is a rehab resident. medications: 1. colace 100 mg 2 times a day. 2. iron sulfate 325 mg every day. 3. prevacid 15 mg every day. 4. multivitamin 1 every day. 5. naproxen 250 mg 2 times a day. 6. micro-k 20 meq 2 times a day. 7. deltasone 5 mg every day. 8. verapamil 80 mg 2 times a day. 9. lasix 120 mg every day. 10. coumadin 5 mg every day. 11. klonopin 0.5 mg every day. 12. trazodone 75 mg at bedtime. 13. sodium chloride nasal spray. physical examination: blood pressure 119/83, heart rate 114, down from 140s, respiratory rate 24-31, 93 percent oxygenation on 4 liters nasal cannula. in general: obese, elderly female, sitting slumped over, alert and oriented times 3. heent: deferred. heart: distant heart sounds, pulse irregular and tachycardic. lungs: crackles at the bases, otherwise clear. abdomen: obese, soft, nontender, nondistended. extremities: no significant edema, 2 plus dp pulses. extremities cold to touch. neurological: alert and oriented times 3. laboratory data: white blood cells 7.7, hematocrit 38.9, platelets 202, neutrophils 79.6, lymphocytes 12.0, monocytes 5.2, eosinophils 2.8, and basophils 0.5. sodium 145, potassium 4.3, chloride 100, bicarbonate 39, bun 20, creatinine 1.1, and glucose 126. pt 17.2, ptt 33.4, and inr 2.0. radiographic studies: chest x-ray, heart stabilely enlarged, perivascular haziness with upper zone distribution consistent with congestive heart failure, small bilateral pleural effusions. ekg, 150 beats per minute, irregularly irregular, borderline left axis deviation, questionable t-wave inversion in avl compared with ekg done in , which was normal sinus rhythm. ekg done in showed rapid atrial fibrillation. concise summary of hospital course: hypercarbic respiratory failure. the patient was admitted to the medical service and transferred from the emergency department to the medical floor. during that night, respiratory was called to assess the patient for the shortness of breath. respiratory therapy attempted non-invasive mask ventilation with bipap to help the patient decrease her work of breathing, however was unsuccessful. machine was then discontinued. the patient continued through the night with an increased respiratory rate. in the morning, the micu team was called to evaluate this patient. the patient was found initially to be speaking, then stopped. the patient was more and more sleepy, slumped over, essentially filled only half of head on panus and clearly not ventilating. abg was done showing marked respiratory acidosis. bipap was instituted. however, the respiratory therapist was having difficulty with sealing having multiple air leaks. the patient continued to be somnolent. the patient was given diltiazem 10 mg and heart rate was noted to come down from the 130s down to the 110s. the patient was, at that point, already on a lasix drip to help eliminate as much fluid from the lungs as possible. lasix drip was at 10 an hour. intravenous nitroglycerin was started at 100 mcg without further alleviation of symptoms. the patient was dnr/dni and at that point, the family was contact and in conjunction with the health care proxy and one of the family members there, decision was to reverse the dnr/dni code and make the patient full code since the patient was unable to be further ventilated with a non-invasive mask ventilation and required an endotracheal tube to eliminate most of her hypercarbia. hence, at that point, the patient was intubated and brought over to the intensive care unit. at that point in time, the thought that was causing her hypercarbic respiratory failure was possibly a copd flare secondary to an infection versus pulmonary edema secondary to her rapid ventricular rate, atrial fibrillation. the patient was continued with lasix in the unit and attempted to diurese the patient on a negative 1-2 liters per day to eliminate any fluid that might have been causing some of her hypoxia and hypercarbia. the patient was also started on levofloxacin 500 mg times 1 and 250 mg every day to complete a 10-day period in consideration of a possible infection that could have been causing her decline in her respiratory status. the patient was also started on solu-medrol dose and was slowly titrated down to 40 mg every day. dictation ended , procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation arterial catheterization diagnoses: pneumonia, organism unspecified acidosis congestive heart failure, unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure hyperosmolality and/or hypernatremia diastolic heart failure, unspecified lung involvement in other diseases classified elsewhere 

Answer: The patient is high likely exposed to