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: darvon attending: chief complaint: elective peg tube placement major surgical or invasive procedure: peg tube placement history of present illness: patient is an 83 y/o f with a pmh of als, diabetes, and hypothyroidism who presents from gi suite after peg placement. the patient initially came in for elective peg placement which she underwent without complication. the patient reports that she was eating a regular diet without difficulty and had the procedure done in anticipation of needing it in the future. she denies difficulty swallowing ot any choking episodes at home. the procedure was without complication, however after the procedure she was noted to be hypoxic to 89% on ra. previous sats were in mid-90s. she was placed on her nasal cpap which she wairs at night, however her o2 sat did not reach above 92% with this. she was then placed on bipap with full face mask and her sats improved to 97%. she was admitted to the icu given her worsening oxygen requirement. on arrival to the icu she is complaining of some abdominal discomfort at the site of the peg tube. she reports that her breathing is more labored than normal, however it feels better with her cpap. she does not normally use oxygen at home. she complains of being tired and requests to be left alone to sleep. she denies other complaints. past medical history: als, followed by neurologist dr. h/o lumbar and cervical spinal stenosis. s/p lumbar discectomy osteoarthritis s/p left tkr s/p left shoulder fracture in the diabetes hypothyroidism s/p ccy in hysterectomy in social history: lives on , has personal caregiver. divorced. smoking history x20 years, quit 40 years ago. drinks glass of wine per day. family history: noncontributory physical exam: t 98.1 bp 163/82 hr 87 rr 12 o2 92% cpap general: somewhat anxious, in nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mm dry. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp flat lungs: ctab anteriorly, good air movement biaterally. abdomen: peg tube in place, dressing c/d/i, nabs. soft, tender around peg tube site extremities: trace edema, multiple echymoses on b/l legs. legs cool. neuro: a&ox3. somewhat agitated at time. cn 2-12 grossly intact. no movement in le. ue 4+/5. pertinent results: 05:36am blood wbc-15.4*# rbc-3.51* hgb-10.7* hct-31.8* mcv-91 mch-30.4 mchc-33.6 rdw-15.7* plt ct-310 05:36am blood glucose-119* urean-17 creat-0.3* na-135 k-3.9 cl-100 hco3-29 angap-10 05:36am blood calcium-10.4* phos-3.1 mg-2.1 brief hospital course: 83 y/o f with a pmh of als, diabetes, and hypothyroidism who presents from gi suite after peg placement with hypoxia. #. hypoxia: developed after receiving sedation for procedure. most likely related to sedation and her poor respiratory mechanics given her als. also possibly a component of atelectasis in setting of poor respiratory effort and fatigue. o2 sat improved with bipap and pt was transitioned to her nasal cpap which she tolerated overnight. aspiration event or infection is also in the differential given leukocytosis, however less likely as pt remained afebrile. as pt clinically improved, leukocytosis was thought to be a stress reaction. chest x-ray was difficult to evaluate given no prior for comparison. prior to discharge pt was satting high 90s on room air. pt should have wbcs rechecked as an outpt to follow up leukocytosis. # s/p peg placement: peg was placed without complications. pain was controlled with prn tylenol, oxycodone. at this point, as pt was tolerating oral feeds, peg use was not required. #. hypothyroidism: pt was continued on home synthroid. #. diabetes: oral meds were held while hospitalized and pt was monitored and treated with qid fs and riss. she was maintained on a diabetic diet when eating. #. als. pt was continued on rilutek and is to follow up with her neurologist. medications on admission: celebrex 200mg synthroid 100mcg daily calcium vitamin d asa 81mg daily vitamin a vitamin e januvia 100mg daily rilutek 50mg discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. rilutek 50 mg tablet sig: one (1) tablet po twice a day. 3. celebrex 200 mg capsule sig: one (1) capsule po twice a day. 4. aspirin 81 mg tablet sig: one (1) tablet po once a day. 5. januvia 100 mg tablet sig: one (1) tablet po once a day. 6. outpatient lab work please draw cbc on and send these results to dr. , p. 7. medications please continue your other outpatient vitamins as previously prescribed. discharge disposition: home with service facility: vna discharge diagnosis: als diabetes hypothyroidism discharge condition: stable. oxygenating well. discharge instructions: you were admitted to the hospital for observation after feeding tube placement. you were found to have a slightly elevated white blood cell count after the procedure. you should have this repeated by your primary care doctor in 2 days to make sure it is resolving. you will need to have vna for your feeding tube care. please continue your regular medications as previously prescribed. if you develop fevers, worsening breathing, difficulty swallowing, dizziness, pain or redness around the feeding tube or other concerning symptoms please call your doctor or go to the emergency room. followup instructions: you have the following appointment: provider: , ccc,slp phone: date/time: 1:00 . please follow up with your pcp in the next week. please have you blood counts drawn in 2 days. md procedure: other endoscopy of small intestine percutaneous [endoscopic] gastrostomy [peg] diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism pulmonary collapse amyotrophic lateral sclerosis hypoxemia knee joint replacement dysphagia, unspecified 

Answer: The patient is high likely exposed to