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: 70 year old female patient admitted from in . pt has history of copd and was trached after multiple intubations. she was initially treated at with lasix iv. she had increased pip's and tachycardia. treated in ed at with solumedrol 125mg , nebs and put on ac mode on ventilator. past medical history significant for cad, copd, htn, gerd. pt is bed bound. pt opens eyes when spoken to. obeys commands. does not attempt to move independantly in bed. requires repositioning q2-3h. able to mouth words and nod head yes and no appropriately. left pupil star shaped (?cataracts) and no reaction to light. right pupil 3mm and sluggishly reacts to light. receiving haldol per psych recommendation for agitation q12h and prn. see flowsheet for further details. cardiac: vss. aline insitu. monitoring sinus rhythm with noted sinus arrhythmia. pedal pulses palpable. 3+ generalized edema. continues on diltiazem via peg tube. see flowsheet for further details. resp: remains on ventilator in cpap/ps mode. lungs clear although occassionally noted to have scattered crackles and inspiratory wheezes. suctioned small amout thick beige secretions. trach dressing intact. bronch at bedside yesterday that noted lungs collapsing with each exhalation when peep was off. started on theophylline gtt last evening to hopefully decrease bronchospasm etc. level drawn at 0145h. level 3.3 at 0345h and ho notified. order received to increase gtt to 0.4mg/kg/hr. theophilline level to be rechecked at 0900h. see flowsheet for further details. gi: abdomen soft and distended. nontender. bowel sounds hypoactive. liquid brown bowel movement. tube feed promote at 60cc/h (goal rate 60cc/h). residual 45cc at 0400h. continues q6h fsbs with sliding scale coverage. see flowsheet for further details. gu: urine output borderline at beginning of shift. urine did seem to increase with theophilline gtt initiation. urine is clear and yellow. 24h urine sent at 0300h as ordered. see flowsheet for further details. access: left radial aline. left antecubital single lumen picc insitu. #20 saline lock right arm and right hand. id: afebrile. continues antibiotics. integ: duoderm on coccyx. plan: iv team to place double lumen picc this am. continue theophilline gtt for the 12 hour duration. monitor theophilline levels as ordered. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances other bronchoscopy closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure bacteremia infection and inflammatory reaction due to other vascular device, implant, and graft streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] tracheostomy status 

Answer: The patient is high likely exposed to