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: sulfonamides / penicillins / codeine attending: chief complaint: respiratory arrest major surgical or invasive procedure: intubation central line placement history of present illness: ms is a 69 year old woman with past medical history significant for mental retardation, right lower lobe collapse of unclear etiology, here for elective bronchoscopy complicated by respiratory arrest. patient had been noted to have transient episodes of hypoxemia, found to have right lower lobe collapse and was evaluated by pulmonary for further workup. differential diagnosis included mucous plug vs endobronchial lesion, prompting elective bronchoscopy. today, patient was about to undergo bronchoscopy, received 2mg iv midazolam, 50mcg of iv fentanyl and bronchoscopy tube was inserted to trachea when she suddenly became hypoxemic and unresponsive. code blue was called at 15:05 and patient was initially bag-masked but did not improved significantly. at this time, breath sounds were absent on both the right lower and left lower lobes. patient underwent intubation using 2mg midazolam x 2, 50mcg fentanyl prior 100mg succinylcholine (grade ii view, 8.0 et tube). breath sounds returned to left lower lobe and o2 sat improved, however blood pressure dropped to 50/s over palp and all peripheral pulses were lost. at this time, patient was started on wide open fluids, peripheral levophed at 0.05mcg and central access was attempted unsuccessfully by three operators at right femoral, left femoral and right subclvian veins. anesthesia assisted with placement on right subclavian line under sterile conditions, blood pressure improved to 150's and levophed infusion was stopped. patient was transported to ccu for further management. in the unit, patient was noted to be transiently hypotensive again requiring vasopressors and fluid boluses. several attempts at arterial catheter placement were made but not successful. past medical history: mental retardation status post knee surgery diverticulosis anemia hypertension esophageal reflux sleep apnea (untreated) osteoporosis status post right eye cataract social history: hcp is cousin . tobacco, etoh, or illicit drug use. family history: hocm both mom and dad physical exam: vs t 100.3 hr 67 bp 100/66 rr 16 o2sat 100% general appearance: well nourished, overweight / obese head, ears, nose, throat: normocephalic, endotracheal tube, og tube lymphatic: cervical wnl cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: diminished), (left radial pulse: diminished), (right dp pulse: diminished), (left dp pulse: diminished) respiratory / chest: (expansion: symmetric), (percussion: dullness : rll), (breath sounds: rhonchorous: througout) abdominal: soft, non-tender, bowel sounds present, distended extremities: right lower extremity edema: 1+, left lower extremity edema: 1+, right lower extremity with contractions, loss of posterior leg muscle mass skin: not assessed neurologic: follows simple commands, responds to: not assessed, movement: not assessed, tone: not assessed pertinent results: admission labs : 04:46pm wbc-8.3 hgb-12.4 hct-37.1 plt ct-221 04:46pm neuts-76.6* lymphs-18.4 monos-2.4 eos-2.4 baso-0.2 04:46pm pt-13.3 ptt-24.7 inr(pt)-1.1 04:46pm glucose-90 urean-15 creat-0.4 na-142 k-3.5 cl-106 hco3-28 angap-12 04:46pm alt-13 ast-20 ld(ldh)-133 ck(cpk)-98 alkphos-70 totbili-0.5 04:46pm ck-mb-notdone ctropnt-0.04* 04:46pm albumin-3.5 calcium-8.7 phos-2.7 mg-1.7 04:46pm tsh-3.7 04:54pm type-art po2-60* pco2-33* ph-7.48* caltco2-25 base xs-1 04:54pm lactate-0.9 04:54pm freeca-1.12 u/a: 09:33pm color-yellow appear-hazy sp -1.013 09:33pm blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-8.0 leuks-sm 09:33pm rbc-0-2 wbc-* bacteri-many yeast-none epi-0-2 other pertinent labs: 03:15am blood fibrino-417* 03:15am blood hapto-145 microbiology: legionella: negative bcx: *** ucx:*** bronchial washings: gram stain negative imaging: cxr: findings compatible with worsening right main stem bronchus mucoid impaction with inflation of the left lung . please clinically correlate echo: the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is probably dilated with depressed free wall contractility although views are suboptimal. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. compared with the prior study (images reviewed) of , right ventricular size and function are difficutl to compare since views are limited and suboptimal in the two studies. the right ventricle is probably more hypokinetic in the current study. cxr: as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the left basal opacity is unchanged in extent and density. there is marked regression of the pre-existing right basal opacity, the right basal lung shows markedly improved ventilation. the margins of the cardiac silhouette are again clearly visible, overall, the size of the cardiac silhouette is within normal range. no evidence of newly appeared focal parenchymal opacities ct torso: *** brief hospital course: 69 year old woman with right lower lobe collapse of unknown etiology, presenting for elective bronchoscopy complicated by respiratory arrest and ongoing hypotension requiring vasopressor support, in critical condition. #. respiratory arrest: no clear etiology for acute decompensation, as patient walked in for elective procedure, had no fever, chest pain or palpitations before. most likely had mucous plugging and aspiration, resulting in severe hypoxia. also likely contributing was sedation during bronchoscopy. pt was intubated and satting well with ventilation. cta torso negative for pe. pt underwent bronch on , which was notable for secretions and mucous plugging in the left main stem bronchus, which was sent for cultures (all negative). there was no endobronchial lesion noted on bronchoscopy. pt. was noted to have multilobar pneumonia on ct, started initialy on vanc/levofloxacin with improvement, extubated without issue. vancomycin was discontinued after bal cultures did not grow gpcs. she continued to improve and her o2 requirement was down to 3l nc at discharge from the micu. she was evaluated by speech and swallow prior to leaving the micu and started on a nectar thick liquid/ground food diet with pills in applesauce to limit her chance of recurrent aspiration. she likely also has osa and will require an outpatient sleep study for further evaluation. started on cpap while in hospital. by discharge, the patient was satting well on 2l nc, which her baseline at home. # hypotension: likely related to respiratory arrest as above. given increasing fever curve, concerning for systemic infection. pt was started on levquin and vancomycin for possible infection. legionella was negative. echo shows normal ef >60%. pt was maintaining bp well on low dose levophed. was eventually weened off of levophed and remained normotensive for the rest of her micu stay. # uti: diagnosed with cipro resistant e.coli uti, started on 3 days of macrobid. # gerd: h2 blocker, patient suspected of microaspiration events. medications on admission: aspirin 81 mg tablet hydrochlorothiazide 25 mg metoprolol succinate 25 mg daily sertraline 100 mg daily omeprazole 40 mg capsule alendronate 70 mg once per week simvastatin 40 mg daily albuterol nebs duoneb q4h prn calcium carbonate-vitamin d2 600-200 mg-unit daily potassium chloride 10 meq capsule daily tylenol 325 mg prn docusate sodium 100 mg psyllium daily bisacodyl 10 mg daily prn senna 8.6 mg tablet prn constipation. alum-mag hydroxide-simeth 15-30 mls po qid milk of magnesia prn bisacodyl 10 mg suppository prn fleet enema prn discharge disposition: extended care facility: center discharge diagnosis: primary: respiratory arrest lung collapse pneumonia sepsis discharge condition: stable on 2l nc oxygen. discharge instructions: you were admitted to the hospital after respiratory arrest while having a bronchoscopy. you were intubated in the icu for several days and your breathing improved. you have chronic collapse of the lower part if your lung. you were also treated for pneumonia and your breathing improved on antibiotics. no changes were made in your medication regimen. please continue all medications as prescribed. please continue using 2l of oxygen in the evenings as you have been. followup instructions: please follow up with dr. at the end of this week. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube laryngoscopy and other tracheoscopy closed [endoscopic] biopsy of bronchus diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified esophageal reflux urinary tract infection, site not specified unspecified essential hypertension unspecified septicemia severe sepsis pulmonary collapse acute respiratory failure pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified other constipation obesity, unspecified unspecified intellectual disabilities foreign body in other specified parts bronchus and lung 

Answer: The patient is high likely exposed to