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: patient recorded as having no known allergies to drugs attending: chief complaint: sob major surgical or invasive procedure: intubation history of present illness: 51 yof w/ down's syndrome, central di, hypothyroidism, h/o diastolic chf brought to ed by family with depressed mental status. per family, she had noted a cough/low grade fever/myalgias for ~ 1 week prior to admission. in the ed, she was noted to be somnelent; fs >100 she received narcan 0.4 mg x 1, atrovent/albuterol neb with minimal effect. abg7.25/92/116. she was started on bipap 14/6 fio2 5l with improvement in ms, however sbp dropped to sbp 80s. bipap was discontinued, lij placed placed, and she was started on dopamine gtt. cxr c/w ?rml infiltrate, possible mild chf. she received solumedrol 125 mg iv x 1, levo 500 mg iv x 1 and flagyl 500 mg iv and was transferred to the micu for further management. currently, she is sleepy but arousable. she currently reports mild shortness of breath, mild frontal headache, non-productive cough. she denies current chest pain, nausea, or vomiting. history limited secondary to patient's mental status. past medical history: 1) htn 2) hypothyroidism: tsh 0.87 3) osa: on bipap 16/10 at home - was supposed to also be on 2l nc at home 4) restrictive lung disease - pfts: fvc 39%, fev1 37%, fev1/fvc 96%, tlc 59%, dlco markedly reduced. consistent with moderate restrictive ventilatory defect 5) pulmonary artery hypertension: attributed to copd/osa 6) asd with shunt: shunt study demonstrated r-> l shungt with 12% shunt fraction (precluding meaningful repair) 7) central diabetes insipidis - ? pan- hypo pit: on prednisone 5 mg daily, levothyroxine, desmopressin 8) down syndrome 9) h/o chf - tte: lvef >55%, rv dilated, abnl septal motion c/w right ventricle pressure/volume overload, 2+ mr, 3+ tr, moderate pulmonary systolic hypertension, asd vs stretched pfo on bubble study social history: lives with daughter, who is her primary care-giver and 2 grand children. prior 45 pk-yr smoking history, quit . no etoh or other drug use. family history: nc physical exam: tc 99.7, pc 76, bpc 115/56, resp 12, 87% 4l nc gen: sleepy but easily arousable, oriented to person only heent: perrl, anicteric, nl conjunctiva, ommm, lg tongue, edentulous, short/wide neck makes jvp difficult to assess, neck supple, no cervical lad cardiac: rrr, ii/vi sm heard throughout the precardium pulm: diffuse wheezes, occasional ronchi abd: hypoactive bowel sounds, moderately distended, soft, nt, no masses ext: no cyanosis or edema noted, warm with 2+ dp/pt and radial bilaterally neuro: exam limited by pt cooperation. face symmetrical, (+) gag, moves all 4 extremities equally, 2+ dtr throughout, toes downgoing bilaterally pertinent results: 12:00am pt-12.7 ptt-27.6 inr(pt)-1.1 12:00am plt count-143* 12:00am anisocyt-1+ 12:00am neuts-55.3 lymphs-33.1 monos-6.1 eos-4.1* basos-1.4 12:00am wbc-8.0 rbc-3.52* hgb-11.1* hct-32.7* mcv-93 mch-31.5 mchc-33.9 rdw-16.0* 12:00am ck-mb-notdone 12:00am ck(cpk)-78 12:00am glucose-92 urea n-29* creat-1.8* sodium-142 potassium-4.3 chloride-99 total co2-36* anion gap-11 12:12am lactate-1.1 01:05am freeca-1.20 01:05am hgb-11.5* calchct-35 o2 sat-97 carboxyhb-1 met hgb-1 01:05am glucose-98 lactate-0.8 na+-143 k+-3.5 cl--101 brief hospital course: she was noted to have co2 retention and was started on bipap. she then became hypotensive and required dopamine gtt. she went into hypercarbic respiratory failure and was intubated in the micu. the pt was continued on her home medication. her respiratory failure was thought to be likely secondary to rsv infection from her daughter superimposed on underlying osa/obesity-hypoventilation/ restrictive lung disease and chf. she was covered empirically with ctx/azithromycin for cap, as a possible rml infiltrate on cxr/ct suggested bacterial superinfection. also it was thought that her asd was aggravated by the worsening lung function and respectively worsened her lung status again. she was given stress dose steroids: hydrocortisone na succ 100 mg iv q8h, which was discontinued on the . the cxr also was significant for mild congestive heart failure which was resolved on the cxr from . a cta was done and did not show any evidence of pulmonary emboli, but was positive for atelectasis within both lower lobes and right middle lobe. an echo done on admission was significant for moderate pulmonary artery systolic hypertension and moderate (+) mitral regurgitation with normal ef. ce were negative. the pt was extubated on the and was tolerating it well. she was continued on bipap overnight for her osa. her hypotension was resolved with a total of 5l fluids only. the arf, which was attributed to fluid depletion, resolved and creatinine was back to baseline. the pt was found to have expiratory wheezing on exam on arrival to the floor. it was unclear whether those were due to fluid overload suggested on an cxr from the or whether there is a bronchoconstricitve component involved. she was started on prednisone 60mg with the plan for a long term taper and was, at the same time, diuresed, with the goal for 1 l negative over the next two days. furosemide was restarted at outpatient dose as well as lisinopril. the pt improved with therapy over the next two days and was able to maintain o2 saturation around 92 on 2l with rest and in the 80ies on 2l with ambulation. the pt's leukocytosis resolved and she remained afebrile. azithromycin was discontinued after a five day course. lisinopril was tritrated up to 20mg over the next days as the pt remained hypertensive. the pt was also found to be anemic and guaiac positive. baseline hct 35-36. vit b12, folate wnl. mildy decreased plt count, elevated wbc, but no atypicals. iron studies c/w feso4 deficiency > started on ferrous sulfate. guaiac stool positive but no grossly bloody or dark stool. pt will need elective colonoscopy as an outpatient. for the pt's hypothyroidism synthroid was continued at home dose. normal tsh. medications on admission: 1) ranitidine 150 mg po bid 2) atrovent mdi prn 3) albuterol mdi prn 4) lisinopril 5 mg po daily 5) furosemide 40 mg po daily 6) kcl 20 meq po daily 7) colace 100 mg po bid 8) protonix 40 mg po daily 9) asa 81 mg po daily 10) desmopressin 0.2 mg po gbid 11) levothyroxine 75 mcg po daily 12) prednisone 5 mg po daily 13) calcium 600 mg po bid 14) dulcolax prn 15) clotrimazole cream prn discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day) as needed for constipation. disp:*qs * refills:*1* 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*30 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. prednisone 10 mg tablet sig: five (5) tablet po once a day: please take 50mg for 4 days, then 40mg for 4 days, then 30mg for 4 days, then 20mg for fours days, then 10mg for four days, then stop. disp:*60 tablet(s)* refills:*0* 6. desmopressin 0.1 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 7. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 9. clotrimazole 1 % cream sig: one (1) appl topical (2 times a day) as needed. 10. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. disp:*qs * refills:*2* 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). disp:*30 tablet, chewable(s)* refills:*2* 13. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). disp:*qs * refills:*2* 14. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 15. ibuprofen 400 mg tablet sig: one (1) tablet po q12h (every 12 hours) as needed for for headache. disp:*30 tablet(s)* refills:*0* 16. oxygen at 2l continous sig: one (1) continous. disp:*qs * refills:*2* 17. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours). disp:*qs * refills:*2* 18. lisinopril 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: copd flare chf exacerbation hypercarbic respiratory failure iron deficient anemia ............... down syndrome asd hypothyroidism discharge condition: good, o2 saturation 95% on 2l o2 at rest discharge instructions: please come back to hospital or see your primary care doctor if you experience worsening shortness of breath, a cough productive of sputum, chest pain or any other concern. please weigh yourself every morning, call your doctor if weight increased by more than 3 lbs in one day. adhere to 2 gm sodium diet. . please take all your medications as instructed. you will be on a steroid taper for serveral more days. please take 50mg for 4 days, then 40mg for 4 days, then 30mg for 4 days, then 20mg for fours days, then 10mg for four days, then stop. . a visiting nurse will be coming to the house to check on your oxygen. physical therapy will also be visiting you. you should continue to use your bipap at night. and also continue to use 2l of o2 during the day. followup instructions: please follow up with a lung doctor on the at 8am with dr. . please call the clinic at before to pre-register. please arrive 30 minutes before the appointment for lung function tests. . please call your primary care doctor and ask for an appointment within the next week. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube non-invasive mechanical ventilation arterial catheterization infusion of vasopressor agent diagnoses: pneumonia, organism unspecified obstructive sleep apnea (adult)(pediatric) mitral valve disorders congestive heart failure, unspecified long-term (current) use of steroids acute kidney failure, unspecified unspecified acquired hypothyroidism obstructive chronic bronchitis with (acute) exacerbation other chronic pulmonary heart diseases acute respiratory failure ostium secundum type atrial septal defect iron deficiency anemia, unspecified hyperosmolality and/or hypernatremia diastolic heart failure, unspecified other specified hypotension diabetes insipidus down's syndrome respiratory syncytial virus (rsv) 

Answer: The patient is high likely exposed to