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: sepsis, hypoxia major surgical or invasive procedure: 1. intubation 2. chest tube for pneumothorax 3. central line 4. arterial line history of present illness: hpi: 75yo woman with history of htn, diverticulosis, squamous cell ca of skin, h/o expl. lap for appendicitis, "psychosis", presented from the facility with respiratory distress. per outside records, she had acute onset of respiratory distress today at 1pm. she has also had 2 days of non-productive cough and low grade fever. chest film done there demonstrated bilateral pleural effusions and bibasilar infiltrates. she also had a wbc of 18.9 with 85% pmn's. she was started on levaquin 500mg qd. vitals at alf were 99.3, 64, 100/60, 18, and 93% on ra -> 79% on ra with acute episode of respiratory distress. . on admission to the ed, she was in respiratory distress. admission vitals were 104 (rectal), 117/80, 105, 32, 83% on nrb. after intubation, a chest film demonstrated a large right pneumothorax. she had a needle decompression, then placement of a right chest tube. . she also had evidence of sepsis with fever to 104.8, pulse in 120's, initial lactate of 6.5, and hypotension to 60's systolic despite ns boluses; she was started on peripheral dopamine. a sepsis-line tlc was placed in the ed. she was given 3l ns boluses. . she also had coffee grounds per ng tube, and was guaiac negative by rectal exam. baseline hct per outside records of 38.9. in ed, she had gastric lavage revealing coffee grounds that cleared with continued lavage. no known history of cirrhosis or varices. . past medical history: past medical history: hypertension polyps on colonoscopy diverticulosis sqaumous cell ca on the face s/p stage removal hx of exlporatory laparotomy for appendicitis cyst on her uterus "psychosis", si social history: the patient was born and raised in the area. she has 2 sisters ages 85, and 65. she is currently living with her 85 year old sister who is in a wheelchair and her brother-in-law who has multiple medical problems. the patient moved to new jersey after finishing high school where she lived with a friend for 5 years. they then moved to , fl and she recieved associates degree and began a ba in elementary education in , but did not complete this degree. she worked as a medical secretary, transcriber for 20 years in in ft. . she retired in and moved back to . she moved back into the family home with her sister before obtaining an apartment on her own. she moved back into the family home in to help care for her sister and her husband. the patient was never married, never had children. reports that her only relationship was with her friend whom she lived with in fla. she reports that this was not a lesbian relationship and that she was merely a "companion". denies hx of sexual or physical abuse family history: denies. physical exam: physical exam: t 104(rectal), 120's sinus tachy, 16, 117/80, 100% on ac (500 x 18, 100%, 8 peep). . gen: intubated, sedated heent: perrla neck: right ij - sepsis line placed chest: right chest with subcutaneous air/crepitus cv: regular tachycardia with no m/r/g resp: coarse breath sounds bilaterally with basilar crackles; reduced breath sounds in right lung field abd: obese, midline surgical scar. hypoactive bowel sounds. no appreciable tenderness. no peritoneal signs extr: 1+ pitting edema bilaterally. extremities cool, mottled . admission data: ekg: sinus tachycardia at 121bpm, nl axis, intervals; 2mm st depression in v3-v6. . cxr: right pneumothorax with some shift of midline structures to left; otherwise, lungs are clear. pertinent results: 01:50pm lactate-6.5* 02:01pm fibrinoge-796* 02:01pm pt-18.5* ptt-36.6* inr(pt)-2.4 02:01pm plt count-556* 02:01pm wbc-24.6*# rbc-3.90* hgb-11.9* hct-35.7* mcv-91# mch-30.5# mchc-33.4 rdw-13.0 02:01pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:01pm albumin-2.3* calcium-8.2* phosphate-3.7 magnesium-1.5* 02:01pm lipase-16 02:01pm ck-mb-7 ctropnt-0.45* 02:01pm alt(sgpt)-17 ast(sgot)-39 ck(cpk)-49 alk phos-55 amylase-13 tot bili-0.8 02:01pm glucose-193* urea n-21* creat-1.0 sodium-147* potassium-3.9 chloride-108 total co2-20* anion gap-23* 02:12pm urine mucous-many 02:12pm urine hyaline-0-2 02:12pm urine rbc-0 wbc- bacteria-few yeast-none epi- renal epi-0-2 02:12pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-15 bilirubin-sm urobilngn-1 ph-5.5 leuk-neg 02:12pm urine color-yellow appear-clear sp -1.025 02:12pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 02:12pm urine hours-random ct scan: . large right hydropneumothorax with right lower lobe atelectasis. a traumatic cystic lesion is seen within the right lower lobe. there is a suggestion of possible bronchopulmonary fistula. 2. nasogastric tube with tip at the gastroesophageal junction, and should be advanced. 3. extensive subcutaneous emphysema within the chest wall. 4. moderate sized left pleural effusion and compressive atelectasis. 5. diffuse fatty infiltration of the liver without evidence of focal hepatic masses. 6. wedge compression deformity of the t12 vertebral body, age indeterminate. echo: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there is mild aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the findings of the prior report (tape unavailable for review) of , the degree of tricuspid regurgitation and pulmonary hypertension detected have increased. 02:12pm urine hours-random 05:54pm type- po2-42* pco2-40 ph-7.36 total co2-24 base xs--2 comments-green top 07:29pm cortisol-67.5* 07:29pm calcium-7.5* phosphate-2.9 magnesium-1.3* 07:29pm ld(ldh)-276* 07:29pm glucose-221* sodium-145 potassium-3.1* chloride-109* total co2-22 anion gap-17 09:00pm cortisol-58.0* 09:30pm cortisol-58.5* brief hospital course: 75yo woman presented with sepsis, pneumonia complicated by dic. she was treated with pressors, ivfs and antibiotics. she developed a pneumothorax and required chest tube placement. she had persistent subcutaneous emphysema. she had rapid atrial fibrillation and developed eveidence of a myocardial infarct. her deteriorated clincally and the team was unable to maintain her bp despite pressors. in a discussion with her nephew , it wa decided to make her comfort measure. she was extubated and placed on morhine for comfort. she expired on at 7:45pm. medications on admission: asa 81mg celexxa 30mg diltiazem 180mg metoprolol 25mg abilify 15mg hs ativan 0.5mg hs discharge medications: none discharge disposition: expired discharge diagnosis: pneumothorax atrial fibrillation septic shock dic pneumonia ischemia discharge condition: expired discharge instructions: none followup instructions: none md procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube infusion of vasopressor agent diagnoses: pneumonia, organism unspecified anemia, unspecified unspecified pleural effusion unspecified essential hypertension unspecified septicemia severe sepsis atrial fibrillation acute respiratory failure septic shock acute myocardial infarction of unspecified site, initial episode of care emphysema (subcutaneous) (surgical) resulting from procedure acute myocardial infarction of other specified sites, initial episode of care volume depletion, unspecified unspecified psychosis 

Answer: The patient is high likely exposed to