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: zosyn attending: chief complaint: shortness of breath major surgical or invasive procedure: none history of present illness: y/o f with pmhx of mult-infarct dementia and diverticulosis who had a witnessed aspiration event at home and was brought into the ed with cough and shortness of breath. on arrival to the , pt was tachypneic to 40s with audible secretions. per hcp, pt was in her usual state of health prior to the witnessed aspiration event. she has not have any fevers, sick contacts, upper respiratory congestion, sore throat, shortness of breath or doe, though she is bedridden at baseline. . in the ed, initial vs were: t 97.1 p 83 bp 147/110 r 35 sats 100% on nrb. pt was notably rhoncherous and having difficulty clearing secretions. attempts were made at ng suction which pt was unable to tolerate. pt was placed on bipap with some improvement in resp status. blood cx were obtained, she was given 1lns, clindamycin and ceftriaxone for presumed aspiration pneumonia though portable cxr did not show any acute infiltrate. pt was noted to have intermittent respiratory distress with audible rhonchi during attempts to wean from non-invasive ventilation. . on arrival to the icu, pt was mildly tachypneic though sating well on nrb and in no acute respiratory distress. she was coughing spontaneously but did not respond to questions due to underlying dementia and husband provided additional ros. past medical history: - diverticulosis - multi-infarct dementia - hearing loss - retinal detachment - b12 deficiency - chronic abdominal pain - irritable bowel syndrome - spinal stenosis social history: she was an english professor for many years. she now lives with her husband, , who is her primary caregiver. she has two sons, one in and the other one in . she has profound vascular dementia, is dependant with all adls and is non verbal at baseline. family history: not contributory physical exam: general: nad heent: sclera anicteric, mmm neck: supple lungs: diffuse wheezes and rhonchi, audible airway secretions cv: rrr, normal s1/s2, no apprec m/r/g abdomen: soft, nt/nd, bowel sounds present, no rebound or guarding ext: cool, no edema, + pulses pertinent results: 09:52pm blood wbc-14.3*# rbc-4.83# hgb-14.6# hct-42.3# mcv-88 mch-30.2 mchc-34.5 rdw-14.6 plt ct-356 09:52pm blood neuts-85.2* lymphs-10.0* monos-3.9 eos-0.6 baso-0.4 09:52pm blood pt-12.2 ptt-27.4 inr(pt)-1.0 11:19pm blood glucose-220* urean-31* creat-1.4* na-137 k-4.3 cl-102 hco3-22 angap-17 02:02am blood type-art temp-36.7 po2-70* pco2-36 ph-7.34* caltco2-20* base xs--5 02:02am blood lactate-2.8* 11:28pm blood lactate-2.8* 11:35pm urine blood-sm nitrite-neg protein-500 glucose-100 ketone-50 bilirub-neg urobiln-neg ph-5.0 leuks-neg 11:35pm urine rbc-0-2 wbc-0-2 bacteri-occ yeast-none epi-<1 brief hospital course: this is a year old woman who was admitted for acute shortness of breath related to aspiration pneumonitis. initially, there was no clear infiltrate on the cxr but on repeat it showed a new left infiltrate. a third subsequent cxr showed improvement in the left lung infiltrate. she was weaned off oxygen quickly and was on ra on the day of discharge. she had no fever, or leukocytosis to suggest aspiration pneumonia. the acute event and the rapid resolution suggested pneumonitis. however, she was treated with antibiotics by the ed and the icu teams. she had severe dementia and difficulty clearing secretions. she was on special aspiration precaution diet and this was reinforced during this admission. she had audible rhonchi with wheezes and mild tachypnea initially but this has resolved. she remained afebrile and responded well to nebs and humidified o2. although the patient should be dnr/dni (on papers by her request and wish), the hcp is her elderly husband who exhibited poor cognitive function. the son agreed to dnr and dni status. the husband requested to be informed in case of cardiopulmonary arrest as he will make descision then (case by case). i recommended to the son to override the hcp and make a clear dnr/dni status to avoid confusion. the , , and case manager agreed to hospice services at home. she was discharged on hospice care. she remained in the hospital for an extra day as the husband refused to take her home because of some construction work on the roof. total discharge time 35 minutes. medications on admission: aspirin 81mg daily aricept 10mg daily vitamin b-12 1000mcg daily vitamin 800units daily simvastatin 10mg daily discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob, wheeze. 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q2h (every 2 hours) as needed for wheeze. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. flagyl 500 mg tablet sig: one (1) tablet po three times a day for 4 days. disp:*12 tablet(s)* refills:*0* 7. donepezil 10 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po hs (at bedtime). 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 10. cyanocobalamin 1,000 mcg lozenge sig: one (1) po daily (daily). 11. vitamin d-3 400 unit tablet, chewable sig: two (2) tablet, chewable po daily (daily). 12. levofloxacin 250 mg tablet sig: one (1) tablet po daily (daily) for 4 days. disp:*4 tablet(s)* refills:*0* discharge disposition: home with service facility: season's hospice discharge diagnosis: aspiration pneumonitis discharge condition: hospice. discharge instructions: your wife had aspiration pneumonitis. please make sure she is fed slowly with the special aspiration precaution diet. please call your pcp if she develops fever or shortness of breath. you agreed to hospice care. followup instructions: , e. procedure: non-invasive mechanical ventilation diagnoses: other b-complex deficiencies chronic kidney disease, stage iii (moderate) acute respiratory failure pneumonitis due to inhalation of food or vomitus diverticulosis of colon (without mention of hemorrhage) vascular dementia, uncomplicated cerebral atherosclerosis 

Answer: The patient is high likely exposed to