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: haldol attending: chief complaint: confusion major surgical or invasive procedure: endotracheal intubation central venous line placement in r internal jugular eeg history of present illness: 77f with dm2, htn, h/o cva admitted to micu after being unresponsive at nh. per their note, pt was found unresponsive at 6:45p sitting in a chair. had refused all her morning meds and was agitated, then took all of her meds at 5pm. fs was 160 at 4pm, then was 274 at time of unresponsiveness. pt was recently discharged from with pna and uti. pt is currently intubated and cannot give a history. in the ed, glucose initially in the 30s. given narcan x2 and glucose without response. pt was intubated, presumably for airway protection, and r ij was placed. cvp was noted to be . lp was performed and was negative. head ct showed no ich or mass effect. cxr and ua were negative. ct abdomen showed no acute abnormalities. pt was given glucagon 1mg, d50, narcan x2, fentanyl 100mg x2, versed 2mg x2, vancomycin 1g, and ceftriaxone 1g. rec'd 2l ns. past medical history: -vasculitis: possible giant cell arteritis per right temporal artery biopsy , necrotizing granulomatous arteritis, consistent with giant cell arteritis/polymyalgia rheumatica vasculitic syndrome. stains for acid-fast bacilli and fungi are negative (on prednisone at home); negative antidsdna, sm, rnp, ro, la, histone, igg levels, c3, c4, spep, anca; 1:40 diffuse, elevated esr. maintained on prednisone, currently being tapered. -pleural and pericardial effusions, abdominal seroma: extensive malignancy w/u including pelvic us, mammogram and colonoscopy in all negative; fluid collections from all these sources negative for malignancy and infection. -hypertension -hypercholesterolemia -dm: diet controlled, last hba1c in 6.2% -alzheimer's disease -depression -history of atrial fibrillation with rvr on ecg in -diverticulosis -history of +ppd in the past: cxr and ppd in was negative; currently on inh and pyroxidine to prevent reactivation while on steroids -microcytic anemia: previous iron studies consistent with anemia of chronic disease and superimposed iron deficiency -chronic left shoulder pain: djd by xray -history of bacteremia treated with vancomycin and unasyn -atrophic vaginitis . past surgical history: -left sided vats on two occasions ( and ) for pericardial and pleural effusion; pericardial window during procedure -status post tah with bso in -status post ventral hernia repair in social history: widowed for over 20 years. three sons. one is institutionalized as a result of paranoid schizophrenia. came to in from to live near her sons. she was one of 7 children. owned and worked in a variety store in ; has not worked since arriving in us. currently living with son at home in addition to having around-the-clock service at home. no alcohol, drug or tobacco use. family history: brother with diabetes type 2 complicated by extensive peripheral vascular disease and amputation. son with paranoid schizophrenia. two additional sons in good health. physical exam: vs: 96.2 (after bair hugger) 140/80 74 17 100% ac 500x16/0.5/5 rsbi 58.8 gen: opens eyes to voice, nad, intubated and sedated heent: perrl, no jvd; r ij in place cv: rrr, nl s1/s2, no m/r/g pulm: clear anteriorly abd: soft, obese, nt/nd, +bs ext: trace edema, good distal pulses, warm pertinent results: ekg: 60bpm, lbbb, twi in i, avl, v6 (old), ? pseudonormalization of t in v5; st elevations more pronounced in v2-v4 (4mm vs 2mm in old ekg) repeat ekg here: st elevations back to baseline, v5 with twi - overall, no change from old ekg . 08:37pm glucose-28* lactate-1.2 na+-144 k+-3.2* cl--113* 08:37pm type-art po2-244* pco2-37 ph-7.43 total co2-25 base xs-1 intubated-not intuba 09:15pm pt-13.5* ptt-32.8 inr(pt)-1.2* 09:15pm plt count-410 09:15pm wbc-14.8* rbc-3.36* hgb-10.4* hct-31.2* mcv-93 mch-31.1 mchc-33.4 rdw-16.9* 09:15pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:15pm albumin-2.9* calcium-8.9 phosphate-4.2 magnesium-2.3 09:15pm ck-mb-22* mb indx-6.4* ctropnt-0.02* 09:15pm lipase-34 09:15pm alt(sgpt)-30 ast(sgot)-30 ck(cpk)-344* alk phos-51 amylase-46 tot bili-0.3 09:15pm glucose-305* urea n-30* creat-1.6* sodium-142 potassium-3.3 chloride-109* total co2-24 anion gap-12 09:46pm urine rbc-0-2 wbc- bacteria-occ yeast-none epi-0-2 11:40pm cerebrospinal fluid (csf) wbc-9 rbc-66* polys-5 lymphs-72 monos-23 11:40pm cerebrospinal fluid (csf) wbc-5 rbc-2* polys-2 lymphs-81 monos-17 11:40pm cerebrospinal fluid (csf) protein-57* glucose-77 ld(ldh)-46 04:08am glucose-142* urea n-25* creat-1.1 sodium-142 potassium-3.5 chloride-112* total co2-21* anion gap-13 . . eeg study date of this 24-hour eeg telemetry captured no electrographic seizures or interictal epileptiform discharges. the background was mostly slow and disorganized in the theta frequency range throughout the recording suggestive of mild encephalopathy. . echo the left atrium is normal in size. there is symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 70%). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric. there is no pericardial effusion. suboptimal image quality - patient unable to cooperate. . ct abdomen : no acute intra-abdominal pathology identified. stable anterior abdominal wall fluid collection. . discharge labs: 12:45pm blood wbc-13.6*# rbc-3.64*# hgb-11.5*# hct-35.4*# mcv-97# mch-31.6 mchc-32.4 rdw-17.5* plt ct-592*# 06:10am blood neuts-77.6* lymphs-16.2* monos-5.6 eos-0.3 baso-0.3 06:50am blood hypochr-1+ anisocy-1+ macrocy-2+ 12:45pm blood glucose-103 urean-15 creat-0.8 na-149* k-4.1 cl-112* hco3-23 angap-18 06:11am blood ck(cpk)-50 12:45pm blood calcium-9.2 phos-3.1 mg-2.1 brief hospital course: 77 year old speaking female with a history of alzheimer's dementia, recent admit with pneumonia/uti in the setting of delirium, who was admitted with hypoglycemia and unresponsiveness in the setting of increased antipsychotics during her prior hospitalization. . # poor po intake: pt not swallowing food past mouth, complaining of throat pain to son. on exam, throat without evidence of candiasis or ulceration. speech and swallow eval revealed that patient is not intiating swallowing which may be due to progression of the dementia, complicated by side effects of prior antisychotics. discussed options for nutritional support with son, including dc home with po intake vs peg tube placement. son prefers route and at rehab need to ensure pt takes po with supervision and encouragement. . # delta ms: likely med induced from psychotropic medications. eeg consistent with encephalopathy but no seizure acitivity. olanzapine and gabapentin were discontinued, haldol was restarted per psych at a low dose. no infectious etiology was found, though she did have several days of c diff negative diarrhea (as below). ua, cxr, ct head, lp were negative. a 1:1 sitter was used throughout her hospitalization. psychiatry was consulted and she was started on haldol which was later switched to seroquel prn with addition of aricept. pt experience presumed extrapyramidal side effects with the haldol exhibiting stiffness and drooling. mental status on discharge was improved with patient alert, oriented, conversing with family members in . . # leukocytosis: no current evidence of infection; with negative ua, cxr, ct head and lp. she initially had diarrhea, so was treated with empiric flagyl until c diff was negative x 3. she remained afebrile. elevated wbc count most likely from prednisone. . # giant cell arteritis/vasculitis: the patient was continued on prednisone 10 mg po qd. her slow taper will resume as an outpatient. she was continued on inh and pyridoxine given history of +ppd on prednisone. . # ? aspiration: speech and swallow was consulted. she was initally npo with tube feeds via ng tube, but advanced to nectar thick/ground solids as her ms improved. her ng tube was discontinued on . . # elevated ck w/ mb but normal mbi: this was thought to be rhabdomyolsis as the patient remains sedentary, somnolent. cks increasing during early admission with elevated mb, troponin 0.02 to 0.03. ekg no change, difficult to interpret with baseline lbbb. echo was done; no wma found. ck's then trended down. . # hypertension: bp remained elevated at times in sbp 160s range. continued on metoprolol and lisinopril. . # diabetes mellitus: patient is diet controlled at home. covered by iss in hospital. currently on prednisone, so blood sugars will need to be closely moniotred four times daily. blood sugars well controlled during admission. . # positive ppd: continue inh and pyridoxine supplementation for a total of nine months from initiating prednisone. . # left thyroid lobe lesion: new finding on ct scan last admission. will need outpatient thyroid us to better evaluate nodule. tsh within normal limits. . # nodule on r arm: patient with cellulitis of r arm during previous admission, improved with course of abx but nodule remains. us was inconclusive. will need outpatient mri for evaluation in the future. . # anemia: hct at baseline. on iron and folate. . # hypernatremia: due to poor po fluid intake and was treated with iv free water with good response. will need further monitoring. . # ppx: hep sq tid, ppi . # dispo: discharged to healthcare. medications on admission: asa 81mg daily colace 100mg tid heparin sc iron sulfate 325mg tid folate 1mg daily isoniazid 300mg daily metoprolol 25mg mag hydroxide 30ml po q6 prn gabapentin 100mg tid omeprazole 20mg daily senna 2 tabs qhs pyridoxine 50mg daily prednisone 10mg daily mirtazapine 30mg qhs lisinopril 30mg daily oscal + d tid risendronate 35mg qmon olanzapine 2.5mg ; 2.5-5mg prn levofloxacin 250mg daily - last day metronidazole 500mg tid - last day discharge medications: 1. metoprolol tartrate 25 mg tablet : one (1) tablet po tid (3 times a day). 2. aspirin 325 mg tablet : one (1) tablet po daily (daily). 3. folic acid 1 mg tablet : one (1) tablet po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. senna 8.6 mg tablet : two (2) tablet po bid (2 times a day) as needed. 6. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 7. donepezil 5 mg tablet : one (1) tablet po hs (at bedtime). 8. isoniazid 300 mg tablet : one (1) tablet po daily (daily). 9. prednisone 10 mg tablet : one (1) tablet po daily (daily) for 4 weeks. 10. quetiapine 25 mg tablet : 0.5 tablet po bid (2 times a day) as needed. 11. pyridoxine 50 mg tablet : one (1) tablet po daily (daily). 12. iron (ferrous sulfate) 325 (65) mg tablet : one (1) tablet po once a day. 13. colace 100 mg capsule : one (1) capsule po twice a day. 14. lisinopril 30 mg tablet : one (1) tablet po once a day. 15. os-cal 500 + d 500-200 mg-unit tablet : one (1) tablet po three times a day. 16. albuterol sulfate 0.083 % solution : one (1) inhalation q6h (every 6 hours) as needed. 17. insulin regular human 100 unit/ml solution : sliding scale injection asdir (as directed). 18. gabapentin 250 mg/5 ml solution : one (1) po three times a day. discharge disposition: extended care facility: health care - discharge diagnosis: failure to thrive altered mental status vasculitis, giant cell arteritis anemia hypernatremia hx of positive ppd discharge condition: stable, afebrile, alert, ambulating, tolerating po. discharge instructions: during this admission you have been treated for a change in mental status. you had difficulty feeding on your own and required supervision with encouragement. followup instructions: please followup with your pcp 1 week for further medical management. provider: , md phone: provider: , md phone: date/time: 1:00 provider: , md, phd: date/time: 2:15 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube diagnoses: polymyalgia rheumatica pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other left bundle branch block altered mental status alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance hyperosmolality and/or hypernatremia rhabdomyolysis adult failure to thrive giant cell arteritis 

Answer: The patient is high likely exposed to