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: no known allergies / adverse drug reactions attending: chief complaint: s/p fall with resulting rib fractures major surgical or invasive procedure: none history of present illness: year old female s/p mechanical fall two days earlier at her nursing home. she was sent in by her nursing home for worsening pain. on evaluation in the ed she was found to have multiple right-sided rib fractures and small perisplenic fluid. she was admitted for pain control and observation. past medical history: anemia, frequent falls, bipolar, renal failure, hypothyroid, copd, fibromyalgia, hyperlipidemia, gerd, pvd, gib, macular degeneration, cva, thoracic aortic aneurysm social history: lives in , ambulates with walker. she smoked for 15 years remotely, but denies past/current etoh, illicit drug use. family history: per omr: father with history of cad, sister with cancer in her 70s. physical exam: (on morning of death) 97.1/96.5 66 118/58 22 94% on 15l nad rrr coarse bs bilaterally, dimished breath sounds at bases distended abdomen, nontender no peripheral edema pertinent results: 08:00am blood wbc-9.5# rbc-3.03* hgb-10.5* hct-30.1* mcv-99* mch-34.8* mchc-35.0 rdw-15.7* plt ct-151 04:29am blood wbc-21.1*# rbc-3.00* hgb-10.4* hct-30.0* mcv-100* mch-34.7* mchc-34.7 rdw-15.6* plt ct-156 09:09am blood wbc-19.4* rbc-3.26* hgb-11.2* hct-33.4* mcv-102* mch-34.3* mchc-33.4 rdw-15.6* plt ct-172 08:06pm blood wbc-24.6* rbc-2.98* hgb-10.0* hct-29.5* mcv-99* mch-33.6* mchc-33.9 rdw-15.3 plt ct-160 01:53am blood wbc-18.3* rbc-2.53* hgb-8.7* hct-24.9* mcv-98 mch-34.2* mchc-34.8 rdw-15.3 plt ct-137* 09:17am blood wbc-16.3* rbc-2.54* hgb-8.8* hct-24.9* mcv-98 mch-34.8* mchc-35.5* rdw-15.2 plt ct-125* 01:49am blood wbc-11.8* rbc-2.46* hgb-8.6* hct-24.1* mcv-98 mch-35.0* mchc-35.7* rdw-15.2 plt ct-154 01:46am blood wbc-10.4 rbc-2.35* hgb-8.3* hct-23.0* mcv-98 mch-35.4* mchc-36.2* rdw-15.3 plt ct-137* 08:00am blood pt-14.0* ptt-28.7 inr(pt)-1.2* 08:00am blood glucose-101* urean-24* creat-1.2* na-139 k-4.5 cl-101 hco3-27 angap-16 08:06pm blood glucose-161* urean-30* creat-1.3* na-139 k-4.5 cl-109* hco3-17* angap-18 01:46am blood glucose-170* urean-43* creat-1.4* na-139 k-3.4 cl-106 hco3-22 angap-14 01:44am blood glucose-140* urean-54* creat-1.5* na-145 k-3.3 cl-106 hco3-24 angap-18 01:47pm blood glucose-79 urean-65* creat-1.4* na-153* k-4.5 cl-114* hco3-27 angap-17 02:01am blood glucose-173* urean-82* creat-1.6* na-147* k-4.1 cl-110* hco3-27 angap-14 brief hospital course: - : she was initially admitted to the floor and then transferred to icu for respiratory distress on the floor. ngt placed for abdominal distension. a-line placed. in the am pt's respiratory status worsened (rr 30s, o2 sats 80s, cyanotic, white out r lung), and she was intubated. bal performed. pt was hypotensive, and was unable to be weaned off of neo. she seemed to be in septic shock - placed on broad spectrum antibiotics, a cvl was placed, and volume resuscitated continued. her trops were elevated, thought to be due to cardiac stress. - : ct chest with significant consolidation, collapse, moderate effusions; bedside echo by intensivist showed global hypokinesis with severe dilated cardiomyopathy, ef~10-15%; bronch showed frothy secretions, cxr improved after bronch - : lopressor started for intermittent tachycardia (svt vs. afib). lasix drip continued. tf started. aspirin and statin started per cards. cipro dc'ed, vanco/cefepime continued. - : continued lasix gtt and tfs during the day. patient self-extubated at . maintained o2sats on 50% venti mask for 1.5 hours but ultimately developed increasing wob (grunting) and mild cyanosis so was re-intubated. significant glottic edema was noted at time of re-intubation (likely self-extubation w. inflated cuff). required levophed for a few hours after intubation, but now weaned off. lasix drip is being held due ot hypotension. attempted replacement of arterial line unsuccessfully. - : right sided thoracic pig tail placed: drained about 800cc serosanguinous fluid - : pigtail pulled. attempt to wean unsuccessful - : lasix gtt restarted at low dose with albumin. free water flushes increased via ngt for hypernatremia. propofol restarted for agitation. tolerated cpap 5/5 throughout day and did well with sbt in afternoon - extubated. required bipap, also carvedilol and digoxin for afterload reduction. - : increased free water flushes. stable respiratory status w. shovel mask. dc'ed lasix gtt for rising bun/cr. gave albumin 25g x1. - : increased free water to 300ml q4hr for hypernatermia; family meeting held with dr. , dr. and dr. . family updated to prognosis and goals of care addressed. she was made dni. - : in the morning she was desaturating despite 100% facemask with low mv on bipap. family contact and made patient . patient put on versed for comfort as well as a scopalamine patch and expired later that morning. medications on admission: amitryptiline 50, lipitor 40, estradiol creme, omeprazole 20, pentoxifylline 400", trazodone 50, asa 81, colace discharge medications: n/a discharge disposition: expired discharge diagnosis: death discharge condition: death discharge instructions: death followup instructions: death md procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube thoracentesis arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery esophageal reflux unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified unspecified septicemia severe sepsis thoracic aneurysm without mention of rupture chronic airway obstruction, not elsewhere classified unspecified fall other and unspecified hyperlipidemia acute respiratory failure septic shock do not resuscitate status pneumococcal pneumonia [streptococcus pneumoniae pneumonia] acute diastolic heart failure hyperosmolality and/or hypernatremia accidents occurring in residential institution myalgia and myositis, unspecified closed fracture of four ribs difficulty in walking other acquired deformity of back or spine 

Answer: The patient is high likely exposed to