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: fever, cough major surgical or invasive procedure: 1. left internal jugular central line history of present illness: 78 yr old female with hx of chrohn's disease, nstemi, bilateral dvts/saddle emboli who was in her usual state of health until day of admission when she developed a fevere to 102.9. pt's daughter reports that pt had day hx of a cough but no hx of chest pain, sob, n/v/d, abd pain, dysuria, neck stiffness. of note, all family memebers have been ill with various uris in the past month. pt was brought to the ed and was found to have a temp of 99 (after tylenol) and was intermittently hypotensive with sbps in the 70-80 range despite 5l fluids. the must protocol was initiated and the pt was started on levophed and given stress dose steroids after -stim. pt was transferred to the micu for further management. . in the micu, pt was weaned off levophed (after only 5 hours) and started on ceftriaxone/azithro for presumed cap as source of sepsis. pt had a abd ct scan that showed no evidence of abd abscess. past medical history: 1. crohns, last flare 2. breast ca s/p s/p r lumpectomy and xrt 11 yrs ago 3. gerd 4. cad s/p nstemi ' : mod, partially rev t in apex w/ associated hypokinesis; echo : ef 45-55%] 5. s/p ccy 10 yrs ago 6. htn 7. hx of bilateral dvts and saddle embolus in 8. cri, baseline cr 1.5-1.8 9. anemia social history: lives at home, daughter is very involved family history: nc physical exam: tmax 97.3, tc 96.0, bp 142/67 (118-145/49-71), hr 77 (69-88), r 24, o2 96% on 2l gen: nad, sitting up in bed, not dyspneic on talking heent: perrl, eomi neck: jvd flat cv: rrr, 3/6 systolic murmur at rusb chest: poor air movement, crackles at left base; thick upper airway sounds abd: +bs, soft, nt ext: 3+ lower ext edema, l>r, painful to palpation neuro: alert, grossly nonfocal pertinent results: *** admit labs *** 09:26pm lactate-1.9 . 09:40pm wbc-14.4*# hct-29.6* mcv-122*# 09:40pm neuts-43* bands-35* lymphs-6* monos-2 eos-0 basos-0 atyps-1* metas-10* myelos-3* 09:40pm plt count-266 09:40pm pt-15.4* ptt-23.2 inr(pt)-1.6 . 09:40pm crp-5.05* 09:40pm cortisol-18.3 09:40pm glucose-99 urea n-25* creat-1.6* sodium-137 potassium-4.1 chloride-105 total co2-22 anion gap-14 09:40pm alt(sgpt)-10 ast(sgot)-14 ck(cpk)-21* alk phos-84 amylase-82 tot bili-0.5 09:40pm lipase-22 09:40pm calcium-8.0* phosphate-2.0*# magnesium-1.3* . 11:00pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:00pm urine rbc-0 wbc-0 bacteria-rare yeast-none epi-<1 . ** on transfer to floor from micu ** 04:03am blood wbc-9.2 hct-32.6* mcv-109*# 04:03am blood plt ct-228 04:03am blood pt-17.1* ptt-75.6* inr(pt)-1.9 . 04:03am blood glucose-126* urean-29* creat-1.6* na-142 k-4.2 cl-110* hco3-22 angap-14 04:03am blood calcium-8.2* phos-3.4 mg-2.5 . ** cxr: 1) left ij line with its tip in the brachiocephalic vein in the midline; no pneumothorax. 2) faint right base/perihilar opacity, consistent with atelectasis versus early pneumonic infiltrate. . ** abd ct: 1. no evidence of intraabdominal abscess. 2. chronic changes consistent with crohn's disease. a few mildly thickened loops of small bowel could be related to flare. 3. small bilateral pleural effusions. bibasilar atelectasis. brief hospital course: assessment: 78 y/o female with crohns disease on chronic steroids presenting with cough and fever. had persistent hypotension in ed and was enrolled in must protocol, now stable so being transferred to floor . 1. sepsis: pt's sepsis was likely secondary to pneumonia and mild element of adrenal insufficiency (in setting of chronic steroids for crohn's disease) causing transient hypotensions requiring pressors esp given bandemia, infiltrate on cxr and rapid improvement with abx. pressors were discontinued soon after arrival to the icu with the help of fluids, initiation of abx and steroids. pcp was also considered given pt's immunosuppression but unlikely given an ldh of 194. an induced sputum was sent for pcp and was pending at the time of discharge. ua negative and abd ct negative for acute pathology. pt was started on azithro/ceftriaxone for community acquired pneumonia. she was given high dose steroids in the setting of her hypotension and these were weaned down to her home dose by the day of discharge. she was continued on albuterol and atrovent nebs. blood cx were negative. pt was sent home on cefpodoxime and azithro for a total of a 10 day course. . 2. hypoxia: pt required oxygen in the icu but was never intubated. it was difficult to wean the pt's oxygen on the floor due to persistent hypoxia. a cxr showed some evidence of failure so she was diuresed gently. she continued to desaturate to 87-89% on ambulation so she was discharged with home oxygen which she will use until she is able to maintain sats >92%. . 3. dvt/ saddle embolus: pt with subtherapeutic inr on admission likely secondary to missed coumadin doses during acute illness. she was started on a heparin drip until her inr was therapeutic. she should have her inr closely monitored for the first several days following discharge due to fluctuating values. pt's legs have chronically been swollen since her dvts but she was given a few doses of lasix to aid in diuresis given the large amount fluid the pt received while she was hypotensive. . 4. cad with h/o nstemi: pt ruled out for mi with 3 sets of negative cardiac enzymes. fasting lipids were checked and a low dose statin was started for an ldl of 117. her beta blocker was titrated up as her bp would allow. . 5. crohn's: pt's steroids were tapered down to home dose of 5mg . she was continued on asacol. she was started on calcium and vitamin d given the chronic steroids. medications on admission: asacol 9 pills per day cipro 250mg prednisone 5mg coumadin 3mg qd prilosec metoprolol 12.5mg qd lasix 10mg qd discharge medications: 1. mesalamine 400 mg tablet, delayed release (e.c.) sig: four (4) tablet, delayed release (e.c.) po tid (3 times a day). 2. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 3. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tidac (3 times a day (before meals)). disp:*90 tablet, chewable(s)* refills:*2* 6. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. warfarin sodium 1 mg tablet sig: three (3) tablet po hs (at bedtime). 8. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*2* 10. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. azithromycin 250 mg capsule sig: two (2) capsule po q24h (every 24 hours) for 9 days: last dose on . disp:*18 capsule(s)* refills:*0* 12. cefpodoxime proxetil 200 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 9 days: last dose on . disp:*9 tablet(s)* refills:*0* 13. home oxygen pt desats to 87-89% on ambulation. needs continuous o2 via nasal cannula at 2l/min to maintain o2 sats>92%. 14. outpatient lab work please check daily inr and call results to dr. , l at 15. prednisone 5 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: vna discharge diagnosis: primary diagnoses: 1. sepsis 2. hypotension 3. pneumonia 4. adrenal insufficiency secondary diagnoses: 1. hypertension 2. dvt 3. pulmonary embolism 4. crohn's disease 5. anemia 6. chronic renal insufficiency 7. coronary artery disease discharge condition: stable on room air, afebrile, hemodynamically stable, tolerating diet discharge instructions: please take all medications as perscribed. please report to the emergency room with any chest pain, shortness of breath, nausea, vomiting, increasing lower extremity edema, fevers, chills, pain with urination. followup instructions: please follow up with your primary care physician 1 week of discharge. procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: pneumonia, organism unspecified esophageal reflux unspecified essential hypertension long-term (current) use of steroids adrenal cortical steroids causing adverse effects in therapeutic use unspecified septicemia personal history of malignant neoplasm of breast sepsis regional enteritis of unspecified site old myocardial infarction long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to