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: transfer from reston, va s/p cva with trach on vent for placement major surgical or invasive procedure: . none . history of present illness: ms. is an 81 yo female with a h/o htn, dm and hypothryoidism s/p embolic bilateral mca cva on who was transferred to for placement. . per notes and the pt's family, on she was visiting va and was noted to drop her purse in the parking lot. her daughter saw she had a left sided facial droop and took her to the er. in the er she was noted to convert from nsr to atrial fibrillation and had had further extension of her stroke leading to right sided hemiparesis. she was intubated for airway protection and was treated with tpa. imaging demonstrated a b/l mca stroke, which was thought to be embolic in nature. her stroke did not respond to the tpa. with regard to her respiratory status the daughter states the pt was extubated for 24 hours last week, but was unable to maintain her secretions, so she was re-intubated. her daughter also thinks she developed a last week and she has been treated with levaquin and linezolid since . the pt had a trach and a peg placed on . per neuro notes, it appears that they did not think she was going to regain her ability to swallow and control her secretions. she was brought to for rehab placement. past medical history: htn dm hypothryoidism s/p hemithyroidectomy for thyroid cancer s/p mastectomy for breast cancer new paroxysmal afib b/l mca stroke on social history: quit smoking in the '70s drank one glass of wine or vodka per night lives at home with husband family history: father died of stroke at age 81 mother was " all her life" physical exam: vs: t 98.4 gr 58 bp 123/43 o2 sat 98% on psv 5/5 fio2 40% gen: pale female, lying in bed, slightly agitated,not able to converse heent: , pt not able to cooperate with neuro exam, left facial droop neck: supple pulm: rhonci in right lung cardio: rrr, nl s1 s2, no m/r/g abd: soft, nt, nd, hypoactive bs ext: 1+ edema b/l rue 1+ edema, more swollen compared to left neuro: awake, following some commands moving left side, not moving right sided extremities pertinent results: 02:18pm pt-13.8* ptt-29.0 inr(pt)-1.2* 02:18pm wbc-10.2 rbc-3.49* hgb-9.9* hct-28.9* mcv-83 mch-28.3 mchc-34.2 rdw-13.9 02:18pm calcium-9.5 phosphate-2.8 magnesium-2.2 02:18pm glucose-118* urea n-16 creat-0.7 sodium-141 potassium-4.0 chloride-107 total co2-25 anion gap-13. . ap chest xray, : compared to most recent prior chest radiograph, . moderate right pleural effusion is new. lungs are essentially clear. moderate cardiomegaly is stable. no pneumothorax. pigtail drain projects over the left upper abdominal quadrant, tracheostomy tube is in standard position and a right subclavian line, possibly a pic line, can be traced as far as the mid svc. no pneumothorax. . ct head, : 1-large area of low attenuation within the left frontal temporoparietal region consistent with an evolving infarct in the left mca distribution. within this, there are several tiny foci of increased density, which likely represent foci of hemorrhage. 2-within the right parietal region, there is a focus of low attenuation with a central focus of increased density measuring 3 mm. this may represent a second tiny focus of embolic infarct and hemorrhage. however, a tiny nodular mass with surrounding edema is not excluded. . ap chest xray, : moderate-to-severe cardiomegaly has worsened. moderate right pleural effusion is stable. small left pleural effusion has increased. there is no pulmonary edema. . right upper extremity ultrasound, : no evidence of right upper extremity dvt . brief hospital course: . # b/l mca stroke: per osh records mri demonstrates a likely embolic stroke from a-fib. the ct scan showed a large area of left sided infarct in the mca distribution as well as right sided parietal infarct. the patient is currently aphasic, does not follow commands, and has right sided hemiparesis. neurology as well as the stoke team were involved with her care. neuro consult recommended holding on anticoagulation until patient is 4 weeks out from initial cva as well as because of evidence on repeat head ct of areas of hemorrhagic foci. the patient was continued on asa and statin upon admission. a family meeting with neurology, primary team and the stroke service was held to discuss prognosis and goals of care. the family ultimately decided to make the patient cmo and opted for hospice care. . # resp failure: the patient is s/p trach placement on cool neb 12 lpm at 35% fio2 for airway protection at the osh. speech and swallow saw patient and did not feel patient is swallowing and was unable to control secretions. her o2 sats remained stable on cool neb trach mask and the patient appeared comfortable. she required intermittent suctioning for respiratory secretions. . # paroxysmal afib: pt was currently in nsr on digoxin and sotalol upon transfer from the osh. she was continued on digoxin and sotalol. per neurology, it was decided to hold on anticoagulation given recent head ct findings of evolving infarct with hemorrhagic foci. the patient was in nsr with occasional episodes of conversion to a-fib. it was decided not to initiate anticoagulation given hemorrhagic foci on ct scan. a family meeting changed goals of care to cmo and antiarrhythmics were discontinued with option for hospice care. . # ? ventilator associated pna: upon transfer, the patient had completed a 10 day course of levaquin and linezolid for possible . she was afebrile throughout her hospital course and she was stable on cool neb trach mask (12 lpm, fio2 35%). . # right upper extremity edema: the patient had + right upper extremity edema upon transfer from osh. a right upper extremity ultrasound was negative for dvt. the edema was thought to be partially secondary to her picc line as well as from stasis secondary to hemiparesis. the picc line was discontinued upon discharge to hospice care. . # diabetes: upon transfer, the patient's blood sugars were poorly controlled. her lantus this morning was titrated up and she was maintained on an iss, but was eventually discontinued when goals of care were shifted to comfort measures. . # hypothyroidism: the patient was continued on her synthroid upon transfer. . # access: r picc placed at osh on . this will be discontinued upon discharge to hospice care. . # fen: a peg tube was placed at the osh and the patient was placed on tube feeds. a nutrition consult was obtained for tfs upon admission. tube feeds were discontinued when goals of care where changed to comfort measures. . # comfort care: patient was put on seroquel initially for agitation (tugging at tubes and lines) but was switched to olanzipine oral disintegrating tablet with good effect managing her agitation. she received tylenol pgt/pr for discomfort. . # code status: dnr/dni/cmo . # communication: hcp: (daughter) home cell: (daughter) home cell cardiologist - , - . pcp , - neuro - - . 2nd opinion neurologist - , . . # dispo: hospice placement, comfort care. . medications on admission: . medications (home): synthroid 50 mc qd metformin 1000 mg diovan/hct 160/25 asa 81 mg qd caltrate mvi glyburide 1.25 mg qd lipitor 20 mg qd atenolol 75 mg qd . meds on transfer (from osh): zocor 40 mg qd protonix 40 mg qd levothyroxine 0.05 mg qd asa 325 mg qd propofol 100 ml ssi levaquin 500 mg iv (started ) linezolid 600 mg q 12 hrs (started ) lantus 15 unts q am sotalol 40 mg q12 hours digoxin 0.125 mg iv qd potassium chloride 20 meq qd nystatin powder enalaprilat 2.5 mg iv q 6 prn haldol 1 mg iv q 4 prn ativan 1-2 mg q hour prn . discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. tablet(s) 3. olanzapine 5 mg tablet, rapid dissolve sig: 0.5-1 tablet, rapid dissolve po bid (2 times a day). 4. nystatin 100,000 unit/g ointment sig: one (1) appl topical qid (4 times a day) as needed. 5. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: house discharge diagnosis: . primary: bilateral cvas in mca distribution new paroxysmal atrial fibrillation. . secondary: htn dm hypothryoidism s/p hemithyroidectomy for thyroid cancer s/p mastectomy for breast cancer . discharge condition: . comfort measures, hospice level care . discharge instructions: . 1- patient is comfort measures with hospice care. please continue medications for comfort, medications for agitation, o2 as needed. . followup instructions: . patient will be discharged to hospice care facility . procedure: enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of breast cerebral embolism with cerebral infarction aphasia hemiplegia, unspecified, affecting unspecified side gastrostomy status tracheostomy status postsurgical hypothyroidism 

Answer: The patient is high likely exposed to