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: penicillins attending: chief complaint: dyspnea major surgical or invasive procedure: none history of present illness: 86 yo woman with copd (on 3l nc at home), chf, htn, dm-ii who was brought in from for acute sob and hypoxia. she was found in respiratory distress and reportedly had an o2 sat of 52% on 2 liters on the way to the hospital. all of her care is at so we have no records. she had been living with her brother up until two weeks ago when placed her in a nursing home while he had knee surgery. he states that at the nursing home her room has been hot and that she has complained that it has made it more difficult for her to breath. in the ed she was found to have an axillary temp of 102.5, tachycardia, a mild leukocytosis, and an acute on chronic respiratory acidosis. she was treated with bipap, morphine, lasix, levaquin, solu-medrol, albuterol, and atrovent. past medical history: primary: 1. aecopd exacerbation. 2. lll pneumonia. 3. urinary tract infection. secondary: 1. 02 dependent copd (3l) 2. chf - ef unknown. 3. diabetes mellitis. social history: lives as x 2 weeks. family history: non-contributory. physical exam: vs: 102.5, 99.2, 115/43 (80-180/50-80), 96 (79-140), 16-20, 85-88ra on admission up to 96% after nebs and bipap. now 100%/3l. gen: pt supine with head of bed at 45 degrees, conversant, somewhat confused, nad, no apparent dyspnea heent: perrl, eomi, nc/at, dry mm neck: supple chest: poor air movement, no crackles cor: distant heart sounds, rr, nl s1 s2, no murmur appreciated abd: incisional scar, reducible large periumbilical hernia, decreased bs, soft, nt/nd ext: no edema, mae pertinent results: 05:28pm lactate-1.5 05:34pm pt-12.9 ptt-24.5 inr(pt)-1.1 05:34pm plt count-167 05:34pm neuts-76* bands-6* lymphs-6* monos-9 eos-2 basos-0 atyps-0 metas-1* myelos-0 05:34pm wbc-11.5*# rbc-4.06* hgb-11.8* hct-37.0 mcv-91 mch-29.1 mchc-31.9 rdw-13.1 05:34pm albumin-4.4 calcium-9.2 phosphate-3.9 magnesium-2.0 05:34pm ck-mb-notdone ctropnt-<0.01 05:34pm lipase-35 05:34pm alt(sgpt)-19 ast(sgot)-36 ld(ldh)-357* ck(cpk)-54 alk phos-91 amylase-45 tot bili-0.3 05:34pm glucose-245* urea n-20 creat-0.8 sodium-144 potassium-4.4 chloride-99 total co2-34* anion gap-15 06:00pm urine rbc-0-2 wbc- bacteria-many yeast-none epi-0-2 06:00pm urine blood-sm nitrite-pos protein-neg glucose-100 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 06:00pm urine color-straw appear-clear sp -1.008 06:02pm type-art temp-37.2 rates-/22 tidal vol-450 po2-87 pco2-88* ph-7.27* total co2-42* base xs-9 -assist/con intubated-not intuba cxray: no chf. atelectasis vs. early pneumonia in the left lower lobe. ekg: sinus tachycardia. bcx ngtd x 3 days. ucx neg brief hospital course: 86 yo woman with copd and 3l o2 requirement, transferred from nursing home with desaturation to 52%/2l associated with confusion. 1. respiratory distress - lll pneumonia and copd exacerbation. pt's saturation responded to bipap, solumedrol, nebs to 100% on 3lnc in ed, her baseline. respiratory acidosis improved. pt started on levo 250mg qd (renally dosed) for lll pneumonia for 10 days total. prednisone 60mg qd x 2 weeks total, careful to tightly control blood sugars. albuterol/atrovent nebs scheduled with albuterol inh for rescue breathing. pt is a mouth breather, so nasal canula was switched to face mask with good o2 sats (>95%). 2. uti - by u/a, though ucx after abx neg. covered with levo. 3. h/o chf - no old records. no signs of active chf now. no ekg evidence of old ischemia; ck and trop negative x 1. dig level 0.6, which is okay. 4. delerium - likely due to uti and hypercarbia. improved after bipap. 5. code - dnr/dni, son , (w) 6. ppx - h2-blocker, vit d, calcium, while on steroids. heparin sq. 7. dispo - per pcp, (, #6104) who said that ms. is a home care patient and does not have any baseline abgs, pfts, or echos. pt d/c'd back to nursing home. dnr/dni medications on admission: 1. insulin sc (per insulin flowsheet)sliding scale 2. acetaminophen 650 mg po q4-6h:prn fever, pain 3. ipratropium bromide neb 1 neb ih q6h 4. albuterol neb soln 1 neb ih q4h 5. lactulose 30 ml po qd:prn constipation 6. albuterol puff ih q4-6h:prn sob/wheezing please keep at bedside for rescue breathing 7. levofloxacin 250 mg iv q24h 8. aspirin 81 mg po qd 9. bisacodyl 10 mg po/pr qd 10. prednisone 60 mg po qd 11. ranitidine 150 mg po qd 12. calcium carbonate 500 mg po tid w/meals 13. senna 1 tab po bid 14. docusate sodium 100 mg po bid 15. vitamin d 400 unit po qd 16. heparin 5000 unit sc tid discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed for fever, pain. 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qd (once a day). 3. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. albuterol sulfate 0.083 % solution sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*30 * refills:*0* 5. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. disp:*30 * refills:*0* 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. prednisone 20 mg tablet sig: three (3) tablet po qd (once a day) for 10 days. disp:*10 tablet(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po qd (once a day). 11. lactulose 10 g/15 ml syrup sig: thirty (30) ml po qd (once a day) as needed for constipation. 12. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4-6h (every 4 to 6 hours) as needed for sob/wheezing. disp:*1 * refills:*0* 13. ranitidine hcl 150 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 14. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 15. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). disp:*90 tablet, chewable(s)* refills:*0* 16. glyburide 1.25 mg tablet sig: 0.5 tablet po qd (once a day). 17. levofloxacin 250 mg tablet sig: one (1) tablet po once a day for 1 weeks: don't give with tums. disp:*7 tablet(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: primary: 1. aecopd exacerbation. 2. lll pneumonia. 3. urinary tract infection. secondary: 1. 02 dependent copd (3l) 2. chf - ef unknown. 3. diabetes mellitis. discharge condition: pt was in good to fair condition but stable. discharge instructions: please return to hospital or call your doctor if you experience shortness of breath, chest pain, pain or burning with urination, arm or jaw pain, sweating, palpitations. continue taking prednisone as prescribed for a total of 2 weeks. concurrently, take calcium, vitamin d, and ranitidine as prescribed. followup instructions: follow up with your primary care doctor in 1 month (dr. ). procedure: venous catheterization, not elsewhere classified non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified acidosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure hyperosmolality and/or hypernatremia other alteration of consciousness 

Answer: The patient is high likely exposed to