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: shortness of breath major surgical or invasive procedure: intubation, extubation history of present illness: ms. is a 56 year-old woman with a history of bronchiectasis, likely copd, ?sarcoidosis, and mild mental retardation who presented to the ed with acute on chronic abdominal pain and dyspnea and was intubated in the setting of hypoxia and respiratory distress. . the patient is intubated and history was obtained from ed staff, hospital records, and her case manager, . she lives in a group home and per report has had two admissions this year for shortness of breath, last in , attributed to either pneumonia or copd exacerbation. she has also had multiple pcp/outpatient office visits and ed visits for shortness of breath, generally attributed to bronchitis or reactive airway disease. she has also had acute on chronic abdominal pain and underwent egd recently that demonstrated gastritis. . she was in her usoh until this afternoon when she began having worsening abdominal pain after being picked up in a car by her case manager. during this episode, she had tachypnea/dyspnea, and her case manager activated ems. her recent history is notable for the absence of fevers, chronic nonproductive cough, and no increase in her baseline nebulizer requirement. . in the ed, initial vs were: 99.9 127 158/80 18 100%nrb -> 88%ra. she was agitated, removing her nrb, tachypneic to the 40s, and not moving air on exam. she became hypertensive to sbp 180-200 and had worsening hypoxia to the low 80s on room air. she was then intubated for hypoxic respiratory failure and tachypnea, and was given methylpred 125, bronchodilators, and levofloxacin, after which she was noted to be moving air more effectively. she also was given 3l ns. . on arrival to the , she is intubated and sedated on propofol. she is accompanied by her case manager. of note, ros is negative for change in bowel or bladder movement, blood in stool, diarrhea, or nausea, though patient has chronically reduced appetite with 50 lb weight loss over past year. past medical history: 1. question sarcoid. she had a ct scan of her chest in of that showed hilar lymphadenopathy that was stable on a repeat ct in . she does not have any parenchymal lung disease on these scans and no further workup was pursued at the time. 2. ? allergic bronchopulmonary aspergillosis (abpa) 3. type 2 diabetes. 4. hypertension. 5. schizophrenia. 6. hepatitis c. 7. mild mental retardation. 8. anxiety. social history: she lives in a group home. she is on disability. she smoked a significant amount of cigarettes but quit last month. she has never been exposed to anybody with tuberculosis, and there are no pets in her home. family history: her sister has schizophrenia. physical exam: admission: vitals: 98 115/70 16 100% cmv fio2 50% peep 5 tv 400 general: sedated heent: ett in place, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, obese, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema discharge: vs: stable, with rr 16-18, sao2 99/ra no other pertinent findings on exam pertinent results: admission labs: 03:20pm blood wbc-4.2 rbc-4.88 hgb-14.1 hct-43.3 mcv-89 mch-28.8 mchc-32.4 rdw-14.4 plt ct-245 03:20pm blood neuts-52.8 lymphs-27.0 monos-4.7 eos-14.5* baso-0.9 03:20pm blood pt-12.2 ptt-22.7 inr(pt)-1.0 04:42pm blood glucose-156* urean-5* creat-0.5 na-138 k-4.1 cl-106 hco3-24 angap-12 04:42pm blood alt-23 ast-28 alkphos-50 totbili-0.4 04:42pm blood ctropnt-<0.01 02:50am blood calcium-8.5 phos-3.4 mg-1.7 04:42pm blood asa-neg acetmnp-9* bnzodzp-neg barbitr-neg tricycl-neg abgs: #1) 04:50pm blood type-art temp-37.9 tidal v-380 fio2-50 po2-148* pco2-46* ph-7.34* caltco2-26 base xs--1 -assist/con intubat-intubated #2) 09:04pm blood type-art rates-16/ tidal v-380 peep-5 fio2-50 po2-161* pco2-54* ph-7.30* caltco2-28 base xs-0 -assist/con intubat-intubated #3) 11:35pm blood type-art tidal v-400 peep-5 fio2-50 po2-131* pco2-41 ph-7.39 caltco2-26 base xs-0 -assist/con intubat-intubated #4) 02:19am blood type-art temp-35.8 peep-5 po2-84* pco2-43 ph-7.46* caltco2-32* base xs-5 intubat-intubated comment-cpap/ps 9:11 pm sputum source: endotracheal. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): multiple organisms consistent with oropharyngeal flora. respiratory culture (final ): moderate growth commensal respiratory flora. brief hospital course: ms. is a 56 year-old woman with a history of bronchiectasis, likely copd, ?sarcoidosis, and mild mental retardation who presented to the ed with acute on chronic abdominal pain and dyspnea and was intubated in the setting of hypoxia and respiratory distress. respiratory failure: pt was intubated in the setting of hypoxia, tachypnea, and hypertension in ed. found to have poor air movement on exam. no significant pulmonary edema on cxr although circumstances raised question if pt had flash edema. initial abg showed mild acidosis with mild co2 retention. she was started on iv steroids as well as broad spectrum abx vanc/cefepime/azithro for emperic pna coverage. albuterol/ipratropium inhalers continued. when cxr showed no obvious infiltrate taken off vanco/cefepime and unasyn added for possibility of aspiration event. question of fluid overload was raised so pt given iv lasix with good diuresis response. pt with continued wheezing on auscultation, so albuterol inhaler changed from q6hr to q2hr. vent was then weaned to ps from cmv. vanco was briefly restarted as sputum gs showed gpc but then stopped again once culture grew commensal organisms. unasyn was also stopped at this point. bnp was wnl and echo was done which showed grossly normal heart. on morning of pt was successfully extubated. pts respiratory status remained stable as she was monitored overnight in the icu before transfer to the floor. she continued to be stable on the floor and discharged with a steroid taper. her underlying lung disease requires further outpatient workup but at the present time the most likely cause for her acute deterioration was a copd flare. abdominal pain/gastritis: initial symptoms prompted by acute on chronic abdominal pain, unclear etiology with known gastritis and hepatitis c, and no acute etiology on abdominal ct in . improved without treatment. schizophrenia: no change in outpatient management. medications on admission: albuterol sulfate - 2.5 mg/3 ml (0.083 %) solution for nebulization - 1 neb(s) inh every 4-6 hours as needed for wheezing or shortness of breath dx: copd, unable to use mdi with spacer albuterol sulfate - 90 mcg hfa aerosol inhaler - puff inh four times a day benztropine - (prescribed by other provider) - 1 mg tablet - 1 (one) tablet(s) by mouth at bedtime budesonide-formoterol - 160 mcg-4.5 mcg/actuation hfa aerosol inhaler - 2 spray(s) inh twice a day fluphenazine hcl - (prescribed by other provider: ) - 10 mg tablet - 3 tablet(s) by mouth once a day freestyle glucometer - - starter kit with lancets and strips lamotrigine - (prescribed by other provider: ) - 100 mg tablet - 1 tablet(s) by mouth twice daily lisinopril - 2.5 mg tablet - 1 (one) tablet(s) by mouth once a day lorazepam - (prescribed by other provider: ) - 2 mg tablet - 1 tablet(s) by mouth at bedtime metformin - 500 mg tablet - 2 (two) tablet(s) by mouth once a day with biggest meal of the day omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth daily prednisone - 20 mg tablet - 3 tablet(s) by mouth daily taper: 3 tabs daily x 4 days, then 2 tabs daily x 4 days, then 1 tab daily x 4 days, then tab daily x 4 days risperidone - (prescribed by other provider: ) - 4 mg tablet - 1 tablet(s) by mouth at bedtime solifenacin - (prescribed by other provider) - 5 mg tablet - 1 (one) tablet(s) by mouth once a day bedtime spacer - - with face mask use with symbicort mdi acetaminophen - 325 mg tablet - 2 (two) tablet(s) by mouth every six (6) hours as needed for for temp > 101 and for pain aspirin - 325 mg tablet, delayed release (e.c.) - 1 (one) tablet(s) by mouth once a day ferrous sulfate - 325 mg (65 mg iron) tablet - 1 tablet(s) by mouth once a day guaifenesin - 100 mg/5 ml syrup - one tablespoonful by mouth every 6 hours as needed for cough discharge medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath/wheezing. 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. 3. benztropine 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 4. symbicort 160-4.5 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation twice a day. 5. fluphenazine hcl 10 mg tablet sig: three (3) tablet po daily (daily). 6. lamotrigine 100 mg tablet sig: one (1) tablet po bid (2 times a day). 7. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 8. lorazepam 2 mg tablet sig: one (1) tablet po at bedtime. 9. metformin 1,000 mg tablet sig: one (1) tablet po once a day. 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 11. risperidone 2 mg tablet sig: two (2) tablet po hs (at bedtime). 12. vesicare 5 mg tablet sig: one (1) tablet po at bedtime. 13. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 14. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 15. prednisone 10 mg tablet sig: taper as directed tablet po once a day: 3 tabs (30mg) daily for 3 days, 2 tabs (20mg) daily for 3 days, 1 tab (10mg) daily for 3 days, 0.5 tab (5mg) for 3 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: copd flare secondary diagnosis: sarcoidosis discharge condition: stable, sating well on room air discharge instructions: you were admitted with shortness of breath likely related to a copd flare. medication changes: prednisone (taper over a short period of time, follow instructions on prescription) followup instructions: department: be well center when: wednesday at 10:00 am with: . , rd building: sc clinical ctr campus: east best parking: garage department: when: friday at 10:50 am with: building: campus: east best parking: garage department: pulmonary function lab when: monday at 1:40 pm with: pulmonary function lab building: campus: east best parking: garage md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis thrombocytopenia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified viral hepatitis c without hepatic coma personal history of tobacco use sarcoidosis abnormality of gait unspecified schizophrenia, unspecified anxiety state, unspecified acute respiratory failure chronic obstructive asthma with (acute) exacerbation bronchiectasis without acute exacerbation unspecified gastritis and gastroduodenitis, without mention of hemorrhage mild intellectual disabilities benign essential hypertension eosinophilia allergic bronchopulmonary aspergillosis 

Answer: The patient is high likely exposed to