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: addendum: the patient was kept from discharge on account her history of mrsa colonization and therefore the rehab institution's requirement that she fill a private room. while awaiting placement, however, she experienced an episode of worsening hypoxia. this was treated with deep suctioning and an escalation of pulmonary toilet towards standing nebulized bronchodilators, incentive spirometry and regular suctioning. the respiratory failure was probably due to multiple factors. first, she has great difficulty clearing secretions. second, she is easily fluid overload. and third, given the green colour of her sputum and the new leukocytosis, she likely has a new pneumonia. accoringly, she was started on broad spectrum antibiotics to treat for a hap. also, two points of correction to the previous discharge summary: 1) after discussing further with the radiologist, it has been confirmed that the patient has suffered a subacute stroke that may be embolic in nature. we have managed this expected finding by restarting the patient's antiplatelet and coagulation regime. namely, plavix and aspirin. she has been on pneuomoboots in hospital, we believe that she should be restarted on lovenox prophylaxis with monitoring of her hematocrit. 2) it should also be corrected that the patient's echocardiogram with bubble study did show a pfo as well as pulmonary hypertension. <b> summary </b> . 1. delirium - while the patient has some baseline dementia, she is fully oriented and interactive ( the paper) at baseline. she presents with delirium for pneumonia, chf, and gi bleed . 2. gi bleed and gi problem list - after the operative repair she is stable. it was related to an exposed vessel. continue tube feeding. it was discovered during the management of this process that she has some radiation esophagitis. nevertheless, she does not aspirate from the esophagus and tolerates thin liquids and purees. we have crushed many pills into purees. . 3. arterial disease - patient should remain on aspirin and clopidogrel. also, continue lovenox. this is the recommended treatment from our neurologists for her cerebrovascular disease. . 4. chf - this patient has an ef of 45-50%. she is sensitive to fluids. we used a short course of lasix to improve the balance. . 5 respiratory failure - the patient had some trouble clearing secretions, requiring deep suction. we recommend regular nebulizer treatments, incentive spirometry oral care and suctioning. . 6. head and neck cancer - the patient has completed her treatment at present chief complaint: delirium major surgical or invasive procedure: exploratory laparotomy for hemostasis and g-tube replacement (this was incorrectly left off of the original discharge summary) history of present illness: as above past medical history: past medical history: ==================== chronic obstructive pulmonary disease hypertension hypercholesterolemia pernicious anemia cad s/p mi and stent implantation in h/o gi bleed social history: etoh: doesn't drink tobacco: quit in , 60-75 py history family history: nc physical exam: as above pertinent results: as above 04:35am blood wbc-19.5*# rbc-3.09* hgb-9.6* hct-29.4* mcv-95 mch-30.9 mchc-32.5 rdw-19.2* plt ct-421 06:45am blood hct-27.6* 05:20pm blood wbc-12.7* rbc-2.99* hgb-9.5* hct-27.9* mcv-93 mch-31.6 mchc-33.9 rdw-18.9* plt ct-410 05:50am blood wbc-10.6 rbc-3.06* hgb-9.5* hct-28.1* mcv-92 mch-31.1 mchc-33.9 rdw-18.6* plt ct-344 03:16am blood wbc-8.6 rbc-2.65* hgb-8.2* hct-24.6* mcv-93 mch-31.0 mchc-33.3 rdw-18.8* plt ct-249 05:20am blood wbc-13.5* rbc-2.91* hgb-9.2* hct-26.3* mcv-91 mch-31.5 mchc-34.8 rdw-18.6* plt ct-351 04:35am blood neuts-93.8* lymphs-2.3* monos-3.6 eos-0.2 baso-0.1 09:00am blood glucose-140* urean-23* creat-1.3* na-145 k-3.6 cl-102 hco3-28 angap-19 04:35am blood glucose-123* urean-22* creat-1.3* na-144 k-3.6 cl-103 hco3-28 angap-17 06:45am blood glucose-129* urean-18 creat-1.2* na-142 k-4.0 cl-105 hco3-28 angap-13 05:20pm blood glucose-104 urean-14 creat-1.2* na-144 k-4.5 cl-107 hco3-28 angap-14 05:50am blood glucose-97 urean-10 creat-1.2* na-142 k-3.0* cl-104 hco3-29 angap-12 10:35am blood creat-0.9 na-141 k-3.7 cl-104 04:35am blood ck-mb-2 ctropnt-0.08* 02:25am blood ck-mb-6 ctropnt-0.09* 07:20am blood ck-mb-8 ctropnt-0.12* 05:00pm blood ctropnt-0.15* 09:00am blood ck-mb-12* ctropnt-0.13* 09:00am blood calcium-8.0* phos-2.0* mg-2.1 09:00am blood vitb12-1556* 04:57am blood type-art po2-81* pco2-32* ph-7.52* caltco2-27 base xs-3 brief hospital course: as above with addendum <b> summary </b> . 1. delirium - while the patient has some baseline dementia, she is fully oriented and interactive ( the paper) at baseline. she presents with delirium for pneumonia, chf, and gi bleed . 2. gi bleed and gi problem list - after the operative repair she is stable. it was related to an exposed vessel. continue tube feeding. it was discovered during the management of this process that she has some radiation esophagitis. nevertheless, she does not aspirate from the esophagus and tolerates thin liquids and purees. we have crushed many pills into purees. . 3. arterial disease - patient should remain on aspirin and clopidogrel. also, continue lovenox. this is the recommended treatment from our neurologists for her cerebrovascular disease. . 4. chf - this patient has an ef of 45-50%. she is sensitive to fluids. we used a short course of lasix to improve the balance. . 5 respiratory failure - the patient had some trouble clearing secretions, requiring deep suction. we recommend regular nebulizer treatments, incentive spirometry oral care and suctioning. . 6. head and neck cancer - the patient has completed her treatment at present medications on admission: as above discharge medications: 1. enoxaparin 40 mg/0.4 ml syringe : one (1) subcutaneous q 24h (every 24 hours). 2. clopidogrel 75 mg tablet : one (1) tablet po daily (daily). 3. hydrocodone-acetaminophen 5-500 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for pain. 4. nystatin 100,000 unit/ml suspension : five (5) ml po qid (4 times a day) as needed for thrush. 5. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 6. acetaminophen 325 mg tablet : two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 7. captopril 25 mg tablet : one (1) tablet po tid (3 times a day). 8. alprazolam 0.25 mg tablet : one (1) tablet po tid (3 times a day) as needed for anxiety. 9. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet : one (1) tablet po tid (3 times a day). 11. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q6h (every 6 hours) as needed for shortness of rbeath, wheeze. 13. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 14. vancomycin in dextrose 1 gram/200 ml piggyback : one (1) intravenous q 12h (every 12 hours) for 4 days. 15. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback : one (1) intravenous q8h (every 8 hours) for 4 days. 16. metoprolol tartrate 25 mg tablet : one (1) tablet po tid (3 times a day). 17. trazodone 50 mg tablet : 0.25 tablet po once mr1 (once and may repeat 1 time) for 1 doses. 18. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q4h (every 4 hours) as needed for wheezing or sob. 19. ipratropium bromide 0.02 % solution : one (1) inhalation q4h (every 4 hours) as needed for wheezing or sob. 20. pantoprazole 40 mg recon soln : one (1) recon soln intravenous q24h (every 24 hours). 21. outpatient physical therapy patient with deconditioning and requiring help in building strength/stability 22. outpatient lab work patient should have chemistry (sodium, postassium, chloride, bicarbonate, creatinine, bun) and cbc checked in pm of and am of and as directed by rehab physicians thereafter 23. vancomycin in dextrose 1 gram/200 ml piggyback : one (1) 1 gm intravenous q 24h (every 24 hours). 24. cefepime 2 gram recon soln : one (1) 2g recon soln injection q24h (every 24 hours). 25. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback : one (1) 500 mg intravenous q8h (every 8 hours). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary: squamous cell cancer of the head and neck secondary: sp gi bleed, s/p laparotomy and g-tube replacement copd, htn, hypercholesterolemia, pernicious anemia, cad s/p mi and stent implantation in , g-tube placed discharge condition: tolerating po and tube feeds, afebrile, hemodynamically stable discharge instructions: you were admitted with confusion and fevers. we discovered that you had a pneunomia, considered healthcare associated. we worried about aspiration pneumonia, so we ordered a video swallow test that showed you could tolerate purees and thin liquids. we treated you for this. we also transfused you with blood given your low blood count. your gastric tube was leaking, so we asked surgery and gastroenterology to help us manage it. eventually, you started bleeding from a large vessel around the tube and this required an operation. after the operation you went back and forth between the icu and the floor because we were worried about your breathing. you had a good deal of secretions in your lung but also extra fluid because your heart was overloaded. you received an mri that showed that you had a small stroke. you were discharged to a rehab facility. appointments , return to the hospital if you develop confusion, fever or any other symptoms that concern you followup instructions: pcp: , oncologist md, procedure: enteral infusion of concentrated nutritional substances exploratory laparotomy endoscopic control of gastric or duodenal bleeding other gastrostomy other radiotherapeutic procedure dilation of esophagus closure of gastrostomy diagnoses: acidosis coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases percutaneous transluminal coronary angioplasty status acute respiratory failure pneumonitis due to inhalation of food or vomitus ostium secundum type atrial septal defect old myocardial infarction cerebral embolism with cerebral infarction hemorrhage of gastrointestinal tract, unspecified delirium due to conditions classified elsewhere stricture and stenosis of esophagus other esophagitis foreign body in larynx other gastrostomy complications malignant neoplasm of tonsil 

Answer: The patient is high likely exposed to