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: past medical history: 1. obstructive sleep apnea. 2. chronic bronchitis. 3. chronic bronchiectasis. 4. congestive heart failure, ef greater than 60%. 5. diastolic dysfunction. 6. interstitial lung disease, fev1 35%. 7. sinusitis. 8. breast cancer. 9. hypertension. 10. pseudomonas pneumonia resistant to cipro and gentamycin. 11. hypercholesterolemia. medications on admission: 1. cardizem 15 once. 2. lisinopril 5 once. 3. arimidex 1 once. 4. lasix 40 once. 5. nortriptyline 50 q.h.s. 6. celebrex 200 in the a.m. 7. effexor 37.5 twice a day. 8. protonix 40 once a day. 9. lipitor 30 once a day. 10. multivitamin one once a day. 11. percocet p.r.n. 12. vitamin d 400 once a day. 13. klonopin 1.5 q.h.s. 14. metformin 500 two times a day. 15. fosamax 70 once a week. 16. clarinex 10 once a day. 17. tramadol p.r.n. 18. alexidine 150 three times a day. 19. imuran 100 once a day. 20. combivent one to two puffs twice a day. 21. fluticasone 110 four puffs two times a day. 22. neurontin 600 four times a day. 23. calcium 1 once a day. 24. cefepime 1 twice a day. 25. tobramycin 280 once a day. 26. nph 18 in the morning. social history: the patient quit smoking in . denied etoh. physical examination on admission: vital signs: heart rate 87, blood pressure 96/44, 02 saturation 94% on 3 liters nasal cannula. general: this is a chronically ill appearing woman in no apparent distress. heent: the sclerae were clear. the oropharynx was dry without jvd. lungs: diffuse crackles and inspiratory wheezes. cardiovascular: regular rate and rhythm, normal s1, s2, without murmurs, rubs, or gallops. abdomen: normal bowel sounds, soft, nontender, nondistended. extremities: without lower extremity edema, good distal pulses. neurologic: alert and oriented times three, but falls asleep. cranial nerves, ii through xii, were grossly intact. strength was , distal reflexes 2+ throughout. laboratory data/studies on admission: white count 8.4, hematocrit 26.6, platelets 192,000. ptt 34.7, inr 1.6, 132/5.1, 96/22, 70/6, 1.76. abgs 7.32, 45, 70, lactate 1.5. ck 199. troponin less than 0.3. calcium 8.1, phosphorus 5.6, magnesium 1.6. u/a negative. chest x-ray revealed right subclavian in place. question of right middle lobe infiltrate and worsening chf. abdominal ct and head ct were both without acute process. ekg revealed a normal sinus rhythm at 95, lad, ivcd, without acute st-t changes. hospital course: this is a 60-year-old woman admitted with hypotension and new acute renal failure. 1. acute renal failure: likely secondary to dehydration and tobramycin toxicity in the setting of an ace inhibitor. the patient was aggressively rehydrated and the pressors were taken off. her creatinine began to normalize and upon discharge her creatinine was 1.6. the patient's ace inhibitor was held and the patient was not treated with tobramycin anymore. 2. hypotension: likely secondary to sepsis. the patient was also dehydrated. aggressive fluid easily removed with pressors and corrected acute renal failure at the same time. the patient had blood cultures, cultures of sputum and urine cultures as well. 3. pseudomonas pneumonia: the patient continued double coverage as per infectious disease. the patient was treated with zosyn and cefepime in the hospital for a total course of 14 days. the patient tolerated that course exceptionally well. 4. obstructive sleep apnea: the patient continued home cpap. 5. adrenal insufficiency: the patient was given stress-dose steroids and then switched to p.o. steroids with a taper. the steroids will also treat her lung disease. 6. breast cancer: the patient had arimidex held until her creatinine normalized and she was restarted on it. 7. diabetes mellitus: the patient's metformin was held while she was in acute renal failure. she was covered with insulin sliding scale. she was restarted on her nph. the patient was sent home without metformin. she was sent home on insulin sliding scale 18 nph a.m., 5 nph p.m. 8. interstitial lung disease: the patient's imuran was held. the patient was already on stress-dose steroids. the patient's steroids began taper. the patient is to continue taper from 35 of prednisone down to 15 of prednisone every three days by 5. 9. depression: the patient's antidepressants were held until her acute renal failure resolved. once the acute renal failure resolved, the patient was restarted on antidepressants without any problem. 10. gastrointestinal bleed: the patient was found to be guaiac positive. the patient will have outpatient workup after three months of anticoagulation. 11. left upper extremity clot: the patient had a left upper extremity clot status post picc line. when the picc line was pulled, the patient still had thrombophlebitis. the patient was started with heparin to coumadin. the patient has follow-up in clinic and with her own pcp. 12. disposition: the patient is sent home with visiting vna services. the patient was full code throughout the stay without events. discharge condition: fair. discharge diagnosis: 1. acute renal failure. 2. pseudomonas pneumonia. 3. congestive heart failure. discharge medications: 1. combivent one twice a day. 2. pantoprazole 40 twice a day. 3. clonazepam 1.5 once a day. 4. nortriptyline 50 once a day. 5. lipitor 30 once a day. 6. vitamin d 400 once a day. 7. multivitamin one once a day. 8. calcium 500 three times a day. 9. colace 100 twice a day. 10. senna one twice a day. 11. iron 325 mg once a day. 12. beclomethasone aq two once a day. 13. fluticasone 110 four twice a day. 14. lasix 40 once a day. 15. prednisone 35 times three days and then taper 5 every three days until 15 once a day. 16. coumadin 2.5 once a day. 17. gabapentin twice a day. 18. alexidine 150 twice a day. 19. arimidex one once a day. 20. fosamax 70 once per week. 21. nph 18 every morning, 5 every evening. 22. insulin sliding scale. 23. effexor 37.5 twice a day. 24. clarinex 10 once a day. follow-up: the patient has follow-up with dr. on . the patient is to follow-up with dr. on . the patient has follow-up for first pt on and will be followed in the clinic. diet: the patient's diet is a 2 gram sodium cardiac diabetic. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia acute on chronic diastolic heart failure pneumonia due to pseudomonas postinflammatory pulmonary fibrosis unspecified chronic bronchitis bronchiectasis with acute exacerbation 

Answer: The patient is high likely exposed to