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 / tetracycline / sulfa (sulfonamide antibiotics) / morphine / codeine attending: chief complaint: cervical malacia, with shortness of breath. major surgical or invasive procedure: : cervical tracheal resection and reconstruction and bronchoscopy with bronchoalveolar lavage. history of present illness: the patient is a 58-year-old woman who has had a tracheostomy. she also developed severe diffuse tracheobronchomalacia which was treated with the right thoracotomy and posterior splinting of her thoracic airways. after this procedure, she was noted to have persistent and worsening cervical tracheomalacia and some minor narrowing at the site of the previous stoma. she was admitted following tracheal resection and reconstruction. past medical history: # tracheobronchial malacia s/p tracheoplasty # tracheostomy # cervical malacia # obesity # gerd # avascular necrosis of the l hip s/p l hip replacement in # alcohol abuse # rue dvt in # tracheostomy and peg placement # copd # granulomas in l lung # s/p tah # s/p appendectomy social history: ms. had been a regional manager at insurance company. she lives with her boyfriend of 14 years. patient has history of significant alcoholism. former smoker family history: noncontributory physical exam: vs: t: 98.7 hr: 81-82 sr bp: 102-118/64 sats: 95% 2l nasal cannula. room air 86-88% bs: 126-170 gen: pleasant in nad neck: cervical incision with slight erythema, slight swelling without drainage. lungs: decreased breath sounds bilateral with faint bibasilar crackles. no wheezes cv: rrr s1, s2, no mrg or jvd abd: soft, nt, nd, peg site clean no erythema or discharge ext: warm without edema neuro: awake, alert oriented pertinent results: cxr: : calcified left basal granuloma. status post old left ribs fracture. bilateral areas of atelectasis that are basically unchanged. no newly appeared focal parenchymal opacities. no larger pleural effusions. no evidence of pulmonary edema. : right hemidiaphragm is chronically elevated substantially. persistent obscuration of the left diaphragmatic contour indicates combination of small pleural effusion and worsening left lower lobe atelectasis, now probably collapsed. upper lungs are grossly clear. heart size normal. : lung volumes remain very low, and there is greater consolidation at both lung bases, particularly the right since , most likely atelectasis. small left pleural effusion has increased. heart is top normal size, unchanged. i see no endotracheal tube. there is no pneumothorax. wbc-5.9 rbc-3.17* hgb-8.4* hct-25.9 plt ct-209 wbc-6.8 rbc-3.29* hgb-8.5* hct-26.8 plt ct-181 wbc-9.2 rbc-3.71* hgb-9.2* hct-28.9 plt ct-231 wbc-8.2 rbc-4.43 hgb-11.4* hct-35.1 plt ct-214 glucose-117* urean-14 creat-0.7 na-145 k-4.4 cl-101 hco3-38 glucose-123* urean-14 creat-0.8 na-146* k-4.1 cl-107 hco3-35 glucose-137* urean-14 creat-0.8 na-148* k-3.5 cl-111* hco3-27 calcium-8.8 phos-3.7 mg-2.3 micros: mrsa screen source: nasal swab. no mrsa isolated. brief hospital course: ms. was taken to the operating room by dr. on for a cervical tracheal resection and reconstruction and bronchoscopy with bronchoalveolar lavage for cervical malacia and guard suture placement. she transferred to the icu intubated monitored overnight. neuro/pain: initial pain management was achieved with iv dilaudid and propofol while intubated. this was later transitioned to roxicet via peg with good control. the patient remained neurologically per her baseline: intact but with some memory loss. she is compulsive with taking off oxygen and getting out of bed. she was kept under fall precautions. her home seroquel of 150 mg po daily was divided to 50 mg per ngt tid, with good effect. pulmonary: she was extubated on pod1. heliox and bipap for hypercarbia during pod's . with aggressive pulmonary toilet, mucolytics nebs and incentive spirometry her oxygenation improved. supplemental oxygen was titrated to 2 l nasal cannula with saturation of 97%. titrate oxygen to maintain oxygen saturations > 92%. room air oxygen saturation 86-88%. serial chest x-ray's (see above report) bronchoscopy, flexible showed intact cervical anastomosis, with abnormal bronchial mucosa in the cervical anastomosis, and abnormal bronchial mucosa in the proximal and mid trachea. her guard suture was removed. cv: the patient was tachycardic initially which improved with home diltiazem, switched to 60 mg po qid for peg tube. she remained hemodynamically stable throughout in sinus rhythm 80's, blood pressure 100-120's. gi/nutrition: tube feeds were resume via peg pod1. strict npo for known aspiration. she was evaluated by the registered dietician with tube feed recommendations of replete with fiber at 70 ml/hour. renal/gu: foley removed . she voided well thereafter. electrolytes were monitored and treated as needed. hypernatremia peak na 148 discharge 145, normalized with free water and aldactone. heme: no blood transfusions. stable anemia. id: she remained afebrile, with stable wbc counts. cbc trends were watched throughout her stay. endocrine: fingerstick blood sugars < 200. drains: jp removed . prophylaxis: sq heparin and scd's were instituted to prevent vte. disposition: physical therapy deemed the patient appropriate for rehabilitation. she continued to make steady progress and was discharged to in on . she will follow-up with dr. and dr. as an outpatient. medications on admission: 1. diltiazem hcl 120 mg capsule, sustained release : one (1) capsule, sustained release po bid (2 times a day). 2. nexium 40 mg capsule, delayed release(e.c.) : one (1) capsule, delayed release(e.c.) po once a day. 3. quetiapine 150 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po once a day. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 5. multivitamin capsule : one (1) capsule po once a day. 6. home oxygen 40% humidified oxygen continuous via trach collar. discharge medications: 1. docusate sodium 50 mg/5 ml liquid : ten (10) ml po bid (2 times a day) as needed for constipation. 2. heparin (porcine) 5,000 unit/ml solution : one (1) ml injection tid (3 times a day): sq for vte prophylaxis. 3. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q6h (every 6 hours) as needed for pain. 4. acetylcysteine 20 % (200 mg/ml) solution : three (3) ml miscellaneous every twelve (12) hours as needed for thick secretions: mix with albuterol to prevent bronchospasm. 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) neb inhalation q6h (every 6 hours) as needed for wheeze. 6. diltiazem hcl 60 mg tablet : one (1) tablet po qid (4 times a day): give crushed via peg. 7. seroquel 50 mg tablet : one (1) tablet po three times a day: crushed via peg. 8. prevacid solutab 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr twice a day: crush, give via peg. 9. lactulose 10 gram/15 ml syrup : thirty (30) ml po bid (2 times a day): hold for loose stools. 10. guaifenesin 600 mg tablet sustained release : one (1) tablet sustained release po twice a day. 11. tiotropium bromide 18 mcg capsule, w/inhalation device : one (1) inhalation once a day. discharge disposition: extended care facility: - discharge diagnosis: cervical malacia s/p tracheal resection and reconstruction tbm s/p right tracheoplasty gerd esophageal dysmotility with aspiration tracheostomy and peg placement copd granulomas in l lung discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: call dr. office at if you experience: -fevers > 101 or chills -increased shortness of breath, cough or chest pain -cervical incision develops drainage or increased redness. pulmonary: aggressive pulmonary toilet with mucolytic nebs oxygen titrate to maintain oxygen saturations > 93% humidified oxygen to help keep secreations loose diet: strict npo secondary to aspiration followup instructions: appointments location: building i west clinic provider: , md phone: date/time: 11:00 building clinic provider: , md phone: date/time: 11:30 provider: intake,one rooms/bays date/time: 1:00 hold tube feedings midnight the night before her appointment for flexible bronchoscopy procedure: enteral infusion of concentrated nutritional substances other bronchoscopy closed [endoscopic] biopsy of bronchus other repair and plastic operations on trachea diagnoses: esophageal reflux chronic airway obstruction, not elsewhere classified old myocardial infarction other diseases of lung, not elsewhere classified personal history of venous thrombosis and embolism obesity, unspecified hyperosmolality and/or hypernatremia delirium due to conditions classified elsewhere gastrostomy status hip joint replacement other diseases of trachea and bronchus 

Answer: The patient is high likely exposed to