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: history of present illness: the patient is a 48-year-old female with a history of poorly differentiated adenocarcinoma of the lung with diffuse metastases to the liver, pelvis, and brain (status post carboplatin and taxol radiation therapy 'arissa') who was found to have brain metastases (status post resection) in who had been recently started on navelbine salvage who presented on with hypotension, mild disseminated intravascular coagulation, acute renal failure, and supraventricular tachycardia. the patient's supraventricular tachycardia was responsive to adenosine, and the patient was volume resuscitated in the emergency department. she was treated broadly with ampicillin, levofloxacin, and flagyl and was admitted to the feniard intensive care unit. the patient's hypotension resolved overnight and was thought largely secondary to volume depletion and possibly sepsis. at that time, she was made do not resuscitate/do not intubate by her husband. mental status was intermittent and confused. she was transferred to the floor where she improved for a few days. on , she developed agitation and further confusion; requiring haldol. the patient was noted to develop stridor and tachycardia. multiple nebulizer treatment were tried without affect. the patient was given benadryl 25 mg p.o. times two and cogentin 2 mg times two for suspected laryngeal dystonia from haldol. the patient was given pepcid 20 mg intravenously times one and dexamethasone 10 mg intravenously for a potential allergic reaction with no improvement. the patient was unable to speak secondary to distress. ear/nose/throat was consulted and found no upper airway obstruction and normal cords. the patient was admitted to the feniard intensive care unit for a trial of -level positive airway pressure. past medical history: 1. poorly differentiated lung adenocarcinoma diagnosed in with three right upper lobe lesions; treated with taxol and carboplatin. the patient was found to have new lung nodules, liver metastases, and pelvis metastases in . she was given radiation therapy and then arissa. over the course of to the patient was found to have increasing liver function tests and noted to have worsening liver metastases. in , she was found to have brain metastases and underwent right frontal lobe resection with two smaller metastases remaining in . the patient was started on navelbine salvage. 2. reactive airway disease and emphysema. 3. right thyroidectomy for colloid nodule. 4. iron deficiency anemia. 5. gastritis with helicobacter pylori. 6. depression. 7. history of abnormal pap smear. 8. history of whole body image. 9. history of axillary abscess. allergies: no known drug allergies. medications on admission: 1. atrovent meter-dosed inhalers. 2. haldol 0.5 mg p.o. twice per day as needed. 3. neutra-phos two packets p.o. three times per day. 4. sucralfate 1 g four times per day. 5. dapsone 4 mg intravenously twice per day. 6. iron 325 mg p.o. once per day. 7. vitamin k 10 mg p.o. once per day. 8. docusate 100 mg p.o. twice per day. 9. lidoderm patch as needed. 10. senna one tablet p.o. twice per day. 11. lactulose 30 cc p.o. three times per day. code status: the patient is do not resuscitate/do not intubate. social history: the patient has a 20-pack-year history of smoking. occasional alcohol use. family history: brain cancer, thyroid cancer, coronary artery disease, hypertension, and asthma. physical examination on presentation: physical examination revealed temperature was 98, blood pressure was 150/70, respiratory rate was 28, heart rate was 125, and oxygen saturation was 92% on 4 liters. generally, the patient was an ill-appearing female in moderate respiratory distress. head, eyes, ears, nose, and throat examination revealed extraocular movements were intact. mucous membranes were dry. neck examination revealed no lymphadenopathy. audible stridor on expiration was heard. cardiovascular examination revealed tachycardia. normal first heart sounds and second heart sounds. no murmurs, rubs, or gallops. the lungs were clear with the exception of decreased breath sounds up to halfway up the right lung field and one quarter of the way up the left lung field. the abdomen was firm, distended, and nontender with normal active bowel sounds. extremity examination revealed no edema. on neurologic examination, the patient was acutely agitated. pertinent laboratory values on presentation: pertinent laboratory findings revealed the patient had a white blood cell count of 12.3, hematocrit was 33.1, and platelets were 163. inr was 2. chemistry-7 revealed sodium was 144, potassium was 3.7, chloride was 109, bicarbonate was 19, blood urea nitrogen was 28, creatinine was 0.8, and blood glucose was 129. anion gap was 17. the patient had a fibrinogen of 143. d-dimer was greater than . fbe was 80 to 160. alt was 213, ast was 737, alkaline phosphatase was 497, and total bilirubin was 2.9. calcium was 7.8, phosphate was 2.3, and magnesium was 2.6. lactate was 12.5. free calcium was 1.15. pertinent radiology/imaging: on chest x-ray the patient had a large right pleural effusion with a question of left lower lobe atelectasis. impression: the patient is a 48-year-old female with a history of poorly differentiated lung cancer with diffuse metastases to the liver, pelvis, and brain; status post carboplatin, taxol, radiation therapy, arissa, and metastases resection (on navelbine salvage) who presented with hypotension, mild disseminated intravascular coagulation, acute renal failure, and lactic acidosis who now returned to the feniard intensive care unit with acute respiratory distress. hospital course by issue/system: 1. pulmonary issues: the patient with a question of acute stridor with an unchanged chest x-ray. the differential diagnosis initially included a dystonic reaction from haldol or an allergic reaction. however, the patient did not respond to cogentin, benadryl, steroids, or h2 blockers; and ear/nose/throat ruled out any upper airway swelling or laryngeal spasms. thus, it was thought that the patient had a fixed obstruction; perhaps some lymph nodes or lung cancer which became clinically evident as wheezing or stridor in the setting of increased mini-ventilation from progressive metabolic acidosis. heliox was attempted without success, and the patient was started on -level positive airway pressure with no real improvement in her symptoms. she was not any more responsive on -level positive airway pressure and required morphine for some sedation to enable her to work with the -level positive airway pressure. her respiratory status did not improve clinically. 2. neurologic issues: the patient with mental status changes in the setting of diffusely metastatic breast cancer with liver involvement and hepatic encephalopathy as well as hypoxia and worsening acidosis with hypercarbia. her mental status did not improve despite the aggressive measures in the intensive care unit. 3. gastroenterology issues: the patient with rapidly progressive liver failure; likely secondary to metastatic non-small-cell lung cancer with diffuse involvement. progressive metabolic lactic acidosis was likely secondary to hepatic failure. 4. hematology/oncology issues: the patient with metastatic lung cancer diffusely spread to liver, , and brain. nearing the end-stage on salvage navelbine. the patient had ongoing evidence of disseminated intravascular coagulation. the overall prognosis, according to the patient's primary oncologist, was uniformly poor. 5. code issues: the patient presented with progressive lung cancer diffusely metastatic which was refractory to multiple chemotherapeutic regimens, brain metastases resection, and radiation therapy. she developed worsening respiratory failure in the setting of progressive lactic acidosis, pleural effusions, respiratory acidosis, and altered mental status. after discussing the patient's uniformly poor prognosis with her oncologist, as well as her husband (who was her health care proxy), the decision was made to make the patient comfort measures only. the patient expired with family at the bedside. condition at discharge: expired. discharge status: the patient expired. discharge diagnoses: 1. respiratory failure. 2. poorly differentiated metastatic non-small-cell lung cancer. 3. progressive metabolic lactic acidosis. 4. right pleural effusion. 5. liver failure. 6. acute renal failure. 7. disseminated intravascular coagulation. 8. supraventricular tachycardia. 9. reactive airway disease. , n. 12-981 dictated by: medquist36 d: 11:58 t: 05:05 job#: procedure: venous catheterization, not elsewhere classified diagnoses: acidosis malignant neoplasm of liver, secondary unspecified pleural effusion acute kidney failure, unspecified acute respiratory failure defibrination syndrome secondary malignant neoplasm of lung hepatic encephalopathy secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to