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 attending: chief complaint: seizure major surgical or invasive procedure: airway intubation history of present illness: this is a 39 year-old female with a history of depression and pih who presents from osh per family request s/p seizure at 2 weeks postpartum. she presented to the osh on after she was witnessed to have a tonic-clonic seizure by her partner with another seizure witnessed by ems en route. she was admitted to , with bp=250/105, and treated with magnesium sulfate for presumed eclampsia with subsequent intubation for airway protection in ed. brain mri at this time was consistent with posterior reversible leukencephalopathy. . patient was then extubated on sunday (hd#2), but was reintubated after becoming agitated and hypertensive. cxr at this point showed new rul infiltrate and pulmonary edema. subsequent echo showed ef=55% with no valvular abnormalities or diastolic dysfunction. she was initially treated empirically with clindamycin and ceftriaxone. sputum grew 4+ mssa and urine grew klebsiella. patient was febrile with leukocytosis and copious secretions, switched to levofloxacin. hypertension/eclampsia was treated with labetalol and nifedipine. there was also a question of appendicitis on ct scan, but surgery and the micu attending felt this was unlikely. . on transfer to the , intubated, vital signs were t=98.6, bp=151/87, p=83, rr=17, and she was complaining of headache. . ros: patient indicates headache. denies abdominal discomfort. patient is intubated and cannot indicate any other problems. past medical history: -pregnancy induced hypertension -depression -migraine headaches -uterine fibroids -s/p laparoscopic tubal ligation -s/p inguinal hernia repair social history: -history of domestic violence -no tobacco, etoh, drug use family history: -hypertension -diabetes -sister with ms physical exam: tmax: 37.9 ??????c (100.2 ??????f) tcurrent: 37.2 ??????c (98.9 ??????f) hr: 91 (59 - 96) bpm bp: 141/66(81) {112/57(71) - 186/98(114)} mmhg rr: 15 (15 - 26) insp/min spo2: 97% gen: sitting comfortably in bed heent: perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm with copious secretions. og/et tubes in place. pt w/ low volume voice neck: no jvd, trachea midline cv: rrr, normal s1/s2, no murmurs appreciated pulm: nonlabored work of breathing; coarse, turbulent breath sounds at upper airways; inspiratory wheezes on posterior auscultation abd: soft, nontender, not distended; normoactive bowel sounds. ext: no c/c/e, no palpable cords. 2 pivs in lue, 1 piv in rue. neuro: initially responsive until propofol was given. moves all 4 extremities with distal movements intact. brachioradialis pulse present bilaterally. patellar dtr +1 on right, absent on left. skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses. pertinent results: 03:40am blood wbc-8.1 rbc-4.51 hgb-12.6 hct-37.1 mcv-82 mch-27.9 mchc-33.9 rdw-14.6 plt ct-278 02:45am blood neuts-70.0 lymphs-20.3 monos-4.9 eos-4.5* baso-0.3 09:59pm blood pt-13.5* ptt-24.9 inr(pt)-1.2* 03:40am blood glucose-96 urean-10 creat-0.6 na-141 k-3.9 cl-103 hco3-27 angap-15 09:59pm blood alt-34 ast-42* ld(ldh)-247 alkphos-132* totbili-0.4 03:40am blood calcium-9.1 phos-3.0 mg-1.9 05:14am blood hcg-<5 10:08pm blood type-art temp-37.0 peep-5 fio2-40 po2-138* pco2-43 ph-7.40 caltco2-28 base xs-1 intubat-intubated . eeg: impression: this is a normal routine eeg mostly in the drowsy state. there were no lateralized or epileptiform features seen. . echo: the left atrium is elongated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the estimated cardiac index is normal (>=2.5l/min/m2). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. no valvular pathology or pathologic flow identified. . imaging: exam: mri brain. clinical information: patient with possible reversible encephalopathy. technique: t1 sagittal and flair, t2 susceptibility and diffusion axial images of the brain were obtained. 3d time-of-flight mra of the circle of acquired. 2d time-of-flight mra of the venous sinuses were obtained. findings: brain mri: there are no prior examinations for comparison. there is small focus of increased signal is seen in the left frontal subcortical white matter. additionally, subtle increased signal is seen in both occipital subcortical white matter. no other foci with abnormalities seen within the brain. no acute infarcts are seen. there is no mass effect or hydrocephalus. extensive soft tissue changes are seen in the sphenoid sinuses from retained secretions. soft tissue changes are also seen in the left anterior ethmoid air cells and soft frontal sinus. impression: subtle t2 signal abnormalities in the left parietal and both occipital subcortical white matter could be due to early changes of reversible encephalopathy or due to resolving encephalopathy. clinical correlation with history is recommended. if there are prior films, prior examinations, comparison would be helpful. extensive soft tissue changes in the sphenoid sinus. no acute infarcts or mass effect. . mra of the head: head mra demonstrates normal flow signal within the arteries of anterior and posterior circulation. impression: no significant abnormalities on mra of the head. mrv of the head: head mrv demonstrates normal flow signal in the superior sagittal and transverse sinuses as well as in the deep venous system. the flow signal in the deep venous system in the left transverse sinus are not well seen on the projection images but are well visualized on the source images. impression: normal mrv of the head. no evidence of sinus thrombosis. brief hospital course: assesment: this is a 39 year-old female with a history of pih, 3 weeks postpartum, who presents in transfer from with seizures, rul infiltrate, and respiratory distress. . 1) respiratory distress/rul infiltrate: this likely represents an aspiration pneumonia secondary to seizure and intubation at the osh. sputum grew mssa. initially treated with clindamycin and ceftriaxone, overall 3 days. the patient was started on levofloxacin at on . the patient's secretions were inhibiting the ability to wean off the ventilator. on the patient failed extubation. she became stridorous, received heliox and racemic epinephrine. she was found to have erythematous vocal cords and was reintubated. on the patient's vocal cords were visualized via bronchoscopy and the patient was sucessfully extubated. . 2) hypertension/eclampsia: patient has past history of a pregnancy complicated by hypertension. the most recent pregnancy was induced for fetal distress. the patient developed tonic clonic seizures two weeks postpartum, and her overall clinical picture suggested late-onset post-partum eclampsia. the patient's blood pressures were controlled with labetalol 700mg tid and nifedipine 20mg tid with a goal bp <160/90. neurology was consulted and recommended a keppra load and lorazepam if seizures recur. she did not have any further seizure activity. the patient had an mri that did not show any abnormalities and eeg did not show any seizure activity. she was transferred to the hospital medicine service on , where she remained clinically stable and without any further seizure activity. her labetolol was decreased as tolerated. . 3) urinary tract infection: urine culture at grew klebsiella. this was treated with levofloxacin for a total of 7 days. . 4) fen: the patient had an og tube in place and was started on tube feeds . after extubation the patient tolerated a regular diet, though her appetite was poor. . 5) lactation: the patient expressed interest in resuming breastfeeding, and a lactation consultation was called. a hospital-strength breast pump was provided, and her milk supply was maintained. we reviewed all her medications on lactmed.org and confirmed that she may safely give her breastmilk to her baby. . 6) possible post-partum depression: patient was quite emotional and overwhelmed by the events of the last few weeks, which is expected, but her tearfulness also raised the possibility of post-partum depression. i recommended an ssri which is safe to take while breastfeeding (zoloft), but she preferred to wait to discuss this further at her next ob appointment. when her fiance and oldest son came to visit her in the hospital, and discharge plans were being coordinated, she was in much better spirits. . 7) communication: (sister): (fiance): medications on admission: home meds: otc ca and fe supplements meds: labetalol 600mg pogt q8hr, nifedipine 10mg pogt q4hr, enoxaparin 40mg sc q24hr, levofloxacin 750mg po q24hr, ranitidine 150mg pogt , propofol infusion, multivitamin 1 pogt qday discharge medications: 1. therapeutic multivitamin liquid sig: one (1) tablet po daily (daily). 2. nifedipine 10 mg capsule sig: two (2) capsule po q8h (every 8 hours). disp:*180 capsule(s)* refills:*0* 3. labetalol 200 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: 1. late-onset post-partum eclampsia 2. posterior reversible encephalopathy syndrome (pres) 3. pregnancy-induced hypertension 4. aspiration pneumonia, treated 5. urinary tract infection, treated 6. probable post-partum depression discharge condition: asymptomatic, tolerating po, ambulating with assistance. discharge instructions: you were admitted with seizures and severe high blood pressure two weeks after you delivered your baby. this has been diagnosed as late onset post-partum eclampsia. you were initially in our intensive care unit, where you were intubated and supported with a ventilator. you were followed closely by neurology. an mri of your brain showed some abnormalities in the back portion of your brain which are sometimes seen with severe hypertension. these are usually reversible changes, and we have scheduled you for a follow-up mri to confirm that your mri returns to normal. you also developed an aspiration pneumonia in the setting of the seizure and intubation, as well as a urinary tract infection, and you were treated with antibiotics. since you were transferred out the the regular medical floor, your blood pressure has been much better, and we have been adjusting your blood pressure medications. you were also seen by our lactation consultant and started successfully pumping your breast milk so that you can return to breastfeeding your newborn baby when you return home. we discussed the probability of some component of post-partum depression, and we recommended starting a medication called zoloft, which would be safe with breastfeeding. you have decided to discuss this further with your doctor next week. followup instructions: maternal fetal medicine: dr. , d. at 01:15p clinical ctr, mri of the brain: thurs at 1pm, clinical center, radiology neurology: / wed at 4pm md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances diagnoses: urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site depressive disorder, not elsewhere classified acute respiratory failure pneumonitis due to inhalation of food or vomitus cerebral edema methicillin susceptible pneumonia due to staphylococcus aureus other specified infectious and parasitic diseases of mother, postpartum condition or complication mental disorders of mother, postpartum condition or complication infections of genitourinary tract in pregnancy, postpartum condition or complication eclampsia, postpartum condition or complication 

Answer: The patient is high likely exposed to