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: morphine attending: chief complaint: shortness of breath major surgical or invasive procedure: thoracentesis - pulled 300ml thoracentesis - pulled 1600ml, placed pleurex for further pleural drainage. history of present illness: 48 f w/ metastatic ca breast p/w sob. has complete l lung collapse and left pleural effusion. went to osh w/ sob. was xferred here as all her care has been here. woke up this am w/ sob. also pain on l ant chest wall w/ coughing. has been having cough since last few months. not bringing up anything. no f/c. no n/v/d/abd pain . in the ed vs .cta showed no pe but showed rightward cardiomediastinal shift secondary to increasing left pleural effusion and complete l lung collapse. l sided yielded only 300 cc of fluid. wbc 27 and lactate 4.1. pt was given 4l ns. also given vanc/levo/ctx. past medical history: intraductal carcinoma of the breast with multiple recurrences s/p resections and flap reconstructions. the last surgery involved the latissimus flap in 6/. social history: she is married, has 2 children. she works as a retired manager. she does not smoke. she only drinks occasionally. family history: father died at age 68 of emphysema, mother is alive and well, her brother is 46 alive and well, and her first cousin died of melanoma. physical exam: 96 100 104/70 25 97/4l gen: sob chest: no bs on l side, basilar crackles on r heart: rrr, no m/r/g, nl s1 s2 abd: soft, nt, nd, no hsm extr: no edema pertinent results: 05:00pm wbc-27.0*# rbc-3.50* hgb-9.2* hct-31.6* mcv-90 mch-26.3* mchc-29.1* rdw-16.1* 05:00pm hypochrom-occasional anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 05:00pm plt smr-high plt count-463* brief hospital course: a/p: 48 f w/ massive metastatic breast ca obliterating the left lung, causing a pulmonary effusion, which had become infected and caused the patient to have increasing dyspnea. . mrs. arrived at an osh with dyspnea on and was transferred to , as all of her care ans been here. in the ed, chest ct showed mediastinal shift due to pts rapidly growing l lung mass and effusion. effusion was tapped - 300ml was taken off. she also was shown to have a high white count and lactate of 4.1. she was started on vanc and cefepime. . in the micu, interventional pulmonology performed a second thoracentesis, this time taking 1600cc's off. a pleurex device was placed to allow for further drainage. as the effusion grew gpcs, vanc and cefepine were d/c'd in favor of unasyn. the patient became dyspnic and wheezy after the thoracentesis and was started on albuterol and atrovent, as well as advair. on the morning of , the pt had a procedure to unclot the pleurex with tpa. she became dyspnic after the procedure as well as tachycardic to the 130s. her albuterol was initially held, then changed to xopenex. ip came and withdrew the fluid they had infused, leading to improved sx's. the patient becomes hypotensive after fluid drainage, the malignant pleural effusion is rapidly accumulating and leads to decreased intravascular volume. the plurax catheter is being drained q6h to gravity foley bag with one way valve. there is suspiciton of post-obstructive pna that is being treated with a `seven day course of unasyn b/c of gpcs on pleural fluid gram stain. patient was transfused 1 unit of prbc on 7.15. echo showed minimal pericard effusion and phtn. responsive to fluid. being transferred to ct surgery in stable condition. the pt stayed overnight on the floor in stable condition and was discharged to hospice on . medications on admission: acetaminophen-codeine - 300 mg-30 mg tablet - tablet(s) by mouth q6-8h benzonatate - 100 mg capsule - 200 mg capsule(s) by mouth three times a day compazine - 10mg tablet - take one tablet every 6 hours as needed for nausea cyclobenzaprine - 5 mg tablet - 1 tablet(s) by mouth three times a day/prn gabapentin - 300 mg capsule - 1 capsule(s) by mouth three times a day lorazepam - 1 mg tablet - 1 tablet(s) by mouth q6h prn ondansetron hcl - 4 mg tablet - tablet(s) by mouth post chemo pantoprazole - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day robitussin w/ codeine - - teaspoons po q 4-6 h as needed for cough scopolamine base - 1.5 mg/72 hour patch 72 hr - apply behind ear 2-4 hours prior to surgery daily sertraline - 50 mg tablet - 1 tablet(s) by mouth at bedtime discharge disposition: home with service facility: discharge diagnosis: metastatic breast cancer w/ left effusion discharge condition: fair procedure: insertion of intercostal catheter for drainage thoracentesis transfusion of packed cells diagnoses: pneumonia, organism unspecified personal history of malignant neoplasm of breast hypotension, unspecified hypoxemia secondary malignant neoplasm of lung tachycardia, unspecified secondary malignant neoplasm of adrenal gland 

Answer: The patient is high likely exposed to