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: ace inhibitors / lisinopril attending: chief complaint: lip, tongue swelling major surgical or invasive procedure: intubation/extubation history of present illness: 51 yo f with h/o copd, down syndrome, hypertension, diabetes insipidus, hypothyroidism, brought in by ems with facial swelling and ams. in the ed, she had enlarged lips, tongue wnl, and was satting 99% on 2-4l. her pupils were pinpoint so she was given narcan. she complained of llq abd pain and developed a severe headache. abg showed a profound resp acidosis, 7.18/108/71. she was then given benadryl, nebs, solumdrol. she was nasotracheal intubated in or. also found to have arf. on admission to icu, she denied pain in abdomen, headache. past medical history: 1) htn 2) hypothyroidism: tsh 0.87 3) osa: on bipap 16/10 at home - was supposed to also be on 2l nc at home 4) restrictive lung disease - pfts: fvc 39%, fev1 37%, fev1/fvc 96%, tlc 59%, dlco markedly reduced. consistent with moderate restrictive ventilatory defect 5) pulmonary artery hypertension: attributed to copd/osa 6) asd with shunt: shunt study demonstrated r-> l shungt with 12% shunt fraction (precluding meaningful repair) 7) central diabetes insipidis - ? pan- hypo pit: on prednisone 5 mg daily, levothyroxine, desmopressin 8) down syndrome 9) h/o chf - tte: lvef >55%, rv dilated, abnl septal motion c/w right ventricle pressure/volume overload, 2+ mr, 3+ tr, moderate pulmonary systolic hypertension, asd vs stretched pfo on bubble study social history: lives with daughter, who is her primary care-giver and 2 grand children. prior 45 pk-yr smoking history, quit . no etoh or other drug use. family history: nc physical exam: physical exam: t 98.5, bp 118/70, hr 70, rr 13, 100% on vent genl: intubated, responds appropriately heent: pupils 2mm, min reactive, eomi, lips and tongue swollen resp: no wheezes, clear to auscultation cv: rrr no mrg abd: soft, nt, nd, hypoactive bs ext: trace edema in feet, 1+ pedal pulses. pertinent results: 11:10pm urine hours-random creat-182 sodium-32 11:10pm urine osmolal-509 11:10pm urine color-yellow appear-clear sp -1.017 11:10pm urine blood-mod nitrite-neg protein-30 glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 11:10pm urine rbc-* wbc-0-2 bacteria-few yeast-none epi-0 11:10pm urine eos-negative 09:22pm type-art temp-37.6 rates-20/0 tidal vol-450 peep-5 o2-50 po2-72* pco2-62* ph-7.32* total co2-33* base xs-2 -assist/con intubated-intubated 07:34pm type-art temp-36.7 po2-125* pco2-63* ph-7.31* total co2-33* base xs-3 intubated-intubated 04:01pm type-art po2-71* pco2-104* ph-7.18* total co2-41* base xs-6 intubated-not intuba 03:23pm glucose-89 urea n-19 creat-2.7*# sodium-142 potassium-4.9 chloride-100 total co2-34* anion gap-13 03:23pm alt(sgpt)-25 ast(sgot)-49* alk phos-90 amylase-120* tot bili-0.2 03:23pm lipase-29 03:23pm probnp-1300* 03:23pm calcium-9.5 phosphate-8.4*# magnesium-2.5 03:23pm tsh-9.8* 03:23pm wbc-12.3* rbc-4.15* hgb-12.4 hct-38.9 mcv-94 mch-30.0 mchc-32.0 rdw-15.9* 03:23pm neuts-68.8 lymphs-21.9 monos-4.0 eos-4.2* basos-1.0 03:23pm hypochrom-3+ macrocyt-1+ 03:23pm plt count-126* 03:22pm lactate-1.0 brief hospital course: a/p: 51 yo f with h/o down syndrome, copd, hypothyroidism, central di, admitted with angioedema and arf. . #angioedema: during this hospitalization, ms. was given steroids, benadryl and h2 blockers which helped to decrease swelling of lips and tongue. after a discussion with the patient and her family, it did not appear that she had recently started taking any medications or had eaten any new food. allergy was consulted who assessed the patient and felt that the most likely etiology of the angioedema is her acei, despite the fact that she had been on the medication for months. her lisinopril was held. c4 was normal which ruled out c1 inhibitor deficiency. facial and lip edema improved significantly and ms. was extubated on and transferred to the floor. her course on the floor was uneventful; her facial edema had resolved. she was evaluated by speech and swallow and determined to be able to take thin liquids and soft solids. a steroid taper was begun and benadryl was discontinued. . #hypercarbic respiratory failure: ms. presented with profound hypercarbic respiratory failure on admission which resulted in hypoxemic respiratory failure. she was intubated in the icu. vent was titrated to maintain pco2 of 50 given history of copd. as her respiratory status improved, pt was extubated and transferred to the floor satting well on room air. #arf: pt presented to the ed in acute renal failure, likely secondary to hypotension. as angioedema was treated and pt received hydration, the creatinine trended down quickly. upon discharge, her creatinine was at her baseline of 0.8. . #pneumonia: one day after admission, ms. a fever to 102.1. in light of increasing wbc and worsening cxr, she was started on a course of unasyn. pt has been afebrile since , with a stable cxr and wbc trending down. once she was able to take po, she was switched to augmentin for a course of 7 days. (day 1 ). . #diabetes insipidus: patient has history of di. she was continued on outpatient dose of 0.2mg . . #hypothyroidsim: pt with history of hypothyroidism. she was switched to iv levothyroxine during acute episode, but then switched back to po. dose of levothyroxine was increased as free t4 was low with elevated tsh. medications on admission: aspirin 81 mg qd prednisone 5mg qd desmopressin 0.2 mg levothyroxine 75 mcg qd albuterol 90 mcg 1-2 puffs ih q4h calcium carbonate 500 mg tid w/meals ipratropium bromide 0.02 % ih q6 furosemide 40 mg qd ibuprofen 400 mg q12h prn oxygen at 2l continuous lisinopril 20 mg qd kcl 20 meq qd ranitidine 150 mg qd tramadol 50 mg q4 prn discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 2. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 3. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation every six (6) hours. 4. desmopressin 0.01 % aerosol, spray sig: one (1) nasal (2 times a day). 5. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pna for 3 days. disp:*9 tablet(s)* refills:*0* 6. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*2* 7. prednisone 20 mg tablet sig: six (6) tablet po qam: please take six tablets for two days, then take five tablets for two days, then take four tablets for two days, then take 2 tablets for 2 days, then take 1 table for 2 days, then take 10mg for 2 days (different prescription), then restart taking 5mg continously. disp:*42 tablet(s)* refills:*0* 8. prednisone 10 mg tablet sig: one (1) tablet po once a day for 2 days: for two days after you finished the 20mg prescription. disp:*2 tablet(s)* refills:*0* 9. prednisone 5 mg tablet sig: one (1) tablet po once a day: please restart after finishing prednisone taper. please take continously. disp:*30 tablet(s)* refills:*2* 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: angioedema hypercarbic respiratory failure acute renal failure --------- diabetes insipidus hypothyroidism discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet, fluid restriction please take all of your medications as prescribed. if you begin to notice lip or tongue swelling, or difficulty please do not take lisinorpil. please make sure you remove the lisinopril from all your medications. taking lisinopril again may be life threatening to you. please also do not take lasix for now until dr. restarts it. you need to take amoxocillin for 2 more days in order to complete the course. please take six tablets for two days, then take five tablets for two days, then take four tablets for two days, then take 2 tablets for 2 days, then take 1 table for 2 days, then take 10mg for 2 days (different prescription), then restart taking 5mg continously. followup instructions: please follow up with dr. next week. please also call dr. at to make a follow up appointment. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified acidosis thrombocytopenia, unspecified obstructive sleep apnea (adult)(pediatric) mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension long-term (current) use of steroids acute kidney failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified acute respiratory failure angioneurotic edema, not elsewhere classified diseases of tricuspid valve diabetes insipidus down's syndrome other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use panhypopituitarism 

Answer: The patient is high likely exposed to