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: past medical history: otherwise significant for hyperlipidemia and history of cervical cancer greater than 10 years ago status post total abdominal hysterectomy and chemotherapy. medications on transfer: included ceftriaxone 1 gram q 24 hour, methylprednisolone 40 mg iv q 6 hours, salmeterol diskus inhaler q 12 hours, fluticasone 110 mcg four puffs , albuterol inhaler q four hour, albuterol nebulizers prn, ipratropium bromide inhalers q every four to six hours prn, ipratropium mdi two puffs inhaled qid, insulin sliding scale, pantoprazole 40 mg one po q 24 hours, acetaminophen prn, heparin 5000 units q 8 hours, colace 100 po bid, senna one tab po bid and bisacodyl 10 mg po qd prn. physical examination: temperature 98.9, blood pressure 136/70, heart rate 74, respiratory rate 18, satting at 94% on 6 liters by nasal cannula. the patient's exam, generally she is a middle-aged female sitting in a chair in no acute distress. the skin is clean, dry and intact. heent is normocephalic, atraumatic, extraocular movements are intact. oropharynx is clear with moist mucous membranes. neck is supple with no jugular venous distention. heart is regular rate and rhythm with no murmurs, rubs or gallops, normal s1, s2. lungs are clear with minimal expiratory bases diffusely and no crackles noted. abdomen is soft, nontender with normal active bowel sounds. extremities: without clubbing, cyanosis or edema, 2+ pedal pulses. neuro exam: cranial nerves ii through xii are intact. strength is and symmetric. toes are downgoing. reflexes are symmetric throughout. the patient is alert and oriented times 3. she is conversant, answers questions appropriately in spanish, follows two step commands. data on transfer: white count is 26.5 from a high of 32.7, hematocrit is 27.3 and platelet count is 641. her chem 10 is as follows: sodium 143, potassium 4.4, chloride 105, bicarbonate 30, bun 36, creatinine 1.2 (1.2 is the patient's baseline creatinine), glucose 137, calcium is 8.3, magnesium is 2.2 and phosphate is 3.7. abdominal ultrasound is significant for gallbladder sludge with no evidence of cholecystitis and otherwise exam is within normal limits. micro: blood cultures from , 1/29 times four, no growth to date. c. difficile is negative times two. hospital course by system: 1. respiratory failure: likely consistent with underlying previously undiagnosed chronic obstructive pulmonary disease which was exacerbated by influenza, infection. the patient had a negative cta at the outside hospital. the patient was continued on levofloxacin for atypical community-acquired pneumonia as well as amantadine and vancomycin which was discontinued on . the patient was initially continued on iv solu-medrol for chronic obstructive pulmonary disease exacerbation which was started on . this was changed to prednisone at 60 mg, one po qd. . the patient was to continue a very slow prednisone taper outpatient otherwise patient continued on nebulizer mdis and by date of discharge, the patient was free of nebulizer use and was maintained on mdis. the patient quit smoking approximately three weeks prior to admission and was able to abstain throughout her hospital admission without the need for a nicotine patch. 2. infectious disease: the patient had a urinary tract infection which was resistant to e. coli with sensitivity to cephalosporin and nitrofurantoin. the patient was not given nitrofurantoin given that her creatinine clearance was less than 60. the patient had a negative penicillin skin test on and was started on ceftriaxone. the patient also had leukocytosis which was trending down by the date of discharge and returned to a low of 23.3 and this was felt secondary to steroid use. the patient received her last dose of ceftriaxone to complete a seven day course prior to discharge. the patient's stool remained negative for c. diff times two. blood cultures remained no growth to date by date of discharge. the patient was maintained on contact precautions secondary to resistant urinary tract infection. 3. elevated alkaline phosphatase and ggt: the patient has a very benign abdominal exam. it is felt that this is related likely to acute illness or medications including ceftriaxone. the patient's abdominal exam was consistent with gallbladder sludge with evidence of cholecystitis and otherwise exam was within normal limits and reassuring. her liver function tests trended down by date of discharge and should be fold outpatient to insure they are solving to normal. 4. renal: acute renal failure again felt secondary to atn secondary to dye at the outside hospital or ain due to previous medications including azithromycin, fluconazole and gentamicin. the patient's creatinine remains stable at 1.2. the patient had very good urine output upon discontinuation of foley catheter. 5. mental status: the patient was previously agitated, possibly secondary to icu/steroid psychosis infection or foreign-language barrier. she was resistant to help and ativan prn however by the time of transfer to medicine, the patient was very calm, was alert and oriented times 3, conversant and entirely appropriate. 6. cardiovascular: the patient was diuresed initially secondary to fluid overload and echo down to 126 was within normal limits with an ejection fraction of greater than 60%, no evidence of regurgitation, no other valvular abnormalities and no evidence of wall motion abnormality noted. the patient's lung remained clear. the fluid goal for her was to remain euvolemic which she did throughout her hospitalization. by the time of discharge, the patient was satting 96% to 98% on room air with no evidence of fluid overload. her lungs remained clear. she had no jugular venous distention. 7. anemia: the patient's iron studies in the past have been consistent with anemia of chronic discharge but her iron and tibc are also less than 100%. her hematocrit throughout her hospitalization remained stable and increased from 27.3 to 30.3. 8. history of deep venous thromboses: lower extremity dopplers were negative. ct scan was negative at the outside hospital. the patient was maintained on subcutaneous heparin 5000 units q 8 hours. 9. fen: the patient was advanced from clears to cardiac diet. she was reglan initially but tolerated a regular diet without use of reglan. additionally her hyperglycemia is secondary to steroid use. the patient was continued on a regular insulin sliding scale. her blood sugars ranged from 130s to 190s. 10. prophylaxis: the patient was maintained on proton pump inhibitors of q heparin, bowel regimen and aspiration precautions. 11. the patient has a right subclavian from outside hospital which was discontinued prior to discharge. the patient is a full code. her communication was with her daughters. the patient was discharged home on . the patient's discharge condition is stable. she is stable on room air. she is able to ambulate without desatting or development of tachycardia. the patient is tolerating cardiac diet, is alert and oriented times 3 and has had no evidence of hypovolemia. the patient is recommended to follow up with dr. on at 9:15 am. the patient should also follow up with her pulmonologist within one month. discharge medications at discharge: 1. salmeterol 50 mcg diskus one puff q 12 hours. 2. fluticasone 110 mcg four puffs . 3. ipratropium mdis, two puffs qid. 4. albuterol inhalers, two puffs q 6 hours. 5. pantoprazole 40 mg one po qd. 6. prednisone taper as follows: 60 mg one po q am for three days then 50 mg one po q am for five days then 40 mg one po q am for five days then 30 mg, one po q am for five days then 20 mg one po q am for five days then 10 mg on q am for five days then 7.5 mg, one po q am for five days then 5 mg one po q am for 10 days then 2.5 mg one po q am for 10 days then 2 mg, one po q am for 10 days then 1 mg one po q am for 10 days and then stop. discharge diagnoses: 1. respiratory failure secondary to chronic obstructive pulmonary disease and influenza infection. 2. urinary tract infection. 3. acute renal failure. 4. altered mental status. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified tobacco use disorder urinary tract infection, site not specified acute kidney failure, unspecified obstructive chronic bronchitis with (acute) exacerbation other and unspecified hyperlipidemia acute respiratory failure influenza with pneumonia 

Answer: The patient is high likely exposed to