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: this is an 83 year old female with a history of hypertension, supraventricular tachycardia and chronic obstructive pulmonary disease who presented with two days of increased shortness of breath, wheezing and nonproductive cough. on the patient was seen by her pulmonologist where she was found to be at baseline with room air saturation of 93%. on , she was seen by her cardiologist and her sotalol was increased to 80 mg t.i.d. since then the patient reported increased shortness of breath, nonproductive cough and denied chest pain, fever or chills. on the day of admission, the patient was seen in pulmonary clinic where she appeared cyanotic with an oxygen saturation of 72 to 74% on room air and was dyspneic. her temperature at that time was 98.8 and arterial blood gas at that time showed a ph of 7.33 with a pco2 of 56 and a po2 of 37. the patient was referred to the medical floor for admission. repeat arterial blood gases at that time showed ph of 7.23, pco2 of 76 and po2 of 40. the patient appeared increasingly lethargic and was transferred to the medicine intensive care unit. her review of systems at that time revealed that she had no previous admission, no history of steroid use, though she had been prescribed prednisone in the beginning of she did not take the medicine. the patient had baseline use of oxygen at home only at night and during the daytime when she naps. past medical history: 1. chronic obstructive pulmonary disease/asthma 2. hypertension 3. history of supraventricular tachycardia medications on admission: 1. fosamax 2. serevent 2 puffs b.i.d. 3. atrovent 4 puffs q.i.d. 4. beclovent 4 puffs q.i.d. 5. albuterol nebulizer prn 6. sotalol 80 mg t.i.d. 7. coumadin 2 mg q.h.s. 8. vitamin b12 9. calcium 10. oxygen 2 liters prn allergies: no known drug allergies. social history: tobacco, one pack per day times 67 years. still smokes approximately ?????? pack per day. alcohol, one drink per day. lives with husband in retirement community. physical examination: on examination the patient was found to be a pleasant elderly woman who appeared comfortable. her vital signs revealed a temperature of 98.7, heartrate 77, blood pressure 103/60, respiratory rate 24 and oxygen saturation 93% on room air. her head, eyes, ears, nose and throat revealed pupils which were equal, round, and reactive to light and mucous membranes which were moist. her neck was supple with no jugulovenous distension. her heart revealed a regular rate and rhythm with distant heartsounds. her lungs revealed wheezes on expiration diffusely bilaterally with rhonchi and dullness at the right base. her abdomen was soft, nontender, nondistended with good bowel sounds. her extremities showed 1+ pedal edema with no clubbing or cyanosis. her neurological examination revealed that she was alert, oriented and appropriate with no focal deficits. laboratory data: admission laboratory data revealed white blood count of 13.6, hematocrit 46.9, platelets 279. chem-7 revealed sodium 140, potassium 5.5, chloride 99, bicarbonate 26, bun 13, and creatinine 0.6, glucose 119, calcium 8.0, magnesium 2.1, phosphate 3.6, lactate 0.7 and arterial blood gas at 6 pm revealed a ph of 7.22, pco2 76, po2 of 40, repeat blood gas at 8 pm revealed ph of 7.28, pco2 of 70 and po2 of 44. chest x-ray revealed hyperinflated lungs with a right lower lobe infiltrate. an electrocardiogram revealed rate of 129 beats/minute and atrial fibrillation with normal axis with slight st depression in leads v3 through v5. hospital course: 1. chronic obstructive pulmonary disease flare and pneumonia - the patient was treated with atrovent and albuterol nebulizers and inhalers. levofloxacin 500 mg q. day was given for right lower lobe pneumonia. the patient was started on intravenous solbuterol which was later changed to oral prednisone on the first hospital day. the patient was continued on beclovent. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances atrial cardioversion diagnoses: pneumonia, organism unspecified anemia, unspecified acute kidney failure, unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation atrial flutter acute respiratory failure other specified cardiac dysrhythmias 

Answer: The patient is high likely exposed to