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: the patient is an 80 year old female rehab resident transferred for workup of dyspnea and change in mental status. the patient suffers from alzheimer related dementia at baseline along with multi-infarct dementia and low velocity blood flow in the middle cerebral artery. the patient presents from for the aged with dyspnea and fever. the patient was anhistoric due to her change in mental status. past medical history: dementia. hydrocephalus. pernicious anemia. uti. hard of hearing. visually impaired. arthritis. hypothyroidism. hypertension. questionable tonic clonic seizure eight months prior. depression. ibs. medications on admission: seroquel, calcium, ditropan, aspirin, multivitamin, levoxyl, bextra, neurontin, senna, cosopt, xalatan, vitamin b-12. physical examination: temperature 100.6, blood pressure 112/68, pulse 116, sating 96 percent on 1.5 liters nasal cannula. pertinent findings on exam, heart normal s1, s2. there were bilateral rhonchi and coarse breath sounds in all fields with scattered expiratory wheezes. laboratory data: ct of the head showed no acute intracranial hemorrhage. there was communicating hydrocephalus and no significant mass effect and no herniation. chest x-ray showed multifocal pneumonia in the right middle and left lower lobes. white count 19.1 on admission. hospital course: the patient was admitted for multifocal pneumonia and was started on levaquin and flagyl to cover for possible aspiration events, given her dementia. initially she appeared to be improving, but then the patient was noted to have increasing oxygen requirement and tachycardia. she was also noted to have worsening mental status and increasing agitation. the patient became less alert during her hospital stay and required a one-to-one sitter. on the patient was noted to be stuporous and in severe respiratory distress. she was not awake or able to eat or drink, not able to take p.o. meds. chest x-ray showed worsening pneumonia and mild chf. her antibiotic coverage was broadened to include coverage for possible mrsa pneumonia. on the patient's respiratory status was worse with a rate of 32 to 40 and increasing o2 requirement in spite of the broadening of antibiotic coverage. the geriatrics attending spoke to the patient's nephew who wanted a trial of bipap in the intensive care unit. the patient's sats were 94 percent on 50 percent face mask with heart rate in the 120s to 130s. the patient was transferred to the micu for a trial of possible bipap. the patient did remain in the unit for one day for bipap. as the patient's condition continued to worsen, the micu team the nephew. the nephew felt that he did not want the bipap continued any more if her condition worsened, but rather he would want comfort measures only. the patient was transferred out to the floor on where she was noted to be in severe respiratory distress with rates in the 40s. again, the nephew was and agreed that the patient should be made comfort measures only. the patient was given several doses of iv morphine as well as started on iv morphine drip. a scopolamine patch was also placed behind the patient's ear. at 5:03 p.m. the patient died and was pronounced dead. of note, after the patient passed away, her next of (nephew asked if it would be possible to have her blood tested for familial dysautonomia carrier state, as her great-nephew is affected with the disease. the lab was and arrangements were made for one of the patient's blood samples that was still being held in the lab to be sent to genetics for testing. the nephew will be notified of the results when they are available. final diagnoses: 1. multifocal pneumonia. 2. dementia. 3. hydrocephalus. 4. pernicious amenia. 5. hard of hearing. 6. visually impaired. 7. arthritis in the shoulders. 8. hypothyroidism. 9. hypertension. 10. history of tonic clonic seizures. 11. depression. 12. irritable colon. condition on discharge: deceased. dr. dictated by: medquist36 d: 17:55 t: 17:58 job#: procedure: non-invasive mechanical ventilation diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified other convulsions acute respiratory failure pneumonitis due to inhalation of food or vomitus hyperosmolality and/or hypernatremia vascular dementia, uncomplicated cerebral atherosclerosis 

Answer: The patient is high likely exposed to