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: sulfa (sulfonamide antibiotics) attending: chief complaint: respiratory failure major surgical or invasive procedure: 7.0 adjustable tracheostomy tube and peg tube placement. bronchoscopy history of present illness: the patient is a 74-year-old woman with respiratory insufficiency who presents from rehab for elective tracheostomy tube and peg placement past medical history: past medical history: appendectomy dm2 hyperlipidemia htn cholecystectomy hernia repair h/o melanoma tah/bso carpal tunnel oa vitamin d deficiency hypothyroid restrictive lung disease obesity social history: lives with husband, at rehab family history: noncontributory physical exam: tcurrent: 36.6 ??????c (97.8 ??????f) hr: 83 bp: 116/49(63) rr: 22 spo2: 97% general: laying with eyes closed, drowsy heent: dry mm, eomi neck: obese cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: good breath sounds bl, scattered rhonchi at bases abdomen: soft, nt, obese, +bs, fecal tube with liquid stool, no rebound/guarding gu: foley ext: warm, well perfused, 3+ edema of all extremities, non-warm firm erythema of bl lower extremities c/w chronic venous stasis, does not look cellulitic skin: cherry hemangiomas and sebarrheic keratosis neuro: cniii-xii intact, moving all extremities spontaneously, normal dtrs pertinent results: 06:31pm wbc-7.4 rbc-3.66* hgb-8.7* hct-30.8* mcv-84 mch-23.9* mchc-28.4* rdw-19.8* 06:31pm plt count-226 06:31pm calcium-9.8 phosphate-2.7 magnesium-2.1 06:31pm glucose-114* urea n-24* creat-0.7 sodium-145 potassium-3.9 chloride-97 total co2-44* anion gap-8 cxr : moderately severe pulmonary edema has worsened, and severe cardiomegaly and moderate right and small left pleural effusion persists. tracheostomy tube is canted anteriorly and has a relatively short vertical excursion. there is no pneumothorax or mediastinal widening brief hospital course: mrs. was admitted to the icu for full evaluation prior to undergoing elective tracheostomy and peg tube placement. she was taken to the operating room on for the above mentioned procedures and tolerated it well. she returned to the icu sedated on propofol and on full mechanical ventilation. her vent settings and mode was adjusted on multiple occasions due to hypercarbia and she alternated between mmv and a/c. her most recent abg revealed a ph of 7.33 po2 59 pco2 90 and hco3 16. her chest xray this morning was more opacified on the right side and an bronchoscopy was done which showed but there was no significant plugging. a post bronch cehst xray showed better aeration with the same right effusion. the nutrition service recommended replete w/ fiber at a goal of 45 cc/hr w/ 42 gm beneprotein daily. these feeding can be started after she arrives at rehab. currently she is on no sedation and is responding to voice and commands. she received a dose of lasix 20 mg this am for possible fluid overload in light of her xray and diamox was also started. from a surgical standpoint she is doing well. her trach flange sutures can be removed on . if there are any questions or concerns regarding the trach or peg please call dr. at 6. medications on admission: 2. buspirone 5 mg tablet sig: one (1) tablet po bid (2 times a day). 3. aspir-81 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 4. celexa 20 mg tablet sig: one (1) tablet po once a day. 5. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 6. lovenox 40 mg/0.4 ml syringe sig: one (1) subcutaneous once a day. 7. fenofibrate 150 mg capsule sig: one (1) capsule po once a day. 8. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 9. methylphenidate 10 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 10. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 5 days. 11. seroquel 25 mg tablet sig: one (1) tablet po at bedtime. 12. diovan 160 mg tablet sig: one (1) tablet po once a day. 13. oxybutynin chloride 10 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 14. humalog 100 unit/ml solution sig: per sliding scale . subcutaneous . 15. tricor 145 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. buspirone 5 mg tablet sig: one (1) tablet po bid (2 times a day). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 5. enoxaparin 40 mg/0.4 ml syringe sig: forty (40) mg subcutaneous daily (daily). 6. gemfibrozil 600 mg tablet sig: one (1) tablet po daily (daily). 7. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 8. methylphenidate 10 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 9. morphine sulfate 2-4 mg iv q2h:prn pain 10. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 11. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 12. quetiapine 25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 13. acetazolamide 250 mg iv q12h discharge disposition: extended care facility: for the aged - macu discharge diagnosis: hypercarbic respiratory failure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: * you were transferred to for placement of a feeding tube and a tracheostomy tube to help with breathing. * you have recovered well and are now ready to transfer back to your rehab. * the feeding tube can be used starting today. * if you develop any redness or drainage around the peg tube or the trach tube please call dr. at . followup instructions: call dr. office at if follow up is needed. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism other chronic pulmonary heart diseases other and unspecified hyperlipidemia alkalosis morbid obesity pulmonary congestion and hypostasis personal history of malignant melanoma of skin chronic respiratory failure other fluid overload body mass index 50.0-59.9, adult obesity hypoventilation syndrome 

Answer: The patient is high likely exposed to