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: no known allergies / adverse drug reactions attending: chief complaint: hypoxia major surgical or invasive procedure: s/p tracheostomy tube history of present illness: ms. is a 39 year old female who sustained a large left sided mca stroke on thought secondary to a carotid dissection, seizure disorder who was sent in from rehab due to hypoxia. she was noted to be in respiratory distress in the morning and her sat was found to be 57%. her t-tube was suctioned and washed out with normal saline with improvement of her o2 sats to 93% ra. she typically has her tube capped during the day and has humidified air overnight. . of note she was recently admitted for t-tube placement on . she tolerated the procedure well and was transferred to rehab. . in the ed, initial vs were: t 95.3 p 125 bp 116/75 r 28 o2 sat 100 4l. . on the floor, she was seen by ip and her t-tube was switched out for a tracheostomy tube. she was noted to have another significant mucous plug which was suctioned out. she was unable to verbalize how she was doing however she denied any pain or discomfort. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: - l mca cva ppresented with aphasia and r sided weakness, thought to due to cva secondary to thrombosis and embolism from concurrent l carotid dissection. thrombectomy attempted and "partially successful" but then developed edema and midline shift with progressive neurological deterioration in the face of hypertonic saline and mannitol. therefore family elected to pursue l hemicraniotomy and partial l temporal lobectomy. has persistent hemiplegia and aphasia but responds appropriately to questions. - possible hypertension - possible seizure at the time of carotid dissction - hap with gnr complicating icu course 12/. she completed a 10-day course of zosyn. - chronic headaches after head injury (hit in head by student in special ed class she was teaching) - s/p right carpal tunnel release - s/p hysterectomy 3 years ago social history: currently resides rehab macu. former special ed teacher. two children. no etoh, smoking, family history: sister also with stroke in 30's though etiology unknown. sister also w/ dvt and headaches. father with stroke in his 60's. physical exam: vitals: t: 100.2 bp: 132/74 p: 121 r: 18 o2: 99% 40% tracheostomy general: alert, answering yes or no questions, actively coughing heent: sclera anicteric, mmm neck: supple, jvp not elevated, no lad trach: patent, no erythema or swelling lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly, has a peg in place gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: no movement of right side, strength 0/5 on right side, right facial droop, left sided strength 4/5, responding with appropriate left hand guestures to questions pertinent results: chest x-ray : impression: tracheostomy tube not visualized. no acute cardiopulmonary abnormality. . chest x-ray : findings: in comparison with the study of , the tracheostomy tube is now in place. low lung volumes may account for much of the apparent prominence of the transverse diameter of the heart. no vascular congestion or acute focal pneumonia. . 09:40am blood wbc-15.6*# rbc-4.04* hgb-12.0 hct-34.4* mcv-85 mch-29.7 mchc-34.9 rdw-13.7 plt ct-421# 03:35am blood wbc-5.9# rbc-3.16* hgb-9.3* hct-26.6* mcv-84 mch-29.5 mchc-35.0 rdw-13.5 plt ct-317 09:40am blood glucose-127* urean-12 creat-0.5 na-139 k-4.1 cl-102 hco3-24 angap-17 03:35am blood glucose-102* urean-13 creat-0.4 na-139 k-3.9 cl-104 hco3-27 angap-12 09:52am blood lactate-2.7* brief hospital course: ms. is a 39 year old female who sustained a large left sided mca stroke on thought secondary to a carotid dissection, seizure disorder who was sent in from rehab due to hypoxia most likley due to mucous plug. . #. hypoxia: most likley due to mucous plug. according to her husband her tube was not being capped during the day however according to nursing at rehab she was always capped during the day. ip saw her when she arrived and switched her t-tube to a tracheostomy which she tolerated well. she was noted to have mucous occluding her t-tube. she should continue to have her trach suctioned and given humidified air overnight . #. tachycardia: appears to be sinus tachycardia on ekg. underlying cause of tachycardia include respiratory distress vs. albuterol use vs. pain. her tachycardia resolved the following day. . #. cva: she has a baseline expressive aphasia, dense hemiplegia on her right side, and ability to communicate with yes or no guestures in an appropriate manner. she was continued on aspirin 81mg and simvastatin. . #. seizure: she is currenlty well controlled on her home regimen. she was continued keppra. . #. hypertension: currenlty well controlled on current regimen. she was continued metoprolol 25mg . . #. agitiation: she has a history of agitation which she responds well to haldol. she was continued on haldol 1mg prn medications on admission: 1. aspirin 81 mg tablet : one (1) tablet po once a day. 2. bisacodyl 10 mg suppository : one (1) suppository rectal at bedtime as needed for constipation. 3. methylphenidate 2.5 mg tablet, chewable : one (1) tablet, chewable po twice a day. 4. metoprolol tartrate 25 mg tablet : one (1) tablet po twice a day. 5. omeprazole 20 mg capsule, delayed release(e.c.) : one (1) capsule, delayed release(e.c.) po twice a day. 6. simethicone 80 mg tablet, chewable : one (1) tablet, chewable po four times a day as needed for indigestion. 7. acetaminophen 325 mg tablet : 1-2 tablets po four times a day as needed for pain. 8. morphine concentrate 20 mg/ml solution : ml po q4 hrs: prn as needed for pain. 9. lidocaine (pf) 10 mg/ml (1 %) solution : four (4) ml injection q1h (every hour) as needed for pain. 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : 1-2 puffs inhalation q6h (every 6 hours) as needed for dyspnea/wheezing. 11. haloperidol 1 mg tablet : one (1) tablet po bid (2 times a day) as needed for agitation. 12. lactulose 10 gram/15 ml syrup : fifteen (15) ml po qid (4 times a day) as needed for constipation. 13. levetiracetam 100 mg/ml solution : seven y (750) mg po bid (2 times a day). 14. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 15. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day). 16. senna 8.6 mg tablet : 1-2 tablets po bid (2 times a day) as needed for constipation. 17. milk of magnesia 400 mg/5 ml suspension : thirty (30) ml po once a day as needed for constipation. 18. t-tube flushes keep open to humidified air. flush with 3 ml ns and suction back 19. mucinex 1,200 mg tab, multiphasic release 12 hr : one (1) tab, multiphasic release 12 hr po twice a day. tab, multiphasic release 12 hr(s) 20. omeprazole 20 mg capsule, delayed release(e.c.) : two (2) capsule, delayed release(e.c.) po q 12h (every 12 hours) as needed for gerd. 21. guaifenesin 100 mg/5 ml syrup : fifteen (15) ml po bid (2 times a day). discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. bisacodyl 10 mg suppository : one (1) suppository rectal hs (at bedtime) as needed for constipation. 3. methylphenidate 5 mg tablet : 0.5 tablet po bid (2 times a day). 4. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). 5. simethicone 80 mg tablet, chewable : one (1) tablet, chewable po qid (4 times a day) as needed for indigestion. 6. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for pain. 7. haloperidol 0.5 mg tablet : two (2) tablet po bid (2 times a day) as needed for agitation. 8. lactulose 10 gram/15 ml syrup : fifteen (15) ml po q6h (every 6 hours) as needed for constipation. 9. levetiracetam 100 mg/ml solution : seven y (750) mg po bid (2 times a day). 10. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 11. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 12. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed for constipation. 13. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po q12h (every 12 hours) as needed for constipation. 14. guaifenesin 100 mg/5 ml syrup : fifteen (15) ml po bid (2 times a day). 15. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q2h (every 2 hours) as needed for sob/wheezing. 16. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 17. mucinex 1,200 mg tablet, er multiphase 12 hr : one (1) tablet, er multiphase 12 hr po bid (2 times a day). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnosis hypoxia to mucous plug discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear ms. , you were admitted into the icu because you were noted to have low oxygen saturation. this was most likley due to a blockage in your t-tube. you were seen by the interventional pulmonology who switched out your t-tube for a tracheostomy tube. you tolerated the procedure well and it was felt that you safe to return to rehab. there were no changes to your medications. it was a pleasure taking care of you. we wish you a speedy recovery. followup instructions: please follow up with dr. in 2 weeks. please call ( to make a follow up appointment. md procedure: fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances bronchoscopy through artificial stoma replacement of tracheostomy tube removal of intraluminal foreign body from trachea and bronchus without incision diagnoses: unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified other convulsions other specified cardiac dysrhythmias other late effects of cerebrovascular disease other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation late effects of cerebrovascular disease, hemiplegia affecting unspecified side mechanical complication due to other implant and internal device, not elsewhere classified other and unspecified special symptoms or syndromes, not elsewhere classified late effects of cerebrovascular disease, aphasia other late effects of cerebrovascular disease, facial weakness attention to gastrostomy edema of larynx dysphagia, oropharyngeal phase foreign body in main bronchus other abnormal granulation tissue other late effects of cerebrovascular disease, dysphagia 

Answer: The patient is high likely exposed to