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: aspirin / sulfonamides attending: chief complaint: fever, cough major surgical or invasive procedure: intubation picc placement. history of present illness: 77f pmh bl pe, sideroblastic anemia, referred by her pcp after being found down at home with question of slurred speech and weakness. the patient says that she was in her usoh until about 2-3 weeks ago, when she developed generalized weakness and fatigue. she denied any focal numbness, paresthesias, or head ache. then about 1 week ago, she noted increased cough, productive of sputum, as well as ns and chills. she otherwise denies cp, sob, n/v, diarrhea. she also describes constipation, which is typically chronic and relieved with warm milk from her neighbor. * in the ed, she was noted to have a temp of 103, o2 sat of 92% on ra, with lll pna on cxr. she was also noted to have elevated cks to ; case was discussed with cardiology who noted that it was likely being down, and that these should be trended, but no further intervention was indicated. she was given levo 500mg iv, apap, and asa 325. past medical history: 1. sideroblastic anemia diagnosed in . patient's baseline hematocrits ranged from 23 to 27. 2. rheumatoid arthritis diagnosed in . patient currently takes methotrexate. 3. left shoulder mass. 4. low back pain. 5. glucose 6-phosphate deficiency. 6. sickle cell trait. 7. recurrent otitis media. 8. recurrent genital rash. 9. allergic rhinitis. 10. supraventricular tachycardia, likely atrial per cardiology 11. bl pe, dx'd as part of workup for pulmonary htn * meds (from omr notes--pt does not recall): b-12 1000mcg--take one tablet by mouth daily b-6 100mg--one tablet every day coumadin 1 mg--1 tablet(s) by mouth take mon., wed, fri (pt denies taking) coumadin 5 mg--1 tablet(s) by mouth once a day (pt denies taking) folic acid 1 mg--3 tablets daily by mouth gabapentin 300 mg--1 tablet(s) by mouth at bedtime infliximab 100 mg--by intravenous injection 2 or more vials (adjusted for weight, titrated as indicated) every 4 to 8 weeks lidoderm 5 %(700 mg/patch)--apply to affected area. 12 hours on, 12 off. as needed for as needed lyrica 25 mg--1 capsule(s) by mouth at bedtime, may increase to twice a day methotrexate 2.5mg--7 tablets once/week multivitamins --one tablet every day percocet 5-325 mg-- tablet(s) by mouth tid prn prednisone 5 mg--2 tablet(s) by mouth once a day taper as directed to one qd protonix 40mg--one tablet every day valtrex 500 mg--1 tablet(s) by mouth once a day prn for 5 days zanaflex 2mg--one tablet by mouth q at bedtime social history: lives with her 13 year old grandson. with a walker. no smoking, etoh. family history: significant for diabetes mellitus in her mother. daughter died at age 38 of "tongue cancer." physical exam: vitals: t 98.6 bp 123/66 hr 79 r 18 sat 99% 2l * pe: g: elderly female, nad heent: clear op, dry mm, poor dentition neck: supple, no lad, no jvd lungs: bs bl, crackles ll, no w/r cardiac: rr, nl rate. nl s1s2. no murmurs abd: soft, nt, nd. nl bs. no hsm. ext: no edema. 2+ dp pulses bl. neuro: a&ox3. no slurring of speech evident. exam limited by pt cooperation, and she had difficulty with motor exam due to pain from her arthritis; nonetheless, she possibly had some weakness in the proximal ue vs distal, r>l. le not evaluated due to pain/arthritis. pertinent results: cxr: cardiomegaly and cardiomediastinal contours are stable. there is new retrocardiac opacity on the left with obscuration of the left costophrenic sulcus. the right lung is grossly clear. the running soft tissues and osseous structures are unchanged. impression: left lower lobe pneumonia. 07:00pm wbc-3.8* rbc-3.27* hgb-9.6* hct-27.9* mcv-85# mch-29.4 mchc-34.4# rdw-26.6* 07:00pm neuts-59 bands-9* lymphs-24 monos-6 eos-0 basos-0 atyps-2* metas-0 myelos-0 07:00pm plt count-146*# brief hospital course: 1) tuberculosis: initially, pt treated for community-acquired pneumonia with levaquin but was still febrile. a chest ct showed b/l nodules and tree-in pattern concerning for mycobacterial infection given ongoing remicade treatment. she was place in isolation and sputum afb cultures were collected. one was positive verifying diagnosis of pulmonary tuberculosis. she was started on 4 drug regimen of inh, rifampin, ethambutol, pyz. however, she developed a transaminitis so these were stopped. after lfts normalized, she was started on alternative regimen of rifampin, levaquin, ethambutol, and streptomycin. after about one week of this, inh was restarted (). her lfts were normal at discharge and per id consulting team, if lfts remain normal, inh can be continued, streptomycin can be stopped later this week. pt is still having fevers at disharge of around 101 but id feels likely due to resolving tuberculosis. no other signs of infection to account for fever. . 2) resp failure- after being transferred to micu pt went into hypoxic resp failure, possibly from chf or tuberculosis. she was intubated, diuresed. she then wished to be extubated and made dni. this was done and she did well post extubation. her resp status is good and does not require suppl oxygen. . 3) nstemi: pt had a nstemi in setting of respiratory failure and tachycardia. she was started on heparin gtt, nitro gtt, asa, beta blocker. her enzymes trended down. she did not have any further cp. cardiology was consulted and recommended cardiac cath as outpt once acute issues resolved. cont asa (hct stable despite g6pd), beta blocker. statin held due to hepatotoxicity of tuberculosis meds. . 4) avnrt: episodes of tachycardia felt to be avnrt by cards. started on 3 nodal agents: dig, verapamil, and lopressor, and was rate controlled on that. . 5) pancytopenia: has been up and down throughout hospitalization. pt has h/o sideroblastic anemia and g6pd. bone marrow biopsy was done which was unrevealing. felt to be due to systemic illness and potential marrow suppression from meds. however, stable counts at discharge. on epo and iron for anemia. * 8) rheumatoid arthritis (right hip): per hip films, likely some avascular necrosis, but all appear chronic. mri showed progression of arthritis and fluid collection which was tapped for infection but negative includ afb. pt was seen by rheumatology, thought the rapid progression may be secondary to tuberculosis. - cont oxycodone for pain control especially as holding methotrexate -outpt rheum f/u. * 9) h/o pe: pt had been off coumadin on admission though she should have been on it. her cta here did not show pe so it was not restarted. in addition, pt had intermittently high ptt which was thought to be due to sc heparin so this was stopped as well. . 10) incontinence: c/w urge incontinence, started on ditropan. . 11) code status: initially full code, but after discussion with pt in icu and afterwards, she is dnr/dni. medications on admission: methotrexate infliximab epo q week lyrica coumadin (not taking) protonix folate b12 discharge medications: 1. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). 2. pyridoxine 50 mg tablet sig: two (2) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 5. senna 8.6 mg capsule sig: one (1) tablet po bid (2 times a day). 6. oxycodone 5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 7. codeine-guaifenesin 10-100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day) as needed for shortness of breath or wheezing. 10. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 12. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 13. oxybutynin chloride 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 14. verapamil 240 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). 15. rifampin 300 mg capsule sig: two (2) capsule po q24h (every 24 hours). 16. ethambutol 400 mg tablet sig: three (3) tablet po daily (daily). 17. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours). 18. streptomycin 1 g recon soln sig: seven y (750) mg intramuscular q24h (every 24 hours). 19. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 20. epoetin alfa 20,000 unit/ml solution sig: () units injection once a week. 21. isoniazid 300 mg tablet sig: one (1) tablet po daily (daily). 22. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. discharge disposition: extended care facility: - discharge diagnosis: pulmonary tuberculosis non st elevation mi avnrt urinary tract infection discharge condition: good. discharge instructions: the doctors hospital will manage your medical care. if you have any questions, they can address them. followup instructions: after you are discharged from the , please follow up with dr. . after discharge from , you should also follow up with dr. of rheumatology. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances biopsy of bone marrow arthrocentesis transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension constipation, unspecified acute respiratory failure other specified cardiac dysrhythmias long-term (current) use of other medications pressure ulcer, buttock rheumatoid arthritis other and unspecified coagulation defects aseptic necrosis of head and neck of femur acute miliary tuberculosis, tubercle bacilli found (in sputum) by microscopy 

Answer: The patient is high likely exposed to