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: zomig attending: chief complaint: unresponsive. major surgical or invasive procedure: intubation. history of present illness: 77 yo f with hx asthma, chf, paf, and osa, found unresponsive at psychiatyric facility with hypercarbic resp failure. she was found with sat of 87% and while asleep 62%. she was recently transfered from to hri . pt has had previous desats prior to yesterday. she was then given 40mg po lasix, 1 mg ativan, and alb nebs. when arrived in ed, she was given narcan and started on bipap. abg 7.24/94/140/42. pt improved on bipap in ed and repeat abg 7.28/85/129/42. past medical history: dementia a-fib htn oa hypothyroidism asthma social history: she has been a resident of nursing homes. she was most recently at life center, then hri, but had previously been at . her daughter and her son beeper are very involved in her care. she is mostly portuguese speaking but she does understand some english. physical exam: in ed t 99.4 p 80 bp 112/palp sat 98% on bipap gen - unresponsive except moans heent - pupils 2mm errl chest - cta b anteriorly with occ upper airway sounds. cor - rrr nl s1/s2 no murmurs abd - soft obese, pos bs ext - trace edema neuro - minimally responsive to touch/pain more recent exam: . vitals: tm = 99.6, tc = 98.1 bp = 120-152/68-78, p = 69-85, rr = 18-20, bs = 102-183, 93-94% on ra. gen: obese female laying in bed. no acute distress. cervical collar not in place. -chest: cta b anteriorly and posteriorly with good inspiratory effort. -cor: rrr nl s1/s2 -abd: soft obese, pos bs -ext: 2+ dpp appreciated bilaterally. right arm: 2-4 cm friction blister with skin breakdown and serosang ooze covered by duoderm patch. pertinent results: 03:44am type-art po2-129* pco2-85* ph-7.28* total co2-42* base xs-9 02:47am urine color-straw appear-clear sp -1.015 02:47am urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.0 leuk-neg 02:47am urine rbc-1 wbc-1 bacteria-rare yeast-none epi-1 02:47am urine hyaline-1* 02:20am glucose-103 urea n-20 creat-0.8 sodium-148* potassium-3.6 chloride-105 total co2-36* anion gap-11 02:20am ck(cpk)-35 02:20am ctropnt-<0.01 02:20am ck-mb-2 02:20am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:20am wbc-5.9 rbc-3.93* hgb-11.9* hct-36.7 mcv-93 mch-30.3 mchc-32.4 rdw-13.0 02:20am neuts-51.6 lymphs-36.8 monos-7.5 eos-3.2 basos-0.9 02:20am plt count-121* 02:16am type-art po2-140* pco2-94* ph-7.24* total co2-42* base xs-9 02:16am hgb-12.5 calchct-38 06:59am type-art rates-/14 peep-8 o2-40 po2-128* pco2-105* ph-7.19* total co2-42* base xs-8 intubated-not intuba vent-spontaneou comments-cpap admission chest ap: allowing for technique, cardiac and mediastinal contours are likely normal. patchy opacity is seen in the left lower lobe/lingular area. the right lung appears clear. there is slight biapical pleural thickening. pulmonary vasculature is normal. several calcified nodes are seen in the left hilum. in addition, there appears to be a calcified granuloma in the right upper lobe. there may be a small left pleural effusion. the osseous structures are unremarkable. impression: 1. left lower lobe/lingular patchy consolidation. 2. calcified nodes/granuloma suggestive of past granulomatous infection. ekg nsr 78bpm, nl axis, no st or t wave changes : chest ap the heart is enlarged but stable. the aorta is tortuous. there are calcified lymph nodes in the ap window and left hilum and there are calcified granulomas in the left mid and right upper lung zones. these findings, as well as an area of right apical thickening are stable. the lungs demonstrate no focal areas of consolidation. no definite pleural effusions are identified on the single projection. as compared to the recent study, there is improved visualization of the left retrocardiac area. brief hospital course: 77 yo f with dementia, chf? who presentedunresponsive at psych facility with hypercarbic respiratory failure. * 1) respiratory failure- we thought that her respiratory failure was multifactorial in etiology. the patient is perhaps hypercarbic at baseline. pt likely hyper carbic at base line. we thought that pnemonia exacerbated her possible copd/osa/ obesity hypoventilation to the point where she decompensated. we also found that a pannus in the upper cervical spine which might have contributed to the patient's apnea. (see neuro below). the patient was transferred to the micu where she was intubated then weaned to pressure support and then successfully extubated on . she was then weaned off oxygen onto room air. * 2)pneumonia exaceceftriaxone/azith were started on admission which was eventually changed to levofloxacin such that she completed a 10 day course. * 3)obstructive sleep apnea: she continued to desaturate periodically at night for which she was started on bipap with good effect but the patient refused to wear the bipap mask. she also underwent an inpatient sleep study but this was terminated early secondary to her refusal to wear the bipap mask. (an interpreter was present.) * 4)psych - pt was originally started on her home psych meds (see meds on admission). however zyprexa and depakote were stopped due to possible respiratory depression. psychiatry was consulted and they thought that the patient had dementia and resolving delerium. her standing haldol was discontinued and she was started on zyprexa prn agitation. * 5) neuro - ct of the head demonstrated basal ganlia lesion and a pannus in the upper cervical spine. mri done to further evaluate which demonstrated: a posterior vertebral pannus formation c1-c2, with compression/stenosis of the spinal cord as it exits the foramen magnum. there was no evidence of intracranial hemorrhage, or minor or major vascular territorial infarction. chronic lacunar infarcts were also observed neurosurg consulted. the spoke to the pts home neurosurgeon at hospital and found that this was a problem that had already been worked up. because of her poor baseline functional status the pt was felt to be a poor surgical candidate. she was placed in a cervical collar which she refused to wear. * 6)in light of the continued improvement in her mental status we (the medical team and the patient's family) thought that it would be best if the patient were transferred to a rehab/long term care center where she could prepare for the upcoming surgery should her family decide to procede. at this time the family deferred surgery in light of her condition. medications on admission: kcl 10mg qday lasix 40mg qday prozac 20mg qday celebrex 20mg qday colace 100 mg ecotrin 81 mg qday protonix 40mg qday depakotote 250mg qam/ 500mg qpm zyprexa 10mg abilify 10mg qam discharge disposition: extended care facility: care center discharge diagnosis: primary: 1. hypercarbic respiratory failure. 2. pannus posterior to odontoid at c2 with compression of the cervicomedullary junction. 3. degenerative disc disease from c3 through c6 with spinal cord compression. 4. dementia/agitation. secondary: 1. atrial fibrillation (not corroborated). 2. obstructive sleep apnea. 3. hypothyroidism. 4. hypertension. discharge condition: good. able to eat, interactive, at her baseline. discharge instructions: please return to the emergency room if you experience shortness of breath, difficulty breathing, chest pain, fevers or chills. please take all of your medications as prescribed. followup instructions: please call dr. md at to follow up with regard to potential neck surgery. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified anemia of other chronic disease unspecified essential hypertension unspecified acquired hypothyroidism obstructive chronic bronchitis with (acute) exacerbation other persistent mental disorders due to conditions classified elsewhere constipation, unspecified acute respiratory failure other diseases of pharynx, not elsewhere classified unspecified sleep apnea personal history of noncompliance with medical treatment, presenting hazards to health delirium due to conditions classified elsewhere localized adiposity intervertebral disc disorder with myelopathy, cervical region 

Answer: The patient is high likely exposed to