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: codeine attending: chief complaint: transfer fr osh with sepsis and respiratory failure major surgical or invasive procedure: line placement history of present illness: 58f w/rheumatoid arthritis on periodic prednisone, htn who presented to osh on w/sob, f/c, productive cough x 1 wk. family members report intermittent uri sx (cough, rhinorrhea) since 6 wks ago when pt returned fr (where she & husband were doing some construction work on their house). denies any more recent travel. over the week pta, pt noticed worsening cough productive of yellowish sputum, increasing doe, and generalized fatigue/malaise. pt works as a nurse but does not have any direct patient contact. only contact is pt's husband reports being dx with "mild pneumonia" and is on abx for this. . at osh , pt was mentating well but o2sat 85-6% on nrb so intubated and admitted to their icu. cxr w/bilat patchy infiltrates; started on levoflox, clinda, imipenem, and vanco. labs revealed pancytopenia (reportedly new), arf (peak creat 3.3). pt's blood cx fr grew out in bottles on . decision made to transfer care to so medflighted in. upon arrival here 1 pm, maps 40s on levophed but responded to ivf bolus & addition of vasopressin. vent was ac 350 x 20, 20 peep, 100% fio2 & initial abg here was 7.12/66/79 (was 7.14/67/103 at osh just prior to transfer). past medical history: - rheum arthritis on periodic prednisone 5 qd (pt manages this herself & family unsure if she has been taking prednisone recently) - htn on atenolol & hctz social history: glasses of wine qd but no h/o withdrawal; no tob; no ivdu; lives w/husband; has 3 children family history: noncontributory physical exam: vs: map initially mid-40s on levophed but increased to 70s after ivf bolus & after vasopressin started; 101/55 now. hr 100-120. sat 90-97% on vent. gen: middle-age f sedated, intubated skin: small ecchymosis l shoulder; o/w c/d/i w/o rashes heent: ett in place, perrla, conjunctiva clear heart: s1s2 rrr, tachycardic, no murmurs appreciated lungs: course b.s. throughout all bilat lung fields abdom: hypoactive bowel sounds, soft, no masses apprec, liver not felt below costal margin extrem: 2+ pulses, no edema, cold extrem to touch but good cap refill, not mottled neuro/psych: sedated, unable to assess pertinent results: . brief hospital course: ms. is a 58 f w/rheumatoid arthritis, htn transferred fr osh after p/w respir distress, intubated, & became septic w/strep pneumo in blood cx. she was found to have ards/pulm likely from initial cap. she had apache score 26 so started on apc (zygris) x 96 hrs (started ). she was continued on propofol and placed on a paralytic (chose cisatracurium due to sepsis & multiorgan failure) due to dyssynchronous breathing w/vent. . # id/sepsis: hpi c/w cap; bacteremic/septic at osh. micro fr osh w/pan-sensitive strep pneumo so changed abx to levoflox & ceftriaxone for double coverage. . # hypotn: likely fr sepsis & dehydration. she was started on ivf, vasopressin, and titrate levophed along with stress dose steroids (hydrocort 50 mg iv q6h). for h/o moderate etoh consumption ( glasses wine/day): her thiamine and folate were supplemented. . she was found to have arf: creat was 3.3 @ osh, now 1.3 after hydration. good uop. renal u/s @ osh wnl. . she was started on iv protonix (npo & on steroids) and pneumoboots. a r fem line (double lumen) & l a-line were placed @ osh. also 1 piv. ms. eventually succumbed to pneumonia with sepsis and multiorgan failure. medications on admission: meds @ home: atenolol 25 qd, hctz 25 qd, celebrex 200 , & prednisone 5 qd (sometimes) . meds upon transfer: levoflox 250 iv qd, imipenim 250 iv q6h, clindamycin 600 iv q8h, vanco 1 g q24h, hydrocort 100 iv q8h, protonix 40 iv q24h, thiamine iv qd, folate iv qd, sc heparin, bicarb drip discharge medications: none discharge disposition: expired discharge diagnosis: expired discharge condition: multiorgan failure sepsis pneumonia procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances transfusion of packed cells infusion of drotrecogin alfa (activated) diagnoses: unspecified essential hypertension acute kidney failure, unspecified severe sepsis acute respiratory failure septic shock rheumatoid arthritis pneumococcal septicemia [streptococcus pneumoniae septicemia] pneumococcal pneumonia [streptococcus pneumoniae pneumonia] 

Answer: The patient is high likely exposed to