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: patient recorded as having no known allergies to drugs attending: chief complaint: hypoxia, cyanosis major surgical or invasive procedure: intubation history of present illness: ms. is an 84f with a pmh of alzheimer's dementia, htn, paroxysmal atrial fibrillation who was admitted from nh when she was noted to have cyanotic lips, grey coloring and hypoxia with o2 saturation 73-76%. bp 151/82 hr 47, she was placed on o2 nc at 4l with improvement in o2 sat to 98% on 4l nc, bp 107/83 p 80. according to her family she had seemed a bit off over the past several days, no more specific symptoms than that were noted. . of note she was recently admitted - for shaking and altered mental status. she was found to have a uti and was discharged on 7 day course of ciprofloxacin. on review of her culture data it appears that her urine culture grew morganella morgani resistant to cipro. she was also evaluated by neurology during that admission for the shaking, felt to be a tremor, eeg without evidence of seizure. . in addition, she was also admitted from - with pneumonia and sepsis requiring intubation, complicated by acute renal failure, suspected vap, paroxysmal afib with rvr, nstemi, and pulmonary edema. . in the ed t98.5 hr 92 bp 114/44 rr 26 98% 3l nc. she was given ceftriaxone 1g iv, vancomycin 1g iv, levofloxacin 750mg iv, combineb x1, solumedrol 125mg iv. she seemed to respond to neb treatments intially however she was then noted to become tachypnic and appeared to be in progressive respiratory distress. she was given etomidate 20, succinylcholine 100mg, versed 2mg iv and fentanyl 50mcg iv and intubated. past medical history: - dementia: alzheimer's disease - hypertension - recent nstemi - recent hypercarbic respiratory failure c/b vap - paroxysmal atrial fibrillation - chronic obstructive pulmonary disease social history: prior to a prolonged hospitalization in for pneumosepsis the patient had lived in an facility where she had some assistance with adls, but was still very interactive. she is currently living in nursing home. family history: non-contributory physical exam: admission physical exam: vs: t 96.1, hr 101, bp 110/35, rr 17, 96% on vc 100%/600/14/5 gen: intubated, sedated, generalized tremors with stimulation, opens eyes heent: nc, at, eomi, perrl, endotracheal tube in place neck: supple, no lad cv: rrr, soft 1/6 systolic murmur lungs: vented breath sounds, basilar crackles at right abd: soft, nt, nd bs + no guarding ext: cool, no pedal edema or cyanosis pertinent results: admission labs: wbc 10.9 23% bands, hct 39.8, plt 238 na 148 k 4.5 cl 106 hco 35 bun 20 creat 0.8 gluc 124 lactate 2.6 ua: trace leuks, nitr pos, blood neg, wbc, many bacteria micro: blood cx: p urine cx: p imaging: cxr: emphysema with small areas of opacity in the right lung likely represent scarring or areas of bronchial wall thickening, better seen on recent ct chest. no evidence of acute intrathoracic process. cxr post intubation (prelim):ett terminates 5.3 cm above carina, in satisfactory position. no change in emphysema and parenchymal scarring since earlier same day. ekg: nsr at 89 bpm, normal intervals, normal axis, no st segment or t wave changes, no significant change c/w prior . brief hospital course: mrs. is an 84 yo f with pmh of alzheimer's type dementia, recent hospitalizations for pna and uti who was admitted following episode of hypoxia and cyanosis. . #hypoxic respiratory failure - unclear etiology. she developed heavy secretions so pna seemed most likely. treated with vanco / piptazo / azithro and within 4d was extubated. she required positive pressure vent for 6h postextubation but then remained stable thereafter. sputum cultures while intubated were negative except for oropharyngeal flora. her urine grew e. coli, sensitive to zosyn. she finished 5 days of azithro and continued vanc and zosyn for at total of 14 days. . #bandemia - she presented with a bandemia of 22, concerning for acute infection and supportive of likely pna. treated broadly as above. ecoli grew out of the urine. this resolved with antibiotic treatment. . #hypotension - on arrival to icu blood pressure decreased to sbp 80's - 90's, however she continued to have good urine output with about 50-60cc's/hour after getting total of 4l ivf since admission. she then was diuresed peri-extubation. . #hypernatremia - most likely hypovolemic hypernatremia likely with component of free water defecit as well. improved with free water bolusing . #dementia/delirium - she has had progressive decline since her recent hospitalization in with likely superimposed delirium acute medical illnesses. namenda was held on admission and restarted on . discontinuation of this medication should be considered if does not return to . her mental status after extubation was felt to be far below her previous baseline. the geriatrics service was consulted and discussed with the family that the patient's superimposed delirium that has incurred likely to recurrent infections and hospitalizations may take months to resolve, and that she may never return to her previous level of functioning, and thus may require a long-term facility that could provide full time care. the family seemed to be in good understanding of this and will make future plans accordingly. she will follow-up with her behavioral neurologist dr. after discharge. if needed, she can also be seen by the gerontology outpatient service at . #h/o hypertension - hypotensive on admission with good urine output. metoprolol was held and then restarted slowly after fluid resuscitation. . #paroxysmal atrial fibrillation - in nsr on admission. she converted to afib while in the icu, and she was re-loaded with amiodarone in the icu. upon arrival to the floor on she went into afib with rvr. she was asympomatic and converted back to normal sinus rhythm after 5mg iv and 12.5mg po metoprolol. her metoprolol dose was increased slowly due to intermittent bradycardia at night until she was discharged on metoprolol 50 t.i.d. with good rate control. coumadin 4mg was started as chads score was 3. the risks and benefits of intitiating anticoagulation were discussed with her son. the plan is to continue anticoagulation for now, and he will discuss the risks and benefits with additional family members. her concomitant asa, she was started on a ppi. #tremor - evaluated by neurology during her last admission, felt most likely essential tremor. no seizure activity on eeg. #code status - dnr after speaking with her son and hcp as well as her daughter. family is okay with reintubation if necessary but are considering dni. . #contacts: son ; daughter medications on admission: -metoprolol tartrate 100 mg tablet po bid -namenda 10mg -ec aspirin 81 mg tablet daily -ipratropium bromide nebs q6h prn -sennakot 1 prn -colace 100mg -tylenol 650mg q6prn discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. clotrimazole 1 % cream : one (1) appl topical (2 times a day). 3. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 4. memantine 5 mg tablet : two (2) tablet po bid (). 5. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). 6. warfarin 2 mg tablet : two (2) tablet po once daily at 4 pm. 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q6h (every 6 hours). 8. 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. 9. vancomycin 1,000 mg recon soln : one (1) gram intravenous once a day for 4 days: last day is . 10. zosyn 2.25 gram recon soln : one (1) intravenous every six (6) hours for 4 days: **last day is **. 11. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day: **for prophylaxsis on coumadin and asa**. 12. outpatient lab work please check inr on discharge disposition: extended care facility: nursing home - discharge diagnosis: 1) pneumonia 2) urinary tract infection 3) atrial fibrillation 4) dementia 5) delirium discharge condition: stable; good discharge instructions: please return to the hospital with fevers or shortness of breath procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified atrial fibrillation acute respiratory failure pressure ulcer, lower back hypoxemia alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to