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: peanut attending: chief complaint: hypoxia, cellulitis major surgical or invasive procedure: intubation history of present illness: hpi: 74yo f w/hx of copd, depression, anxiety, recent cellulitis presented to pcp today for medical concerns of cellulitis. pt had last been seen on during which time she had bilateral leg cellulitis and hypoxia (78% on 2l nc). it was recommended that she be admitted and pt refused. was prescribed keflex with vna services. later refused vna visits and canceled future appointments. when seen in clinic today. she was hypoxic 70% on 2l and cyanotic; she was agreeable to hospitalization. . in ed; the patient was started on vanc and zosyn. cta showed no pe but a focal linear density in the aorta concerning for dissection vs small mural thrombus. vascular and ct surgery consulted thought that the patient likely had a mural thrombus, that no surgery would be performed and that medical managment was appropriate. ekg showed j-point elevation in anterior leads, ? stemi, cards reviewed ekg and thought there might be some ischemic changes but that no intervention was necessary. the patient was given steroids and continuous nebs. as her abg did not improve, she was placed on cpap. she continued to fatigue and had rising pco2. she was then intubated and admitted to the micu. past medical history: copd, on o2 at home (2l, recently increased to 4l) depression anxiety osteopenia tobacco abuse social history: pt had been previously estranged from family and now has re-established contact. -term and current smoker. family history: nc physical exam: t: 98.6 129-140/60-78 hr:80-82 rr:24 91% 4l gen: thin woman, sitting in chair, on 4l nc, tachypnic neuro: aaox3. biceps and patellar reflexes unable to be elicited due to position. cn ii-vi: perrl, eomi. cn v: facial sensation symmetric cn vii: strength intact with eyebrow raise, cheek puff. cn viii: hearing intact via tuning fork bilaterally. cn ix/x: uvula midline. cn : intact via shoulder shrug. cn xii: tongue midline. heent: nose and lips cyanotic. no lymphadenopathy. oropharynx without lesions or exudate cv: regular rate and rhythm. no murmurs appreciated. lung: bilateral inspiratory wheezing, good aeration with effort. no egophony noted. abd: soft, non-tender, non-distended. small ecchymoses from sqh ext: lower legs with gauze dressing. warm to touch. radial pulses strong. pertinent results: 05:20am blood wbc-9.7 rbc-5.45* hgb-17.9* hct-55.4* mcv-102* mch-32.9* mchc-32.4 rdw-14.1 plt ct-149* 05:00am blood pt-13.0 ptt-29.9 inr(pt)-1.1 05:00am blood ret aut-0.5* 05:20am blood glucose-108* urean-33* creat-0.8 na-143 k-3.8 cl-103 hco3-35* angap-9 11:43am blood ck(cpk)-30 11:43am blood ck-mb-notdone ctropnt-<0.01 05:20am blood calcium-8.8 phos-2.9 mg-2.1 05:00am blood vitb12-795 folate-13.2 08:15am blood %hba1c-6.3* 01:12pm blood type-art po2-62* pco2-66* ph-7.37 caltco2-40* base xs-9 12:42am blood lactate-1.4 . 4:40 pm rapid respiratory viral antigen test: neg . gram stain (final ): <10 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): budding yeast. quality of specimen cannot be assessed. respiratory culture (final ): oropharyngeal flora absent. yeast. sparse growth. . urine culture (final ): no growth. blood cx: , , ngtd . : cxr: bibasilar atelectasis . echo : hyperdynamic left ventricular systolic function. ef > 75%. probable mild diastolic dysfunction. no significant valvular abnormality seen. moderate pulmonary artery systolic hypertension. . le u/s : no dvts . ecg sinus tachycardia. poor r wave progressio. consider prior anteroseptal myocardial infarction. left atrial abnormality. compared to tracing #2 no change. brief hospital course: mrs. was admitted to the micu for respiratory failure in the setting of copd, continued smoking and possible pneumonia seen on cxr. cta was negative for pe, but showed possible mural thrombus. medical managment was recommended. echocardiogram did not show new heart failure. she was put on standing nebs, solumedrol 125mg iv q8 hours, levofloxacin for pna and vancomycin for her cellulitis. she was transitioned to unasyn on after sputum and blood cultures were negative. her respiratory status improved and she was extubated on . she was then transitioned to po augmentin and should complete a 14 day course. (last day of abx = ). she was diuresed with iv lasix and then put on lasix 20mg po qday which should be continued after discharge for edema and heart failure. theophylline was held due to concerns for drug interactions. her legionella antigen was negative and sputum cultures were negative. . for her cellulitis, wound care evaluated ms. and recommendations are below. she continued on antibiotics and was given lasix to remove fluid. she was negative 5 liters over the course of her micu stay. . on , she was complaining of chest pressure which she related to heartburn. ecg was done and was negative for any changes suggestive of ischemia. she had cardiac enzymes which were negative x 1. . after extubation, she did well was changed to po prednisone 40mg a day. she will then be tapered over 2 weeks. she has a 4l oxygen requirement and saturations range between 87-92% at baseline. she is appropriately compensated and stable within this range. . she had elevated blood glucose levels and was started on glargine 8 units at night as well as a sliding scale insulin. her blood sugars improved as the steroids were tapered. . mrs. was seen by a social worker for depression and medication non-compliance. she was restarted on clonazepam 0.5mg on . medications on admission: albuterol 90mcg inhaler, 2 puffs q4-6 hours prn clonazepam 1mg po qday ipratropium 17mcg inh 2 puffs q4-6hours prn (pt not taking) duoneb nebulized solution theophylline 300mg po bid cetirizine 10mg po qday prn oxygen 2-4l discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. erythromycin 5 mg/g ointment sig: one (1) ophthalmic qid (4 times a day) for 2 weeks. 5. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 6. insulin glargine 100 unit/ml solution sig: eight (8) units subcutaneous at bedtime for 3 weeks: titrate down as steriods are tapered. 7. insulin regular human 300 unit/3 ml insulin pen sig: sliding scale subcutaneous four times a day as needed for hypergylcemia: sliding scale: fs <150: zero 150-200: 2u 200-250: 4u 250-300: 6u 300-350: 8u 350-400: 10u >400: md. 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 9. carbamide peroxide 6.5 % drops sig: 5-10 drops otic (2 times a day) for 2 days. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 12. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation qam (once a day (in the morning)). 13. albuterol 90 mcg/actuation aerosol sig: 6-8 puffs inhalation q4h (every 4 hours) as needed. 14. ipratropium bromide 17 mcg/actuation aerosol sig: 6-8 puffs inhalation qid (4 times a day) as needed. 15. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 16. clonazepam 0.5 mg tablet sig: one (1) tablet po daily:prn. 17. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. 18. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 19. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 20. prednisone 10 mg tablet sig: follow directions tablet po once a day for 16 days: taper: 40mg daily x 1 day 30mg daily x 4 days 20mg daily x 4 days 10mg daily x 4 days 5mg daily x 3 days. disp:*26 tablet(s)* refills:*0* discharge disposition: extended care facility: care center - discharge diagnosis: primary: hypoxia secondary to copd exacerbation lower ext. cellulits secondary: copd depression anxiety osteopenia tobacco abuse discharge condition: stable, normotensive, on 4l nc satting 87-92% at baseline, afebrile discharge instructions: it was a pleasure taking care of you while you were in the hospital. you were admitted to because your breathing difficulty and an infection in your skin. you were in the intensive care unit for your breathing difficulty and were intubated. you improved and were able to be taken off the breathing machine and sent out of the icu. you were back to your normal 4l of o2 upon discharge and your o2 saturation ranged btw 87-92%. for your skin infection in your legs you were treated with antibiotics and will continue those antibiotics for a 14 day course. you should have outpatient pulmonary function test when discharged from rehab and back to your baseline pulmonary status. please follow the medications prescribed below. please follow up with the appointments below. please call your pcp or go to the ed if you experience chest pain, palpitations, shortness of breath, nausea, vomiting, fevers, chills, or other concerning symptoms. followup instructions: provider: , md phone: date/time: 3:20 provider: , md phone: date/time: 2:00 md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube diagnoses: thrombocytopenia, unspecified obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure cellulitis and abscess of leg, except foot polycythemia vera 

Answer: The patient is high likely exposed to