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: latex attending: chief complaint: intubation s/p ip procedure major surgical or invasive procedure: bronchial stent removal bronchoscopy history of present illness: 63 year old woman with h/o stage i lung cancer, gerd, htn, thromboembolic disease, ex-smoker, tracheobronchomalacia with recent discharge from micu on s/p y-stent removal and replacement by ip, now being transferred from the pacu after new y stent removal. the patient was discharged from after placement of endobronchial y stent on , discharged to rehab, then transferred back to on for worsening dyspnea and audible stridorous respirations. she improved with bipap. eval by ip revealed cervicomalacia. the patient underwent removal of y-stent and placement of a new longer stent reaching up into cervical trachea. she remained stridorous and wheezy, making her a poor candidate for surgical intervention as the cause of these paroxysms are less likely to be associated with tracheobronchomalacia in the absence of improvement with stent placement. in addition, she had an episode of significant respiratory distress requiring bedside bronchoscopy, revealing significant mucous plugging along the length of the stent and at carina. she was started on mucomyst therapy, continued albuterol, ipratropium, mucinex, hypertonic saline nebulizer treatments, and bipap, and was able subsequently to tolerate the stent with no subsequent episodes concerning for mucous plugging. ent was consulted for evaluation of potential vocal cord dysfunction as etiology of symptoms, and found no evidence to support this diagnosis. they did, however, note a left true / false vocal fold mass, likely granulation but given h/o smoking could not rule out neoplastic process. the patient was discharged to pulmonary rehab for a planned two week trial with the new y stent. . she represented today as an outpatient for stent removal. per ip, the stent was removed, with a lot of surrounding granulation tissue. she had significant vocal cord swelling. she developed significant laryngospasm during bronch, so she was intubated in the or by anaesthesia. she received 10 iv dexamethasone and transferred to the micu. . on arrival to the micu, she is intubated and sedated. past medical history: gerd tbm htn pulmonary embolus , no longer anti-coagulated (developed peri-malignancy) tracheobronchomalacia s/p endobronchial y stent stage i lung cancer lul, s/p thoracotomy wedge resection s/p ccy s/p achilles tendon repair right bilat carpal and cubital tunnel repair chronic headaches s/p cervical fusion chronic low back pain anxiety depression social history: prior to recent admission , the patient lived at home. 10 yr pack y/o smoking, rare etoh, now lives at rehab. family history: cad, copd, lung ca physical exam: admission exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact . discharge exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact pertinent results: admission labs: 03:50pm blood wbc-10.2 rbc-3.78* hgb-11.5* hct-34.8* mcv-92 mch-30.5 mchc-33.2 rdw-14.3 plt ct-291 03:50pm blood pt-11.1 ptt-28.5 inr(pt)-1.0 03:50pm blood glucose-153* urean-17 creat-0.9 na-139 k-4.3 cl-99 hco3-31 angap-13 03:50pm blood calcium-9.0 phos-2.5*# mg-2.3 . discharge labs: . micro: urine culture: e. coli >100,000 organisms/ml . imaging: cxr: in comparison with study of , the tip of the endotracheal tube lies approximately 4.5 cm above the carina, little change in the appearance of the heart and lungs. pleural scarring with mild atelectatic changes is again seen at the left base. . cxr: there are low lung volumes. cardiac size is top normal. the size is accentuated by the low lung volumes. ng tube tip is out of view below the diaphragm. et tube is in a standard position. bibasilar atelectasis are stable. there is no evident pneumothorax. brief hospital course: 63 year old woman with stage i lung cancer s/p wedge resection, cervicomalacia s/p y stent removal, intuabted for significant airway and laryngeal swelling after procedure requiring icu stay for respiratory stabilization. patient will require physical therapy and pulmonary rehab. active issues: # cervicomalacia and laryngeal swelling: s/p y stent removal complicated by laryngeal swelling and granulation tissue seen on bronch, requiring intubation. patient was treated with dexamethasone 10mg iv q6h for 3 days (). she was taken back to the or on for a repeat bronch which showed some supraglottic edema and was successfully extubated. per ip, plan is to repeat bronchoscopy in weeks. patient will also follow-up with ent for vocal cord lesion. . #oral ulcer: the patient noted a painful oral ulcer on her left posterior gum. she was advised to use salt water gargles. should the ulcer persist for greater than a week, further evaluation is advised. # uti: pan-sensittive e. coli >100,000 organisms/ml. patient treated with ciprofloxacin for 3 days. inactive issues: # diabetes: continued sliding scale. . # gerd: continued omeprazole and ranitidine. . # hypertension: continued metoprolol, hold lasix. . # hyperlipidemia: continued simvastatin. . # depression: continued citalopram. transitional issues: patient will need to follow-up with ip for cervicomalacia and ent for vocal cord lesion. medications on admission: 1. acetaminophen 1000 mg po q8h:prn fever/pain 2. acetylcysteine *nf* 20% (200mg/ml) 4 cc nebulized tid reason for ordering: per interventional pulm/micu; the patient has essentially no mucociliary clearance due to a 13cm tracheal stent, failing other mucolytic therapy spoke with pharmacy @ regarding this 3. albuterol 0.083% neb soln 1 neb ih q6h 4. albuterol 0.083% neb soln 1 neb ih q2h:prn wheezing, sob 5. benzonatate 200 mg po bid 6. calcium carbonate 500 mg po bid 7. chlorpheniramine-hydrocodone 5 ml po q12h:prn cough 8. citalopram 20 mg po daily 9. docusate sodium 100 mg po bid 10. fluticasone propionate 110mcg 2 puff ih 11. furosemide 80 mg po daily hold for sbp <100 12. insulin sc sliding scale fingerstick qachs insulin sc sliding scale using hum insulin 13. ipratropium bromide neb 1 neb ih q6h 14. lorazepam 0.5-1 mg po q4h:prn anxiety hold for sedation, rr<10, change in mental status 15. metoprolol tartrate 50 mg po bid hold for hr <60, sbp <100 16. mucinex *nf* (guaifenesin) 1,200 mg oral reason for ordering: wish to maintain preadmission medication while hospitalized, as there is no acceptable substitute drug product available on formulary. 17. omeprazole 20 mg po bid 18. racepinephrine 0.5 ml neb q8h:prn coughing/breathing attack 19. ranitidine 300 mg po hs 20. senna 1 tab po bid:prn constipation 21. simvastatin 40 mg po daily 22. sodium chloride 3% inhalation soln 15 ml neb tid supplied by respiratory 23. vitamin d unit po daily 24. hydrocodone-acetaminophen (5mg-500mg tab po q6h:prn pain) discharge medications: 1. acetaminophen 1000 mg po q8h:prn pain 2. albuterol 0.083% neb soln 1 neb ih q2h:prn dyspnea 3. benzonatate 200 mg po bid 4. citalopram 20 mg po daily 5. docusate sodium 100 mg po bid 6. fluticasone propionate 110mcg 2 puff ih 7. insulin sc sliding scale insulin sc sliding scale using hum insulin 8. metoprolol tartrate 50 mg po bid 9. omeprazole 20 mg po bid 10. ranitidine 300 mg po hs 11. senna 1 tab po bid:prn constipation 12. simvastatin 40 mg po daily 13. acetylcysteine 20% *nf* 4 cc other tid 14. albuterol 0.083% neb soln 1 neb ih q6h 15. calcium carbonate 500 mg po bid 16. chlorpheniramine-hydrocodone 5 ml po q12h:prn cough 17. furosemide 80 mg po daily hold for sbp<100 18. hydrocodone-acetaminophen (5mg-500mg tab po q6h:prn pain 19. ipratropium bromide neb 1 neb ih q6h 20. lorazepam 0.5-1 mg po q4h:prn anxiety 21. mucinex *nf* (guaifenesin) 1,200 mg oral wish to maintain preadmission medication while hospitalized, as there is no acceptable substitute drug product available on formulary. 22. racepinephrine 0.5 ml ih q8h:prn coughing/breathing attack 23. vitamin d unit po daily 24. nystatin oral suspension 5 ml po qid swish and swallow hold in mouth for as long as possible 25. chloraseptic throat spray 1 spry po q4h:prn sore throat discharge disposition: extended care facility: country estates of discharge diagnosis: laryngotracheomalacia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , you were admitted to the for removal of a y-stent placed earlier this month to treat your laryngotracheomalacia. the removal was complicated by larygospasm, a tightening of the throat that can occur during procedures involving the airway, which required intubation and respiratory support in the medical intensive care unit after the procedure. you were in the icu for three days before you were extubated and transferred to the general medicine floor for further observation. at the time of your transfer your no longer required oxygen at all times. the interventional pulmonology service would like to follow up in weeks when your airway has had time to heal. if you feel uncomfortable breathing at any time before this appointment, please seek care immediately. the following changes were made to your home medications: 1. start nystatin it was a pleasure participating in your care at . followup instructions: name: , md when: wednesday at 12:30 address: , , phone: department: otolaryngology-audiology when: thursday at 9:45 am with: , md building: lm bldg () campus: west best parking: garage department: hematology/oncology when: thursday at 11:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other bronchoscopy other intubation of respiratory tract endoscopic removal of bronchial device(s) or substances diagnoses: esophageal reflux urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of bronchus and lung personal history of tobacco use dysthymic disorder acute respiratory failure lumbago other and unspecified diseases of the oral soft tissues other diseases of trachea and bronchus edema of larynx personal history of pulmonary embolism laryngeal spasm other and unspecified escherichia coli [e. coli] other diseases of vocal cords other diseases of larynx, not elsewhere classified 

Answer: The patient is high likely exposed to