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: sulfonamides / avandia / combivir / lasix / levofloxacin attending: chief complaint: respiratory failure major surgical or invasive procedure: intubation right ij catheter left radial arterial line left picc history of present illness: ms. is a 59 y/o woman w/ htn, diastolic dysfunction, dm, cad s/p rca stent, restrictive pulmonary disease on 2l home o2, osa, obesity, ckd, and on chronic narcotics for djd, who was transferred to from hospital for respiratory failure. history comes from records as she is currently intubated and sedated, and no family members are present. per records from , pt came to ed via car, stated "i need oxygen" and became unresponsive and apneic. per ed signout, she was already at that ed to bring her son for evaluation. she maintained her pulse and bp, and was intubated, sedated, and paralyzed. initial gas at osh on 100% fio2 was 6.92/72/58/14. cxr was c/w pulm edema. given sl ntg, sl captopril, and ntg paste. at request of her brother . , the director of exercise stress lab), she was transferred to , where she generally receives her care. systolic bp was reported to be 88 en route. . in the ed, initial vs were: t p 111 bp 133/65 r 17 o2 sat 78%. febrile to 101.8 rectal. frothy blood was suctioned. she was initially answering questions, per report, and mae. pressures dropped as low as 50s systolic. she was given versed and etomidate for sedation, dobutamine then switched to levophed for blood pressure support, as well as vancomycin, zosyn, and lasix 40 mg iv. the micu team placed an art line and a right ij. past medical history: - restrictive lung disease obesity - idd - cad s/p rca stent - chf (ef 55% ) - stable mibi and neg stress test - pulmonary htn - mitral regurgitation - hyperlipidemia - htn - obstructive sleep apnea - chronic renal insufficiency - gerd - djd - depression - iron deficiency anemia - glaucoma social history: patient works as a manager at papa and spends a great deal of time on her feet. she does not smoke but formerly smoked ppd for 5-6 years. she has not smoked for 3-4 years now. she denies alcohol use. she denies ilicit drugs of non-prescription meds. she is a widow and has two sons, the of which has autism and lives with her. her brother is an ep doctor . family history: significant for coronary artery disease and arrhythmia in both parents and diabetes mellitus in mother. physical exam: on admission: vitals: 101.1 95 140/72 13 94% general: intubated, sedated, not interactive, obese body habitus heent: sclera anicteric, pupils 2 mm, ett in place neck: supple, r ij line in place lungs: ronchorous breath sounds throughout cv: distant heart sounds, difficult to assess for murmurs. all pulses difficult to palpate. abdomen: obese, soft, non-distended, bowel sounds present/diminished gu: foley in place ext: warm, well perfused. r foot significantly warmer than l foot. no clubbing, cyanosis or edema. lines: r ij, l radial art line, r ac piv, r hand piv, l piv . on discharge: vitals: 97.9, 135/59, 81, 18, 100% on 2l general: alert, comfortable, nad heent: sclera anicteric, pupils reactive, clear oropharynx, mmm neck: supple, no jvd, no lad lungs: good air entry, lungs clear bilaterally, no wheezes or crackles cv: rrr, nml s1/s2, no m/r/g abdomen: obese, soft, nd, nt, nabs ext: wwp, 2+ radial/dp pulses, no edema neuro: a&ox3, cns ii-xii intact, strength improving, able to lift arms and legs further off the bed, able to feed herself, right foot still with decreased sensation and 1/5 strength pertinent results: admission labs: 01:00am blood wbc-23.1* rbc-5.24 hgb-13.9 hct-44.3 mcv-85 mch-26.5* mchc-31.3 rdw-16.1* plt ct-432 01:00am blood neuts-79.3* lymphs-14.2* monos-5.6 eos-0.3 baso-0.7 01:00am blood pt-12.4 ptt-20.3* inr(pt)-1.0 07:36pm blood fibrino-718* 01:00am blood glucose-393* urean-43* creat-2.3* na-133 k-8.4* cl-98 hco3-22 angap-21* 12:39pm blood alt-40 ast-83* ld(ldh)-568* ck(cpk)-5440* alkphos-146* totbili-0.6 dirbili-0.3 indbili-0.3 07:36pm blood calcium-8.2* phos-3.2 mg-2.0 . pertinent labs: 07:36pm blood fibrino-718* 03:40am blood ret aut-4.8* 03:40am blood caltibc-277 ferritn-143 trf-213 03:25am blood vitb12-794 folate-15.4 12:39pm blood hapto-112 04:10pm blood %hba1c-7.6* eag-171* 02:45am blood tsh-1.0 02:45am blood free t4-0.84* 04:35am blood cortsol-18.0 11:00pm blood ck-mb-69* mb indx-0.3 ctropnt-0.14* 07:36pm blood ck-mb-51* mb indx-0.4 ctropnt-0.16* 12:39pm blood ck-mb-38* mb indx-0.7 ctropnt-0.21* . discharge labs: blood wbc-14.8, hgb-8.7, hct-26.9, plt-412, pt-14.2, ptt-22.7, inr-1.2, glu-86, bun-25, creat-1.4, na-140, k-4.2, cl-101, hco3-30 . micro: blood cx: no growth urine cx: negative urine legionella antigen: negative sputum cx: gram pos cocci in pairs rsv viral screen and cx negative bal: no growth, no fungus, no afb blood cx: no growth blood cx: no growth urine cx: negative catheter tip cx: no growth sputum cx: yeast, rare growth blood cx: no growth urine cx: negative sputum cx: yeast, rare growth catheter tip cx: no growth blood cx: no growth cmv dna not detected blood cx: no growth urine cx: negative sputum cx: no growth, no legionella blood cx: no growth to date urine cx: negative sputum cx: negative stool cx: no c. diff blood cx: no growth to date stool cx: no c. diff wound cx (left arm picc): pending . imaging: pa/lat cxr: 1. decreased vascular congestion and improved aeration. 2. faint residual opacity at left lung base may represent persistant infection or atelectasis. . ct chest/abd/pel w/ con: 1. persistent but improved multifocal pneumonia as compared to . new bilateral small pleural effusions with compressive atelectasis. 2. no acute intra-abdominal or intra-pelvic process. 3. a 2 x 1.6 cm right thyroid nodule is present. this is not encompassed on the chest ct. . rle u/s: no dvt . tte: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the right ventricular free wall is hypertrophied. the right ventricular cavity is mildly dilated with normal free wall contractility. the number of aortic valve leaflets cannot be determined. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. . ct head w/o con: 1. no acute intracranial findings. mild parenchymal atrophy and small vessel ischemic disease. brief hospital course: 59 yo woman with diastolic chf, cad s/p rca stent, dm, htn, restrictive pulmonary disease (on 2l home o2), osa, pulmonary htn, ckd, who originally presented to an osh in respiratory distress. she was intubated and transferred to micu where she was treated for septic shock in the setting of pneumonia. hospital course was complicated by rhabdomyolysis, anemia, icu myopathy, and right sciatic nerve compression. brief hospital course by problem: . # respiratory failure: the pt presented to hospital on c/o respiratory distress. she became unresponsive, apneic, and was intubated. cxr was c/w pulmonary edema and the patient became hypotensive. she was then transferred to for further managment of presumed sepsis. in the micu an arterial line and right ij were placed and she was started on pressors, vancomycin, and zosyn. a cxr revealed multifocal pneumonia and an echo showed a dilated and hypokinetic right ventricle, normal lv systolic function (lvef>55%), and no clinically significant valvular disease. she eventually improved hemodynamically so pressors were stopped, she was extubated, and the vanco and zosyn were switched to levofloxacin and she was transferred to the floor. she continued to improve clinically and remained afebrile with an o2 sat of 95-97% on 2l (her baseline at home). she completed a total of 14 days of antibiotics and the levofloxacin was stopped. she was restarted on all of her home medications including the advair. she was encouraged to use the cpap at night. . # leukocytosis: throughout this admission the pt's wbc have waxed and waned. her wbc rose to 15.9 two days prior to discharge with 7% eosinophilia. wbc are currently 14.8 on the day of discharge. the pt has remained afebrile with negative blood cultures. her lungs are clear with no sputum production. ua was negative and stool was negative for c. diff. her left arm picc site was clean and w/o erythema, but the tip was sent for culture when the picc was pulled on . it is unlikely that there is any source of infection, and the eosinophilia suggests that there is likely a hypersensitivity reaction, perhaps to the antibiotics since all other medications the pt is currently taking are her home meds. the last day of levofloxacin was today (). recommend trending the wbc. . # rhabdomyolysis: ck peaked to 34,000 but has been trending down and is currently 716. she denies myalgias, although reports weakness in her arms and legs with difficulty lifting extremities off the bed. despite thorough workup, no etiology was found to explain the cause of the rhabdomyolosis. muscle weakness is likely due to icu myopathy since pt has been bedbound for such an extended length of time. her strength is gradually improving and she is now able to lift her arms and legs midway off the bed and feed herself. the pt would benefit from physicial therapy to help regain her stregth. . # right foot pain/paresthesias/foot drop: this is a new finding that developed while the pt was in the micu. neurology evaluated the patient and believe that it is due to sciatic nerve impingement. the patient has an outpatient appt with neurology on . she is written for morphine 7.5-15 mg q4 prn, with the intention to switch to tylenol when possible. . # chronic renal insufficiency (baseline cr ~ 1.4): on admission the pt's creatine was 2.3, and peaked to 3 while in the micu in the setting of critical illness. the patient was catheterized and continued to have good uop. her creatinine has returned to baseline and is 1.3 upon discharge. . # anemia: patient??????s hct has been stable in the mid 20s throughout this hospital admission. borderline microcytic/normocytic pattern. ferritin, tibc, b12, folate, haptoglobin, are all wnl. reticulocyte index is 2.1% indicating appropriate bone marrow response. continued home dose of ferrous sulfate 325 mg daily. . # abnormal lfts: the pt was noted to have a rise in her ast, alt, and alkaline phosphatase while in the micu. she has no known h/o liver or biliary disease and was asymptomatic. most likely multifactorial due to shock liver and rhabdomyolosis. lfts returned to after transfer to the floor. . # diabetes: blood sugars were poorly controlled in the micu, requiring an insulin drip. after transfer to the floor we uptitrated her insulin and she is now on her home dose of novolog iss and lantus 55 units every morning and 65 units every evening. her sugars were well controlled in the mid-100s to low 200s. last hga1c was 7.6% on . . # thyroid nodule: on the ct chest on an incidental 2 x 1.6 cm thyroid nodule was seen which was not visualized on a previous ct chest on . pt should f/u with her pcp regarding this. . # cad s/p rca stent: continued plavix 75 mg daily. . # diastolic heart failure: patient was hypervolemic in the setting of critical illness in the micu. after transfer to the floor she was restarted on her home dose of bumex and is now euvolemic. . # depression: stable, patient was restarted on her home dose of fluoxetine 20 mg daily. . # code status: full code (confirmed with patient after transfer from the micu to the floor). . # outstanding issues: - blood cultures from and : pending - left arm picc tip culture from : pending medications on admission: *all medications were confirmed with the patient and her pharmacy: 1. novolog sliding scale as directed (pt seen at ) 2. advair 250-50, 1 puff 3. pravastatin 80 mg, 1 tab daily 4. xalatan 0.005% eye drops, 1 drop into both eyes qhs 5. bumetanide 1 mg, 1-2 tabs 6. zetia 10 mg, 1 tab daily 7. isosorbide mn er 60 mg, 1 tab daily 8. lantus, 55 units qam, 65 units qpm 9. potassium chloride er 10 meq, 1 cap every other day 10. plavix 75 mg, 1 tab daily 11. metoprolol succinate er 100 mg, 1 tab daily 12. metoclopramide 10 mg, 1 tab qam 13. acetaminophen-codeine #3, 1 tab tid prn pain 14. clonazepam 0.5 mg, 1 tab daily prn 15. fluoxetine 20 mg, 1 cap daily 16. diovan 40 mg, 1 tab daily 17. ranitidine 300 mg, 1 tab qhs 18. vitamin d 50,000 units, one cap every week 19. brimonidine tartrate 0.15% drops, 1 drop into both eyes 20. fluticasone 50 mcg, 2 sprays into each nostril daily 21. docusate 100 mg q8h prn 22. ferrous sulfate 325 mg sr daily 23. multivitamin daily 24. metamucil 25. senna 8.6 mg daily 26. aspirin 325 mg daily discharge medications: 1. insulin aspart 100 unit/ml solution sig: sliding scale subcutaneous four times a day. 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. pravastatin 20 mg tablet sig: four (4) tablet po daily (daily). 4. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime): 1 drop to both eyes at bedtime. 5. bumetanide 1 mg tablet sig: 1-2 tablets po twice a day. 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 7. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 8. lantus 100 unit/ml solution sig: fifty five (55) units subcutaneous every morning. 9. lantus 100 unit/ml solution sig: sixty five (65) units subcutaneous every evening. 10. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po every other day. 11. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 12. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 13. metoclopramide 10 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 14. acetaminophen-codeine 300-30 mg tablet sig: one (1) tablet po three times a day as needed for pain. 15. clonazepam 0.5 mg tablet sig: one (1) tablet po once a day as needed for anxiety. 16. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 17. valsartan 40 mg tablet sig: one (1) tablet po daily (daily). 18. ranitidine hcl 300 mg tablet sig: one (1) tablet po at bedtime. 19. vitamin d 50,000 unit capsule sig: one (1) capsule po once a week. 20. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 21. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 22. docusate sodium 100 mg capsule sig: one (1) capsule po q 8h (every 8 hours). 23. ferrous sulfate 325 mg (65 mg iron) capsule, sustained release sig: one (1) capsule, sustained release po once a day. 24. multivitamin tablet sig: one (1) tablet po daily (daily). 25. metamucil oral 26. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 27. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 28. morphine 15 mg tablet sig: 0.5-1 tablet po every four (4) hours as needed for pain. discharge disposition: extended care facility: healthcare at discharge diagnosis: primary: - pneumonia - rhabdomyolosis - anemia - myopathy - right sciatic nerve impingement - thyroid nodule secondary: - diastolic heart failure - restrictive lung disease - obstructive sleep apnea - cad s/p stent - diabetes - chronic renal insufficiency discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. advance activity as tolerated. discharge instructions: ms. , you were admitted to the hospital with respiratory distress and found to have pnemonia which we treated with an antibiotic called levofloxacin. during your hospitalization you developed right foot weakness and "pins and needles" which is due to compression of the sciatic nerve. the neurologist would like for you to follow up with him for this (see below for appt details). you also developed muscle weakness. we would like for you to work with the physical therapist at rehab. . on a ct scan we discovered a 2 x 1.6 cm thyroid nodule that was not seen on your chest ct. please follow up with your primary care doctor regarding this finding. . please continue to take all of your home medications. we have not started any new medications or made any changes. . weigh yourself every morning, and call your doctor if your weight goes up more than 3 lbs. followup instructions: department: neurology when: friday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage . department: when: monday at 9:20 am with: , m.d. building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver acute kidney failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified acute on chronic diastolic heart failure other chronic pulmonary heart diseases percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified acute respiratory failure long-term (current) use of insulin septic shock obesity, unspecified gross hematuria hyperosmolality and/or hypernatremia delirium due to conditions classified elsewhere rhabdomyolysis critical illness myopathy other acquired deformities of ankle and foot lesion of sciatic nerve 

Answer: The patient is high likely exposed to