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: history of present illness: the patient is an 88 year old female with a history of copd and coronary artery disease who had a recent long hospitalization for shortness of breath presumed to be secondary to copd and had chest pain of unclear etiology. she now presents early this morning after calling ems in respiratory distress. ems noted that she was wheezing, using respiratory accessory muscles and slightly diaphoretic, although oriented. she was given albuterol and atrovent nebs with some decrease in her level of distress. her o2 sats were noted to be 98% at that time. in the emergency room she was again noted to be wheezing and had worsening po2 that did not improve with nonrebreather or bipap. the patient had abg performed which revealed ph of 7.22, pco2 89, po2 18 in room air. the patient was subsequently intubated and admitted to the micu. past medical history: coronary artery disease status post cabg in . negative p-thal in . negative pain mibi recently. copd on 0.5 liters of o2 at home at baseline. left bundle branch block. hypertension. pleural plaques. history of ppd positive. history of pe. peripheral vascular disease. chronic renal insufficiency. insulin dependent diabetes mellitus. medications: include aspirin 81 mg q.d., combivent two puffs q.i.d., coumadin dose unknown, flovent 220 two puffs b.i.d., isordil 20 mg t.i.d., lasix 40 mg q.d., lipitor 10 mg q.d., lisinopril 40 mg q.d., prilosec 20 mg q.d., verapamil 80 mg t.i.d. social history: the patient is from and speaks portuguese only. family history: noncontributory. physical examination: on admission blood pressure was 209/102, pulse 115. patient sedated with endotracheal tube in place with clear secretions coming from the oropharynx. neck: there was no jvd, no bruits of the carotids. pulmonary exam showed good air movement on the vent, no wheezing at this time. cardiovascular tachycardic, pmi prominent, no murmurs. abdomen soft, nontender, good bowel sounds. extremities had trace lower extremity edema, no palpable cords. skin warm and dry. numerous areas of ecchymosis. on neuro exam the patient was sedated, moving all four limbs spontaneously. laboratory data: on admission white count was 13.7, hematocrit 39.9, platelets 323. sma-7 was 141, 4.8, 101, 27, 25, creatinine 1.7, glucose 124. ptt 34.8, inr 1.4. the patient had an initial abg on room air of 7.22, pco2 89, po2 18, bicarb 38. the patient had repeat abg once intubated with ph of 7.34, pco2 55, po2 470, bicarb 31. lactate was 2.3. ekg revealed sinus tachycardia with old bundle branch block, rate 157. chest x-ray revealed old pleural parenchymal disease in the left lower lobe and left middle lobe, mild chf. hospital course: 1. hypoxia. the patient was admitted in respiratory arrest and found to be hypoxic. the patient was subsequently intubated secondary to respiratory arrest. the patient did well on the vent, maintaining good o2 saturations. the patient was able to be extubated. the patient was intubated on , and was subsequently extubated on the 21st, doing well, maintaining good o2 sats throughout her stay. 2. copd. patient admitted with most likely copd exacerbation leading to respiratory arrest leading to intubation. the patient was started on iv solu-medrol for copd flare. the patient also received atrovent and albuterol nebulizers p.r.n. and continued mdi. after extubation the patient's oxygenation improved markedly. the patient's iv solu-medrol was switched to p.o. prednisone and the patient was discharged on a prednisone taper as well as combivent mdi and flovent mdi. 3. cardiac. the patient was admitted with shortness of breath, questionable mild chf on exam. the patient had runs of svt in the micu which were consistent with atrial tachycardia. the patient was started on amiodarone 200 mg q.d., however, after discussion with cardiology and the primary care physician, patient's amiodarone was discontinued prior to discharge. the patient had no subsequent runs of svt after her transfer from the micu to the medicine floor. 4. hypertension. the patient was admitted with blood pressure in the 200/100 range. the patient was on lisinopril 40 mg q.d., isordil 20 mg t.i.d., verapamil 80 mg t.i.d. the patient's verapamil was increased to 120 mg t.i.d. the patient was also started on hydralazine as well as isordil, zestril 40 mg q.d. beta blockers avoided secondary to copd. the patient's blood pressure responded with the increased dose of verapamil and hydralazine. the patient's blood pressure was under control upon discharge. 5. cardiac ischemia. the patient ruled out for mi. the patient had three sets of negative cardiac enzymes. the patient has left bundle branch block at baseline. the patient was considered for cath, but she refused. the patient had an echo which was essentially normal with no evidence of any regional wall abnormalities that were new. the patient was discharged on aspirin and lipitor. 6. chronic renal insufficiency. the patient was admitted with a creatinine clearance of 30 ml per minute, question of renal artery stenosis which was not worked up. the patient's creatinine remained stable throughout her stay. 7. diabetes. the patient's blood sugars remained stable on insulin sliding scale and nph 5 in the morning and 2 in the evening. 8. gi. patient with a history of abdominal pain. the patient has had an extensive workup which was essentially normal including mrcp and mra to rule out mesenteric ischemia. 9. id. the patient was found to have a urinary tract infection on , and was started on a three day course of ciprofloxacin 200 mg q.d. disposition: the patient was transferred from the micu to the floor on , and subsequently discharged home on . condition on discharge: stable. discharge diagnoses: 1. copd exacerbation leading to respiratory arrest and intubation. 2. supraventricular tachycardia. discharge medications: same as on arrival with the addition of increase of verapamil to 120 mg t.i.d., increase of lasix from 20 to 40 mg q.d. hydralazine 10 mg q.i.d. was added. the patient was sent home on a prednisone taper starting at 40 mg p.o. q.d. followup: the patient will follow up with dr. upon discharge. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified obstructive chronic bronchitis with (acute) exacerbation aortocoronary bypass status personal history of tobacco use acute respiratory failure personal history of venous thrombosis and embolism 

Answer: The patient is high likely exposed to