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 a -year-old female with profound dementia, who lacks the ability to communicate verbally. she presented to the emergency department with shortness of breath. the patient had a recent admission at the for aspiration pneumonia. the patient was in her usual state of health until 2 pm on the day of admission when she developed the acute onset of shortness of breath. two hundred cc of sputum were suctioned at the nursing home prior to presentation. the patient was nonverbal so history was unattainable at the time. in the emergency room the patient was given iv lopressor for hypertension of 190/86, and levaquin plus ceftriaxone for questionable pneumonia. the patient was also given nitroglycerin, combivent and 500 cc of normal saline. past medical history: 1. dementia. 2. status post cerebrovascular accident in . 3. aspiration pneumonia. 4. seizure disorder secondary to cerebrovascular accident. 5. hypertension. 6. chronic hyponatremia. 7. anemia. 8. tuberculosis in . 9. gastritis. 10. left ventricular hypertrophy. 11. hemorrhoids. allergies: narcotics. medications: 1. subcutaneous heparin. 2. lopressor 100 b.i.d. 3. phenobarbital 60 b.i.d. 4. zantac 150 b.i.d. 5. valproic acid 500 q. 8. 6. flagyl 500 t.i.d. 7. lisinopril 10 once a day. 8. celebrex 100 twice a day. 9. multivitamins. physical examination: on admission temperature was 97.8, pulse 76, blood pressure 116/70, respiratory rate 16, saturating 94% on two liters. in general she was in no acute distress, nonverbal, elderly. oropharynx was clear with no lymphadenopathy. lungs had bilateral rales at the bases, left greater than right. heart was regular rate and rhythm. abdomen was soft, nontender with decreased bowel sounds, no hepatosplenomegaly. no rash. trace edema bilaterally. neurological examination showed cranial nerves ii-xii were symmetric but difficult examination. laboratory data: pertinent laboratory studies on admission were a white count of 7.0, hematocrit 31, platelet count 407, normal differential. arterial blood gases were 7.41/36/233. chest x-ray was read as no congestive heart failure, no pneumonia. ekg was normal sinus rhythm in the 70s; t wave inversion in changes; questionable lead 3 misplacement. urinalysis showed small blood, positive moderate leukocyte esterase, negative nitrite, 21-50 white cells, occasional bacteria, many yeast. hospital course: 1. shortness of breath: clinical course was thought to be most consistent with a mucous plug, but since the patient was such a high risk for aspiration, the patient was treated for aspiration pneumonia with levaquin and flagyl. aspiration precautions were put in place, elevating the head of the bed to 45 degrees at all times. tube feeds were held the evening of admission, advanced in the am. blood cultures were checked but were no growth at the time of this dictation. on the morning of hospital day two the patient had a trial off o2. saturations were stable but had increased work of breathing. the following day the patient remained off of o2. saturations were 98% on room air, no increased work of breathing. at the time of discharge the patient was stable off of oxygen on room air and was ready for discharge back to the nursing home to complete a total 10-day course of levaquin and flagyl for aspiration pneumonia. 2. hypertension: the patient was hypertensive at admission, 190/86, treated with a normal dose of lopressor and increased dose of lisinopril to 20 q. day with better control. 3. fluids, electrolytes and nutrition: the patient's tube feeds were held the evening of admission. the following day they were restarted at a slower rate and advanced as tolerated to a goal of 40 cc per hour with no residuals at the time of discharge. 4. urinary tract infection: the patient had a questionable urinary tract infection via urinalysis. culture had no growth at the time of discharge. the patient was on levaquin for aspiration pneumonia and will complete the 10-day course. 5. code status: discussion of code status with the son was held. the patient is full code. disposition: the patient was discharged in stable condition to nursing facility with instructions to complete a 10-day course of metronidazole and levaquin, and to have aspiration precautions used at all times, keeping the patient's head elevated to 45 degrees whenever possible, and especially when tube feeds are running. discharge diagnoses: aspiration pneumonia with mucous plugging. follow up: the patient will have follow up per physicians. discharge medications: all medications are to be given via peg tube: 1. lopressor 100 mg twice a day. 2. lisinopril 20 mg once a day. 3. ranitidine 10 ml twice a day. 4. metronidazole 500 mg t.i.d. for seven days. 5. valproic acid 10 mg q. 8 hours. 6. levofloxacin 250 ml once a day for seven days. 7. phenobarbital 60 mg twice a day. 8. isosorbide dinitrate 10 mg once a day. 9. celebrex 100 mg twice a day. 10. multivitamin one once a day. 11. subcutaneous heparin 5,000 units q. 8 hours. 12. tube feeds - jevity at 65 cc an hour x 20 hours. dr., 12-944 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: anemia, unspecified other convulsions acute respiratory failure hypotension, unspecified pneumonitis due to inhalation of food or vomitus 

Answer: The patient is high likely exposed to