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 60-year-old female with a past medical history significant for chronic obstructive pulmonary disease and asthma who is on two liters of home oxygen, not on chronic steroids, spontaneous right pneumothorax, status post suction with video-assisted thoracic surgery, and talc pleurodesis who now presents with a history of two to three days of increasing shortness of breath, chest tightness, and a cough productive of yellow sputum. the patient denied any chest pain, fever, or cough; but the patient did report upper respiratory tract symptoms beginning two days prior to admission. her baseline exercise tolerance is half to one block. she has a chronic with white sputum with oxygen saturations of 96% on room air with 90% on ambulation. in the emergency department, the patient's blood pressure was evaluated at 180/70. her heart rate was elevated at 130. respiratory rate was 20. her oxygen saturation was 94% on room air. initially, she was given albuterol nebulizers but became increasing dyspneic with a respiratory rate to 30. arterial blood gas was 7.03, pco2 was 105, po2 was 198, and the patient was intubated for airway protection. a chest x-ray revealed hyperinflated lungs, bilateral apical bola, no infiltrate. she was given levaquin 500 mg intravenously, solu-medrol 125 mg intravenously, with one and a half liters of ivf in the emergency department and transferred to the medical intensive care unit for further workup. past medical history: 1. chronic obstructive pulmonary disease with a fev1 of 32% of predicted; on two liters of oxygen at home. baseline pco2 of 50s to 60s. 2. asthma. 3. status post spontaneous pneumothorax in with resection and right pleurodesis via video-assisted thoracic surgery. 4. hypertension. 5. osteoarthritis. 6. bilateral total hip replacement. 7. herpes zoster virus in . 8. multiple chronic obstructive pulmonary disease admissions; no prior intubations. medications on admission: 1. flovent 110 mcg 3 puffs inhaled b.i.d. 2. atrovent 2 puffs inhaled q.i.d. 3. serevent 2 puffs inhaled b.i.d. 4. vitamin d 400 units p.o. q.d. 5. tums. 6. albuterol as needed. 7. levoxyl. 8. hydrochlorothiazide. allergies: no known drug allergies. physical examination on presentation: physical examination revealed temperature was 98.7, blood pressure was 101/66, and heart rate was 84. respiratory revealed pressure control ventilation was 26/10, respiratory rate was 12, 40% fio2, tidal volumes in the high 600s, oxygen saturation was 98% to 97%. most recent arterial blood gas on that setting was 7.17/61/67. in general, the patient was awake, responded to commands. in no acute distress. head, eyes, ears, nose, and throat examination revealed mucous membranes were moist. neck examination revealed no jugular venous distention. lungs revealed diffuse inspiratory and expiratory wheezes with decreased breath sounds at the bases. cardiovascular examination revealed distant first heart sound and second heart sound. no murmurs, rubs, or gallops. the abdomen was soft, nontender, and nondistended. decreased bowel sounds. no masses. extremity examination revealed no clubbing, cyanosis, or edema. no rashes. pertinent laboratory values on presentation: laboratories revealed complete blood count with a white blood cell count of 3.5, hematocrit was 30.9, and platelets were 130. inr was 1. chemistry-7 revealed sodium was 136, potassium was 4.4, chloride was 107, bicarbonate was 19, blood urea nitrogen was 23, creatinine was 1.1, and blood glucose was 207. calcium was 7.4, magnesium was 2.2, and phosphorous was 2.1. pertinent radiology/imaging: a chest x-ray revealed hyperinflated lungs with flattened diaphragm. bilateral pleural thickening versus pleural effusion, congestive heart failure, a sixth rib fracture. no pneumonia. no congestive heart failure. electrocardiogram revealed sinus tachycardia at 140, normal axis and normal intervals. t wave flattening in lead i and avl. 1-mm st depressions in leads v5 and v6. left atrial hypertrophy. hospital course: her hospital course was notable for the development of metabolic acidosis which the renal service attributed to ethanol-induced nontubular acidosis. she was given bicarbonate times one day and then self-corrected. she was given intravenous steroids and nebulizers, and she was extubated on but had to be reintubated 20 minutes later because of fatigue. she was felt to have ventilator associated pneumonia and was started on ceftazidime for a question of left lower lobe infiltrate on ; although, all chest x-rays had been negative. on , she was extubated and did well. she was weaned off systemic steroids. evaluation revealed evidence of granulation tissue; probably secondary to gastroesophageal reflux disease prompting continuation of protonix. a bedside evaluation revealed evidence of aspiration. she also received valium for ethanol withdrawal and tachycardia. she had no complaints, and review of systems was only positive for a sore throat and weakness. she called out to the floor on . she was restarted on intravenous steroids, calcium, and vitamin d. a video swallow was performed which revealed aspiration of both thin and nectar-thick liquid. she was seen again by otorhinolaryngology who did a flexible bronchoscopy which revealed slight edema of the vocal cords, normal mobility, less than 3-mm granuloma of the right vocal process, completely normal post intubation. it was felt to continue to watch, continue proton pump inhibitor, and repeat the video in one to two weeks. her systemic steroids continued to be weaned. she was continued on nebulizers and meter-dosed inhalers. cefpodoxime was continued for a 10-day course. a pureed diet was continued. discharge disposition: the patient was encouraged to quit smoking. the patient was discharged to home with services on . the patient was to follow up with ear/nose/throat in two weeks. medications on discharge: 1. folate 1 mg p.o. q.d. 2. thiamine 100 mg p.o. q.d. 3. atrovent meter-dosed inhaler 2 puffs inhaled q.i.d. 4. tums p.o. t.i.d. 5. prednisone 60-mg taper. 6. protonix 40 mg p.o. q.d. 7. iron 325 p.o. q.d. 8. vitamin d 400 units p.o. q.d. 9. salmeterol 2 puffs inhaled b.i.d. 10. fluticasone 100 mcg 8 puffs inhaled b.i.d. 11. cefpodoxime 200 mg p.o. b.i.d. (times three additional days). 12. albuterol meter-dosed inhaler. discharge diagnoses: 1. chronic obstructive pulmonary disease and asthma exacerbation; status post intubation. 2. aspiration pneumonia. 3. laryngeal muscle damage; status post intubation. 4. alcohol withdrawal. 5. tobacco dependence. discharge status: discharge status was to home with services. condition at discharge: , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube diagnoses: acidosis esophageal reflux unspecified essential hypertension acute kidney failure, unspecified obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure pneumonitis due to inhalation of food or vomitus alcohol withdrawal 

Answer: The patient is high likely exposed to