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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: none history of present illness: yo female with dementia, hypertension who presents from her nh today with low grade temps, dyspnea, hypoxia and concern for pneumonia. patient was referred to ed earlier today from her nursing home because the patient had a cough and low grade temps. the patient has severe dementia and is not able to provide a further history. in the ed, initial vs: 97.0, 71, 197/97, 22, 97% nrb. her vitals prior to transfer were 94, 151/85, 33, 94%cpap. she had a cxr in the er that was not very remarkable. she then subsequently had a cta which did not show e/o pe, but did show likely lll pneumonia. she was given vancomycin, levofloxacin, ceftriaxone, and metronidazole in the ed. her o2 sats on nrb drifted down to high 80s/low 90s and she was therefore placed on cpap with fio2 100%. currently, she would like to go home. she was taken off of cpap on arrival, and she is satting 100% on 3l. she cannot provide any further history. she states that she's had a cough for 5 days, but her history is limited. past medical history: alzheimer's disease htn hypercholesterolemia arthritis gait disorder h/o falls cataracts urinary incontinence social history: lives at . no etoh/tobacco/drug family history: non contributory physical exam: physical exam on transfer to floor: vital signs: t=95.9 bp=129/84 hr=73 sats=98% ra gen: elderly female lying in bed. nad heent: ncat, eomi, perrl, dry mucosa neck: no lad, no jvd, no bruit cv: rrr, 2/6 sem, no gallops, no rubs resp: mildly diffusely rhonchous abd: + bs, soft, non-distended, non-tender, no masses, no guarding or rebound ext: no edema, no cyanosis, no clubbing skin : no rash, no ulceration, no erythema in decubiti neuro: alert to person only. able to follow simple commands, squeezes hand on command pertinent results: labs on admission: . 09:10pm blood wbc-12.2* rbc-4.82 hgb-15.1 hct-44.5 mcv-92 mch-31.2 mchc-33.9 rdw-13.3 plt ct-258 09:10pm blood neuts-91.2* bands-0 lymphs-5.8* monos-2.1 eos-0.6 baso-0.3 03:39am blood pt-12.3 ptt-22.1 inr(pt)-1.0 09:10pm blood glucose-165* urean-23* creat-0.9 na-140 k-3.7 cl-101 hco3-25 angap-18 03:39am blood alt-11 ast-28 ld(ldh)-264* alkphos-68 totbili-0.5 09:10pm blood ck-mb-6 ctropnt-0.01 probnp-869* 03:39am blood albumin-3.7 calcium-9.0 phos-2.8 11:50pm blood type-art rates-/36 fio2-50 po2-68* pco2-41 ph-7.36 caltco2-24 base xs--1 intubat-not intuba vent-spontaneou . cxr (): faint left lower lobe opacity, better depicted on subsequent ct chest. . cta (): 1. no pulmonary embolism. no aortic dissection. 2. ill-defined left lower lobe opacity in tree-in- pattern, concerning for aspiration or infection. 3. low density material in left lower lobe basal segmental bronchi, consistent with aspiration. fluid in the cervical esophagus placing the patient at risk for further aspiration. brief hospital course: yo female with hypertension and dementia who presented from nursing home with low grade temps, cough, and hypoxia. cough/hypoxia: on admission, the patient was hypoxic on nrb and transiently required cpap, requiring admission to the micu. cxr showed no focal infiltrate, but cta revealed ill-defined left lower lobe opacity in tree-in- pattern, concerning for aspiration or infection and low density material in left lower lobe basal segmental bronchi, consistent with aspiration. there was no evidence of pe. given radiographic finsings, the patient's presentation was most consistent with aspiration pneumonia vs. aspiration pneumonitis, the latter was supported by the rapid improvement in clinical picture. the patient was started on empiric antibiotic treatment with vancomycin, levaquin and ceftriaxone. the patient was successfully weaned off cpap on the night of admission, and by the following day was satting >95% on room air. cough and low grade fever resolved within the next day. antibiotic coverage was narrowed to vancomycin and levoquin and the patient was called out to medicine floor. vancomycin was discontinued given low suspicion for gram positive organisms. levaquin was continued to complete a 7 day course. the patient remained afebrile and free of symptoms. blood cultures did not yield any organisms to date. the patient was evaluated by speech and swallow and recommendation was made for thickened nectar liquids and ground solids. hypertension: we continued outpatient metoprolol and losartan. the patient remained normotensive or mildly hypertensive throughout. alzheimer's dementia: patient has baseline dementia, aao1 at baseline per recent d/c summary and lives in nursing home. there was no evidence of delirium during this admission. we continued home namenda/aricept. anemia: the patient was noted to have gradually decreasing hct count to 32.8. there was no evidence of active bleed, and hct returned to 36.2 prior to discharge, which is close to patient's baseline. electrolytes were repleted as needed and maintenance iv fluids were given for decreased po intake as needed during this admission. medications on admission: aricept 10 mg daily mvi daily metoprolol 25 mg detrol la 2 mg qhs losartan 100 mg daily namenda 10 mg qam tums 1 tablet tid vitamin d 400 units discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 4. memantine 5 mg tablet sig: two (2) tablet po bid (2 times a day). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 8. losartan 100 mg tablet sig: one (1) tablet po once a day. 9. tolterodine 2 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po at bedtime. 10. levofloxacin 750 mg tablet sig: one (1) tablet po once a day for 2 days: last day = . discharge disposition: extended care facility: of discharge diagnosis: primary: aspiration pneumonia secondary: hypertension, alzheimer's disease, hypercholesteronemia, osteoarthritis, urinary incontinence discharge condition: mental status:confused - always level of consciousness:alert and interactive activity status:out of bed with assistance to chair or wheelchair discharge instructions: you were admitted to the hospital because you developed shortness of breath, cough and small fevers. because you required a large amount of oxygen to breathe, you were admitted to the intensive care unit. you were started on broad spectrum antibitics to cover for pneumonia. your oxygenation and breathing quickly returned to your baseline levels. ct scan of your lungs revealed that you likely aspirated some gastric contents into your lungs, causing irritation and possible pneumonia. we continued you on one antibiotic for possible pneumonia. you are now being discharged to . 1. you should continue to take levaquin 750mg po starting tomorrow in the morning for 2 additional days (last day ) please continue to take all your other medications as prescribed. you need to follow-up with your primary care doctor (see below). followup instructions: you will need to follow up with your primary care doctor as follows: provider: , md phone: date/time: 12:00 md, procedure: non-invasive mechanical ventilation diagnoses: anemia, unspecified pure hypercholesterolemia unspecified essential hypertension pneumonitis due to inhalation of food or vomitus hypoxemia alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance dehydration urinary incontinence, unspecified 

Answer: The patient is high likely exposed to