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 52-year-old with a history of asthma, hypothyroidism, and lobular carcinoma in situ who was referred to dr. for reconstruction after a planned bilateral mastectomy. past medical history: significant for asthma, hypothyroidism, gastroesophageal reflux disease, fibromyalgia, and scoliosis. past surgical history: includes breast biopsy x 2 in and , partial thyroidectomy in , bilateral tubal ligation and sinus surgery in . home medications: include levoxyl 112 mcg per day, prevacid, albuterol as needed, and nasonex as needed. allergies: include penicillin, duricef and keflex. physical examination: her preadmission physical examination revealed a chest which was clear to auscultation bilaterally. breast examination revealed status post biopsy with no masses, discharge or retraction. cardiac examination: regular rate and rhythm. abdomen: no pain, mass or hernia. laboratory data: white blood cell count 6.0, hemoglobin 11.8, hematocrit 34.0, platelet count 293. pt 12.5, inr 1.1, ptt 28.4. sodium 141, potassium 3.7, chloride 100, bicarbonate 27, bun 17, creatinine 0.6, glucose 79. she had an alt of 28, an ast of 27, alkaline phosphatase 60, total bilirubin 0.8, total protein 7.1, albumin 4.1. hospital course: procedure: bilateral mastectomy by dr. of general surgery and reconstruction on the right-hand side with a free tram flap, and on the left with a pedical tram flap by dr. of plastic surgery. intraoperative ins and outs: total in was 11,600. she received two units of autologous red blood cells. her output included an estimated blood loss of 800 ml, and urine output of 800 ml, for a total output of 1600 ml. her postoperative hematocrit was 26.2. postoperative antibiotics: vancomycin. deep venous thrombosis prophylaxis included scg boots and subcutaneous heparin. pain control was managed with morphine as needed. of note, the patient experienced some airway edema and was sent to the trauma surgical intensive care unit, intubated and on a ventilator postoperatively to manage her airway. on postoperative day one, her examination revealed an alert and oriented, extubated patient, without complaints. overnight she had a fever to 102.4 maximum temperature. vital signs were otherwise stable. urine output was adequate. - drains were putting out between 60 and 170 cc. her right breast incision was clean, dry and intact. there was no evidence of erythema. minimal serosanguinous drainage. sensation was intact. this breast was the free flap, which had capillary refill of less than three seconds, a dopplerable pulse, continuous venous doppler signal. drains were patent, with serosanguinous fluid in the left breast, which is the pedicle flap. the incision was clean, dry and intact. there was no erythema, minimal serosanguinous drainage. sensation was intact. the flap was warm and well perfused. capillary refill less than three seconds. drains were patent, draining serosanguinous fluid. abdominal incision was clean, dry and intact, without evidence of erythema. the morning's laboratories included a white count of 6.7, hematocrit 24.7, platelets 179. sodium 137, potassium 3.9, chloride 107, bicarbonate 25, bun 13, creatinine 0.5, glucose 118. on postoperative day two, the patient was transferred to the vascular intensive care unit. she was without complaints, although it was noted that her right cook monitor was malfunctioning. both flaps were viable at that time. vital signs were stable. she continued to be febrile to 102, and defervesced to 99.7. postoperative day three revealed a stable patient who remained slightly febrile but started to defervesce from 101.7 maximum to 100, and otherwise had no complaints. it was noted later in the day that she had fine crackles on her physical examination. she began to fell unwell, complained of malaise, and had a rattling cough. at that time, a full fever workup, including chest x-ray, blood cultures, sputum cultures and urine cultures were ordered. in addition, in association with this cough, she lowered her oxygen saturation on room air to 88 to 90. the chest x-ray was suggestive for pneumonia with left basilar and right basilar infiltrates. it was also noted that the patient was approximately 11 liters positive fluid balance since admission, though she continued to diurese well. five mg of lasix was administered intravenously, with good effect. the following morning, on postoperative day four, the patient stated that she was feeling much better, with decreasing shortness of breath. she was saturating 94% on 2 liters nasal cannula. her bilateral breast flaps continued to do very well, without any signs of infection. the - drains were patent and continued to drain minimal serosanguinous fluid. levofloxacin was begun on postoperative day four to treat presumptive pneumonia. postoperative day five revealed a patient without complaints, who was afebrile, with a maximum temperature of 99.2, and oxygen saturation of 95% on room air. the - drains continued to decrease their output to between 50 and 95 cc/day. physical examination continued to be good, without evidence of infection and with viable flaps. her lung examination showed decreasing crackles in the left and right, improving from prior days. postoperative day six revealed the patient without complaints, was afebrile for 24 hours, saturating 92% on room air, with a continuing improvement in her respiratory examination, and no evidence of infection in any of her surgical sites. she was stable. a repeat chest x-ray was obtained, which revealed improvement over the prior x-ray, and evidence of pneumonia with some persistent bilateral pleural effusions. the patient was discharged on . her discharge examination revealed a stable patient with flaps warm and in good condition. her drains x 4 were discontinued, and she was scheduled to follow up next week in plastic surgery clinic. condition at discharge: patient discharged to home. discharge status: patient stable. discharge medications: 1. percocet 325 mg/5 mg one to two tablets by mouth every four to six hours as needed for pain 2. levofloxacin 500 mg by mouth once daily for seven days follow-up plan: the patient is to follow up with dr. in the plastic surgery outpatient clinic next week. the patient is to call to schedule an appointment. her discharge instructions include maintaining the incisions clean and dry at all times. the patient may shower, but should pat the wounds dry afterwards. no bathing or swimming for four to six weeks. she is not to drive while on pain medications. , m.d. dictated by: medquist36 procedure: non-invasive mechanical ventilation bilateral simple mastectomy diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism asthma, unspecified type, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation scoliosis [and kyphoscoliosis], idiopathic prophylactic breast removal carcinoma in situ of breast 

Answer: The patient is high likely exposed to