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: demerol attending: chief complaint: hemoptysis and hypotension major surgical or invasive procedure: arterial line placement r internal jugular venous catheter history of present illness: the patient is an 81 y.o. female with a h/o transfusion dependent cll who is transferred from neeham where she presented with hypotension sbp = 60s in ems (sbp = 50s earlier by home vna) lightheadedness, and dizziness. she was found to be anemic with hct = 21 - she was scheduled for a blood transfusion tomorrow. she also c/o n/v/ denied melena or brbpr. her vitals on presentation to were 97, 78, 74/22, 16 and 98% on 2l nc. at placement of a subclavian was attempted without success with ensuing hemoptysis. (the amount of hemoptysis was not quantified- but was reported to be significant.) given 2u prbcs and 1l ns. her ecg demonstrated nsr @ 73, q in f,st depression in lateral leads with tropi =21, ck = 424, and ck mib = 13.6. the patient was then intubated for airway protection, a r femoral cordis was placed and she was started on dopamine. she was then transferred to for further management. upon presentation to the ed t = 100, 76, 95/38 but per resident sbp = 70s off dopamine, rr = 21, sao2 = 100% intubated on 100% fio2 with vent setting ac: vt = 500, rr = 20, peep = 5. she was given a dose of zosyn and vancomycin, fentanyl and versed. her x ray demonstrated bibasilar infiltrates vs consolidation. given 1l ns. and continued on dopa gtt. past medical history: - small lymphocytic lymphoma/chronic lymphocytic leukemia dx by bm bx in @ - h/o myocardial infarction-- h/o cardiac caths in late 90s but records could not be accessed. refused cath during this admission 04/. heart failure- ef = 25-30% on with severe hypokinesis of the apical and antro-septal walls., mod- severe tr, nml rv function, mod av stenosis, moderate pulmonary artery htn. - iron deficiency anemia. - chronic left leg pain secondary to a motor vehicle accident. - chronic obstructive pulmonary disease/severe chronic bronchitis - in fev1, and fev1/fvc reduced on pfts at - osteoporosis. - gerd- egd in wnl d/c summary - colonoscopy in per needhan d/c summary - ?cva- per d/c summary on - baseline bp = 130/80 psh: s/p bipolar endofemoral hemiarthroplasty of the left hip, open reduction, internal fixation left distal femur, osteotomy left distal tibia social history: 60 pk yr smoking h/o and quit in per day and denied alcohol use. she lives with her sister and ambulates with a quad cane in the home. this was a single floor dwelling with three stairs. family history: nc physical exam: vitals = t = 100, 76, 95/38 gen: intubated, small laceration present on l upper lip. alert and interative heent: dry mucous membranes, jvp not appreciated. cv: nml s1, s2, ?sem at r base lungs: coarse breath sounds throughout. abd: nabs, soft nontender extremities: 3+ non-pitting edema with pain upon compression of legs. hammertoes present bilaterally w/o wounds. pertinent results: data: ecgs at : sr 73, lad, q in iii, twi in f and st depressions in leads v3, v4 and ?v5 but no old to compare. ecg@ : rate=103, qs in iii and f, st depressions in v3, v4 v5 and v6. cxray rul consolidation with bilateral lower lobe consolidation- much worse than cxr @ . rul consolidation not present on first film at . * chest ct: rul and bilateral ll consolidation. small r pleural effusion. no interstitial edema. no blood/air in mediaststinum. c/w pna/pulmonary hemorrhage. 07:05pm creat-1.3* potassium-4.2 07:05pm ck(cpk)-178* 07:05pm ck-mb-31* mb indx-17.4* ctropnt-1.66* 07:05pm hct-26.2* 12:27pm urine color-straw appear-clear sp -1.006 12:27pm urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:27pm urine rbc-0-2 wbc-0-2 bacteria-few yeast-none epi-0-2 11:09am ck(cpk)-279* 11:09am ck-mb-58* mb indx-20.8* ctropnt-1.54* 11:09am albumin-3.2* 11:09am wbc-12.3* rbc-3.14* hgb-10.3* hct-31.2* mcv-99* mch-32.9* mchc-33.1 rdw-18.2* 11:09am plt count-75* 07:57am cortisol-22.8* 06:45am cortisol-20.6* 05:46am glucose-175* urea n-45* creat-1.7* sodium-134 potassium-4.6 chloride-101 total co2-20* anion gap-18 05:46am alt(sgpt)-22 ast(sgot)-73* ld(ldh)-290* ck(cpk)-380* alk phos-107 tot bili-1.4 05:46am ck-mb-77* mb indx-20.3* ctropnt-1.44* 05:46am albumin-3.6 calcium-7.7* phosphate-4.2 magnesium-2.0 05:46am wbc-10.6 rbc-3.39* hgb-11.0* hct-33.9* mcv-100* mch-32.4* mchc-32.5 rdw-18.3* 05:46am neuts-49.6* lymphs-45.4* monos-4.6 eos-0.2 basos-0.2 05:46am plt count-78* 05:46am pt-12.8 ptt-26.5 inr(pt)-1.1 05:20am d-dimer-682* 04:12am glucose-252* lactate-1.3 na+-127* k+-4.5 cl--99* 04:12am hgb-11.1* calchct-33 04:12am glucose-252* lactate-1.3 na+-127* k+-4.5 cl--99* 04:12am hgb-11.1* calchct-33 02:31am hgb-12.0 calchct-36 02:31am lactate-1.6 k+-5.3 02:31am hgb-12.0 calchct-36 02:15am ck(cpk)-419* amylase-32 02:15am urea n-46* creat-1.8* 02:15am ck(cpk)-419* amylase-32 02:15am ck-mb-84* mb indx-20.0* ctropnt-1.20* 02:15am wbc-11.5* rbc-3.59* hgb-11.9* hct-35.7* mcv-99* mch-33.0* mchc-33.3 rdw-18.1* 02:15am plt smr-low plt count-94* 02:15am pt-12.5 ptt-27.3 inr(pt)-1.0 02:15am fibrinoge-517* 02:15am urine color-straw appear-clear sp -1.011 02:15am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg brief hospital course: 81 y.o. female p/w hypotension initially requiring pressor who course was complicated by the development of hemoptysis after a failed atempt at placing a subclavian line osh. <br> shock: ddx includes cardiogenic, distributive/sepsis and hyovolemia, adrenal insufficiency cardiogenic the patient's elevated cardiac enzymes and ecg changes were concerning for cardiac ischemia. she was started on aspirin, heparin and a statin. cardiac tamponade was ruled out by a negative us. her hemodynamic instability precluded ct scanning to evaluate for pe. cardiology was consulted and the patient was placed on a heparin drip to treat both a possible pulmonary embolism and acs. * sepsis: the pulmonary consolidations were concerning for possible pna and thus she was started on vancomycin and zosyn. * hypovolemia we wondered whether her hypotenstion was secondary to bleeding or decreased po intake secondary to nausea and vomiting. the source of bleeding was unclear at this point since her ng lavage was clear, fas scanning was negative for blood or pericardial effusion. the patient was hypotensive prior to the development of bilateral infiltrates on chest xray thus dah unlikely to be cause. * respiratory distress: she was intubated solely for airway protection but a-a gradient = 308 on 100% fio2. we thought that her respiratory distress was multifactorial in etiology probably secondary to severe copd/bronchitis with restrictive and obstructive defect noted on recent pfts along with new diffuse consolidations/infiltrates * acute renal insufficiency: this was thought to be pre-renal in etiology given her current hypotension. the patient passed away prior to further evaluation. * gerd: ppi * osteoporosis - calcium and vit d * disposition: given the patient's grave prognosis, a family meeting was held and the patient's family decided that she would not have wanted to be ventilator dependent and thus she was made cmo and terminally extubated and pressors were held. she passed away peacefully on . medications on admission: asa 81 isorbide 30 mg metoprolol 25 qd percocet t plavix lisinopril 5 zoloft 50 mg trazadone 50 mg correctol mag citrate. discharge disposition: expired discharge diagnosis: expired discharge condition: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours pulmonary artery wedge monitoring transfusion of packed cells infusion of vasopressor agent diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care esophageal reflux congestive heart failure, unspecified acute posthemorrhagic anemia unspecified septicemia chronic airway obstruction, not elsewhere classified aortic valve disorders other chronic pulmonary heart diseases acute and chronic respiratory failure cardiogenic shock osteoporosis, unspecified old myocardial infarction diseases of tricuspid valve chronic lymphoid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to