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: this is a 61-year-old female with a history of severe chronic obstructive pulmonary disease on three liters of 02 at home for the last two or three years, who was admitted to the from to for severe chronic obstructive pulmonary disease exacerbation, who was intubated on for hypoxic and hypercarbic failure. she was extubated and then that night on was reintubated and sedated, hypotensive, had to have some dopamine and got a little bit tachycardic. levophed was placed on. it was difficult to wean from the ventilator secondary to anxiety. the patient was trached on the and then discharged to on the 11th. patient was off the ventilator at on and then decannulated off the trach on and antibiotics were stopped on the 9th, as well as her prednisone was also stopped on the 8th. it was down to 10 from her previous 60 in hospital. patient had an episode of shortness of on the day of admission at the rehabilitation center. prednisone was increased to 30 and they restarted levofloxacin. patient continued to have shortness of . they tried putting her on bipap of 14 and 5 with two liters and failed the trial of bipap at the rehabilitation center as the patient had worsening shortness of , it was decided to admit her to the . in the emergency , patient was given 60 iv of solu-medrol and one gram of vancomycin as well. past medical history: chronic obstructive pulmonary disease on three liters 02 at home, frequent hospitalizations, frequent steroid tapers, hypertension on diltiazem 60 q.i.d., anxiety disorder. tracheobronchitis, repeatedly positive for stenotrophomonas as well as methicillin resistant staphylococcus aureus, depression and was started on zoloft, and increased cholesterol on lipitor prior to her admission. allergies: sulfa, codeine, shellfish and questionable augmentin. medications on admission: heparin 5000 subcutaneous b.i.d., reglan 10 t.i.d., singulair, kcl, zantac 150 b.i.d., diltiazem 60 q.i.d., nystatin swish and swallow, zoloft 50 q.h.s., beconase, atrovent, flovent, prednisone 20, serevent, levofloxacin 500 b.i.d., as well as albuterol q. 2 prn. social history: the patient was born in , no alcohol use. has an 80 pack year history of smoking. two pack per day for about the last 40 years. family history: father died at 47 from alcohol and suicide. mother died at 61 from coronary artery disease. physical exam on admission: temperature of 99.1. blood pressure 184/85. heart rate in the 130s. respiratory rate 78. 02 saturation of 92% on three liters. generally, thin 61-year-old female on a nonrebreather mask in no acute distress. head, eyes, ears, nose and throat: normocephalic, atraumatic. pupils equal, round and reactive to light. extraocular muscles were intact. sclerae are anicteric with a bipap mask on. neck was supple with no lymphadenopathy. cardiovascular was tachycardic with no murmurs, rubs or gallops. chest was clear to auscultation bilaterally with no wheezing. abdomen was soft, nontender, nondistended, positive bowel sounds. extremities were warm with no cyanosis, no clubbing or edema. neurological was alert and oriented times three. cranial nerves ii through xii are intact. nonfocal exam. labs on admission: white blood cell count of 12.0, hematocrit of 41.9, platelets of 421,000. chem-7: sodium 136, potassium 4.4, chloride 94, bicarbonate 27, bun 14, creatinine 0.5, glucose of 147. patient had a last echocardiogram on with an ejection fraction of around 60% with moderate pulmonary hypertension. in the emergency department, on four liters nasal cannula her arterial blood gases was 7.14, 94, 89. once placed on the bipap of 14 and 5, arterial blood gases was 7.37, 48 and 50. electrocardiogram on admission was sinus tachycardia with a rate of 112, normal axis, left ventricular hypertrophy, old qs in v1 through v3. no significant t wave changes. chest x-ray showed no infiltrates but flattened diaphragm compatible with emphysema, small bilateral pleural effusions. patient was admitted to the medical intensive care unit overnight and was placed on her bipap as well as a steroid taper was started at 60 mg po q.d. patient remained pretty comfortable and that night was also given albuterol and atrovent nebulizers prn. flovent, serevent, mdis and singulair were obtained. patient was also started on levofloxacin as well as a dose of vancomycin in the emergency room which was thought to be may worsening of a pneumonia. patient was admitted to the medical intensive care unit overnight and remained on bipap. she did well on bipap and was able to be transferred over to a nasal cannula in the morning. patient was then called out to the floor and was transferred to the floor. of note, the night that patient was in the medical intensive care unit, patient had an episode of chest tightness, heaviness, as well as some jaw tightness, at which time an electrocardiogram was done which showed some t wave inversions and subsequent normalization with a troponin that was slightly elevated. patient had troponin peak of 2.4. cks remained flat. patient was started on aspirin and ace inhibitor as the beta-blocker was felt to be contraindicated given the patient's severe chronic obstructive pulmonary disease. medical course continued to be on the floor in terms of monitoring her respiratory status in which she required bipap in the evening time, as well as continued nebulizer q. 2-3 hours on the floor. patient's cardiovascular status, patient had a cardiology consult who thought that a catheterization would not be warranted at this time and basically was told to use aspirin as well as ace inhibitor for some after load reduction and to continue the diltiazem. infectious disease wise, the patient was continued on her levofloxacin throughout her course and for her depression, patient was continued on zoloft. on , it was warranted that the patient wasn't getting any better on the floor with on and off use of the bipap but no improvement in her overall state as patient continued to need the bipap on and off, as well as desaturating and having episodes in which she became more tachycardic, as well as hypertensive with desaturations down into the low 80s. patient was transferred to the medical intensive care unit for further pulmonary management as well as for questionable tracheostomy if patient failed to do well on the bipap machine. on day of admission to the medical intensive care unit, patient's white count increased to 23.4 and hematocrit of 31.2. with the elevated white count a new chest x-ray that showed a right lower lobe consolidation with some small pleural effusions. it was decided that we would change the antibiotics to broaden the coverage, so we began vancomycin as well as ceftazidime to cover the patient's methicillin resistant staphylococcus aureus, as well as the stenotrophomonas that she has had in the past. patient was continued on her diltiazem, aspirin, as well as captopril for her non q wave myocardial infarction and patient was monitored on the bipap as well as nasal cannula throughout the day. at different times of the day, the patient required her bipap and at different times of the day, the patient was on nasal cannula. mostly using the bipap in the evening times and at night time. patient had her pulmonary function tests faxed over to us from her outside hospital which showed severely decreased lung fields and increased tlc and frc and rv diffusion. dlco was mildly to moderately severely decreased. patient's fev1 was .82. patient continued on the bipap as needed and will follow-up this dictation with an addendum for further events that happen in the medical intensive care unit. , m.d. dictated by: medquist36 procedure: temporary tracheostomy bronchoscopy through artificial stoma bronchoscopy through artificial stoma other gastrostomy replacement of tracheostomy tube diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care pure hypercholesterolemia unspecified essential hypertension infection with microorganisms resistant to penicillins obstructive chronic bronchitis with (acute) exacerbation anxiety state, unspecified acute respiratory failure other specified cardiac dysrhythmias 

Answer: The patient is high likely exposed to