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: aspirin / cefazolin attending: chief complaint: hypoxia major surgical or invasive procedure: intubation history of present illness: 80 yo f with severe alzheimer's dementia (non-verbal at baseline, bedridden x 10 yrs) and h/o multiple decubitus ulcers was noted to have shaking activity, moaning and in obvious respiratory distress with ronchorous breath sounds this morning. her sats were 60% ra--> 70-80% 5l. she was given morphine 5 mg, albuterol neb, and emts were called. per documentation had "tonic-clonic activity", but in speaking with rn on floor and emts who spoke w/ rn directly, may have had hypoxic myoclonus. she was thought to have aspirated. pt's code status was discussed with daughter, who reversed the dnr status. . in ed, initial vitals t 99.6, hr 150, bp 104/50, rr 24, 100% on nrb. she was intubated for labored breathing and appearing as though she was tiring. she had a leukocytosis to 20 with left shift. she was given vanco, levo, flagyl empirically for presumed aspiration pneumonia, and possible cellulitis given multiple pressure ulcers on the skin. . of note, pt was d/c from for likely aspiration pna treated with vanc/levo/flagyl, and a 6 week course of vancomycin for a presumed osteomyelitis of the l lat malleolus which ended . her wbc were monitored as an outpt, and because of a rise to 18 on and increased "gurgling" in the lungs, she was started on levo/flagyl on for a presumed chronic repeated aspiration pneumonia, due to end on . past medical history: severe alzheimer's dementia x 10 years aspiration htn gerd decubitus ulcers h/o gi bleeding secondary to aspirin chronic l lateral malleolus ulcer af social history: lives at nursing home, non-verbal and non-ambulatory at baseline. has 2 pcas who help care for her. h/o tobacco (quit 25 yrs ago, only few cigarettes/day before that), no etoh. family history: n/c physical exam: physical exam on admission vitals: t 98.7, bp 140/88, hr 134, rr 22, o2 sat 100% on ac 550/14/5/1. gen: elderly female lying in bed, tachypneic, unresponsive to voice or touch heent: anicteric, op dry mucous membrane. cv: tachy, difficult to hear s1 s2, no m/r/g lung: diffuse rhonchi bilat. abd: soft, nt/nd, +bs ext: has multiple skin breakdown both in left elbow (covered), left lateral malleolus 2 cm, and sacrum with 7x7 cm ulceration which extends to bone pertinent results: laboratory studies on admission wbc-20.4 rbc-4.34 hct-31.7 mcv-73 rdw-16.7 plt count-778 neuts-78 bands-1 lymphs-14 monos-4 eos-1 basos-0 atyps-0 metas-1* myelos-1* pt-12.6 ptt-26.6 inr(pt)-1.1 tot prot-7.0 calcium-8.6 phosphate-4.7* magnesium-2.2 ck-mb-notdone probnp-474 ctropnt-0.03* glucose-142 urea n-29 creat-0.8 sodium-133 potassium-5.0 chloride-99 total co2-17 alt(sgpt)-29 ast(sgot)-29 ck(cpk)-51 alk phos-149* amylase-69 tot bili-0.3 lactate-4.7 type-art temp-36.7 po2-102 pco2-34* ph-7.35 total co2-20* base xs--5 intubated radiology cxr: intubated patient, right lower lobe posterior segment small-sized infiltrate, most likely representing an aspiration pneumonia. ekg : probable sinus tachycardia, left axis deviation, rbbb with left anterior fascicular block. inferior infarct. since previous tracing, rate faster. rue leni: no evidence of dvt brief hospital course: 80 yo f with end stage alzheimers dementia presents with episode of sudden hypoxia and likely aspiration leading to aspiration pna. the patient was initially admitted intubated to the icu, where she was treated with aspiration pneumonia with cefepime, vancomycin, and flagyl to cover for noscomial organisms, including pseudomonas. icu course also notable for lactic acidosis and intermittent hypotension, responsive to iv fluids given continued worsening respiratory status, a family meeting was held and the decision was made to withdraw care and make the patient dnr/dni with comfort care only. she was extubated, her tube feeds held, and started on a morphine drip, scopolamine patch, and ativan prn. she was transferred to the floor, where she passed away early a.m. medications on admission: levoflox 500 qd, flagyl 500 q8h, colace, prevacid, mvi discharge disposition: expired discharge diagnosis: aspiration pneumonia discharge condition: deceased md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: acidosis esophageal reflux unspecified essential hypertension hyposmolality and/or hyponatremia atrial fibrillation acute respiratory failure pneumonitis due to inhalation of food or vomitus pressure ulcer, lower back alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance pressure ulcer, elbow pressure ulcer, ankle 

Answer: The patient is high likely exposed to