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: morphine attending: chief complaint: respiratory failure major surgical or invasive procedure: intubation cvl placement arterial line placement ngt placement dialysis catheter placement cvvh pressors history of present illness: 68 yo f with copd, discharge dx of ards, multilobar pna at rehab intubated en route to ed for worsening sob and respiratory distress. pt was recently admitted to with increasing sob, dx with pna treated with steroids and antibiotics, sent to rehab on . cta from osh neg for pe, dissection. showed multilobar pna, started on bactrim at osh. intubated by ems for progressive respiratory failure prior to transport. . per daughter, pt very active, independent prior to recent hospitalization 6 weeks ago, last intubated 4/. able to climb stairs, was driving. ed course: vs cxr-no pulm edema/consolidation; ekg w/inf-lat twi/std; labs; enzymes pending; ua; abx; abg, received vanco 1gm/zosyn 4.5gm, received 1gm calcium chloride x2, insulin 10u iv w/1amp d50, kayexalate 30ml pngt, albuterol neb via ett 20puffs; received 1.5l ns ivf for elevated lactate. ett pulled back to 21 at lip; rate, peep increased to abg past medical history: -severe copd, steroid use, intubated 2-3 days , not o2 dependent; followed by pulmonary at -av necrosis of hips from chronic steroids -severe osteoporosis s/p compression fractures -h/o diverticulitis c/b obstruction s/p colostomy -3 pes s/p ivc filter, on low dose anticoagulation, followed by hematology at inr goal 1.5-2.0 -l hemidiaphragm paralysis from cvl placement complication -h/o gib from anticoagulation -b/l knee surgery -s/p hip replacement -pud, esophageal and fundus ulcers-->gib -mesenteric ischemia -thrush -?chf from corpulmonale -?anterior mi -?svt on dig social history: -lives with husband, daughter lives down the street in . -extensive tob hx smoked ppd x52 years started smoking at age 14, quit 2 months ago. no etoh use, no other drug use. husband also smokes-however denies smoking inside house around wife. family history: nc physical exam: vs: 97.6 bp 131/57 hr 18 gen: intubated with light sedation heent: ett in place, perrl 3mm-->2mm resp: ctabl, no crackles, minimal exp wheezing at bases cv: reg nml s1, s2, no m/r/g abd: soft nd/nt +bs ext: no peripheral edema, cool extremeties with echymosis at heels, 1+dp pulses b/l neuro: sedated, able to follow simple commands rectal: normal tone, soft brown guaiac neg stools pertinent results: admission labs: 07:30pm blood wbc-7.0 rbc-3.53* hgb-11.0* hct-33.7* mcv-95 mch-31.3 mchc-32.8 rdw-16.4* plt ct-46* 07:30pm blood neuts-88.1* bands-0 lymphs-10.5* monos-0.7* eos-0.1 baso-0.5 07:30pm blood hypochr-normal anisocy-1+ poiklo-normal macrocy-1+ microcy-normal polychr-1+ ovalocy-1+ 07:30pm blood fibrino-664* 07:30pm blood glucose-201* urean-57* creat-1.7* na-142 k-8.3* cl-105 hco3-26 angap-19 07:30pm blood alt-70* ast-41* ld(ldh)-815* ck(cpk)-31 alkphos-72 totbili-0.3 07:30pm blood albumin-2.9* calcium-9.6 phos-4.4 mg-3.0* iron-31 cholest-189 07:30pm blood type-art temp-37.8 po2-237* pco2-76* ph-7.19* caltco2-30 base xs-0 . studies: ct head : no acute intracranial pathology. . tte : the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity is unusually small. left ventricular systolic function is hyperdynamic (ef>75%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. there is borderline pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. . impression: hyperdynamic left ventricular systolic function with impaired relaxation. normal right ventricular systolic function. mild valvular thickening without pathologic regurgitation/stenosis. borderline pulmonary hypertension. . brief hospital course: ap: 68 yo f with severe copd, chf, h/o pe presents w/hyperkalemia, thrombocytopenia and respiratory failure. . #. respiratory failure: the patient had a history of severe copd, steroid dependent, diagnosed with multilobar pneumonia recently, with worsening pulmonary function. she was intubated en route to for respiratory distress. the emergency room abg was consistent with hypercarbic respiratory failure. the patient also has a history of pes however, per the cta from the outside hospital from which she was transferred, she had no pe. she was started on broad-spectrum antibiotics including atypical coverage, as well as high dose steroids. nasopharyngeal swab was sent to rule out flu and was negative, however returned rsv positive. given her immunosupression with chronic steroid use, pcp was also concern. however, induced sputum was negative for this. her respiratory failure was felt to be secondary to copd, rsv and bilateral superimposed pneumonia. her respiratory status continued to worsen requiring increased levels of peep and fio2. an esophageal balloon was placed to help titrate vent settings. she was continued on broad antibiotics and supportive care for rsv. toward the end of her hospital course her chest x-ray was concerning for an ards picture with worsening bilateral infiltrates as well as volume overload which was not amenable to diuresis given kidney failure and hypotension. she also required significant sedation due to underlying anxiety and agitation which caused her to be asynchronous with the vent. given the patient's poor clinical status and poor prognosis, a family meeting was held with the patient's daughter/hcp . the patient was made cmo in acordance with what the family felt the patient's wished would be. . # sepsis: the patient developed hypotension in the setting of fever and keukopenia. blood cultures grew out and enterococcus. the source was unclear though line infection was suspected. the patient was treated with broad spectrum antibiotics, including anti-fungals. the patient required multiple pressors to maintain her blood pressure. as above, her condition declined and she was made cmo. . # arf: the patient had an elevated creatinine on admission that resolved and then worsened in the setting of sepsis. her sepsis was treated as above. . #. hyperkalemia: the patient had a potassium of 8.3 on admission, most likely medicatioin related as not a hemolyzed specimen. the patient's acute renal failure was insignificant compared to the level of hyperkalemia. of note, the patient's digoxin level was >3, which was felt to be the principle cause. the patient received insulin, calcium cloride in the ed. she was also given digibind to reverse the medicaiton's effect. her potassium corrected and continued to remain in normal range. her digoxin was held the entire hospitalization. . # anemia: at the end of her hospitalization, the patient required transufusions for a hematocrit frop from 38 to 26. this was concerning for a gi bleed. however, the patient was mad ecmo and no further intervention was made. . #. fen: the patient had tight glycemic control and was temporarily on tube feeds. . #. ppx: the patient was placed on a ppi and pneumoboots . #. code: full, changed to cmo as above. . #. communication: with the patient's daughter/hcp medications on admission: -lasix 40mg -solumedrol 60mg iv q6hr -advair 500/50mcg 1 puff -avelox 400mg start -bactrim ds 2 tabs q8hr start -calan, isoptin 40mg tid -digoxin 0.125mg daily -duoneb 3ml q6hr -folic acid 1mg -fosamax 70mg qfriday -glucagon 1mg im -glutose 15g oral -k dur 40meq -klonopin 0.5mg q6hr -lasix 40mg iv bid -lidoderm patch daily -mycostatin 5ml tid -neurontin 300mg tid -oscal 500, oyster 1250mg -oxycodone 10mg qid prn -prilosec 20mg before breakfast -singulair 10mg po daily -reg hiss -solumedrol 60mg iv q6hr ] -ventolin 2.5mg inh q2hr -vitamin b1 100mg daily -xanax 0.25mg q8hrs discharge medications: n/a discharge disposition: expired discharge diagnosis: multi-organ sytstem failure discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more transfusion of packed cells transfusion of platelets diagnoses: hyperpotassemia thrombocytopenia, unspecified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified severe sepsis chronic airway obstruction, not elsewhere classified acute respiratory failure osteoporosis, unspecified septic shock long-term (current) use of anticoagulants paralytic ileus personal history of venous thrombosis and embolism glucocorticoid deficiency streptococcal septicemia aseptic necrosis of head and neck of femur cardiotonic glycosides and drugs of similar action causing adverse effects in therapeutic use pneumonia due to respiratory syncytial virus 

Answer: The patient is high likely exposed to