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: patient recorded as having no known allergies to drugs attending: chief complaint: shortness of breath major surgical or invasive procedure: right ij sepsis triple lumen placed history of present illness: 76 year old woman with h/o myasthenia , atrial fibrillation was well until one week prior to admission when she developed runny nose, fatigue, and malaise. she then noted a cough with green sputum. she originally was afebrile, but a few days prior to admission, developed chills and subjective fevers. she was so weak, she was confined to her bed. at that point, her family took her to the ed. in the ed, 102.7, 75, 133/66, 18, 95% ra. cxr with rml pna. lactate 4.4. code sepsis was called and right ij line placed. she was given levofloxacin, ceftriaxone, flagyl, hydrocortisone (stress dose), and tylenol. she was then admitted to the micu. she was given levophed per protocol, but this was quickly weaned off. past medical history: myasthenia on chronic prednisone atrial fibrillation hyperlipidemia social history: lives with her husband, she has a 25 pack year smoking history, but quit 25 years ago. no alcohol or drug use. family history: brother with dm physical exam: on admission: v/s: 102.7, 133/66, 75, 18, 95% ra gen: in nad heent: perrl, conjunctiva normal, nasal mucosa wnl, oropharynx dry. neck supple without jvd cor: irreg, irreg, ii/vi systolic murmer\ lungs: coarse breath sounds right base abd; soft, mild ruq tenderness, nd, +bs ext: no le edema pertinent results: 04:00pm wbc-15.2* rbc-4.90 hgb-15.4 hct-44.6 mcv-91 mch-31.5 mchc-34.6 rdw-13.4 04:00pm plt smr-normal plt count-276 04:00pm neuts-86.2* bands-0 lymphs-10.2* monos-3.1 eos-0.2 basos-0.2 04:00pm cortisol-35.0* 04:08pm lactate-4.4* : urine sodium 85 brief hospital course: 1) pneumonia complicated by sepsis: patient was seen in the ed and a "code sepsis" was called based on fever, tachycardia, and a lactate of 4.4. she had a chest x ray demonstrating a right middle lobe pneumonia. she had transient hypotension and was on levophed. she was admitted to the micu and placed on ceftriaxone and azithromycin. she had received a dose of levofloxacin in the ed, but this was stopped due to potential reaction with myasthenia. her levophed was quickly weaned off and she was quickly hemodynamically stable. she remained on o2, but this was also stopped after a couple of days. her nifs and vital capacities were monitored to ensure no myasthenic crisis. these remained stable. she was called out to the floor and did well. her d/c nif was -22 and vital capacity was -1100. she was discharged home and will complete a course of cefpodoxime and azithromycin. she will follow her respiratory status as azithromycin can also provoke a myasthenic crisis. she was also given a dose of pneumovax prior to her discharge. no organism was identified as the etiology of her pneumonia. 2) myasthenia : patient was maintained on prednisone and mestinon at her home doses. dr. and neurology followed her initially. she did well and had no complications from her myasthenia. she will be followed as an outpatient. she was started on bactrim for pneumocystis prophylaxis given her chronic steroid use. 3) mineralocorticoid deficiency: ms. had persistently low blood pressures upon leaving the intensive care unit. sbp in the 80s when sitting, improved to low 100s when lying in bed. these were minimally responsive to fluid boluses. she also did not appear volume depleted. given her chronic prednisone use(relatively glucocorticoid specific), a urine sodium was checked. this was >80. it was thought that she had a mineralocorticoid deficiency and was started on florinef. her blood pressure appeared to rise following it use. she will be discharged on this medication. 4) atrial fibrillation: the patient remained in atrial fibrillation as an inpatient. she had several runs of rapid ventricular response to 140s-150s. initially her b blocker was held due to low blood pressure. a smaller amount was restarted in order to control her heart rate. this was effective and she was discharged home on a lower dose of b blocker as well as coumadin. inr at time of d/c was 2. medications on admission: atenolol 50 mg po daily coumadin prednisone 35 mg po daily metinon 30 mg po daily protonix 40 mg po daily fosamax 70 mg po qsunday discharge medications: 1. cefpodoxime proxetil 200 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*0* 2. prednisone 10 mg tablet sig: 3.5 tablets po daily (daily). disp:*105 tablet(s)* refills:*0* 3. fludrocortisone acetate 0.1 mg tablet sig: one (1) tablet po 3x/week (,tu,th). disp:*90 tablet(s)* refills:*0* 4. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po every other day (every other day). 5. pyridostigmine bromide 60 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). 6. alendronate sodium 70 mg tablet sig: one (1) tablet po qsun (every sunday). 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. calcium carbonate 1,250 mg tablet sig: one (1) tablet po tid (3 times a day). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 10. warfarin sodium 1 mg tablet sig: one (1) tablet po daily (daily): as directed by pcp. have your inr checked regularly. 11. outpatient lab work please check inr. discharge disposition: home discharge diagnosis: 1. pneumonia complicated by sepsis 2. myasthenia on chronic steroids 3. atrial fibrillation 4. mineralocorticoid deficiency discharge condition: good, oxygenating well on room air and ambulating without assistance. nif -22 discharge instructions: you are discharged to home and should continue all medications as prescribed. please contact your physician or present to the er if you experience fevers, chills, night sweats, cough, shortness of breath, chest pain or other concerns. please make a follow-up appointment with your primary care physician. followup instructions: please make a follow-up appointment with your primary care physician . () within one week after discharge. it is important that you have your inr (coumadin level) checked regularly. these results should be available to dr. who will adjust your coumadin dose accordingly. procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified acidosis anemia, unspecified pure hypercholesterolemia unspecified essential hypertension long-term (current) use of steroids unspecified septicemia atrial fibrillation sepsis long-term (current) use of anticoagulants myasthenia gravis without (acute) exacerbation other specified disorders of mineral metabolism 

Answer: The patient is high likely exposed to