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: hypoxia and hypotension. major surgical or invasive procedure: none. history of present illness: ms. is a 50 year old female with paraplegia secondary to traumatic injury with recurrent infections, noted by her husband to be lethargic and hypoxic to 70s on ra at home. in the ed, her vitals were t 98.6, hr 109, bp 113/79, rr 26, 79% on 2lnc. she was given vancomycin and zosyn. she was given a combivent neb as well. she was given lovenox for empiric treatment of pe. a cta was unable to be obtained due to lack of peripheral iv. in the ed, her bp fell to to 79/39. she was given 1lns. upon arrival to the micu, patient denies shortness of breath. she reports cough productive of green sputum. she denies fevers at home. she denies chest pain, nausea, vomiting, diarrhea, headache, neck stiffness or any other complaints. she denies bladder pressure, dysuria, or urinary frequency. per her husband, her mental status is at 80%. of note, she had been recently discharged from for uti, treated with irtapenem. of note, patient hospitalized for pna and was treated with 7 day course of levaquin. review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: 1. t1-t2 paraplegia following mvc 2. recurrent utis 3. hcv, viral load suppressed after 3 months of therapy 4. h/o recurrent pnas 5. anxiety 6. dvt in -ivc filter placed in 7. pulmonary nodules 8. hypothyroidism 9. chronic pain 10. chronic gastritis 11. h/o obstructive lung disease 12. anemia of chronic disease social history: the patient currently lives at home wiht her husband and 2 children, ages 15 and 22. former 35 packyear smoker. denies current tobacco or alcohol use. family history: non-contributory. physical exam: on admission: vitals: t 100.2, hr 99, bp 135/60, rr 24, 100% on 6lnc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: decreased breath sounds at right base, scattered wheezes, cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, + b/l le edema w/o erythema pertinent results: labs on admission: 12:20pm blood wbc-20.3*# rbc-4.19*# hgb-12.5# hct-36.5# mcv-87 mch-29.8 mchc-34.2 rdw-16.0* plt ct-171 12:20pm blood neuts-92* bands-0 lymphs-6* monos-2 eos-0 baso-0 atyps-0 metas-0 myelos-0 01:45pm blood pt-15.9* ptt-35.1* inr(pt)-1.4* 01:45pm blood glucose-105 urean-14 creat-0.4 na-137 k-4.5 cl-98 hco3-31 angap-13 01:45pm blood ck(cpk)-36 01:45pm blood ctropnt-<0.01 03:30am blood calcium-7.7* phos-1.9* mg-1.8 12:39pm blood po2-43* pco2-53* ph-7.41 caltco2-35* base xs-6 02:08pm blood lactate-0.8 chest x-ray : persistent opacity obscuring the right hemidiaphragm, could reflect pleural effusion, consolidation or atelectasis. chest x-ray : minimal change in the cardiomegaly, bibasilar opacities, and small right pleural effusion. brief hospital course: this is a 50 year old female with paraplegia secondonary to mva in , history of recurrent resistant infections, here with pneumonia and hypotension. # pneumonia/sepsis: patient presented with hypotension and radiographic evidence of bilateral pneumonia. she required levophed for blood pressure support for a few days for sbp 70-90 range. she was given broad spectrum antibiotics for vancomycin and zosyn. she was also worked up for other sources with a negative urinalysis and culture, negative legionella urinary antigen and two sputum cultures which were oral flora only. she did come in with a picc line in place and there was thought this might be a source of infection but blood cultures remained negative and the site was clean. in addition, the picc was only in for 10 days on admission. she completed a 7 day course of antibiotics for healthcare associated pneumonia. she had aggressive chest pt and incentive spirometry use. she is being discharged on 2l nc oxygen as her oxygen saturation declined to the mid 80's on room air with activity. of note she has required oxygen at home on and off prior to this admission. # anemia: baseline hct 30-35. in the hospital she was stable at about 27-25 range. prior studies have shown anemia of chronic disease. her hct was closely monitored. # delirium: she was very anxious and delirius in the icu and a psychiatric consult was obtained. she likely was delirius from being in the icu and for polypharmacy and from her illness. her medication regimen was optimized and cut down to help prevent delirium. she was offered an appointment with psychopharmacology to further help with this, but she refused. she was provided with the number at discharge if she changes her mind. # chronic pain: she was given her home methadone, baclofen, and lyrica. the doses were lowered while she was delirius and then increased to her home dose at discharge. she complained of significant chronic pain not controlled since . she was encouraged to follow up with the psychopharmacologist for this which she refused and also with her pcp and sw as we explained that pain can be affected by many things including depression. # hypothyroidism: she was maintained on levothyroxine. # depression: home citalopram 40 mg was continued. psychiatry and social work consults were following along. # constipation: she was on an aggressive bowel regimen to maintain her as regular. # access: picc line which was removed prior to discharge. medications on admission: tylenol prn oxycodone 5 mg prn pregabalin 150, 75, 150 mg calcium carbonate 500 mg baclofen 20, 10, 20 mg clonazepam 2 mg qid prn oxybutynin 10, 5, 10 trazodone 100 mg qhs prn methadone 5 mg tid omeprazole 20 mg daily citalopram 40 mg levothyroxine 75 mcg daily nicotine 14 mg/24 hr daily ipratropium-albuterol prn sucralfate 1 gram qid polyethylene glycol 17 grams daily docusate sodium 100 mg po bid senna 8.6 mg ertapenem 1 gram daily completed discharge medications: 1. baclofen 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for muscle spasms. 2. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 3. methadone 5 mg tablet sig: one (1) tablet po tid (3 times a day). 4. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 6. pregabalin 75 mg capsule sig: capsules po tid (3 times a day): please take 150mg in the morning and at night. please take 75mg in the afternoon. 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po three times a day. 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. polyethylene glycol 3350 100 % powder sig: one (1) po daily (daily). 11. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for anxiety. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: pneumonia sepsis anxiety anemia of chronic disease chronic pain paraplegia discharge condition: stable with resting oxygen saturation of 93% on ra but ambulatory saturation of 86% on ra and 96% on 2l nc. discharge instructions: you were admitted with severe pneumonia causing sepsis (or low blood pressure). you were treated with antibiotics and completed the course. your stay was complicated by delirium and anxiety and a psychiatric consult helped us care for you. you still require oxygen by nasal cannual at home. please keep 2l on at all times. you should continue aggressive chest physical therapy three times a day. continue to use your incentive spirometer and get out of bed to a chair as much as possible to help your lungs expand. you should take your medications as prescribed. we recommend that you keep all of your appointments as written below. we also recommend that you see a psychopharmacologist. this appointment was not made because you did not want it, but the number is provided below if you change your mind. this is recommended to help you develop a working medical regimen to help control your pain and also keep you thinking clearly and without side effects. you should call your doctor or go to the emergency room if you have fevers over 102, chills, chest pain, trouble breathing, bleeding or any other symptoms which is concerning to you. followup instructions: social work: , licsw phone: date/time: 12:00 building hepatology: , md phone: date/time: 1:20 primary care: , : date/time: 1:20 building psychopharmacology: we recommend you call and schedule an appointment. procedure: arterial catheterization diagnoses: pneumonia, organism unspecified other iatrogenic hypotension urinary tract infection, site not specified chronic hepatitis c without mention of hepatic coma other pulmonary insufficiency, not elsewhere classified unspecified septicemia severe sepsis unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified personal history of tobacco use constipation, unspecified dysthymic disorder septic shock personal history of venous thrombosis and embolism surgical or other procedure not carried out because of patient's decision hypovolemia delirium due to conditions classified elsewhere paraplegia atrophic gastritis, without mention of hemorrhage late effect of spinal cord injury late effects of motor vehicle accident other diuretics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to