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: tetracyclines / zinc attending: chief complaint: fall major surgical or invasive procedure: none history of present illness: 66 year-old f with castelman's syndrome, recurrent aspiration pna, htn who presents s/p fall. she fell yesterday while trying to get up from bed and was put back to bed by her home health aid; today she fell again and her aid 'dragged' her to bed and called ems. some head and l hip trauma (no loc). . in the ed she received mso4 2 mg iv for pain. her c-spine was cleared. head ct and hip films were negative. fall was thought to be mechanical and social work was consulted re question of elder abuse/neglect. at midnight pt spiked to 102 rectal, received tylenol. cxr and ua negative. she was admitted for observation and placement. . of note, pt was recently discharged from on for pseudomonas pna. . ros: pt is poor historian. she c/o l hip pain. she fever/ chills/ sweats. denied headache, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness. denied nausea, vomiting, diarrhea, or constipation. no dysuria or rash. past medical history: past medical history: 1. castleman's disease (unicentric) s/p splenectomy in . lymph node bx revealed reactive lymph tissue; followed in heme/onc by dr. 2. h/o anaplastic thyroid cancer s/p radical neck dissection; age 15 3. esophageal webs and esophageal dysmotility s/p multiple dilatations 4. recurrent aspiration pneumonias s/p peg (sputum with klebsiella sensitive to meropenem, mrsa, strep pneumo, ) 5. chronic respiratory disease; bronchiectasis, 's revealed restrictive physiology, ?interstitial lung disease. on 2l home o2 at baseline 6. mrsa osteomyelitis of olecranan s/p multiple debridements 7. bipolar d/o 8. gerd 9. ?seizure d/o (may be in setting of hypoglycemia) 10. hx grave's disease 11. osteoporosis: has broken both hips, left in , right with failed orif and redo at ; s/p short gamma nail fixation of a left hip basicervical fracture 12. h/o zoster 13. htn social history: social history: used to work as a social worker at the va. was at until when she was discharged to home. home health aide 24 hrs/day. no tobacco or etoh. family history: nc physical exam: vitals: t: 98.9 ax p: 80 bp: 128/72 rr: 18 sao2: 100% 2l nc general: very thin, chronically-ill appearing female, lying in bed with hyperextended neck, awake, in nad. heent: nc/at, perrl + l cataract, eomi. mmm, op without lesions. neck: able to rotate and flex neck. pulm: diffuse fine crackles, no rhonchi or wheezes cardiac: rrr, nl s1/s2, 2/6 sem abdomen: soft, nt/nd, + bs. peg in place, site c/d/i. ext: no edema b/t, l hip without ecchymosis skin: multiple areas of bruises in various stages of healing pertinent results: 01:20am wbc-21.6 hct-29.1 mcv-90 rdw-16.3 plt ct-211 . 06:45pm pt-12.8 ptt-26.2 inr(pt)-1.1 . 05:05am glucose-102 urean-34 creat-1.7* na-138 k-4.7 cl-104 hco3-27 angap-12 06:45pm ck-mb-4 ctropnt-0.02* probnp-225 . 01:20am urine color-yellow appear-clear sp -1.017 01:20am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg . brief hospital course: 66 yo f with castleman's syndrome, recurrent aspiration pna, htn who presents s/p fall with concern for elderly neglect, and fever. . * s/p fall: mechanical in nature. neg head ct, hip films, c-spine imaging. no infection on cxr or ua. ekg unremarkable. she ruled out for mi with two sets of negative troponins. she was continued on her home pain regimen. she denied abuse by her caretaker. . * fever: leukocytosis with left shift. no localizing si/sx. cxr and ua negative for infection. nl lactate. given recent abx for pna, there is concern for cdiff. in looking back, her white count is normal and likely secondary to her lymphoproliferative disorder. she was not given antibiotics. . * recurrent aspiration pna: had speech and swallow eval on last admission recommending no pos, but she continues to eat. no clinical evidence of pna. . * restrictive lung dz: unclear etiology. on 2l home o2. continued on o2 by nc. continued ipratropium and albuterol nebs. . * hypothyrodism: post thyroid ca tx. continued home levothyroxine. . * arf: cr of 1.7 on admission, up from baseline of 1.3. likely prerenal. s/p 1l ivf in ed. came back to baseline. . * htn: cont metoprolol . medications on admission: 1. acetaminophen 650 mg suppository rectal q4-6h as needed. 2. cholecalciferol 800 unit po daily (daily). 3. levothyroxine 100 mcg po daily 4. ipratropium bromide 0.02 % inhalation q6h (every 6 hours). 5. albuterol sulfate 0.083 % inhalation q6h as needed. 6. gabapentin 400 mg po hs 7. ferrous sulfate 325 (65) mg tablet po daily (daily). 8. lamotrigine 100 mg tablet po daily 9. lansoprazole 30 mg susp,one po daily (daily). 10. metoclopramide 10 mg tablet po qidachs 11. quetiapine 200 mg po hs as needed. 12. sodium polystyrene sulfonate 15 g/60ml suspension po daily 13. prochlorperazine 5 mg po q6h as needed. 15. oxycodone 10 mg po q4-6h as needed. 16. venlafaxine xr 150 qd 17. lorazepam 2 mg po qid 18. alendronate 70 mg po qsat 19. metoprolol tartrate 12.5mg po bid 21. polyvinyl alcohol 1.4 % drops 1-2 drops ophthalmic prn 22. fentanyl 50 mcg/hr patch 72hr discharge medications: 1. acetaminophen 325 mg tablet : one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. cholecalciferol (vitamin d3) 400 unit tablet : one (1) tablet po bid (2 times a day). 3. levothyroxine 100 mcg tablet : one (1) tablet po daily (daily). 4. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation qid (4 times a day). 5. albuterol sulfate 0.083 % solution : one (1) inhalation q6h (every 6 hours) as needed. 6. ferrous sulfate 300 mg/5 ml liquid : one (1) po daily (daily). 7. lamotrigine 100 mg tablet : one (1) tablet po daily (daily). 8. lansoprazole 30 mg susp,delayed release for recon : one (1) po daily (daily). 9. metoclopramide 10 mg tablet : one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 10. quetiapine 200 mg tablet : one (1) tablet po qhs (once a day (at bedtime)) as needed. 11. sodium polystyrene sulfonate 15 g/60ml suspension : one (1) po daily (daily). 12. prochlorperazine 5 mg tablet : one (1) tablet po q6h (every 6 hours) as needed. 13. oxycodone 5 mg/5 ml solution : two (2) po q4-6h (every 4 to 6 hours) as needed. 14. venlafaxine 75 mg capsule, sust. release 24hr : two (2) capsule, sust. release 24hr po daily (daily). 15. lorazepam 1 mg tablet : one (1) tablet po qid (4 times a day). 16. metoprolol tartrate 25 mg tablet : 0.5 tablet po bid (2 times a day). 17. polyvinyl alcohol 1.4 % drops : 1-2 drops ophthalmic prn (as needed). 18. fentanyl 50 mcg/hr patch 72hr : one (1) patch 72hr transdermal q72h (every 72 hours). 19. alendronate 70 mg tablet : one (1) tablet po once a week: saturday. 20. gabapentin 400 mg capsule : one (1) capsule po at bedtime. discharge disposition: home with service facility: home health care discharge diagnosis: s/p fall x 2 castleman's syndrome s/p splenectomy . followed by dr . recurrent aspiration pna - s/p peg (sputum with pseudomonas, klebsiella sensitive to meropenem, mrsa, strep pneumo, ) anaplastic thyroid ca s/p radical neck dissection - 50 yrs ago bipolar disorder oa htn esophageal webs and esophageal dysmotility s/p multiple dilatations chronic respiratory disease; bronchiectasis, 's revealed restrictive physiology, ?interstitial lung disease. on 2l home o2 at baseline h/o mrsa osteomyelitis of olecranan s/p multiple debridements ?seizure d/o (may be in setting of hypoglycemia) h/o grave's disease osteoporosis: has broken both hips, left in , right with failed orif and redo at ; s/p short gamma nail fixation of a left hip basicervical fracture h/o zoster discharge condition: fair discharge instructions: continue your home medications. you need to seriously consider rehab since you are likely to fall at home again soon. followup instructions: please schedule an appointment in the next 2 weeks: pcp: , . . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization transfusion of packed cells replacement of gastrostomy tube diagnoses: anemia of other chronic disease urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified depressive disorder, not elsewhere classified chronic kidney disease, unspecified paralysis agitans acute respiratory failure pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified osteoarthrosis, unspecified whether generalized or localized, site unspecified enlargement of lymph nodes bipolar disorder, unspecified bronchiectasis without acute exacerbation fall from other slipping, tripping, or stumbling herpes simplex without mention of complication closed fracture of sacrum and coccyx without mention of spinal cord injury hypercalcemia closed fracture of pubis closed fracture of acetabulum attention to gastrostomy postsurgical hypothyroidism personal history of malignant neoplasm of thyroid carrier or suspected carrier of other specified bacterial diseases dyskinesia of esophagus eosinophilia tracheoesophageal fistula, esophageal atresia and stenosis 

Answer: The patient is high likely exposed to