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: history of present illness: this is an 83 year old female with a history of hypertension, supraventricular tachycardia and chronic obstructive pulmonary disease who presented to dr. office with cyanosis and dyspnea. she had been seen in clinic on when she was at baseline with a room air oxygen saturation of 93%. on , she was seen by her cardiologist where her sotalol was increased to 80 mg t.i.d. since that time the patient reported increased shortness of breath, nonproductive cough but denied chest pain, fever or chills. the patient was seen , in clinic. she appeared cyanotic with oxygen saturation of 72 to 74% on room air and she was dyspneic. her temperature at that time was 98.8. she appeared mildly lethargic and arterial blood gas was done which revealed a ph of 7.23, a pco2 of 56 and a po2 of 37. her oxygen saturation increased to 93% on 3 liters of oxygen. the patient was referred to the medical floor for admission. repeat arterial blood gases at that time showed ph of 7.23, pco2 of 76 and po2 of 40. the patient appeared increasingly lethargic and was transferred to the medicine intensive care unit. of note, questioning revealed that she had no previous history of intubation, and had been prescribed steroids on a previous admission at gluver, however, she did not take this medication. the patient uses oxygen at home only 2 liters at night and during naps. past medical history: 1. chronic obstructive pulmonary disease/asthma 2. hypertension 3. history of supraventricular tachycardia medications on admission: 1. fosamax 2. serevent 2 puffs b.i.d. 3. atrovent 4 puffs q.i.d. 4. beclovent 4 puffs q.i.d. 5. albuterol prn 6. sotalol 80 mg t.i.d. 7. coumadin 2 mg q.h.s. 8. vitamin b12 9. oxygen 2 liters prn allergies: no known drug allergies. social history: tobacco use-one pack per day times 67 years, currently 2 cigarettes to ?????? pack per day. alcohol use-one drink per day. lives with husband in . physical examination: examination revealed a pleasant elderly woman who appeared comfortable on 3 liters of oxygen by nasal cannula. her vital signs revealed a temperature of 98.7, heartrate 77, blood pressure 103/60, and respiratory rate 24 with an oxygen saturation 93% on 3 liters nasal cannula. her head, eyes, ears, nose and throat revealed pupils which were equal, round, and reactive to light and mucous membranes which were moist. her neck was supple with no jugulovenous distension. her heart had a regular rate and rhythm with distant heartsounds. her lungs had diffuse expiratory wheezes bilaterally with rhonchi and dullness at the right base. her abdomen was soft, nontender, nondistended with good bowel sounds. her extremities showed 1+ pedal edema with no clubbing or cyanosis. her neurological examination revealed that she was alert, oriented, appropriate and showed no focal deficits. laboratory data: white blood cell count was 13.6, hematocrit 46.9, platelets 279. electrolytes revealed sodium 140, potassium 5.5, chloride 99, bicarbonate 26, bun 13, and creatinine 0.6, glucose 119, lactate 0.7. arterial blood gases, initial blood gas revealed ph of 7.33, pco2 56, po2 of 37, repeat blood gas revealed ph of 7.22, pco2 of 76 and po2 of 40. chest x-ray revealed hyperinflated lungs, and a right lower lobe infiltrate. an electrocardiogram revealed atrial fibrillation with a rate of 129 with a normal axis and slight st depressions in v3 through v5. hospital course: 1. chronic obstructive pulmonary disease and pneumonia - in the medicine intensive care unit the patient was treated with atrovent and albuterol nebulizers and inhalers. she was started on levofloxacin 500 mg q. day for her right lower lobe pneumonia. she was given salmeterol which was later switched to prednisone and thereafter tapered. she was continued on flovent inhalers as well as an atrovent inhaler. after transfer to the floor the patient's oxygen demand decreased to 2 to 2.5 liters nasal cannula. she received chest physical therapy and was using incentive spirometry. 2. supraventricular tachycardia - on hospital day #2 the patient went into atrial fibrillation with a rate of 110 to 160. she was given intravenous lopressor times one and intravenous diltiazem times two as well as p.o. diltiazem and eventually converted to a sinus rate. she was continued on her sotalol and remained in sinus rhythm. her inr was found to be supertherapeutic while she was initially started on flagyl for her pneumonia, which was thought to increase the coumadin levels in her blood. coumadin was held at this point until the inr dropped to a therapeutic level at which point it was restarted at 2 mg q.h.s. the flagyl was discontinued. discharge status: the patient felt by physical therapy to require rehabilitation services. please see physical therapy for evaluation details. further details will be added in an addendum to this discharge summary. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances atrial cardioversion diagnoses: pneumonia, organism unspecified anemia, unspecified acute kidney failure, unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation atrial flutter acute respiratory failure other specified cardiac dysrhythmias 

Answer: The patient is high likely exposed to