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: is a 41-year-old female with past medical history of questionable chronic obstructive pulmonary disease and asthma with two recent hospitalization for asthma / chronic obstructive pulmonary disease flares complicated by pneumonia. patient presents with five days of uri symptoms, sore throat and fatigue, three days of shortness of breath with inhaler use with moderate relief, two day history of cough, dry and nonproductive and subjective fevers and chills. patient denies myalgias, headache, chest pain, rash, diarrhea, abdominal discomfort, or hemoptysis. current symptoms are identical to prior admission. patient's last admission was on . patient has one lifetime history of intubation. patient had a lung biopsy in , past reports suggestive of interstitial pulmonary fibrosis. on presentation to the emergency department, patient had a temperature of 101.9 f, heart rate of 126, blood pressure 156/85, breathing rate of 28, saturating at 83% on room air. patient was put on oxygen. patient received a chest x-ray which showed questionable early left lower lobe infiltrate with atelectasis. ekg showed patient in sinus tach with poor r wave progression, left axis deviation, no signs of ischemia. patient was started on antibiotics, steroids, nebs and admitted. past medical history: 1. interstitial pulmonary fibrosis. 2. adult onset asthma with one lifetime intubation, multiple hospitalizations. 3. history of vre and mrsa. 4. schizoaffective disorder. 5. depression. 6. multiple suicide attempts. 7. temporal lobe epilepsy. 8. meningitis. 9. history of positive ppd status post six month treatment with inh and rifampin. 10. gastroesophageal reflux disease. 11. history of tds in the setting of etoh withdraw. 12. exploratory laparotomy for abdominal mass versus uterine cyst. 13. noninsulin dependent diabetes mellitus. allergies: 1. patient has insensitivity to codeine which gives her gi upset. 2. true allergy to penicillin for which she gets a rash. 3. erythromycin for which she also gets a rash. medications: 1. prozac 60 mg p.o. q. day. 2. neurontin 1200 mg p.o. t.i.d. 3. clozaril 100 mg q. am, 400 mg q. pm. 4. flovent two puffs b.i.d. 5. albuterol nebs p.r.n. 6. risperdal 2 mg p.o. q.h.s. social history: patient smokes one to two packs of cigarettes per day and has a history of medical noncompliance and poor follow up. patient has been sober for greater than 10 years. also prior use of lsd, cocaine and heroin use, but none in the recent past. patient lives alone. physical examination: on arrival to the medical floor, the patient had a temperature of 98.3 f, blood pressure 120/68, pulse of 100, respirations 22, saturating 94% on 10 liter mask. in general patient is an obese white female in mild distress, able to speak in full sentences. normocephalic, atraumatic. pupils equal, round and reactive to light. extraocular movements intact. oropharynx is clear. neck was supple without tenderness or rigidity. no jugular venous distention was appreciated. lungs: decreased breath sounds in the right base with mild wheezing. cardiovascularly: patient was tachycardic, s1, s2, no murmurs. abdomen was obese, soft, nontender, nondistended with normoactive bowel sounds. extremities: 1+ pitting edema lower extremities to the knee. cranial nerves ii through xii intact. normal strength and sensation, equal bilateral extremities. no clubbing or cyanosis with minimal pitting lower extremity edema. laboratory: white count 21.4, hematocrit 40.3, platelets 322. urinalysis was negative. sodium 137, potassium 4.0, chloride 102, bicarbonate 24, bun 10, creatinine 0.7, glucose of 197. hospital course: patient was admitted to the medical floor. patient received oxygen via face mask to keep saturations greater than 92%. patient received q. three hour standing albuterol and atrovent neb treatments. patient was started on levofloxacin 500 mg p.o. q. day and patient was also started on solu-medrol 80 mg iv q. eight hours. patient was managed on this course until the second hospital day when patient was found to be increasingly somnolent. abg was performed at this time that showed a ph of 7.35, pco2 of 58, po2 of 132. because of this, the patient was taken to the icu for observation. in the icu, the patient continued to slowly improve. steroids, nebulizer treatments and antibiotics were continued as on the floor. patient received cardiac echo for evaluation of possible congestive heart failure. patient had left ventricular wall thickness. cavity size and systolic function were all normal with a left ventricular ejection fraction of greater than 55% and normal left ventricular region wall motion unchanged in the interval from previous echo of . the patient returned to the floor after two days of observation in the icu in improved condition. patient had chest x-ray at this time which showed interval resolution of patient's pulmonary opacities. pulmonary consult was obtained for more input on patient's worsening respiratory status who advised patient receive chest ct scan. the chest ct scan was consistent with worsening interstitial lung disease. patient's sedation is a possible contribution of patient's psychiatric regimen was considered and psych consult was obtained. they recommended it was reasonable to hold sedating psychiatric medications, but continuing patient on low dose clozaril. all other psychiatric medications were stopped. throughout this time, the patient slowly continued to improve in respiratory status requiring less frequent nebs and decreased o2. the patient was transitioned from mask to nasal cannula where she continued to improve. the patient was also started on bactrim for pcp prophylaxis and other follow up chest x-ray showed no evidence of focal consolidation. patient completed a course of levofloxacin which was stopped prior to discharge. fingersticks were checked on patient during the hospital stay and slowly started to trend upward. patient was put on sliding scale insulin. at time of discharge, the patient is saturating about 92% on two liters nasal cannula. the patient will be discharged to pulmonary rehab prior to discharge home. condition on discharge: stable and improved. discharge diagnosis: as per admission in addition to recent admission for asthma exacerbation with questionable pneumonia in the setting of interstitial lung disease and likely steroid induced hyperglycemia. discharge medications: 1. nph insulin 8 units at breakfast, five units at dinner. 2. risperdal 2 mg p.o. q.h.s. 3. diabetic diet. 4. neurontin 600 mg p.o. t.i.d. 5. clozapine 100 mg p.o. q. am, 400 mg p.o. q.h.s. 6. fluticasone 112 micrograms two puffs b.i.d. 7. lansoprazole 30 mg p.o. q. day. 8. prednisone 60 mg q. day times 30 days then 15 mg q. day for three days than 40 mg q. day times three days, 30 mg q. day for three days, 20 mg q. day for three days, 10 mg q. day for three days then stop. 9. guaifenesin 5 to 10 ml p.o. q. six hours p.r.n. 10. tylenol 650 mg p.o. q. six hours p.r.n. 11. albuterol and atrovent nebs q. four hours p.r.n. 12. alendronate 70 mg p.o. q. sunday. 13. calcium carbonate 500 mg p.o. t.i.d. 14. vitamin d 400 units p.o. q. day. 15. bactrim single strength tabs, one tab p.o. q. day. 16. prozac 60 mg p.o. q. day. 17. heparin 5000 units subcutaneous q. 12 hours. follow up appointments: 1. patient advised to follow up with dr. from pulmonary service in four weeks. to call for appointment. 2. patient advised to see primary care provider in one week for follow up and especially to discuss smoking cessation which is imperative in this patient with underlying lung disease. 3. patient also advised to see psychiatrist in one week for follow up. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use depressive disorder, not elsewhere classified postinflammatory pulmonary fibrosis chronic obstructive asthma with (acute) exacerbation schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to