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: tachycardia, tachypnea, hypoxia, altered mental status major surgical or invasive procedure: none history of present illness: 75 y/o female with history of schizophrenia, s/p frontal lobe resection, and recurrent uti last hospitalized , sent from nursing home with altered mental status. she was found nonresponsive, with rr 40, hr 130, o2 sat 79-80%, thought likely aspiration given vomiting vs seizure - not witnessed. was arousable soon after, but continued hypoxia. . in ed, afebrile, tacycardic to 120-130's, tachypneic to 30's, hypoxic to 80% sat on ra, improved to 100% on non-rebreather. given 2 l ns, vanco 1g, ceftriaxone 1g, and clindamycin 600mg. past medical history: schizophrenia s/p frontal lobe resection recurrent uti's htn seizure disorder anemia cystic kidney disease with cri (baseline cr 1.5) h/o diverting colostomy obstruction social history: family lives in , - tob, - etoh, - ivda family history: non-contributory physical exam: general: elderly white female with significant scoliosis, intermittantly responsive t 97.2, 131/89, 87, 22, 95% 1.5lnc heent: eyes closed, mouth dry, tracks to name neck: no cervical lad. chest: ctab heart: regular rhythm. no audible murmurs or gallops. abd: left sided colostomy. non distended. good bowel sounds. non tender. : no edema. good peripheral pulses. neuro: sleepy. responds with 1-3 word phrases to simple questions. had spontaneous conversation with sister. reflexes symetric. skin: resolving fungal rash on feet. pertinent results: 12:35pm blood wbc-10.8 rbc-3.20* hgb-9.3* hct-29.1* mcv-91 mch-29.0 mchc-32.0 rdw-15.4 plt ct-353# 12:35pm blood plt ct-353# 12:35pm blood glucose-84 urean-9 creat-0.9 na-148* k-3.8 cl-110* hco3-19* angap-23* 12:35pm blood calcium-9.5 phos-2.6* mg-2.0 06:30pm blood vitb12-689 folate-11.7 06:30pm blood tsh-3.8 eeg : impression: this is an abnormal eeg due to the right more than left centrotemporal sharp waves and the slow and disorganized background rhythm. the first abnormality suggests bilateral centrotemporal foci of potential epileptogenesis. the second abnormality suggests a moderate encephalopathy, which may be seen with infections, toxic metabolic abnormalities or medication effect. cxr : impression: virtually uninterpretable film due to respiratory motion. possible bibasilar opacities and new left effusion or consolidation. recommend repeat chest x-ray when patient is more clinically stable. mri brain :findings: no evidence of acute infarct seen on diffusion images. there are diffuse periventricular hyperintensities identified. bilateral temporal areas of chronic encephalomalacia are noted. there is no midline shift or hydrocephalus seen. moderate brain atrophy is identified. chronic right- sided corona radiata infarct with chronic blood products are visualized. impression: periventricular hyperintensities due to small vessel disease and chronic right corona radiata lacune with chronic blood products. bilateral temporal cystic encephalomalacia. no evidence of acute infarct, mass effect or hydrocephalus. cxr : impression: question of interstitial process at right base (ie interstitial pneumonia) though repeat film is recommended for further evaluation to confirm. brief hospital course: on arrival patient noted to be markedly unstable, so was initially admitted to the on the , with presumed aspiration pneumonia vs. pneumonitis. neurology consulted as there was concern over hypertonia and rigidity. neurology was consulted, who felt that the patient was having severe dystonia due to haldol, for which they recommended immediate cessation. an eeg was performed as above, which did not demonstrate status epilepticus. a brain mri was performed as above, with no new lesions. the alteration in mental status was felt to be due to medication effects combined with delerium from aspiration pneumonia and hypoxia. for her pneumonia the patient was given vancomycin and ceftriaxone iv with resolution of her leukocytosis and her hypoxia improved over the admission. she was also noted on with impacted cerumen for which she received debrox drops. however on the patient had essentially not improved, was responsive only to painful stimuli. there seemed little recovery to her mental status, and since her eeg did not show a cause, and in discussion with the family she had not been doing well prior to the admission, it was decided the patient would be made cmo. palliative care was consulted, along with social work for family coping. in keeping with this, iv hydration, food and non-comfort medications were withdrawn. the patient continued this way when on in the evening her family returned from , when the patient awoke and had conversation with the family. initially this was thought to be a brief moment of lucidity prior to death, however it persisted through the evening into the following morning. given this we withdrew the cmo order, and returned to full treatment. given that she had recieved no hydration, there was still marked concern at that point that her kidneys had likely failed in the meantime and would likely be unsalvagable, however for inexplicable reasons, her createnine was 0.9 and she has been urinating well. family concurred that she should be returned to manor. 1. schizophrenia - off all antipsychotics for now given dystonic reaction - patient has been stable emotionally 2. epilepsy - solely on keppra - eeg as above 3. impacted cerumen - debrox completed 4. aspiration pneumonia - completed course of vancomycin and ceftriaxone - aspiration precautions - thickened liquids, puree diet 5. code status - dnr/dni 6. misc - would use dvt prophylaxis per your institutional protocol medications on admission: catapres-tts 3 patch 1/week haldol decanoate 50mg im qmonth lactulose 30ml benztropine 0.5mg qhs bisacodyl 10mg qod ativan 1mg q6h prn for agitation milk of magnesia 30 ml qhs iron sulfate 325 mg daily duoneb 8qh levaquin 250 mg daily discharge medications: 1. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qmon (every monday). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 3. benztropine 1 mg/ml solution sig: one (1) mg injection daily (daily). 4. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 5. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. lorazepam 2 mg/ml syringe sig: 0.5 mg injection q6h (every 6 hours) as needed for agitation. discharge disposition: extended care facility: manor discharge diagnosis: aspiration pneumonia schizophrenia epilepsy impacted cerumen discharge condition: good discharge instructions: return to the hospital for severe coughing, shortness of breath, increasing oxygen requirements, marked change in metnal status (patient waxes and wanes over day) followup instructions: would recommend patient be seen by her pcp , . within 2 weeks procedure: electroencephalogram diagnoses: anemia, unspecified unspecified essential hypertension other convulsions unspecified schizophrenia, unspecified pneumonitis due to inhalation of food or vomitus epilepsy, unspecified, without mention of intractable epilepsy kyphosis (acquired) (postural) malnutrition of moderate degree impacted cerumen 

Answer: The patient is high likely exposed to