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: bactrim / latex attending: chief complaint: shortness of breath major surgical or invasive procedure: 1) placement of central line into right subclavian 2) placement of midline history of present illness: pt is a 35 year old g3p1011 at 21w2d ega who initially developed nausea and vomiting 2 days prior to admission. she developed acute-onset n/v and reports vomiting bilious fluid every 15 mintues. she ws unable to keep down po fluid. pt presented to an osh and received antiemetics and fluids and was sent home. on the day of admission the pt developed a fever and chills along with right pleural pain. the pt was seen at an osh and was found to have a collapsed right middle lobe by ct scan along with infiltrate. pt wa also found to be hypotensive and was subsequently given ivf (3l) at osh w/ response. pt was then transferred to for further management. when pt arrived she ws tachycardic and tachypneic. she was kept on 5l nc to keep o2 sat > 94% and she was given a dose of ceftriaxone and azithromycin at the osh. pt states that her nausea has improved but states that she is very thirsty. she also states that one of her children recently had fever and uri symptoms. she has a non-prodouctive cough but denies hemoptysis or hematemesis. pnc: 1) dating - edc by first trimester us (per pt report) 2) labs - o+/ ab - (other prenatal labs not available given pnr not available) 3) normal fetal survey per pt report 4) ama -> normal first trimester screening and normal level 2 ultrasound per pt report 5) hyperemesis - treated w/ zofran prn past medical history: pobhx: - first trimester sab - nsvd at term, 7#10, no complications pgynhx: - hx of hpv, no other stds pmh: benign psh: none social history: pt works as a chemical engineer at . she denies etoh, smoking, and drug use. family history: noncontributory physical exam: vitals: t 101 hr 116 bp 97/40 rr 35 o2sat 94% 2l nc gen: sitting up in bed, tachypneic heent: perrla, eomi, op clear, mmm neck: enlarged thyroid gland on left, supple lungs: decreased bs at right base cardiac: tachycardic, rr, s1/s2 no murmurs abdomen: soft, nontender, gravid ext: warm, no edema, no rashes neuro: a&o x 3 fht 150s via doppler pertinent results: 07:58pm glucose-80 urea n-8 creat-0.6 sodium-139 potassium-2.8* chloride-114* total co2-13* anion gap-15 07:58pm alt(sgpt)-11 ast(sgot)-16 ld(ldh)-150 alk phos-31* tot bili-0.4 07:58pm albumin-2.2* calcium-7.0* phosphate-1.2* magnesium-1.5* 07:58pm tsh-1.2 07:58pm free t4-0.8* 07:58pm wbc-6.1 rbc-3.23* hgb-10.7* hct-29.2* mcv-91 mch-33.0* mchc-36.5* rdw-14.9 07:58pm neuts-70 bands-18* lymphs-9* monos-2 eos-0 basos-0 atyps-0 metas-1* myelos-0 07:58pm plt count-162 cxr: 1. right subclavian venous access catheter with tip at the right atrial/svc junction. the catheter tip location was discussed with the intern caring for the patient at the time of interpretation (8:50 p.m.). 2. right middle and lower lobe opacity and right pleural effusion. 3. rightward deviation of the trachea. this may represent enlargement of the left lobe of the thyroid gland. correlation with any possible history of instrumentation in this region is also recommended. : taus single live intrauterine gestation with size equals dates. evaluation of the left ventricular outflow tract is limited due to position of the fetus. : thyroid us the right thyroid lobe measures 1.7 x 2.1 cm at the level of the isthmus and no nodules are seen within it. the left lobe is nearly entirely replaced by a solitary nodule measuring 3.8 x 3.6 x 3.4 cm. the nodule has a hypoechoic rim, however also demonstrates increased color flow. impression: dominant nodule in the left lobe as described above. ultrasound- guided fna is recommended. brief hospital course: 1) pneumonia: given concern for sepsis, the pt was admitted to the upon transfer from the osh. a central line into the r subclavian was placed. she was continued on ceftriaxone and azithromycin for community pneumonia coverage and was kept on supplemental o2 to keep her o2 sat > 94%. aggressive chest pt was performed and albuterol nebulizers were administered to help open airways. the pt's hypotension improved w/ aggressive iv hydration and she did not require pressors. on hd#3, the pt had stabilized and was transferred to the floor to the antepartum service. on the evening of hd#3, the pt spiked a fever to 101.4 f and the infectious disease service was consulted to assess antibiotic coverage. per id recs, a repeat set of blood cultures were drawn, a sputum gram stain and culture, legionella urine antigen , and mycoplasma serologies were sent. the legionella urinary antigen was negative and gram stain of the sputum showed no organisms. blood cultures from both and are still pending at the time of this dictation but have demonstrated no growth to date. id also recommended keeping the pt on her current regimen of ceftriaxone and azithromycin. the pt subsequently defervesced. her central line was removed on hd#4 without difficulty and a midline was placed for continuing antibiotics. on hd#6, the pt's o2 sat was 94-96% on room air. however, her maximum temperature within the past 24 hours was 100.6f. given the pt's ongoing intermittent low-grade fevers as well as the serious nature of her pneumonia, she was counseled regarding staying in the hospital for another 1-2 days for further monitoring by both dr. () and dr. (infectious disease). however, the pt refused and signed herself out against medical advice. vna was set up for the pt for line care and antibiotic administration. prescriptions for ceftriaxone and azithromycin were given to the pt. she was encouraged to make a follow-up appointment with dr. in weeks and with her pcp 1 week. 2) fetal well-being: given the previable gestational age, the fetal heart tones were checked every day but no further interventions were performed. the pt had reassuring fetal heart rate spot checks in the 140s-150s throughout her hospital course. she underwent a full fetal survey on that demonstrated a single live intrauterine gestation with size equals dates. evaluation of the left ventricular outflow tract was limited due to position of the fetus. 3) thyroid nodule: on ct scan at the osh, the pt was incidentally found to have a thyroid nodule in the left lobe. she underwent a thyroid ultrasound at which demonstrated that the left thyroid lobe was nearly entirely replaced by a solitary nodule measuring 3.8 x 3.6 x 3.4 cm. the nodule has a hypoechoic rim, however also demonstrates increased color flow. given this finding, ultrasound-guided fna was recommended. tsh was checked and found to be wnl at 1.2, free t4 was slightly low at 0.8. the endocrine service was informally consulted and recommended outpatient follow-up in the thyroid nodule clinic in for fna. the pt was discussed w/ (endocrine fellow) who recommended scheduling a follow-up appointment for the pt () with her upon discharge. medications on admission: prenatal vitamins zofran discharge medications: 1. azithromax sig: one (1) 500 mg once a day for 7 days: take daily for 7 days. disp:*10 * refills:*0* 2. ceftriaxone 1 g recon soln sig: one (1) intravenous once a day for 4 days. disp:*4 * refills:*0* 3. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: home therapy discharge diagnosis: right lower lobe pneumonia with sepsis discharge condition: stable discharge instructions: minimal exertion at home. ceftriaxone 1g each day azithromax 250mg each day followup instructions: dr. in weeks primary care physician 1 week follow-up laboratory data and chest x-ray with primary care physician procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified acidosis unspecified septicemia sepsis nontoxic uninodular goiter anemia of mother, antepartum condition or complication other specified infectious and parasitic diseases of mother, antepartum condition or complication thyroid dysfunction of mother, antepartum condition or complication 

Answer: The patient is high likely exposed to