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: compazine / reglan attending: chief complaint: transferred from for chemo major surgical or invasive procedure: picc line history of present illness: this is 73 year old male with multiple medical problems including burkitt's lymphoma, seizure of unclear etiology, afib on amiodarone transferred from to omed service for induction of chemotherapy. . on evening of patient had two episodes of "shaking and gurgling," coherent but slurred speech and right mouth droop witnessed by his wife and a third witness by ems where he received 2mg ativan with resolution of shaking. in pt felt to be post-ictal, did not remember ambulance ride, neuro consulted and pt loaded with dilantin. ct head negative, lp performed and pt started on ctx and vanco for meningitis prophylaxis. . his course was notable for: neruologic issues relating to possible seziure acitivty for which he recieved an lp, started on ctx/vanc. for broad spectrum meningitis coverage; eeg perfomred, overall not clear what this neurologic process was (stroke vs. seizures vs. infection); also treated for arachnoiditis with dexamethasone. pt also with f and n, prior micro grew gnr in bottle during last admission with stenatropamonas, being treated with bactrim iv tid. while in unit, pt was in nsr, on amiodarone, lasix continued, plavix held possible chemo. other issues stable including hct. . on transfer, patient reports no fever or chills, headache, chest pain, cough, shortness of breath, abdominal pain, nausea, or vomitting. reports dizziness worsened with sitting up and constipation. . transferred to omed/heme b service for further care. past medical history: 1. cad s/p cabg in 82, stent - lmca-prox lcx (patent ), last stress nl w/o perfusion defects, was on asa and plavix until chemo due to low plt. 2. chf - 67% ef, mild-mod mr, thickened aortic, but no stenosis or insufficiency on echo in 3. s/p r mca cva -- on coumadin for 6mos 4. parkinson's disease- followed by neuro at . on staleva. 5. spinal stenosis 6. s/p l hernia repair 7. bph, with known elevated psa but nl biopsies, followed by urology 8. hypercholesterolemia 9. gibleed- , presumed small bowel source in setting of coumadin 10. diverticuli 11. s/p cholecystectomy in 80's 12. s/p right hip replacement . onc hx: diagnosis - late , diffuse adenopathy (axilla,chest, abd) bx - mib fraction 100%, cytogenetics amp c-myc, no translocation tx - hyper-cvad on , complicated by rapid ventricular response atrial fibrillation & hypotension (icu few days) -> started amiodarone & metoprolol rate control. . social history: he is a retired judge. he continues to work as a mediator. he has a 40-pack-year smoking history. he quit in but has smoked a periodic cigar or pipe. he drinks wine or beer occasionally. he lives with his wife. family history: his mother had cancer in early 40s. his brother has prostate cancer. his routine healthcare maintenance is significant for colonoscopies and endoscopy without findings of malignancy. physical exam: vs afebrile 136/71 63 16 94%ra gen - alert, no acute distress heent - perrl, extraocular motions intact, anicteric, mucous membranes moist neck - no jvd, no cervical lymphadenopathy chest - clear to auscultation bilaterally cv - normal s1/s2, rrr, no murmurs, rubs, or gallops abd - soft, nontender, nondistended, with normoactive bowel sounds back - no costovertebral angle tendernes extr - no clubbing, cyanosis, or edema. 2+ dp pulses bilaterally neuro - alert and oriented x 3, cranial nerves intact, no focal deficits, motor and sensory grossly intact in ue and le's. skin - no rash pertinent results: 06:40am cerebrospinal fluid (csf) protein-50* glucose-80 06:40am cerebrospinal fluid (csf) wbc-3 rbc-9* polys-98 lymphs-1 monos-1 05:31am lactate-3.5* 03:08am lactate-13.9* 02:45am glucose-117* urea n-22* creat-0.9 sodium-136 potassium-3.4 chloride-98 total co2-14* anion gap-27* 02:45am ck(cpk)-16* 02:45am ctropnt-<0.01 02:45am ck-mb-notdone 02:45am calcium-9.5 phosphate-3.2 magnesium-1.6 02:45am wbc-12.2* rbc-4.29* hgb-12.5* hct-38.8* mcv-90 mch-29.1 mchc-32.2 rdw-16.7* 02:45am neuts-77* bands-4 lymphs-12* monos-3 eos-0 basos-0 atyps-1* metas-2* myelos-1* 02:45am hypochrom-normal anisocyt-1+ poikilocy-1+ macrocyt-1+ microcyt-normal polychrom-occasional ovalocyt-1+ teardrop-occasional 02:45am plt count-191# 02:45am pt-13.7* ptt-22.2 inr(pt)-1.3 02:45am urine color-yellow appear-clear sp -1.010 02:45am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg . bld cx no growth, csf negative to date . studies: cxr-- patchy opacity in the left retrocardiac area, likely due to atelectasis. aspiration is considered less likely. no pleural effusions. . ct head-- no ic bleed . fdg scan-- 1. no focal abnormal areas and a increased fdg uptake. 2. lytic lesions within the right ilium and superior aspect of the left acetabulum as described above. these are of uncertain etiology or significance, but not do not demonstrate any significant fdg uptake. tiny calcifications which may be present in the right iliac lesion may be related to a focus of treated lymphoma. correlation with past history is recommended. 3. diverticulosis without diverticulitis. 4. bibasilar pulmonary scarring with somewhat more consolidative changes at the right lung base. 5. marked coronary calcifications brief hospital course: 73 y.o male with burkitt's lymphoma presents with new seizures after recent intrathecal transferred to omed/bmt b service to initiation of codox chemotherapy . . plan: ## neuro: patient's seizure was likely secondary to intrathecal chemo causing irritation of epileptogenic foci from a prior r mca stroke, arachnoiditis from chemo, infection or stroke. a mri/mra was performed to evaluate for new stroke and carotids for evidence of source. mra did show moderately significant carotid stenosis bilaterally that will require resumption of plavix once patient completes chemotherapy. head ct was negative for new bleed or mass. patient was started on ceftriazone, vancomycin and acyclovir for possible infectious meningitis. csf fluid had 4+ pmns on csf gram stain and there was no growth on culture. hsv pcr and eeg were negative. for possible arachnoiditis secondary to intrathecal ara-c, patient was continued on dexamthasone and then gradually tapered. finally, patient was loaded with dilantin and switched over to keppra at the time of discharge. from the time of transfer from the to the discharge day, patient was seizure free and complained only of improving symptoms of left hand weakness (thought to be post-ictal re-expression of stroke symptoms per neurology) and lightheadedness (orthostatics within normal limits). patient was instructed to wait a couple of minutes before moving after standing up. . ## lymphoma: last chemo with intrathecal ara-c and prior to this hyper-cvad on . csf on was negative for malignancy. pet-ct shows no additional areas of abnormal fdg uptake. petct also shows lytic lesions within r illium and l acetabulum (previously known). patient had a porta-cath placed for chemotherapy am. he started codox (cytoxan, decadron, adriamycin, vincristine). patient tolerated chemo very well. . ## id: one of four bottles grew gnr his last admission. patient was discharged on cipro for coverage for e.coli vs klebsiella. final cultures grew stenatropamonas. since he was febrile and neutropenic on admission, the patient was treated for iv bactrim for a 14 day course which he completed a day after discharge. there was no growth on surveillance cultures. . ## cardiovascular: patient went into afib with rvr after receiving chemo on last admission and was converted to sinus on amiodarone and metoprolol. pt was continued on these medications until when he was admitted for bradycardia. lopressor held at that time and pt did well on amiodarone alone. amiodarone was scaled down to qd dosing from dosing in the . patient's bradycardia improved. patient has an extensive cardiac history including cabg in the 80's and more recent stent placement for unstable angina. pt was on plavix prior to chemo which was discontinued due to low platelets. aspirin was resumed in the however subsequently discontinued for portacath placement and in anticipation of low platelets secondary to chemotherapy. patient remained in normal sinus rhythm and took po lasix as needed for pedal edema. . ## parkinsons: patient was continued on carbidopa-levadopa and entacapone per outpatient regimen. pt usually on new strateva which is non-formulary so usually placed back on this regimen as an inpatient. . ## bph: a foley was placed during the chemotherapy course since patient was having some difficulty using urinal and voiding secondary to post-ictal left hand weakness. at the completion of chemo, the foley was discontinued and patient was able to use urinal upon discharge. . ## fen: - low sodium cardiac diet - sliding scale k, mg, ca - non-anion gap acidosis thought to be likely secondary to ivfs since renal function was preserved. . ## access: piv x2. portacath placed . . ## ppx: ppi and pneumoboots. . ## communication: patient and wife. . ## constipation: lactulose, colace, senna, fleets enema. resolved after fleets enema. medications on admission: 1) acyclovir 800 mg tid 2) asa 3) lipitor 20 mg qd 4) bisacodyl 5) carbidopa-levadopa 25-100 mg tid 6) ctx 1 gm qd 7) dexamethasone 2 mg iv bid 8) docusate 9) entacapone 200 mg tid 10) finasteride 5 mg qd 11) folic acid 5 mg qd 12) lasix 40 mg qd 13) lactulose 30 ml q3 prn 14) keppra 500 mg 15) ppi 16) bactrim 450 mg iv tid 17) terazosin 1 mg qhs 18) vancomycin 1 gm iv 12 . discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. folic acid 1 mg tablet sig: five (5) tablet po daily (daily). 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 5. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po tid (3 times a day). 6. entacapone 200 mg tablet sig: one (1) tablet po tid (3 times a day). 7. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po twice a day: start taper: take 1 tab by mouth at bedtime take 1 tab by mouth at bedtime then stop . disp:*2 capsule(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: three (3) tablet, delayed release (e.c.) po bid (2 times a day) as needed. 10. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q3h (every 3 hours) as needed for constipation. 11. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 12. oxycodone 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. 13. terazosin 1 mg capsule sig: one (1) capsule po hs (at bedtime). 14. levetiracetam 500 mg tablet sig: two (2) tablet po qam: plse take 2 tabs by mouth every morning. plse take 3 tabs by mouth every evening. disp:*150 tablet(s)* refills:*2* 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 16. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 17. furosemide 20 mg tablet sig: one (1) tablet po once (once) for 1 doses. 18. bactrim ds 160-800 mg tablet sig: one (1) tablet po twice a day: until . disp:*3 tablet(s)* refills:*0* 19. lorazepam 1 mg tablet sig: one (1) tablet po at bedtime as needed for for sleep. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: 1) burkitt's lymphoma 2) cad 3) carotid stenosis 4) parkinson's disease 5) spinal stenosis 6) bph discharge condition: good discharge instructions: please stop taking your plavix and asa until you follow-up with your oncologist. please take the rest of your medications as prescribed. please call your pcp or return to the emergency room if you have a seizure, chest pain, nausea/vomitting, fever/chills or any other worrying symptoms. followup instructions: please return to 7 feldburg this friday at 9am to continue your chemotherapy. provider: , md date/time: 2:30 where: clinical center phone: you are on the cancellation list. the office will call if there is an opening. procedure: venous catheterization, not elsewhere classified spinal tap incision of lung injection or infusion of cancer chemotherapeutic substance diagnoses: acidosis mitral valve disorders congestive heart failure, unspecified atrial fibrillation aortocoronary bypass status other convulsions hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) paralysis agitans bacteremia antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use infection and inflammatory reaction due to other vascular device, implant, and graft meningitis, unspecified burkitt's tumor or lymphoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to