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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: dr is a 57 yo man with stage ivb hodgkin lymphoma s/p 6 cycles of chemotherapy with avd (bleomycin held due to depressed dlco at baseline) starting in of this year. on started the second cycle with the addition of bleomycin. he has tolerated the chemotherapy overall well, without significant side effects. patient presenting with r sided chest wall pain wrapping around torso and right upper quadrant pain, that began earlier this week and is not improving. he has tried som heat pads, flexeril, percocet, and dexamethasone for pain without relief. he denies any n/v/d, constipation, worsening pain with food, fever, sweats, chills. he also complains of being tired. in the er the patient received morphine for pain. he also had an episode of shaking chills and a temp of 100.8 which came down to 99 within the hour. ros: otherwise negative past medical history: past oncologic history: hodgkin's lymphoma diagnosed after presenting with fatigue, night sweats and increased lymphadenopathy. started on avd (modified abvd) on . past medical history: -left neck adenopathy s/p biopsy negative for malignancy in -sarcoidosis - diagnosed in based on hilar lymphadenopathy and erythema nodosum. treated with steroids with resolution of symptoms. in in the setting of lymphadenopathy he had an ace level of 114. -pulmonary embolism -glucose intolerance social history: works as a primary care doctor locally. he works primarily at the va in and nearby rehab facilities. his wife is a librarian at the law school, and he has a 14yo son. has not travelled outside the us. he denies any past or present tobacco, alcohol, or iv drug use. no known tick exposures. family history: no family history of colon, lung, pancreatic, blood cancer. physical exam: physical exam: vs 98.2, 150/87, 102, 18, 98% ra weight 227 gen: aaox3, nad heent: perrla, eomi, mmm, no thrush, no op erythema or lesions neck: supple, no lad, no jvd cvs: rrr, no m/r/g lungs: reg resp rate, breathing unlabored, no accessory muscle use, lungs clear to auscultation bilaterally abd: soft, nabs , mild left upper quadrant tenderness without rebound or guarding chest: mild r sided lower rib pain chest and back ext: 2+ pulses, no c/c/e skin: no rashes neuro: cn 2-12 intact, strength 5/5 in ue and le bilat. ltsi in ue and le. finger to nose intact, rapid alt. movements intact, heel to shin intact, gait normal, no pronator drift, no asterixis. discharge physical exam: vs 98.5, 108/70, 85, 18, 98% ra gen: aaox3, nad heent: perrla, eomi, mmm, no thrush, no op erythema or lesions neck: supple, no lad, no jvd cvs: rrr, ns1s2, no m/r/g lungs: reg resp rate, breathing unlabored, no accessory muscle use, lungs clear to auscultation bilaterally abd: soft, non-tender,normoactive bowel sounds, no masses, no hsm ext: 2+ pulses, no c/c/e skin: crusted r t9 dermatomal herpetic rash, resolving neuro: cn 2-12 intact, strength 5/5 in ue and le bilat pertinent results: admission labs: 10:10am wbc-4.3 rbc-3.15* hgb-10.3* hct-30.5* mcv-97 mch-32.7* mchc-33.7 rdw-18.5* 10:10am neuts-87.1* lymphs-6.4* monos-3.8 eos-1.8 basos-0.9 10:10am plt count-162 10:10am pt-10.7 ptt-29.9 inr(pt)-1.0 10:10am glucose-242* urea n-11 creat-0.8 sodium-138 potassium-3.9 chloride-101 total co2-24 anion gap-17 10:10am alt(sgpt)-45* ast(sgot)-24 alk phos-163* tot bili-0.3 09:44am lactate-2.5* 01:00pm urine blood-neg nitrite-neg protein-tr glucose-300 ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 01:00pm urine color-yellow appear-clear sp -1.014 01:00pm urine rbc-0 wbc-1 bacteria-none yeast-none epi-0 10:10am lipase-30 discharge labs: 07:50am blood wbc-4.0 rbc-2.98* hgb-9.4* hct-28.4* mcv-95 mch-31.4 mchc-33.0 rdw-17.7* plt ct-307 07:50am blood neuts-78.8* lymphs-17.0* monos-3.5 eos-0.5 baso-0.3 07:50am blood pt-11.4 ptt-43.8* inr(pt)-1.1 12:40pm blood lmwh-pnd 07:50am blood glucose-147* urean-14 creat-0.8 na-140 k-4.6 cl-106 hco3-24 angap-15 07:50am blood alt-44* ast-25 ld(ldh)-219 alkphos-246* totbili-0.3 07:30am blood ggt-409* 07:50am blood calcium-9.2 phos-3.9 mg-2.0 04:20am blood tsh-7.6* 03:59am blood t4-8.9 ruq u/s:study date of impression: 1. gallbladder sludge without evidence of cholecystitis. 2. splenomegaly. 3. hyperechoic area in the left lobe of the liver is also seen on the ct from the same day. differential includes old lymphomatous infiltration, area of greater fatty infiltration, or possibly an unusual appearance of a benign lesion such as an atypical hemangioma could be considered. there has been no definite recent change although the lesion is easier to visualize on this study. if further characterization is desired, then mr imaging may be useful. cxr chest: study date of impression: patchy new left mid and lower lung opacities, typical in morphology for atelectasis, although an infectious etiology is difficult to completely exclude based on the imaging. ct chest and abdomen study date of impression: 1. chronic pulmonary embolism with no evidence of new acute pulmonary embolism. 2. geographical distribution of a hypodense area in the left lobe of the kidney, also seen on the ultrasound of the same day. while the relative degree of hypoenhancement is more striking on today's exam, the etiology is uncertain. this was not avid on recent pet scan. differential includes old lymphomatous infiltration with marked atrophy involving the left lobe or atrophy of other etiology; there may be relative fatty infiltration at the site and an unusual benign lesion such as a hemangioma could also be involved. 3. overall, extensive mediastinal, retroperitoneal, celiac and pelvic lymphadenopathy appears to be stable to slightly decreased in size since the pet-ct from . 4. splenomegaly. 5. no acute intra-abdominal or intrathoracic process to explain the patient's pain. radiology chest (pa & lat) findings: since the prior radiograph there are now small bilateral pleural effusions. left retrocardiac opacity likely represents lower lobe pneumonia. there is no pneumothorax. the cardiomediastinal silhouette is similar in appearance to the prior radiograph. bony structures are intact. impression: 1. interval development of bilateral pleural effusions. 2. retrocardiac opacity likely represents left lower lobe pneumonia. radiology chest (pa & lat) findings: pa and lateral chest radiographs are obtained. heart is normal size and cardiomediastinal contours are unchanged. lungs do not demonstrate significant changes compared to the prior radiograph. opacification of the left base represents atelectasis or consolidation. persistent small right pleural effusion with increased small left pleural effusion. no pneumothorax. impression: 1. persistent small pleural effusions bilaterally. 2. left lower lobe atelectasis or consolidation. micro: 4:19 pm direct antigen test for herpes simplex virus types 1 & 2 negative for herpes simplex by immunofluorescence. 4:19 pm direct antigen test for varicella-zoster virus direct antigen test for varicella-zoster virus (final ): positive for varicella zoster. brief hospital course: # paroxysmal atrial fibrillation: patient has history of atrial fibrillation in setting of hodgkin's lymphom diagnosis. he experienced intermittent atrial fibrillation starting with rates up to 150's. he had numerous conversions into and out of afib: he was first converted to sinus rhythm with 5mg iv metoprolol, however went back into atrial fibrillation with rates in the 130's to 150's. he was converted a second time with iv diltiazem drip, but returned to atrial fibrillation after trying to transition to po diltiazem. he was rate controlled on metoprolol 25mg q6h, and self-converted to sinus rhythm overnight . with recommendations from cardiology, he was also started on sotalol 80mg for addtional rate control. his blood pressures were supported with iv fluid boluses, and he never require pressors. he had been on lovenox for pe in , and was increased from 75mg to 100mg to account for his weight. # abdominal pain: luq abdominal pain and rib pain. laboratory values notable for mildly elevated alk phos, alt and lactic acid (2.5). per records, his alk phos had been elevated in the past few months, likely secondary to his chemotherapy. ruq ultrasound showed biliary sludge without any evidenc of cholecystitis. no acute processes seen on cxr. ct abdomen and chest notable for hypodense area in liver, chronic pe and stable lad. ecg nsr without any evidence of ischemia. patient spiked fever to 102.7 and was started on unasyn and cultured. antibiotics were subsequently discontinued due to low suspicion for infection. etiology unclear, but no evidence of acute processes; may have been due to mild ileus from chemotherapy. # zoster: patient had right sided chest pain wrapping around torso during week prior to admission. he developed a herpetic rash in t9 dermatome during admission consistent with zoster. he was seen by dermatology who did a biopsy (positive for varicella zoster) and was started on iv acyclovir 1000mg q8hrs and put on precautions. the rash did not disseminate and crusted over prior to discharge. he was subsequently transitioned to po acyclovir 800 mg po 5x/day and will complete total 10 days. # hodgkin's lymphoma: patient has stage iv hodgkin's lymphoma. he is being treated by dr. with a modified abvd. he finished his last infusion of chemotherapy on . he will continue prophylaxis with bactrim ss daily and complete course of acycovir for zoster. he will complete 7 days of neupogen treatment starting 24 hours after infusion and follow up with dr. in . transitional issues: -lovenox dosing and duration of treatment, to be discussed as outpatient with dr. up with dr. ggt, unknown etiology medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. allopurinol 100 mg po daily 2. enoxaparin sodium 70 mg sc q12h 3. sulfameth/trimethoprim ss 1 tab po daily 4. ondansetron 8 mg po q8h:prn nausea 5. prochlorperazine 10 mg po q6h:prn nausea 6. omeprazole 40 mg po daily discharge medications: 1. allopurinol 100 mg po daily rx *allopurinol 100 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*2 2. enoxaparin sodium 100 mg sc q12h rx *enoxaparin 100 mg/ml inject 1 syringe subcutaneous every 12 hours disp #*60 syringe refills:*2 3. ondansetron 8 mg po q8h:prn nausea 4. prochlorperazine 10 mg po q6h:prn nausea 5. sulfameth/trimethoprim ss 1 tab po daily rx *sulfamethoxazole-trimethoprim 400 mg-80 mg 1 tablet(s) by mouth once a day disp #*42 tablet refills:*0 6. acyclovir 800 mg po 5x/day rx *acyclovir 800 mg 1 tablet(s) by mouth five times a day disp #*25 tablet refills:*0 7. docusate sodium 100 mg po bid 8. gabapentin 200 mg po q8h please hold for sedation rx *gabapentin 100 mg 2 capsule(s) by mouth every eight (8) hours disp #*90 capsule refills:*0 rx *gabapentin 100 mg 2 capsule(s) by mouth every eight (8) hours disp #*180 tablet refills:*2 9. sotalol 80 mg po bid please hold for hr < 60 rx *sotalol 80 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*2 10. omeprazole 40 mg po daily:prn reflux 11. dexamethasone 4 mg po bid duration: 2 days rx *dexamethasone 4 mg 1 tablet(s) by mouth twice a day disp #*4 tablet refills:*0 12. filgrastim 480 mcg sc q24h duration: 7 days take for 7 days after chemotherapy discharge disposition: home discharge diagnosis: primary: atrial fibrillation, abdominal pain, herpes zoster secondary: hodgkin's lymphoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dr. , it was a pleasure taking care of you at . you were admitted for abdominal pain of unclear etiology. you also developed atrial fibrillation during your admission which has converted back into sinus rhythm. on discharge you will need to follow up with dr. ep cardiology. please call his office to make a follow up appointment in the next two weeks. you will also follow up with dr. as detailed below. new/changed medications: -sotalol 80 mg po bid -dexamethasone 4 mg po bid for 2 days -enoxaparin 100 mg/ml subcutaneous injection every 12 hours -acyclovir 800 mg tab 5 times per day for 5 days (last day wed ) -gabapentin 100 mg, 2 tabs every 8 hours -neupogen 480 mcg/1.6ml one time daily for 7 days after chemo followup instructions: dr. cardiology view map , phone: department: hematology/oncology when: monday at 10:30 am with: , md, phd building: sc clinical ctr campus: east best parking: garage department: hematology/bmt when: monday at 10:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: nuclear medicine when: tuesday at 12:30 pm with: nuclear medicine building: sc clinical ctr campus: east best parking: garage procedure: injection or infusion of other therapeutic or prophylactic substance other conversion of cardiac rhythm injection or infusion of cancer chemotherapeutic substance diagnoses: other iatrogenic hypotension atrial fibrillation sarcoidosis long-term (current) use of anticoagulants lung involvement in other diseases classified elsewhere other fluid overload chronic pulmonary embolism hodgkin's disease, unspecified type, intrathoracic lymph nodes varicella without mention of complication 

Answer: The patient is high likely exposed to