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: past medical history: 1. cll non-hodgkin's lymphoma in . she underwent melphalan/prednisone therapy from to and then in pulmonary nodules were appreciated and treated with chop chemotherapy. she had a recurrence of lymphoma in - in the jaw and orbit, status post protocol. 2. history of hypogammaglobulinemia (required monthly infusions, the last one was one year ago, however). 3. status post hemicolectomy in for t3, n1, m0 colon cancer. no chemotherapy was done at that time. 4. status post splenectomy in with indications unclear. last pneumovax was in . 5. history of hemophilus influenzae bronchitis. 6. interstitial pneumonitis with underlying lymphomatous lung infiltration. 7. history of svc clot in , likely related to her port-a-cath. physical examination on admission: vital signs: temperature 100.6, blood pressure 108/58, pulse 96, respiratory rate 36, oxygen saturation 94% to 99% on 4 liters. generally, she was awake and alert. her breathing was slightly labored. heent: she was anicteric. the mucous membranes were dry. the pupils were equal, round, and reactive to light and accommodation. extraocular movements were intact. neck: supple. there was no jugular venous distention. heart: tachycardiac, regular rate and rhythm, normal s1, s2. there were no extra sounds. lungs: crackles diffusely extending one-third of the way up. there was no egophony. there was no fremitus. abdomen: normal bowel sounds, soft, nontender, nondistended. the liver edge and spleen were not palpable. extremities: she had trace pitting edema with normal capillary refill. there was no cyanosis. laboratory data upon presentation: white blood cell count 12.7, hematocrit 33.8, platelets 268,000. the inr was 1.2. the chest x-ray showed multiple patchy opacities in the right lower lobes and left lower lobes consistent with focal consolidation. hospital course: the patient had a prolonged intensive care unit stay, during which she received a 14 day course of ceftriaxone and levofloxacin to treat her pneumonia. toward the end of her micu stay, she started to develop diarrhea. she was empirically treated for five days with metronidazole with resolution of diarrhea. the micu stay was also complicated by hypotension necessitating multiple fluid boluses. the patient became grossly edematous; however, blood pressure was maintained above 100 systolic for the duration of her course. cosyntropin stimulation testing revealed adrenal insufficiency. the patient was started on hydrocortisone stress dose with progressive taper. diuresis was then achieved with furosemide; however, the patient had significant hypophosphatemia and hypokalemia, both electrolytes were repleted without complication. on , the patient was transferred to the floor. she had no complaints but was slightly confused about where she was. she recognized her family members and was able to answer questions .................... the physical examination was significant for +3 upper extremity and lower extremity edema. there was good capillary refill. the limbs were weeping in several places. the vascular examination was normal. the neurological examination showed a mental status that was slightly confused. she was oriented to person and time. she spoke in three to four word sentences. cranial nerves ii, iii, iv, and vi were normal, that is the pupils were equal, round, and reactive to light and accommodation. the extraocular movements were intact without nystagmus. cranial nerves v and vii were normal, that is the face was symmetric with intact sensation in all three distributions of the seventh nerve. cranial nerves ix, x, and xii likewise were normal. the tongue was midline. the gag reflex was intact and she could phonate clearly. cranial nerve was normal with intact shoulder shrug. the upper extremity proximal and distal strength was 4+ bilaterally. the lower extremity was 3+ bilaterally in the proximal and distal groups. the plantar reflex was flexor. the remainder of the hospital course was marked by resolution of her gross edema, daily diuresis was approximately 1 liter per day. she initially required approximately 40 mg of furosemide twice daily. this was decreased to 40 mg once daily. as stated above, the patient required intermittent potassium repletion. phosphate repletion was required every day. while the patient's edema appeared to be resolving, the left upper extremity appeared to be slightly more swollen than the remaining three limbs. given that a left subclavian line was in place, there was a concern that she may have developed a deep venous thrombosis. noninvasive vascular ultrasound of that limb did not reveal deep venous thrombosis. the line was left in place until peripheral access could be established in the right upper extremity. the patient's steroids were tapered as listed in the medication list below. her blood pressure remained above 100 systolic. she did not require further fluid boluses. the patient underwent aggressive chest physical therapy with daily suctioning. her oxygen saturations remained above 95% on approximately 2-4 liters by nasal cannula. disposition: the patient was discharged to an acute nursing facility. discharge diagnosis: 1. acute respiratory distress syndrome. 2. pneumonia. 3. cll. 4. colon cancer. discharge medications: 1. prednisone 10 mg by mouth every other day starting on . 2. potassium chloride 40 meq by mouth every morning for ten days starting . 3. furosemide 40 mg by mouth every day for ten days starting . 4. aspirin 325 mg by mouth every morning. 5. albuterol nebulizer solution one inhaled solution every three hours. 6. ipratropium nebulizer one solution every four hours. 7. acetaminophen 325 to 650 mg every four to six hours as needed. 8. miconazole 2% powder applied to effected areas as needed. 9. lansoprazole 30 mg by mouth twice daily. 10. heparin 5,000 units subcutaneously every 12 hours (note, this medication may be discontinued once the patient is ambulatory). 11. salmeterol two puffs inhaled twice daily. 12. neutra-phos one packet by mouth t.i.d. for ten days starting on . 13. artificial tears (propylene glycol) one to two drops in both eyes t.i.d. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified septicemia hypopotassemia acute respiratory failure intestinal infection due to clostridium difficile streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group a 

Answer: The patient is high likely exposed to