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: history of present illness: this is a 60-year-old female with no significant past medical history, who presented to an outside hospital on with complaints of dyspnea on exertion and increasing pallor, and was found to be pancytopenic with a white blood cell count of 2.2, hematocrit of 18.5, and platelet count of 15,000. she had a bone marrow aspirate that showed an overwhelming cell type of dysplastic red cell maturation. the patient received 2 units of packed red blood cells overnight at the outside hospital and her hematocrit rose to 28.4. she did have a fever to 101.5 overnight. no antibiotics were started. a chest x-ray was clear. on admission here, the patient describes a history of worsening dyspnea on exertion over a week period to the point of being intolerant of five steps upstairs. she has no shortness of breath at rest. no chest pain, no lightheadedness, no visual changes. no nausea, vomiting, or diarrhea. patient notes a history of easy bruising throughout her life. she notes a weight gain of 15 pounds in the past few months. no night sweats, no prior fevers. patient did have some mild uri symptoms three weeks ago, but now only notes a dry cough for the past three days. past medical history: patient denies any significant past medical history. she has not seen a primary care physician for many years. she has a history of right knee injury. allergies: citrus fruit causes a rash. otherwise, no known drug allergies. medications: none. she rarely takes aspirin prn. social history: she lives in . she has never been married. she has brothers in and , and a cousin in , with whom she is close. she works as a bank teller. she quit tobacco 15 years ago after a history of one pack per week. she has rare alcohol use, and denies any history of iv drug use. family history: mother died from a cva, and her brother had a heart attack at about 60 years of age. her father passed away from lung cancer. physical exam on admission: well-nourished, pale, and tired-appearing female in no distress. vital signs: temperature 99.5, heart rate 64, blood pressure 124/76, respiratory rate 24, and 92% on room air. heent: midline herpetic lesion above her lip. oropharynx clear. moist mucosal membranes. pale conjunctivae. neck: no lymphadenopathy, supple. lungs are clear to auscultation bilaterally. heart: regular rate and rhythm, normal s1, s2. abdomen is soft, nontender, nondistended, positive bowel sounds, obese, no masses, and no hepatosplenomegaly. extremities: no edema, clubbing, or cyanosis, 2+ distal pulses. cranial nerves ii through xii are intact. alert and oriented times three. strength 5/5. gait within normal limits. laboratory data on admission: white count 1.6, hematocrit 29.5, platelet count 16. white count differential: 60% neutrophils, 4% bands, 28% lymphocytes, 3% monocytes, 3% eosinophils, 0% basophils, 1 atypical, 1 metamyelocyte, 1 myelocyte, 333 nucleated rbcs. chem-7 as well as renal function was unremarkable as well as lfts, which were within normal limits with the exception of a t bilirubin, which was elevated at 1.8, albumin was 3.7. uric acid was 5.9. inr is 1.2. bone marrow biopsy at the outside hospital showed hypercellular marrow with only a rare megakaryocyte, infrequent white blood cell overwhelming cell type. he has dysplastic red cell maturation with frequent megacaryocyte blasts with well-defined nuclei, having frequent clover leaved and binucleate appearance. hospital course: 1. hematology/oncology: on hospital day #1, dr. performed a bone marrow biopsy, the results did not confirm a m6 aml, erythroleukemia. fish chromosome and flow cytometry studies were done. patient had a hickman central line placed, and subsequently a chemotherapy protocol was initiated including idarubicin and cytarabine. initially patient tolerated this regimen well, but did subsequently develop febrile neutropenia at which point her antibiotic regimen was changed from empiric levofloxacin and fluconazole to cefepime, vancomycin, and then ambisome in addition. patient continued to spike fevers despite this broad-spectrum coverage. patient received blood cell transfusions for hematocrit less than 25, and also received platelet transfusions for platelet count less than 20,000. she received an additional unit of platelets in the setting of a fall from her bed that resulted in a large left orbit hematoma superficially. 2. infectious disease: as described above, the patient was started on levofloxacin and fluconazole empirically. she did develop fevers on hospital day #8 in the setting of neutropenia with an anc of 120. cefepime and then vancomycin were added on her regimen on this day, and then on , ambisome was initiated for broader spectrum coverage. cultures were sent including blood, both central and peripheral, urine and stool cultures. patient did have diarrhea during this time as well. serial clostridium difficile tests were done, but were negative. however, given the high suspicion, flagyl iv was added to her regimen for broader spectrum coverage. patient had continued to spike fevers despite this broad-spectrum coverage, and was receiving tylenol for fever control at the time of this dictation. 3. fluids, electrolytes, and nutrition: the patient had poor p.o. intake from hospital day six onward. because of her concerns about her nutritional status, tpn was initiated on . 4. intravenous access: patient had a hickman placed on . hickman was not successfully placed by surgery, and therefore the interventional radiology team was consulted for immediate placement of a hickman by fluoroscopy, which was successful. however, the patient did have subsequent hematomas in her upper chest bilaterally, which were tender throughout her hospital stay. she continued on prn oxycodone for control of her discomfort. 5. gi: patient did develop diarrhea during her hospital stay. clostridium difficile tests were negative x3. however, flagyl was initiated out of concerns for this possibility. patient continued bowel regimen early on in her hospital stay with the use of oxycodone. peridex, gelclair, and nystatin were used for mouth care. 6. status post fall: on the morning of , the patient fell from her bed and sustained a left orbit hematoma. the patient had received a unit of platelets overnight, and at the time of the fall her platelet count was 70,000. patient was sent for an immediate head ct noncontrast, which did rule out any intracranial hemorrhage, but did show a significant left orbit hematoma superficially. a followup ct of the orbits was done, which revealed no bleeding behind the globe or any compression of the globe. the patient had no associated visual symptoms. ice was applied to the patient's hematoma and an additional bag of platelets was transfused for bleeding control. serial neuro examinations were within normal limits. 7. urologic: the patient did develop hematuria on . this discolored urine was controlled after a platelet transfusion. it is likely related to the patient's chemotherapy regimen. the patient's subsequent hospital course as well as discharge status, medications, and follow-up plans will be addended. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube biopsy of bone marrow arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus transfusion of packed cells closed biopsy of skin and subcutaneous tissue injection or infusion of cancer chemotherapeutic substance diagnoses: congestive heart failure, unspecified methicillin susceptible staphylococcus aureus septicemia acute respiratory failure intestinal infection due to clostridium difficile infection and inflammatory reaction due to other vascular device, implant, and graft other specified antibiotics causing adverse effects in therapeutic use acute myeloid leukemia, without mention of having achieved remission pneumonia due to other streptococcus 

Answer: The patient is high likely exposed to