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: cefepime / vancomycin attending: chief complaint: fever/rash major surgical or invasive procedure: endotracheal intubation, arterial line, bilateral chest tubes history of present illness: mr. is a 30 y/o man w/ h/o refractory hodgkin's lymphoma s/p reduced intensity non-myeloablative mud transplant who was discharged the day prior to admission and who now returns with fever and diarrhea. mr. was recently admitted on the bmt service from to with a fever and a new morbilliform rash. no infectious source for his fevers was identified (chest ct was done as well as urine/blood cx ngtd; cmv vl is still pending). he was treated empirically with linezolid (red man reaction with vancomycin and allergy to cefepime) initially and then abx were changed to levofloxacin. during his last admission, his temperature never exceeded 100.6. he defervesced and was discharged home after being afebrile x 24 hous. dermatology was consulted for the rash, and it was felt to be gvhd. he was discharged on triamcinolone cream, oral prednisone 60mg, and levofloxacin. the evening of discharge he developed low-grade fever at home, but then spiked to over 102 overnight. he reports that his rash has not significantly changed and possibly is less confluent now. he does report new onset of diarrhea that started on the evening of discharge from the hospital. he has had 4 loose watery non-bloody bms with some abdominal cramping prior to bms. he felt weak and tired with fevers, but had no other symtpoms. specifically, no abdominal pain. he denies nausea, vomiting, cough, sob, rhinorrhea, sore throat, dysuria, headaches, dysphagia. in the ed, vs on presentation 101.9 (then fever to 102.2) bp 98/44 (then down to 85/45) hr 130's. lactate initially 2.3. blood cx and urine cx sent. the patient received zosyn 4.5 mg iv, linezolid 600 mg iv, flagyl 500 mg iv, solumedrol 125 mg iv, and tylenol po. he was resuscitated with a total of 4l ns with response in bp. while on the floorhis bp was bordeline low and a diarrhea w/u was continued. he was started on tpn on hd #2. his rash was noted to worsen, solumedrol was added. cont on flagyl, zosyn, bactrim. flagyl stopped on hd #4. zosyn then d/c'd but then restarted on for fever to 101.4. on day of transfer, pt with inc cough. cta peformed and vanco added. fluconazole changed to voriconazole. on day of transfer, pt actuely desat'd to mid 80's but recovered with supplimental oxygen. cta of chest done showed bilateral ground glass opacities. pulm consulted for ? bronchoscopy. called by moonlighter at 4:30 am for hypoxia. pt desatted and required . on pt initally satting in the mid 80's. tachycaridic in sinus tach to 140-150's. bp stable. afebrile. given 20 mg iv lasix w/ 700 cc uop. abg showed 7.44/33/44. he was urgently transferred to the for intubation and resp failure. pt was intubated with anesthesia present and then was transiently hypotensive on sedation. past medical history: 1. hodgkin's lymphoma, nodular sclerosing. - diagnosed . - s/p abvd x4 cycles with good response, then abvd x2 with poor response. - s/p cep x2 with poor response. - s/p gemcitabine/cisplatin/dexamethasone x3. - s/p auto-sct with cytoxan , with persistent adenopathy and pet +. - s/p xrt to chest wall followed by rituxan/vinblastine w/ good response. - s/p mini-matched unrelated donor (mud) allo transplant with evidence of disease progression on ct - s/p gemcitabine , last treatment - s/p dli . social history: worked as account manager at hedge fund, on disability now x 1 year. denies etoh, tobacco, illicits. family history: he has a stepfather who is unrelated to him who has non-hodgkin's lymphoma. father recently d. lung cancer. his maternal grandmother with cancer and paternal cousin has pancreatic cancer. physical exam: vitals: 99.6, hr 113, 88/44, rr 21-23, aac 100%, 400 x 20, peep 5 gen: tired ill appearing young man in acute distress heent: pt on pulm: ctab. w/ distant bs, no wheezes cv: regular, nl s1s2, no m/r/g. chest: right hickman w/o s/sx of infection abd: + bs, soft, nt, nd ext: 2+ dp, no e/c/c. neuro: aaox3, no focal neuro deficits on gross exam. skin: diffuse erythematous rash confluent on chest and back, + blanching, with discrete macules and papules on extremities, abdomen, behind ears. pertinent results: labs on admission: 12:00am glucose-142* urea n-8 creat-0.5 sodium-139 potassium-3.6 chloride-105 total co2-26 anion gap-12 12:00am alt(sgpt)-100* ast(sgot)-35 alk phos-54 tot bili-0.3 12:00am albumin-3.4 calcium-8.7 phosphate-2.4*# magnesium-1.9 12:00am wbc-6.3 rbc-3.70* hgb-11.0* hct-33.2* mcv-90 mch-29.8 mchc-33.2 rdw-20.6* 12:00am neuts-73* bands-10* lymphs-7* monos-3 eos-1 basos-0 atyps-2* metas-3* myelos-1* 12:00am hypochrom-1+ anisocyt-2+ poikilocy-2+ macrocyt-1+ microcyt-1+ polychrom-1+ ovalocyt-2+ schistocy-occasional stippled-occasional teardrop-occasional 12:00am plt count-203 12:00am pt-12.3 ptt-23.7 inr(pt)-1.1 12:00am gran ct-5200 10:28am lactate-0.7 09:15am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 08:36am lactate-2.3* 08:15am glucose-105 urea n-11 creat-0.8 sodium-136 potassium-3.3 chloride-99 total co2-24 anion gap-16 08:15am alt(sgpt)-82* ast(sgot)-30 ld(ldh)-237 alk phos-58 tot bili-0.4 08:15am wbc-5.5 rbc-4.03* hgb-12.1* hct-35.5* mcv-88 mch-30.0 mchc-34.0 rdw-21.0* 08:15am neuts-66 bands-2 lymphs-1* monos-9 eos-12* basos-0 atyps-3* metas-7* myelos-0 08:15am hypochrom-normal anisocyt-2+ poikilocy-2+ macrocyt-1+ microcyt-2+ polychrom-2+ ovalocyt-2+ teardrop-occasional 08:15am plt smr-normal plt count-185 08:15am pt-12.3 ptt-23.5 inr(pt)-1.1 . labs on transfer to icu: 12:00am blood wbc-5.3 rbc-3.88* hgb-12.0* hct-35.2* mcv-91 mch-31.1 mchc-34.2 rdw-21.3* plt ct-192 12:00am blood neuts-60 bands-20* lymphs-4* monos-9 eos-1 baso-0 atyps-3* metas-1* myelos-2* nrbc-1* 12:00am blood plt ct-192 04:15am blood fibrino-367# 12:00am blood gran ct-4130 10:32pm blood glucose-236* urean-18 creat-0.7 na-133 k-5.0 cl-106 hco3-22 angap-10 12:00am blood alt-104* ast-42* ld(ldh)-576* alkphos-61 totbili-0.6 12:00am blood albumin-2.5* calcium-7.8* phos-3.0 mg-2.0 04:15am blood hapto-212* 09:31am blood type-art temp-38.9 rates-20/ tidal v-400 peep-10 fio2-80 po2-97 pco2-50* ph-7.30* caltco2-26 base xs--1 aado2-439 req o2-74 -assist/con intubat-intubated 04:29am blood lactate-3.5*. imaging: chest x ray: a single ap view of the chest is obtained on at 08:21 hours and compared with the prior day's radiograph performed at 12:23 hours. when compared to the prior day's examination, there appears to be improvement in the minimal patchy increased density at the left base likely due to improvement of some subsegmental atelectasis. there is patchy increased density in the right base, which is new and which may represent minimal airspaces and/or atelectasis. the remainder of the lung fields appear unchanged since prior day's radiograph. brief hospital course: mr. is a 30 yo male with h/o refractory hodgkin's lymphoma s/p reduced intensity non-myeloablative mud allo transplant who was admitted with gvhd rash and diarrhea who was transferred to the with hypoxic respiratory failure. 1)respiratory failure: the cause of mr. respiratory failure was thought to be secondary to the bleomycin, which he had received as part of his chemotherapy regimen in the past. cxray suggested diffuse atelectasis in addition to basilar opacities. no source of infection was identified; all cultures were negative. he was empirically started on vancomycin, caspofungin, bactrim, and zosyn to cover him for all possible organisms. he was also placed on methylprednisolone. his respiratory status was further complicated by bilateral ptxs, etiology still unclear. pt was made cmo once discussions with the bmt and team suggested that he had a poor prognosis. all medications were stopped at the time; he was slowly weaned off the ventilator, and he was started morphine, methadone, and fentanyl for comfort. 2) lue dvt: pt with spontaneous l subclavian, brachial, and axillary non-occlusive dvt and unchanged small lll filling defect on chest cta. d/w bmt team, who agreed that given this pt's high risk of bleeding, will not treat dvt at this point with anticoagulation. 4) diarrhea: most likely secondary to gvhd. stool cultures were negative for c.diff and overlying infectious etiology. no further intervention was done. 5) thrombocytopenia: likely secondary to his underlying and refractory malignancy. his plt remained above goal and did not require any further transfusions. 6) rash. likely secondary to gvhd and possibility of red-man syndrome secondary to vancomycin. the rash persisted during his stay and was evaluated extensively during his prior stay. no further evaluation was done at this time. he was continued on steroids. 7) hodgkin's lymphoma, refractory to tx. most recently s/p dli . ct showed some regression of tumors. patient was not a candidate for further treatment. he was followed closely by the bmt service during his stay in the and until his death. 8) fen: pt was maintained on tpn, which was d/c'ed once he was made cmo. 9) ppx: pt was placed on pneumoboots for dvt prophylaxis (since he was not a candidate for anti-coagulation). he was also placed on ppi for gi regimen. 10) code status: pt was initially full code on admission to the ; his code status was then changed to cmo after multiple discussions with the bmt team. pt was pronounced dead on . discharge medications: pt died discharge disposition: expired discharge diagnosis: lymphoma, refractory respiratory failure discharge condition: pt died on discharge instructions: as above followup instructions: as above procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage 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 arterial catheterization closed [endoscopic] biopsy of bronchus transfusion of platelets infusion of vasopressor agent diagnoses: thrombocytopenia, unspecified long-term (current) use of steroids hyposmolality and/or hyponatremia other malignant lymphomas, unspecified site, extranodal and solid organ sites acute and chronic respiratory failure other complications due to other vascular device, implant, and graft complications of transplanted bone marrow diarrhea emphysema (subcutaneous) (surgical) resulting from procedure hypovolemia late effect of radiation radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure spontaneous tension pneumothorax acute pulmonary manifestations due to radiation other acute pericarditis 

Answer: The patient is high likely exposed to