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: ivp dye, iodine containing attending: chief complaint: chest pain shortness of breath major surgical or invasive procedure: cardiac catheterization pericardiocentesis pericardial drain placement history of present illness: 69 yo with metastatic cancer to lung, with unknown primary had chemo today and then developed acure onset of chest pain at 2 am that woke her from sleep, described as with diaphoresis, nausea and sob with ste inferiorly and laterally she notes that it was simlar to her previous episodes of cp that she has had in the past, but never had an mi. she still had cp on arrival to ed and was taken to cath lab directly after head ct neg for bleed or mass effect with concern for mets. she was started on nitro, heparin and integrillin gtt. cath with normal coronaries except 40%ostial lcx, elevated right and left heart pressures and low cardiac output, thought to have pericarditis. currently she feels alright, pain is gone, but it comes and goes. she hasn't noticed a difference or improvement with ntg. she had started her first dose of chemo today as well, and notes she has been losing some weight, but otherwise denies any uri, f/c/sweats/sob besides with the pain or pain anywhere else. ***** briefly, 69yo woman with h/o htn, hyperlipidemia, dm2, bladder ca, metastatic lung cancer who had chemo on doa with carboplatin/gemcytobene, then developed acute onset chest pain, sob that woke her from sleep, found to have pericarditis with pericardial effusion but no tamponade. a head ct was neg for bleed or mass effect but with concern for metastatic disease. she was taken to cath lab for concern about mi, had no flow limiting lesions (40%ostial lcx), evidence of left heart diastolic dysfunction and moderate pulmonary htn with increased right sided filling pressures. also had a tte () that showed normal regional left ventricular wall motion, hyperdynamic lv (ef>75%), and a small pericardial effusion that was stable on repeat tte (). . over the weekend, the patient had acute worsening of her shortness of breath in the setting of receiving a blood transfusion for her anemia, with chest xray revealing pulmonary edema consistent with a flash from her known hypertrophic cardiomyopathy. also of note, the patient developed cough productive of copious yellow sputum, and given her immunosuppression from chemotherapy as well as the cta findings, was started on ceftaz/flagyl and diuresed with lasix. the cta showed: no pe, multiple pulmonary nodules c/w metastases, multiple pleural-based metastases with adjacent invasion into the ribs, a loculated hydropneumothorax in the proximal left lower lobe, compressive atelectasis or consolidation in the left lower lobe, a loculated pleural fluid collection in the posterior left base, and a small to moderate pericardial effusion. in talking with her oncologist, dr. at , the resident confirmed that most of these findings were not new. the oncologist did not feel that a transfer to df was warranted as it seemed the patient might be able to be discharged soon from . . since undergoing diuresis and starting on ceftaz/flagyl, the patient's shortness of breath has improved dramatically, and her sputum production has decreased as well. of note, she is also developing pancytopenia but has remained afebrile with anc 1000 today. she also has a climbing sodium concentration and bun/cr ratio, taking in only tube feeds and occassion ice. past medical history: metastatic ca with mets to lung, unknown primary s/p chemo two cycles, but with esophageal mass s/p peg bladder ca s/p urostomy 's type ii diabetes mellitus hypertension hyperlipidemia social history: lives with her daughter, son-in-law no , etoh, illicits family history: non-contributory physical exam: vs: p 91 bp 127/66 sat 93%on 2lnc gen aao, lethargic, in nad heent perrl, mmm, clear op, right ij triple lumen in place chest ctab no crackles cv rrr no murmurs abd soft nt/nd, +bs ext trace le edema pertinent results: 03:15am hypochrom-3+ anisocyt-1+ poikilocy-normal macrocyt-normal microcyt-3+ polychrom-normal ovalocyt-occasional target-occasional pencil-occasional 03:15am neuts-85.7* bands-0 lymphs-12.8* monos-1.3* eos-0.1 basos-0 03:15am wbc-5.3 rbc-3.86* hgb-8.8* hct-28.8* mcv-75* mch-22.7* mchc-30.4* rdw-21.0* 03:15am ck-mb-notdone ctropnt-0.01 03:15am ck(cpk)-31 03:15am glucose-153* urea n-33* creat-1.1 sodium-141 potassium-5.0 chloride-109* total co2-18* anion gap-19 04:20am pt-13.7* ptt-23.2 inr(pt)-1.3 05:55am hgb-7.5* calchct-23 o2 sat-94 05:55am k+-4.1 05:55am type-art po2-71* pco2-32* ph-7.35 total co2-18* base xs--6 07:00am plt count-206 07:00am wbc-4.5 rbc-3.21* hgb-7.2* hct-24.1* mcv-75* mch-22.4* mchc-29.8* rdw-21.2* 07:00am calcium-8.5 phosphate-4.5 magnesium-2.1 07:00am ck-mb-notdone ctropnt-<0.01 07:00am glucose-131* urea n-32* creat-0.9 sodium-142 potassium-4.2 chloride-112* total co2-17* anion gap-17 brief hospital course: 69 yo woman with presumed metastatic lung ca, possible post-obstructive pna, transferred to the ccu with pericarditis and tamponade s/p pericardial drain placement and fungemia. . 1) pericarditis/pericardial effusion: this is felt to be a malignant effusion from metastatic disease. she underwnet pericariocentesis and pericardial drain placement on . thoracic surgery was consulted to place a window but she was too sick as there was concern for collapsing a lung during the procedure and that she would not have enough lung reserve to survive that. pericardial fluid sent grew yeast. drainage diminished and the drain was pulled given infection and no re-accumulation. . 2) id: she was transferred with fungemia ( ) on voriconazole that was swtiched to caspofungin. her blood was also positive enterococcus faecium and she was started on vancomycin. her post obstructive pneumonia was treated with ceftazidime and zosyn initially, then meropenum. . 3) hypotension: she became septic with initial svr 450. she was started on vasopressin on and levophed. she was pressor dependent from then on. . 4) resp: she had a post-obstructive pna and pleural effusion: she was treated with ceftaz/flagyl and then meropenum. ct chest showed loculated effusions that were not amenable for throacentesis. she was intubated on for respiratory failure secondary to fatigue. the posivtive pressure helped to open collapsed l lung. she had a bronchoscopy on , with no frank obstruction, extrinsic compression of l lower bronchus. . 5) metastatic lung ca: followed by dr. at , spoke to him on ,per records it is a squamous cell pathology, likely lung. he said given poor prognosis would not favor aggressive treatment. . 6) pancytopenia: -anemia: felt to be secondary to recent chemotherapy. she was transfused for hematocrits less than 27. -thrombocytopenia: her platelets dropped, likely from chemotherapy. her hit antibody was negative. 7) cv: rhythm - she was in intermittent atrial flutter, initially treated with diltiazem but that was discontinued when she became septic. 8) metabolic acidosis: non anion gap, likely arf from atn and rta given + urine anion gap. 9) goals of care: given her multiple organ failure and inability to wean from the ventilator, and her poor prognosis with the metastatic cancer, her code status was changed to dnr. after several days of no improvement and continued septic picture and dependence on pressors and ventilator, additinal family meetings were held. she was made cmo and passed away comfortably with her family at her side on . medications on admission: ferrous sulfate lipitor macrodantin protonix folate b12 mvi lantus zofran compazine lorazapam fentanyl discharge medications: n/a discharge disposition: home discharge diagnosis: metastatic cancer pericadial effusion sepsis discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube enteral infusion of concentrated nutritional substances pericardiocentesis closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring pericardiotomy transfusion of packed cells diagnostic ultrasound of other sites of thorax infusion of vasopressor agent diagnoses: pneumonia, organism unspecified acute kidney failure, unspecified severe sepsis atrial fibrillation acute and chronic respiratory failure other specified septicemias septic shock disseminated candidiasis streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] secondary malignant neoplasm of lung other malignant neoplasm without specification of site diastolic heart failure, unspecified attention to other artificial opening of urinary tract secondary malignant neoplasm of bone and bone marrow acute pericarditis, unspecified 

Answer: The patient is high likely exposed to