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: penicillins / tape attending: chief complaint: respiratory failure major surgical or invasive procedure: mechanical ventilation arterial cannulation central venous cannulation history of present illness: 51 year old man with acute promyelocytic leukemia status post allogeneic bone marrow transplant two years ago, complicated by extensive moderate graft vs. host disease (extending to his skin, eyes, lungs, and gi tract), resistant stenotrophomonas in his sputum, and bronchiolitis obliterans (fvc 2.31 and fev1 0.75), transferred from emergency department to for respiratory failure and hypotension. he was recently discharged from after a hospitalization for exacerbation of his pulmonary gvhd. he had a 12 hospital stay, ending . he uses home oxygen and his oxygen saturation had been 95% on 2 liters. he was noted to have increasing weakness over the past several days, as well as progressive respiratory distress and change in mental status. on the day of admission, he had increased work of breathing and significant confusion. his family noted he was saying things that were coherent but inappropriate, such as saying he was handing his daughter , or talking about seeing a skunk. his wife thought he may have been having visual hallucinations while in the outside hospital. initially, he was sent in an ambulance to , but due to his increasing respiratory distress, he was sent to first. there, he initially presented with t 97.3, bp 152/97, hr 60, rr 20, sao2 93%/3l. he was given albuterol nebs, seemingly without significant improvement. an arterial blood gas was 7.19/71/79 and he was intubated. he was given a dose of meropenem. around the same time as intubation and treatment, he became hypotensive. he was started on a dopamine gtt. when he arrived at , he was hypotensive with sbps 60-70, and was started on levophed, vasopressin and dopamine. he was also given 3l fluid bolus. past medical history: 1. acute promyelocytic leukemia - s/p atra and arsenic therapy, allogeneic bmt, complicated by gvhd. - bronchiolitis obliterans - fvc 2.31; fev1 0.75; fev1/fvc 32, with chronic cough - s/p corneal transplant l eye and s/p cataract removal r eye - pruritic rash - h/o diarrhea; gallbladder sludge - on ursodiol; lost about 130lbs after bmt 2. history of resistant stenotrophomonas growing from sputum 3. history of pseudomonas pneumonia 4. chronic kidney disease - unclear etiology, thought to be ; recent baseline 0.9-1.0 5. hypertension 6. history of childhood asthma - hospitalized but not intubated 7. chronic c. difficile social history: married with two children. not able to work currently secondary to his illness but previously he worked as an administrator for the vna service in , a tax accountant, and an icu nurse. distant tobacco (pipe, quit 20 years ago), no cigarettes, etoh or illicit drug use. family history: no family history of leukemia/lymphoma. mother with renal disease, on hd. father died suddenly at 63, presumed to be secondary to mi. physical exam: hr 75, rr 16, bp 65/39, o2sat 92% cmv 600x16 peep 5 fio2 100% gen: patient sedated, not responsive heent: right eye sewn shut. intubated with og tube in place lungs: diffuse tubular sounds ant/lat cardiac: decreased heart sounds, no murmurs abdomen: soft, distended, decreased bs ext: anasraca, +2 pitting edema in ue and le b/l neuro: sedated pertinent results: admission labs: cbc: wbc-0.4*# rbc-3.52* hgb-13.5* hct-42.8 plt ct-60*# gran ct-30* coags: pt-12.2 ptt-33.8 inr(pt)-1.0 chem 10: glucose-142* urean-44* creat-0.6 na-145 k-3.0* cl-112* hco3-27 calcium-7.6* phos-2.3*# mg-1.3* freeca-1.14 enzs: alt-35 ast-32 ld(ldh)-306* alkphos-609* amylase-137* totbili-1.3 lipase-96* albumin-1.9* cards: ck(cpk)-36* ck-mb-6 ctropnt-0.02* lactate-2.0 -> 2.6 - 3.2 - 3.8 abg: 7.25/53/88 -> 7.21/45/76 abdominal u/s: 1. gallbladder wall thickening and gallstones seen in the neck of the gallbladder consistent with cholecystitis. given lack of distention, other possible etiologies include chf, ascites, and hypoproteinemia should be considered. 2. ascites 3. right pleural effusion. kub: no diagnostic abnormality. cxr: 1. symmetric bilateral opacities in the mid lungs suggestive of moderate pulmonary edema, less likely hemorrhage. these areas could also possibly represent an aspiration pneumonia. 2. no evidence of pneumothorax. echo: left atrium: normal la size. right atrium/interatrial septum: normal ra size. left ventricle: normal lv cavity size. cannot assess lvef. right ventricle: normal rv chamber size and free wall motion. aortic valve: mildly thickened aortic valve leaflets (3). trace ar. tricuspid valve: normal tricuspid valve leaflets. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. pericardium: no pericardial effusion. brief hospital course: assessment: 51yo man with acute promyelocytic leukemia s/p bone marrow transplant complicated by extensive graft vs. host disease including bronchiolitis obliterans, history of pseudomonas pna, sputum growing resistant stenotrophomonas, and aspergillus colonization, who was admitted to the icu with respiratory failure and found to be hypotensive as well. hospital course is discussed below by problem: 1. respiratory failure - the most likely etiology of the respiratory failure was a pneumonia on the background of significant pulmonary disease (bronchiolitis obliterans with severely depressed fev1 and fvc). given his severe immunocompromise, he was covered for infection by bacteria (including pseudomonas and resistant stenotrophomonas), fungus, or pcp. his penicillin allergy, he was treated with vancomycin, ciprofloxacin, aztreonam (changed from tobramycin), iv flagyl, voriconazole, and iv bactrim. colistin was considered, but given its significant toxicity, it was not started and was awaiting stenotrophomonas sensitivities. he had cultures drawn, a bal was considered. he was thought to likely have ards secondary to sepsis, and the ards protocol for ventilator settings was attempted, but he did not tolerate these settings and became hypoxemic and acidemic. he was thus ventilated with larger volumes. he was additionally treated with albuterol, atrovent, and flovent. he required escalating fio2, evantually at 100%, and remained with persistent acidosis. 2. hypotension - on arrival to the icu, the patient was found to be hypotensive. the first bp read was 150/120, but then he was found to have a kinked blood pressure cuff. the more accurate was in the 70s/30s. while placing an arterial line, his blood pressure began to fall. he had been switched from dopamine to levophed, vasopressin was added, and the dopamine restarted. he was given over 5 liters of fluid with eventual stabilization of his blood pressure with maps in the 50s. most likely, the hypotension was secondary to septic shock. other possibilities include tamponade, which was not evidenced by echo. pulmonary embolus was considered, but was less likely given his cxr. he was likely adrenally insufficient, given his outpatient regimen including prednisone, so he was started on stress-dose steroids. 3. acidosis - he was found to have a significant acidosis. this was thought to be secondary to lactic acidosis, nongap acidosis from normal saline boluses, and respiratory abnormalities. his ventilator was set to attempt to correct the acidosis, but his blood pressure and hypoxia were confounding factors. 4. acute promyelocytic leukemia with graft vs. host disease - he was continued on acyclovir, iv voriconazole, ursodiol, ophthalmic ointment. he was given stress dose steroids and started on gcsf. the bone marrow transplant team followed throughout his hospital course. 5. abdominal pain - he was found to have abdominal pain the morning after admission. an x-ray and ultrasound were performed for evaluation, as the patient was too sick to go for ct. he was found to have likely cholecystitis. 6. c diff - he was treated with iv metronidazole. 7. glucose control - his blood glucose was controlled with an insulin drip. despite maximal medical management in the micu, the patient developed progressive organ dysfunction, in the context of advanced gvhd and progressive bronchiolitis obliterans lung disease. following several multidisciplinary meetings with numberous family members (including wife) and discussions with the patient's primary oncologist (dr. ), the decision was made not to resuscitate the patient in the event of a cardiac arrest. on the second hospital/micu day, the patient expired following an asystolic arrest. family members were at his bedside. medications on admission: atrovent nebs every 6 hours p.r.n. albuterol every 6 hours p.r.n. advair diskus 250/50 mg 1 inhalation b.i.d. budesonide 3 mg capsule p.o. b.i.d. protonix 40 mg p.o. once daily ursodiol 300 mg p.o. b.i.d acyclovir 400 mg p.o. b.i.d bactrim-ds 1 p.o. 3 times per week metoprolol 50 mg 2 tablets p.o. b.i.d clotrimazole 10 mg p.o. b.i.d lorazepam 1 mg one to two tablets p.o. q.h.s. p.r.n. folic acid 1 mg p.o. once daily, sulfacetamide ophthalmic ointment apply ou b.i.d. fluticasone 100 mcg inhalation b.i.d. flagyl 500 mg p.o. 1 t.i.d. voriconazole 200 mg p.o. b.i.d. prednisone 20 mg p.o. qam, prednisone 10 mg p.o. qpm., losartan 25 mg p.o. daily loperamide 2 mg capsule p.o. q.i.d. lasix 60mg daily discharge medications: n/a discharge disposition: expired discharge diagnosis: acute promyelocytic leukemia graft vs. host disease septic shock pneumonia discharge condition: expired discharge instructions: n/a followup instructions: n/a md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization infusion of vasopressor agent diagnoses: pneumonia, organism unspecified acidosis unspecified essential hypertension unspecified septicemia severe sepsis chronic kidney disease, unspecified acute respiratory failure septic shock intestinal infection due to clostridium difficile complications of transplanted bone marrow surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other specified alveolar and parietoalveolar pneumonopathies acute myeloid leukemia, without mention of having achieved remission cholecystitis, unspecified cornea replaced by transplant 

Answer: The patient is high likely exposed to