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: patient recorded as having no known allergies to drugs attending: chief complaint: fatigue major surgical or invasive procedure: central line placement history of present illness: 32 year-old male with h/o asthma was under his usual status of health until the end of when he developed sore throat. he had intermittent sore throat and running nose and fatigue since the end of . he denied fever, chill, rash, blurry vision, dizzy, cp, cough, and sob. in the morning of , he suddenly felt discomfort in his luq which was not pain. he made urgent appointment with his pcp who checked his cbc. his cbc showed significant increase wbc counts. he was called to ed yesterday. he denied abd pain, n/v, brbpr, melena, or diarrhea. in , pt's vs: t 99.9 p 89 bp 155/88 r 20 sao2 100. he received one dose of allopurinol 100mg ros: no fever, chill, dizzy, cp, sob, cough, wheezing, dysuria, urgency, dysphagia, odynophagia, abd pain, reflux, diarrhea, constipation, brbpr, or melena, no n/v. no weakness, numbness. rash. he gain 7 lps. past medical history: asthma erectile dysfunction hypertriglyceridemia seasonal allergies psh: none social history: he is smoking one to two cigarettes a day. he is unclear if this hurts his asthma. he works in a financial company. he has no pets. unmarried. no regular alcohol. family history: father died from rcc in his 40s, maternal grandmother had melanoma, his mother is healthy. he has 2 half siblings (from his father side) that he doesn't know about their health status. physical exam: vitals: t 98.6 bp 124/79 p 78 rr 18 o2 sat 100% general: alert, oriented, no acute distress. pleasant. heent: sclera anicteric, mmm, oropharynx clear no lesions or thrush. neck: supple, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: a+o x 3, cn grossly intact, upper and lower extremity strength 5/5, sensory intact, normal gait. cerebellar function: rapid hand movements, finger to nose wnl, heel to shin wnl, normal gait. pertinent results: admission labs: 03:00am urine hours-random 03:00am urine gr hold-hold 03:00am urine color-yellow appear-clear sp -1.012 03:00am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 02:31am pt-13.1 ptt-24.5 inr(pt)-1.1 02:31am fibrinoge-377 02:28am d-dimer-583* 12:21am lactate-1.1 12:10am glucose-106* urea n-21* creat-1.4* sodium-142 potassium-4.2 chloride-104 total co2-27 anion gap-15 12:10am alt(sgpt)-31 ast(sgot)-33 ld(ldh)-900* alk phos-83 tot bili-0.5 12:10am albumin-5.1 uric acid-9.8* 12:10am wbc-55.6* rbc-4.08* hgb-13.3* hct-36.1* mcv-89 mch-32.7* mchc-36.9* rdw-15.3 12:10am neuts-6* bands-0 lymphs-22 monos-34* eos-2 basos-1 atyps-5* metas-0 myelos-0 other-30* 12:10am i-hos-available 12:10am hypochrom-normal anisocyt-occasional poikilocy-normal macrocyt-normal microcyt-occasional polychrom-normal 12:10am plt count-54* 04:45pm wbc-57.1*# rbc-3.98*# hgb-13.0* hct-35.8*# mcv-90 mch-32.6*# mchc-36.3*# rdw-14.1 04:45pm neuts-4* bands-0 lymphs-23 monos-44* eos-4 basos-4* atyps-3* metas-0 myelos-0 other-18* 04:45pm hypochrom-normal anisocyt-occasional poikilocy-normal macrocyt-normal microcyt-normal polychrom-occasional 04:45pm plt smr-very low plt count-56*# . discharge labs: 05:25am blood wbc-5.3 rbc-3.80* hgb-12.1* hct-31.7* mcv-84 mch-31.8 mchc-38.0* rdw-14.1 plt ct-711* 05:25am blood neuts-23* bands-1 lymphs-30 monos-19* eos-0 baso-0 atyps-2* metas-5* myelos-15* promyel-1* blasts-4* nrbc-3* other-0 05:25am blood plt smr-very high plt ct-711* 05:25am blood gran ct-2931 05:25am blood glucose-83 urean-14 creat-1.1 na-140 k-4.9 cl-102 hco3-31 angap-12 05:25am blood alt-59* ast-30 ld(ldh)-286* alkphos-85 totbili-0.3 05:25am blood calcium-9.4 phos-4.6* mg-2.3 brief hospital course: mr. is a 32y/o gentleman with new diagnosis of aml who has recently undergone 7+3 therapy. . #aml: the patient was diagnosed with aml on bmb, and has tolerated 7+3 therapy without complaint. patient was started on an aggressive hydration regimen with bicarbonate as well as hydroxyurea and allopurinol in order to bring down the wbc burden as well as prevent tumor lysis syndrome. bone maroow biopsy at day 14 showed a clean bone marrow. patient's counts began to slowly recover around day 20 and was discharged on day + 27. . #hypoxia: on pt spiked a fever and had need for supplemental o2 to maintain sats. on he continued to have fevers and had increase in oxygen demand requiring a non-rebreather in order to keep sats in the 90s and was accordingly transfered to the for hypoxia. his cxr at the time showed moderate-severe new pulmonary edema. pt was given 2 doses of 20mg iv lasix with good urine response. vancomycin and cefepime had been started (see below) and levofloxacin was started to cover atypicals. pt was supported in the evening on a non-rebreather but then o2 was tapered as pt showed improvement in saturations. cxr on showed significant improvement in pulmonary edema s/p lasix diuresis. another 20mg iv lasix was given with good response and pt transferred back to floor on 2l nc. echo was perfomred to look for signs of cardiotoxicty and decrased ef chemotherapy, but was unrevealing; inital concerns about an asd were put to rest after a ubble study was negative for asd. . # neutropenic fever: when pt spiked initial fever cefepime was started although not technically neutropenic at the time. vanco had been added as well at time of icu transfer. levofloxacin was started to cover possible atypical pna organisms. id was consulted, and he completed 5 days of coverage with levofloxacin for atypical organisms. vancomycin was subsequently dc'ed, and the patient continued on cefepime, acyclovir, and fluconazole. patient subsequently began to have 4 consecutive days of low grade fever to 99-100. he was restarted on iv vancomycin. ct scan of the chest showed several lung nodules that may represent new area of infection. as his anc increased, his fevers began to fade. he was transitioned to po levofloxacin for 7 days on discharge to cover the likely infection in his lungs. . # : creatinine was slightly elevated upon admission, and rose even further prior to tranfser tot he icu. it has since normalized diuresis both within the icu and on the floor. . # anemia: patient has become transfusion dependent for both rbc and plts during admission, and was supported with multiple transfusions. . # ? aneurysm: patient had an mri head with contrast to explore possible cns involvement of the aml as he was having 2 days worth of headaches. the headaches subsequently faded and decision was made to not to an lp. the mri showed a possible anueurysm in the internal carotid artery; however, the read was that it was a likely artifact. mra was done, which showed the finding was an artifact from the tourtuous nature of the internal carotid artery. medications on admission: proair hfa 90 mcg/actuation aerosol inhaler 2 puffs(s) inhaled q 4 hr as needed for sob or wheezing loratadine 10 mg tab 1 tablet(s) by mouth once a day allergies fluticasone 50 mcg/actuation nasal spray, susp sprays(s) each nostril daily as needed for allergy season discharge disposition: home discharge diagnosis: primary: aml discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were seen in the hospital for high-dose chemotherapy to treat your leukemia. . we made the following changes to your medications: 1. added levofloxacin 500 mg daily for 5 days 2. added acyclovir 400 mg three times a day followup instructions: provider: , md phone: date/time: 10:00 provider: , md phone: date/time: 10:00 provider: , rn, , : date/time: 10:00 md procedure: venous catheterization, not elsewhere classified biopsy of bone marrow injection or infusion of cancer chemotherapeutic substance diagnoses: tobacco use disorder acute kidney failure, unspecified asthma, unspecified type, unspecified candidiasis of mouth pure hyperglyceridemia antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use dermatitis due to drugs and medicines taken internally headache accidents occurring in residential institution drug induced neutropenia anemia in neoplastic disease acute myeloid leukemia, without mention of having achieved remission fever presenting with conditions classified elsewhere family history of other specified malignant neoplasm other secondary thrombocytopenia tumor lysis syndrome 

Answer: The patient is high likely exposed to