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: vancomycin attending: chief complaint: fever, chills, myalgias major surgical or invasive procedure: none history of present illness: history of present illness: this is a 39-year-old woman who is being admitted for fevers and neutropenia. . ms. was diagnosed in with acute myeloblastic leukemia when she presented with the neutropenia and low-grade fevers. initial white blood count was 5500. the bone marrow was diagnostic for acute myeloblastic leukemia. she underwent and induction chemotherapy and attained a complete remission. she required two cycles of induction.( 7+3;5+2) following induction, she received three cycles of high-dose ara-c consolidation therapy. she has remained in complete remission for 18 months. mrs has completed another cycle of induction chemotherapy of (7+3), and was discharged . bmbx demonstrated hypopocellular marrow (5%) with left-shifted myelopoiesis and focal interstitial clusters of immature mononuclear cells suspicious for blasts. . ms. notes a two day history of intermittent myalgias, head ache, low-grade fevers, mild odynophagia and chest pain. pt denies any cough, sinus pain, ear pain, nausea/vomiting, diarrhea, abdominal pain, pain or burning on urination, neck stiffness, or photophobia. she was seen 3 days ago for follow up after being place on neurontin 300mg qd for lower extremity peripheral neuropathy and pain and was doing well. pt has been on levaquin for the past 2 months s/p consolidation therapy, and fluconazole since her d/c on . . pt was recently d'ced from on after a 5 week hospitalization for relapsed aml/neutropenic fever. she was d'ced on levaquin and fluconazole, which she had continued until present admission. past medical history: 1) aml, diagnosed in . (a) normal cytogenetics. (b) positive cd34; positive cd13, and positive cd17. (c) status post 7+3; status post 5+2 in . (d) bone marrow biopsy with remission in early . (e) she is status post hidac consolidation in , complicated by fever and neutropenia with no clear source with an admission in . (f) status post hidac two on with mild transaminitis (last dose held). (g) she received her third and last cycle of hidac consolidation in . 2) has noted heavy periods and was recently diagnosed with fibroids. social history: the patient is married with two children. she denies use of alcohol or illicit drugs. she has a sister with a human leukocyte antigen match in . she speaks cantonese and some english. family history: non-contributory physical exam: physical examination: vs: wt. 98.4 lbs p 145 bp 108/71 t 101.6 %o2 sat 100 general: a well-developed, well-nourished 39-year-old asian woman in moderate distress, rigoring at times during exam. heent: sclerae is anicteric, perrla, normal female hair pattern. no sinus tenderness. throat is mildly injected. tonsils are not enlarged. she has tenderness over the left subauricular area and no crepitus. trachea is midline. thyroid is not enlarged. no cervical, supraclavicular, occipital adenopathy. no meningeal signs. neck is supple. neg kernig's, brudzinski's. lungs: clear to percussion and auscultation. no c/w/r. heart: regular rate. nml s1,s2. no murmurs, rubs, thrills, or gallops. chest: indwelling line, with no sign of erythema, and no tenderness to palpation over line. abdomen: nontender, no hepatosplenomegaly, no rebound. normal bowel sounds. no inguinal adenopathy. extremities: no cyanosis, clubbing, or edema. skin: no cutaneous lesions. rectal exam deferred d/t neutropenia. pertinent results: 10:40am blood wbc-0.5* rbc-3.44* hgb-10.0* hct-26.7* mcv-78* mch-29.1 mchc-37.5* rdw-12.3 plt ct-79* 10:40am blood neuts-36* bands-0 lymphs-56* monos-8 eos-0 baso-0 atyps-0 metas-0 myelos-0 10:40am blood wbc-0.5* rbc-3.44* hgb-10.0* hct-26.7* mcv-78* mch-29.1 mchc-37.5* rdw-12.3 plt ct-79* 10:40am blood plt ct-79* 10:40am blood glucose-125* urean-7 creat-0.6 na-138 k-3.6 cl-100 hco3-23 angap-19 10:40am blood albumin-4.7 calcium-9.4 phos-3.3 mg-1.8 bmbx diagnosis: hypocellular marrow (5%) with left-shifted myelopoiesis and focal interstitial clusters of immature mononuclear cells suspicious for blasts, see note. note: the morphologic findings are worrisome for minimal involvement by patient's known acute leukemia. an alternative consideration includes early recovery. please correlate with clinical findings. a repeat biopsy may be contributory in further assessment, if clinically indicated. findings discussed with dr. . clot section and biopsy slides cellularity of the marrow biopsy is 5%. there is an interstitial infiltrate of immature mononuclear cells consistent with blasts occurring singly and in small clusters occupying 30% of marrow cellularity. however, by immunohistochemistry, cd34 highlights occasional scattered interstitial cells, overall comprising ~5% of marrow cellularity. aspirate smears: the aspirate material is adequate for evaluation. the aspirate smear shows hypocellular spicules with many stripped nuclei. abundant stromal cells fat, and hemosiderin-laden macrophages are seen. m:e ratio is 5:1. myeloid and erythroid cells appear decreased. scant erythroid maturation appears normoblastic. scant granulocyte maturation is normal. megakaryocytes are present in markedly decreased numbers; abnormal forms are not seen. differential shows: blasts 11%, promyelocytes 1%, myelocytes 2%, metamyelocytes 2%, bands/neutrophils 4%, plasma cells 35 %, lymphocytes 25%, erythroid 8%, monocytes 12%. brief hospital course: assessment and plan: ms. is a 39-year-old woman with relapsed acute myeloblastic leukemia, admitted for 2 day hx of myalgias, mild sore throat and febrile neutropenia. pt was given cefepime in the er. on the floor of the first night, pt was hypotense, tachycardic, and remained so after several liters of ivf boluses. due to her instability, pt was immediately added daptomycin for broader gram + coverage, and transferred to the unit for better monitoring. pt continued on antibiotics, and never required intubation, or pressors. pt was monitored and over 2 days, pt was stabilized, bp and hr returned to baseline, and pt was transferred back to the floors. pt grew out coag neg staph, fairly resistant to most abx, but clincally improved on the current regimen. she remained stable on the floors. her source was her indwelling catheter, which cath tip grew. because of this, patient is to be given a tte, ruled out for endocarditis, and once stable home on abx. . 1. neutropenic fever -pt was in unit for 2 days for sepsis, now currently afebrile on cefepime/daptomycin. id??????ed as coag negative staph, resistance as above. likely resistant to the cefepime d/t b-lactam resistance. pending to daptomycin, but likely responding since clinical status improved. -continue cefepime for neutropenic fever coverage. -line pulled, catheter likely source of infection. -bp and hr stable this am. vitals as above. -cont to follow culture for resolution -tte in am to check for seeding of valves. -fungal cultures couldn??????t be drawn d/t overseeding with bacteria. f/u once cleared of bacterial infection -id following. app. input. 2. relapsed aml -per dr. outpatient notes from , pt has experienced relapse of her aml, the bone marrow aspirate was to be repeated in 2 weeks time. the possibilily of bmt remains great. -follow up on results of bm aspirate once read. -defer treatment to dr. . 3. effusion -seen on cxr, lat/pa/decub. f/u on effusion and resolution. 4. tachycardic- resolved -likely early sepsis vs. dehydration. cont ivfs, encourage po intake, cont abx. 5. f/e/n -neutropenic diet. repleted lytes as needed. 6. ppx -protonix, heparin sq, bowel regimen, neutropenic precautions. medications on admission: meds on admission: 1. oxycodone 5 mg tablet po q4-6h prn 2. docusate sodium 100 mg prn 3. senna 8.6 mg tablet prn 4. acetaminophen 325 mg tablet prn 5. cepacol 2 mg lozenge prn 6. levofloxacin 500 mg tablet qd 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.)qd 8. fluconazole 200 mg tablet sig: one (1) tablet po q24h9. 9. acetaminophen-caff-butalbital mg tablet sig: tablets po q4-6h (every 4 to 6 hours) as needed for headache. discharge disposition: home with service facility: critical care systems. discharge diagnosis: acute myelocytic leukemia discharge condition: afebrile, stable discharge instructions: please follow up with , on at 10am. please finish your course of daptomycin please call you doctor if you experience a fever over 100.4c, chills, nausea, vomitting, or worsening headache. followup instructions: please follow up with where: hematology/oncology phone: date/time: 10:00 md, procedure: venous catheterization, not elsewhere classified biopsy of bone marrow transfusion of packed cells injection or infusion of biological response modifier [brm] as an antineoplastic agent diagnoses: severe sepsis pneumonitis due to inhalation of food or vomitus septic shock infection and inflammatory reaction due to other vascular device, implant, and graft anemia in neoplastic disease orthostatic hypotension painful respiration other staphylococcal septicemia acute myeloid leukemia, in remission 

Answer: The patient is high likely exposed to