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: history of present illness: this is a 52 year old male with past medical history significant for non hodgkin's lymphoma in ; status post splenectomy; status post chemotherapy and xrt, with chronic lower extremity edema. beta streptococcus cellulitis in . he presented with a one day history of fever and shaking chills that began at 5 a.m. the morning of admission. the fever and chills were accompanied by nausea, dry heaves, diarrhea and the patient denied any cough, dysuria, abdominal pain, chest pain, shortness of breath, headache or visual changes. he denied any increasing erythema in his left lower extremity. the patient states that he felt well the day prior to admission. the patient states that he feels overall that his symptoms are similar to what he experienced with his cellulitis three years ago. in the emergency department, the patient was given three liters of normal saline, vancomycin and ceftriaxone per the sepsis protocol. past medical history: hodgkin's lymphoma in . status post chemotherapy and xrt at for right femoral mass. status post splenectomy. chronic lymphedema from x-ray therapy. beta strep cellulitis in at . allergies: ? penicillin which in the past has caused nausea and vomiting, though the patient denies any rash or anaphylaxis. he has tolerated a course of penicillin during his hospitalization. medications on admission: none. social history: the patient is a concierge. he denies any tobacco or ethanol use. he denies any intravenous drug use. physical examination: on admission, temperature is 102.7 with a blood pressure of 160/70; heart rate of 106; respiratory rate of 18 and 100% oxygen saturation on two liters. general: this is an ill-appearing male in moderate distress. head, eyes, ears, nose and throat: no sinus tenderness. pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. neck: no jugular venous distention. lungs are clear to auscultation. cardiovascular: regular tachycardiac rhythm; no murmurs, rubs or gallops. abdomen is soft, nontender, nondistended. there is a well healed scar present on the left upper quadrant. extremities: no femoral lymphadenopathy. 2+ edema in left foot, swollen second digit on the right toe. dry skin with multiple cracks and mild erythema, no discharge. 2+ pulses in the posterior tibial and dorsalis pedis. laboratory data: white count of 21; hematocrit of 34.8; platelets 608. sodium of 137; potassium of 5.1; chloride of 101; bicarbonate of 22; bun 15; creatinine 1.1; glucose is 97. lactate was 4.0. ptt is 18.9. inr is 1.0. alt is 25; ast 58; ap 79; ldh 651; amylase 60; albumin 4.3. electrocardiogram shows no ischemic changes relative to the prior electrocardiogram and shows an old left axis deviation and sinus tachycardia. hospital course: 1.) sepsis. the patient was admitted initially to the medical intensive care unit for further sepsis protocol and was found to have a central venous pressure that was 10 after three liters of normal saline had been infused. the patient was given vancomycin and ceftriaxone per the sepsis protocol. a right internal jugular line was placed. the stim test was performed and he was found to have a normal stim response. the patient was found to be influenza a and influenza b negative. blood cultures drawn in the emergency department revealed three out of four bottles that were positive for group b streptococcus that was pan sensitive. his antibiotic regimen was changed to ampicillin as the patient previously tolerated a course of penicillin on a recent admission here, despite his stated allergy to penicillin. the patient remained hemodynamically stable. his white cell was noted to decrease from a maximum of 29.7 on the day of admission down to 13.4 on the second of . the patient defervesced and remained afebrile for several days prior to discharge. the patient's last positive blood culture was on the and the patient had several negative blood cultures for surveillance following initiation of antibiotic. the patient was maintained on 2 mg of intravenous ampicillin q. six hours. the patient was maintained on intravenous ampicillin through the second of , at which point his antibiotic regimen was switched to ceftriaxone 1 gram intravenous q 24 hours for ease of administration following his discharge. a picc line was placed on the in preparation for completion of a two week course of intravenous antibiotics for his group b streptococcus bacteremia. given the patient's high grade bacteremia on admission, an echocardiogram was carried out on the . the echocardiogram results are pending at the time of this dictation. 2.) chronic lymphedema. the chronic lymphedema was likely contributed to the patient's cellulitis and sepsis. the patient was felt to have a right lower extremity cellulitis on admission that likely contributed to his group b strep bacteremia. the patient was maintained on tedf and sarna lotion was applied to his right lower extremity. mild erythema on his right lower extremity was noted to decrease over the course of his hospitalization. 3.) anemia: the patient was noted to have a microcytic anemia. the patient's baseline hematocrit appears to be approximately 34 to 35 at this point with a mcv of 77 on the . iron studies were obtained and demonstrated serum iron level that was low at 24; a ferritin that was low at 44; a tibc that was 452 and a trf that was 348. the patient will begin iron supple3mentation as an outpatient for his iron deficiency anemia. the patient's stool guaiac was found to be negative. 4.) gastrointestinal: the patient's nausea and vomiting subsided over the course of his hospitalization. the patient was able to tolerate adequate p.o. intake to maintain hydration and nutrition status. the patient was maintained on a bowel regimen as well as on pantoprazole prophylaxis. the patient is discharged in stable condition. discharge diagnoses: 1. cellulitis of the leg, ankle and knee. 2. gbbhs bacteremia. 3. history of hodgkin's lymphoma. 4. lymphedema. 5. iron deficiency anemia. medications on discharge: 1. ceftriaxone one gram intravenous q. day for eight days. 2. sarna lotion to be applied to his right lower extremity twice a day. 3. colace 100 mg p.o. twice a day. 4. ferrous gluconate 325 mg p.o. q. day. the patient is discharged in stable condition and will follow-up with his primary care physician, . . , m.d. procedure: venous catheterization, not elsewhere classified diagnoses: acidosis severe sepsis other malignant lymphomas, unspecified site, extranodal and solid organ sites cellulitis and abscess of leg, except foot septic shock iron deficiency anemia, unspecified streptococcal septicemia other lymphedema 

Answer: The patient is high likely exposed to