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: sulfa (sulfonamides) attending: chief complaint: fall, unresponsive major surgical or invasive procedure: none history of present illness: mr. is a 75 year old man with history of grade 4 left parieto-occipital gbm, found minimally responsive after a fall at home in the bathroom at 8 p.m. tonight. he is currently ungergoing chemotherapy with temazolamide (yesterday he went for his 21 day lab check, following up his most recent 5 day course). his oncologist is dr. at , and this is where he has received all his prior medical care. according to mr. girlfriend, his functional status has declined steadily over the past couple of weeks. he has not been taking steroids as far as she knows and there have been no recent changes to his medications. however, he has become less interactive, perseverating about his brain all the time, and is having increasing difficulty getting about with his walker. he has been in two car accidents in the past two months (both his fault, rear-ending people), after one of which he was reportedly found to have increased cerebral edema and was hospitalized at (per an ed discharge summary from that was included with his paperwork). we don't have any information about the details of this hospitalization, or any recent imaging, though. mr. girlfriend is not aware of any history of seizures. he is taking keppra 500 prophylactically. yesterday mr. had to appear in court regarding his most recent car accident, and he was quite "out of it." then this evening at 8 p.m. his girlfriend was downstairs and he was upstairs, and she heard a thud. she came upstairs to find him lying on the floor of the bathroom, on his back, looking at her but not responding. she called 911 and he was brought by ems to hospital, where his blood pressure was 212/111 with hr 102, and where his exam was documented as revealing equal pupils, "unresponsive," and right sided weakness (unclear how much the weakness represented a change from his baseline neurologic exam). he was intubated for airway protection, for which he received etomidate, succinycholine, ativan, and versed. he had a head ct there which revealed significant vasogenic edema of the left hemisphere and small areas of hemorrhage at the left frontal pole and the right occipital region (?within ventricle or mass). he was then transferred to . upon arrival at the ed here he was still hypertensive to 190/90's, with hr 106. his temperature was 100 rectal. he had a repeat head ct which revealed the areas of hemorrhage to be unchanged, but increased rightward shift compared to the scan from earlier this evening. he was given decadron 10 mg iv, and started on a mannitol infusion per neurosurgery recommendations. neurosurgery evaluated the patient and felt there was no acute surgical intervention to be done at this time. the patient was then admitted to the neurology icu service for further monitoring and treatment. past medical history: stage iv glioblastoma - as described above hypertension gout - takes colchicine social history: never married, history of alcohol use in the past, not a smoker. never married. moved in with girlfriend of 14 years during past month, mainly because he could no longer keep track of his own medications and his functional status was declining. family history: non-contributory physical exam: examination: (prior to starting propofol, in ed) t 100 r hr 102 rr 18 bp 190/90 general appearance: 76 yo male intubated in nad heart: regular rate and rhythm without murmurs, rubs or gallops lungs: clear to auscultation bilaterally. abdomen: soft, nontender; scattered hematomas of varying ages on lateral abdominal walls extremities: no clubbing, cyanosis or edema skull & spine: immobilized in c-spine collar mental status: intubated. opens eyes to voice but does not visually fix or track. does not follow midline commands. when asked to show his thumb, raises left arm but not thumb. cranial nerves: perrl 3>2, blinks to threat bilaterally, + ocr bilaterally, +corneal b/l, + gag. face appears symmetric though partially obscured by ett. tongue is midline. motor system: tone decreased rue. moves left arm and leg spontaneously (albeit not purposefully), flexes right leg and extends right arm to noxious stimuli. reflexes: 2+ and symmetric (albeit slightly more brisk on r), plantar response flexor bilaterally, no clonus sensory: withdraws to painful stimuli with left arm and leg, extends right arm / flexes right leg as above pertinent results: 08:47pm sodium-142 08:47pm osmolal-299 06:02pm type-art po2-96 pco2-36 ph-7.46* total co2-26 base xs-1 04:15pm type-art po2-127* pco2-32* ph-7.53* total co2-28 base xs-5 04:15pm glucose-117* k+-3.3* 02:28pm type-art po2-234* pco2-27* ph-7.57* total co2-25 base xs-4 intubated-intubated 02:28pm glucose-114* lactate-1.1 02:28pm freeca-1.19 02:19pm glucose-118* urea n-21* creat-0.8 sodium-139 potassium-3.2* chloride-104 total co2-22 anion gap-16 02:19pm calcium-8.8 phosphate-3.2 magnesium-2.0 02:19pm osmolal-293 02:19pm wbc-10.3 rbc-3.65* hgb-12.6* hct-34.8* mcv-95 mch-34.7* mchc-36.3* rdw-13.3 02:19pm plt count-191 02:19pm pt-12.0 ptt-22.5 inr(pt)-1.0 04:45am urine hours-random 04:45am urine hours-random 04:45am urine uhold-hold 04:45am urine gr hold-hold 04:45am urine color-straw appear-clear sp -<=1.005 04:45am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 03:47am comments-green top 03:47am lactate-1.7 03:36am type-art po2-408* pco2-39 ph-7.43 total co2-27 base xs-2 03:36am lactate-1.0 03:25am glucose-141* urea n-24* creat-1.0 sodium-139 potassium-3.7 chloride-101 total co2-27 anion gap-15 03:25am alt(sgpt)-31 ast(sgot)-29 alk phos-85 amylase-46 tot bili-0.9 03:25am lipase-21 03:25am albumin-4.4 calcium-9.4 phosphate-2.6* magnesium-2.2 03:25am osmolal-302 03:25am wbc-11.7* rbc-4.08* hgb-14.0 hct-39.8* mcv-98 mch-34.2* mchc-35.1* rdw-13.4 03:25am neuts-95.5* bands-0 lymphs-2.5* monos-1.7* eos-0.2 basos-0.1 03:25am hypochrom-normal anisocyt-1+ poikilocy-1+ macrocyt-1+ microcyt-normal polychrom-occasional ovalocyt-1+ envelop-occasional 03:25am plt count-189 03:25am pt-11.4 ptt-21.5* inr(pt)-1.0 * * * 5/13 ct brain: impression: acute foci of hyperintensity in the left frontal and parietal cortex consistent with contusion. compared to prior study from outside hospital, these do not appear significantly larger. diffuse hypodensity within the left brain consistent with edema and history of gbm with mass effect on the left lateral ventricle and rightward shift of normally midline structures. compared to the study from the outside hospital, there appears to have been interval increase in the amount of rightward shift. medial shift of left temporal lobe concerning for impending uncal herniation. ct c-spine anterior wedging of c7 cervical body, of uncertain acuity ct chest/abdomen/pelvis dependent changes and atelectasis at lung bases, s/p right nephrectomy, left parapelvic kidney cysts head ct findings: compared to the exam obtained one day earlier, there are stable foci of hemorrhage within the left frontal and parietal lobes. there is unchanged hypodensity within the left cerebral white matter and shift of normally midline structures to the right. the appearance of the lateral ventricles is unchanged. medial shift of the left temporal lobe is again seen and stable. there is increased fluid within the paranasal sinuses; however, the patient is intubated. osseous structures are stable. impression: stable ct appearance of the brain with foci of left frontal and parietal hemorrhage, edema, mass effect, and shift of normally midline structures to the right. there is no definite evidence of uncal herniation. chest x-ray findings: there are multiple new ill-defined opacities in both lungs (left greater than right) likely represent multifocal pneumonia. a small left pleural effusion is also present. et tube is unchanged in position. ng tube has been advanced. the cardiac and mediastinal contours are unchanged. impression: new multifocal pneumonia. brief hospital course: impression: 76 year old male with history of grade 4 gbm, undergoing treatment with temazolamide under the care of dr. at , who presented after he fell and became minimally responsive, with preserved brainstem reflexes, in the setting of significant cerebral edema (vasogenic, related to tumor), which probably reflects underlying progression of his disease. he has two moderately small hemorrhages, one at the left frontal pole (likely traumatic contusion) and one in the occipito-parietal region which looks like it could be within an area of tumor. the hemorrhages are not significant enough to account for his mental status, which is almost certainly due to the cerebral edema. he is also at risk for seizures, although no overt seizure activity has been witnessed thus far, and the presence of the hemorrhages further increases cortical irritability. plan: - admit to neurology icu neuro: - continue decadron 4 mg q6h - mannitol 25 mg q4h, hold for osm >320, na >150 - increase keppra to 1000 mg - avoid sedating medications as able - repeat ct stat if neurologic status declines fen: - ns at 60 cc/hr, try to keep fluid balance negative - lytes - npo resp: - wean vent as able cv: - treat hypertension with hydralazine prn endo: - riss gi: - pantoprazole heme: - hold off on heparin or asa for now due to hemorrhage - daily cbc prophy: - pneumoboots * * * mr. physical exam and mental status did not improve, despite treatment with mannitol and decadron. he developed a multifocal pneumonia on as well. a family meeting was held with his girlfriend, ms. (his legally designated health-care proxy), his brother, and his sister-in-law. they expressed understanding of his poor prognosis and the unlikely chance of recovery, and decided that that they would like to withdraw care and institute comfort measures only. the patient was extubated and medications were stopped, and a morphine drip was started. he expired on am. medications on admission: asa 325 mg qd hydrocholorothiazide 25 mg daily colchicine 0.6 daily lovastatin glycolax prn mvi discharge medications: none discharge disposition: expired discharge diagnosis: glioblastoma multiforme discharge condition: expired discharge instructions: none followup instructions: none md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified unspecified essential hypertension gout, unspecified malignant neoplasm of brain, unspecified fall from other slipping, tripping, or stumbling 

Answer: The patient is high likely exposed to