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: latex / adhesive tape / magnesium sulfate / cyclosporine attending: chief complaint: mini-mud non-myeloablative transplant with campath major surgical or invasive procedure: lumbar puncture intubation cvvhd history of present illness: 38 year old female with relapsed nodular-sclerosing hodgkin's lymphoma s/p autosct being admitted for a nonmyelablative (mini) allogeneic transplant from a mud. she has been feeling well recently. she does note baseline shortness of breath from pulmonary involvement of disease, but no oxygen requirement. she has been increasing her activity with improvement in her respiratory status. she denies any bleeding including blood in urine or stool, epistaxis or gum bleeding. no recent fevers, nausea, vomiting, or abdominal pain. she has had chronic sciatic pain for which is on narcotics and that may have been a little worse today. she also had an episode of diaphoresis today. past medical history: oncology history: diagnosed with hodgkin's lymphoma, nodular sclerosing) in . the patient initially was treated with adriamycin, bleomycin, vinblastine, dacarbazine with subsequent disease recurrence. transplant was deferred at that time, and the patient received four cycles of cept. she also received radiation therapy as part of initial treatment for six weeks. she had an autologous in 4/. in (about one year post transplant) a ct evaluation revealed recurrent disease in her chest and abdomen. anterior mediastinal adenopathy was in the field of prior radiation. she underwent a biopsy of her anterior mediastinal adenopathy that revealed recurrent hodgkin's lymphoma. she was then treated with cepp chemotherapy. she had a variable response to cepp and was started most recently on rituxan and vinblastine and then just completed 3rd course of ice. pet/ct done in still shows some fdg avid lesions in lung. . past medical history: 1. hodgkin's lymphoma with the details described above. 2. splenectomy in . 3. history of herpes zoster. 4. history of phen-phen use. 5. previous history of clot in left svc. she was on coumadin for a period of time but this has been held due to her low platelet count. 6. paralyzed vocal cords. social history: is single, and lives with the father of her 11-year-old son. she denies tobacco or alcohol use. she has worked occasionally at a convenient store. family history: significant for her mother who passed away from a myocardial infarction. her father was diagnosed recently with pancreatic liver and colon cancer of unknown primary. physical exam: temp 98.4 hr 92 bp 106/55 rr 20 94% ra gen: nad, ecog 1 heent: bald with wig, perrl, eomi, anicteric sclerae, mmm, op clear neck: supple, no lad cv: s1s2 rrr. no mrg lungs: l side decreased breath sounds way up, decreased bs r base, crackles above l base, crackles above r base abd: soft, nt/nd. +bs ext: no clubbing, cyanosis, or edema pertinent results: wbc-7.14 rbc-2.93* hgb-9.5* hct-28.6* mcv-98 mch-32.6* mchc-33.4 rdw-23.2* plt ct-30*# neuts-90* bands-0 lymphs-0 monos-10 eos-0 baso-0 atyps-0 metas-0 myelos-0 nrbc-3* gran ct-3850 07:00am blood pt-11.8 ptt-25.3 inr(pt)-1.0 glucose-83 urean-8 creat-0.5 na-137 k-3.5 cl-101 hco3-26 totprot-5.5* albumin-3.4 globuln-2.1 calcium-8.7 phos-2.4* mg-1.5* alt-27 ast-21 ld(ldh)-297* alkphos-138* totbili-0.4 dirbili-0.2 indbili-0.2 mri l-spine: impression: 1. no abnormal epidural soft tissue or abnormal epidural fluid collections. 2. no evidence of spinal canal or neural foraminal narrowing. 3. extensive retroperitoneal adenopathy that is better assessed on a recent pet ct. . cxr impression: apparent slight enlargement of bilateral pleural effusions, left greater than right, which may be accentuated by lower lung volumes on the current study. . cxr impression: ap chest compared to through . left hemidiaphragm is chronically significantly elevated and the resultant left lower lobe is chronically collapsed. moderate left pleural effusion was little changed between and , but has increased subsequently. right lung is clear. mediastinum remains shifted to the left inferiorly and superiorly to the right. the tips of bilateral central venous lines project over the svc. no pneumothorax. . ct chest w/o contrast impression: 1. new, extensive consolidation within the left lung. the differential diagnosis includes infection or marked radiation pneumonitis. 2. increase in small-to-moderate left partially loculated pleural effusion with possible component of pleural thickening. the differential diagnosis includes parapneumonic effusion/empyema, or neoplastic involvement of the pleura. 3. marked increase in left chest wall and breast edema could represent post- radiation change or lymphatic obstruction. no significant interval change in left chest wall and mediastinal masses, although comparison is difficult due to technique. 4. mild pulmonary edema. 5. questionable new nodule in right middle lobe, difficult to assess due to motion artifact in this area. attention to this region is recommended on followup. . cxr impression: 1. increased left pleural effusion resulting in complete opacification of the left hemithorax. 2. resolution of pulmonary edema. . cxr impression: mild improvement in left upper lung aeration. . cxr impression: 1. stable bilateral effusions and bibasilar atelectasis. 2. improving aeration, left upper lobe. . ct w/o contrast of chest, abdomen and pelvis impression: 1. improving left lung aeration. 2. unchanged left chest wall and breast edema secondary to lymphatic obstruction or post- radiation change. 3. multiple mediastinal and chest wall masses, relatively unchanged, but new pulmonary nodules in the right middle lobe are identified. no fluid collections in the abdomen or pelvis, or other definite evidence. . ct head w/o contrast impression: bilateral frontal subcortical white matter hypodensity, more prominent on the left. the findings are potentially concerning for leukoencephalopathy, although, in the appropriate clinical setting, could represent subacute-to-chronic borderzone infarcts. mri of the brain without and with gadolinium is recommended for further evaluation. . mr brain w/ gad impression: white matter edema in the left frontal region, predominantly posteriorly. no abnormal enhancement noted. these findings could be due to an area of lymphomatous involvement (though it is more common to see contrast enhancement at such involvements); other differential diagnosis to be considered are progressive multifocal leukoencephalopathy, encephalitis. . brief hospital course: assessment and plan: 38 year-old female with refractory and recurrent hodgkin's lymphoma, status post auto- in , asplenic, and status post multiple chemotherapeutic regimens, s/p mini allo-mud on . . hodgkins lymphoma: she had a response to ice and it was felt that her disease burden was low enough to allow the sct. her donor is a male who is cmv positive with blood type a+. she is cmv positive, her blood type is o+. her conditioning regimen consisted of campath, fludarabine, and cytoxan. her poc remained in place during her transplant given her history of chest wall edema and the risk of poor healing. her mini allo-mud occurred on . she was initially started on cyclosporine for gvhd prophylaxis but she subsequently developed arf requiring hd so this was stopped and high-dose methylprednisolone was started in place. the pt was also started on clotrimazole, nystastin, and ursodiol for prophylaxis and given a dose of aerisolized pentamadine and then bactrim for pcp . during the hospital course, methylrednisolone was tapered due to concerns for steroid induced myopathy contributing to pt's respiratory failure. a ct chest continued to show progression of the pt's lymphoma, and given the pt's high tumor burden and poor prognosis, lack of further options for treatment, and persistent respiratory failure, the decision was made during a family meeting to make the pt . . respiratory failure: the pt was intubated on due to desaturation, tachypnea, increased work of breathing on a 15l non-rebreather. the decision was made to perform an elective intubation. the pt was extubated on but was reintubated again the day after for hypercarbia, increased work of breathing, and sedation needs beyond those that were safe off of the vent. during the remaining hospital course, the pt was unable to be weaned off of the vent. possible contributing steroid induced myopathy was considered and methylprenisilone was tapered. the pt had no increased secretions suggestive of infection, however completed a course of vancomycin and cefipime for empiric tx of vap and was placed on voriconazole for fungal coverage. myopathy of critical illness was also a likely contributing factor to the pt's inability to be weaned off of the vent. furthermore, the pt was grossly positive during her length of stay which also likely contributed to inability to wean off vent. fluid was taken off the patient during cvvhd as bps would tolerate. the pt was scheduled to go to the or for a trach placement when she had a precipitious drop in wbc, likely myelosuppression from bactrim. the trach placement was also put on hold as the family had decided to make the pt . . mental status changes: the pt began to develop mental status changes that were noted during sedation weaning. a lp done by ir on was significant for a bloody tap not concerning for bacterial infection; however all viral cultures eventually came back no growth. the pt was started on acyclovir, bactrim for empiric toxo treatment. ct and mri of brain were both concerning for pml/encephalitis/toxicity from chemotherapy. a repeat mri showed decreased instensity of parietal lobe abnormality; per neurology, pt's mental status changes likely reversible luekoencephalopathy. the pt never fully recovered to her baseline mental status in spite of sedation weaning as tolerated. . arf: cyclosporine which caused hus/ttp. the pt was placed on pheresis x 4 days with positive results. hd catheter was placed by renal and cvvhd was subsequently begun to help remove fluid off pt as bp tolerated. the pt had several episodes of hypotension during cvvhd and was unable to be transitioned to hd during hospital course. . hypothyroidism: on iv levothyroxine during hospital stay. . diarrhea: had 2 days of diarrhea during course but was c diff negative x 3 and it did not persist . fever: on admission to , pt febrile with source possibly being l breast cellulitis/uti/pulmonary infectious process/high tumor burden. no clear source was ever isolated, and pt subsequently defeversced. . breast pain: before intubation, she complained of chronic l breast swelling, erythema and pain; thought to be secondary to ln involvement and chest-wall mass; inflammation swelling seemed to correlate to volume status. breast pain and swelling subsequently resolved during hospital course. . fen: pt switched to tpn once intubated with electrolytes repleted in tpn. riss. peg placement was scheduled to be done in or; however was put on hold given pt's precipitous drop in wbc and subsequent family decision to make pt . . ppx: no heparin sc given thrombocytopenia, on pneumoboots, ppi. mouth care. . dispo: given pt's grave prognosis, high tumor burden, lack of further treatment options, and persistent respiratory failure, a family meeting led by dr. was held in which the family decided to make the pt . the pt was removed from the vent and subsequently passed away cardiopulmonary arrest. medications on admission: ms contin 60mg tid vicodin 10 mg/325 mg q4-6h prn or percocet 5/325 1-2 tabs q4-6h prn msir 30 mg q4-6h prn levothyroxine 100mcg qd acyclovir 400mg bactrim ds mwf decadron 1 mg celexa 20 mg qd potassium chloride 60 meq qd protonix 40 mg qd xanax 0.25mg t.i.d. p.r.n.; epogen subcu q. weekly. discharge medications: none. discharge disposition: expired discharge diagnosis: hodgkin's lymphoma cardiopulmonary arrest respiratory failure discharge condition: expired discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances insertion of endotracheal tube insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis therapeutic plasmapheresis transfusion of packed cells transfusion of other serum injection or infusion of cancer chemotherapeutic substance transfusion of platelets allogeneic hematopoietic stem cell transpant without purging transplant from live non-related donor diagnoses: pneumonia, organism unspecified acidosis urinary tract infection, site not specified acute kidney failure, unspecified hyposmolality and/or hyponatremia unspecified acquired hypothyroidism chronic kidney disease, unspecified anxiety state, unspecified acute respiratory failure other acquired absence of organ antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use complications of transplanted bone marrow personal history of venous thrombosis and embolism hypoxemia backache, unspecified other and unspecified coagulation defects hypotension of hemodialysis inflammatory disease of breast anemia in neoplastic disease retinal hemorrhage hodgkin's disease, nodular sclerosis, intrathoracic lymph nodes exposure keratoconjunctivitis 

Answer: The patient is high likely exposed to