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) / remicade attending: chief complaint: crohn's flare major surgical or invasive procedure: colonscopy history of present illness: 61f with h/o crohn's disease presents with fatigue, hct found to be 18. pt notes she has felt tired recently, has been very easily fatigued with climbing stairs. she has been having ongoing increased bm and had an episode of a fair amount of frank blood about 1 1/2 weeks ago. usually in the past, prednisone has worked fairly quickly, but she has been taking prednisone since without resolution of her symptoms. also started humira yesterday. has a vaginal fistula and was passing stool from her vagina. now better, had only 2 bm prior to admission. no blood for the last few days. no recent fevers. has had weight loss - in , weighed 103, now down to 96 pounds. feels thirsty. no hematuria, + dysuria but more external b/c of tissue irritation from stool. has had palpitations, notices them when lying still. feels like extra beats. can last for a long time or be only a few beats, resolves spontaneously. went to micu with profound bleeding and given 2 seperate doses of methotrexate, without leucovorin, of 25mg each. she became progressively leukopenic over the week of , ultimtely with severe neutropenia. hematology was urgently consulted, and diagnosed methotrexate toxicity, and requrested imaging to look for fluid collections. it was found that given her hypoalbuminemia, she had ascites, which is the likely resevoir of methotrexate. leucovorin rescue was started with no effect. the patient is likely to have a 2 week course of neutropenia. plan is to transfer the patient to oncology unit for prolonged neutropenia. she developed thrush and candidal esophogitis, along with mucositis. past medical history: 1) crohns dx 2) nephrolithiasis 3) ostoporosis 4) anal fissure 5) benign hypertension social history: no tob, occasional etoh, occupation is legal secretary family history: mother - dm, father - prostate ca physical exam: ros: gen: - fevers, - chills, + weight loss eyes: - photophobia, - visual changes heent: - oral/gum bleeding, + odynophagia cardiac: - chest pain, - palpitations, - edema gi: - nausea, - vomitting, + diarhea, - abdominal pain, - constipation, - hematochezia pulm: - dyspnea, - cough, - hemoptysis heme: - bleeding, - lymphadenopathy gu: - dysuria, - hematuria, + incontinence, + labial pain skin: - rash endo: - heat/cold intolerance msk: - myalgia, - arthralgia, - back pain neuro: - numbness, - weakness, - vertigo, - headache physical exam: vss: % gen: nad, cachectic pain: 0/0 heent: eomi, mmm, + thrush pul: cta b/l cor: rrr, s1/s2, - mrg abd: nt/nd, +bs, - cvat ext: - cce neuro: caox3, non-focal derm: inflammed labia pertinent results: 06:04am blood wbc-0.3* rbc-2.96* hgb-8.9* hct-26.5* mcv-90 mch-30.1 mchc-33.7 rdw-15.8* plt ct-67* 06:04am blood neuts-77* bands-3 lymphs-10* monos-10 eos-0 baso-0 atyps-0 metas-0 myelos-0 nrbc-3* 06:04am blood pt-10.8 ptt-26.0 inr(pt)-0.9 06:04am blood glucose-270* urean-45* creat-0.7 na-140 k-4.3 cl-109* hco3-24 angap-11 06:04am blood alt-87* ast-48* ld(ldh)-987* alkphos-74 amylase-162* totbili-1.1 03:01am blood hapto-257* 06:04am blood triglyc-119 06:04am blood tsh-2.8 05:30am blood crp-2.0 brief hospital course: ms. is a 61f with a pmh s/f crohn's disease on chronic steroids, rue dvt not anticoagulated, and mtx toxicity. she was recently admitted on for increasing fatigue where she was found to be profoundly anemic in the setting of brbpr. she had an episode of profound bleeding prior to this admission where she was treated with methotrexate 25mg x2 without a leucovorin rescue. since then she has been becoming increasingly pancytopenic, and is currently thrombocytopenic and neutropenic as a result of mtx toxicity. unfortunately a leucovorin rescue was initiated too late and she has had no effect, and clinically she suffers from thrush, candidal esophagitis, and mucositis. . on the evening of , she became tachypneic and hypoxic, with marked respiratory distress. she was afebrile, however, a cxr demonstrated new patchy rll infiltrate and so antibiotic coverage was broadened from cipro/metronidazole to cefepime/vanc. she also received lasix iv for presumed total body fluid overload, to which she urinated 300cc. the house doctor on call noted that at the beginning of his shift she was talkative and responsive, but by midnight, when icu transfer was requested, she was minimally responsive and nonverbal. . on transfer to the icu, she is minimally responsive to painful stimuli, hypotensive to 70s/30s, mildly tachycardic to the 100-110 range, and sating 90-93% on a nrb. abg on nrb is 7.41/32/72. an urgent femoral line, and arterial line were placed, and the patient was intubated. . shortly after intubation patient was noted to have assymetric non-responsive pupils. neuro exam was also notable for only minimal withdrawal to painful stimuli in left foot. emergent head ct was performed that demonstrated severe cerebral edema w/o e/o herniation. patient was hyperventilated, started on mannitol with hob elevation to 30 degrees to reduce cns pressures. stat neurology consult performed. agreed with above. eeg/mri performed that confirmed lack of cortical brain wave activity, and mri with severe ischemia c/w global hypoxic/ischemic insult vs. hepatic/renal failure. grim prognosis was discussed with family who agreed not to escalate care further and later opted to withdraw pressors. patient was comfortable and died of cardiac failure at 12:02am on . medications on admission: humira 40mg every other week alendronate 70mg qwk atenolol 50mg daily clobetasol 0.05% daily- colestid 5g daily nascobal 500mcg 2x/wk ergocalciferol 50,000 units levothyroxine 112mcg daily mesalamine 125mg -tid moexipril 15mg daily urocit-k 20meq qpm prednisolone 60mg daily caco3 750mg tid citracal 200-200 4 tabs 2-3x/day lactobacillus 500 million cell tab daily magensium 250mg daily medium chain triglycerides 30cc daily- mvi daily peptamen 1 can pyridoxine 100mg daily nahco3 1300mg daily with am meal discharge medications: none. discharge disposition: expired discharge diagnosis: . discharge condition: deceased discharge instructions: . followup instructions: . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube esophagogastroduodenoscopy [egd] with closed biopsy closed [endoscopic] biopsy of large intestine diagnoses: unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism candidiasis of mouth regional enteritis of unspecified site acute respiratory failure blood in stool septic shock antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use other and unspecified postsurgical nonabsorption neutropenia, unspecified digestive-genital tract fistula, female nutritional marasmus candidal esophagitis unspecified adverse effect of other drug, medicinal and biological substance stomatitis and mucositis, unspecified 

Answer: The patient is high likely exposed to