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: patient recorded as having no known allergies to drugs attending: chief complaint: fever. major surgical or invasive procedure: removal of hickman catheter. history of present illness: ms. is a 48-year-old african-american female who was initially diagnosed with burkitt's lymphoma in when she presented with a large right lower quadrant mass, which was resected by dr. . she was incidentally at the same time tested and found to be hiv positive with a cd4 count less than 200. initial staging pet scan on revealed multiple foci of fdg avid disease specifically there was residual disease within the right lower quadrant with large fdg avid lymph nodes within the retroperitoneum adjacent to the aorta and vena cava. there is also probable splenic involvement as was indicated by the suv greater than that in the liver. there was also a right parotid lymph node, which was fdg avid. she is now status post 4 cycles of chemotherapy (codox-m and ivac) on the regimen. following her 1st 2 cycles her pet scan at pet revealed resolution of almost all the fdg avidity noted on her initial staging pet scan. she did still have some residual fdg avidity at the incision site of her resection. her most recent admissions have been complicated by a cmv viral load positive at 1200 copies in addition to hemorrhagic cystitis of unclear etiology. her most recent cmv vl was undetectable on . she has not yet had a workup of her hemorrhagic cystis, as we were awaiting her cts to come up and then planned on a referral to dr. for possible cystoscopy. interim history: she has felt well since sunday of discharge. she notes no hematuria. she has not had diarrhea although she is taking imodium. she has had no nausea. she is keeping fluids down and she is eating. she presented to the oncology clinic yesterday with a fever of 101 f orally. she was admitted for febrile neutropenia. during day #1 she was hypotensive and did not respond to initial crystalloid challenge, and was transiently placed on neo and was transferred to the icu for sepsis. blood cultures () were positive for gnr. in the icu, patient was fluid resuscitated and neo was d/cd. she remained hemodynamically stable overnight and was transferred back to the floor early this evening. she remains on vancomycin and cefepime. upon transefer patient is without complaints. she denies fevers, chills, headache, shortness of breath, chest pain, abd pain, dysuria, nausea/vomiting or changes in her chronic diarrhea. she does note fatigue and some anorexia. past medical history: 1. dx with intraabd stage iv burkitts lymphoma s/p right hemicolectomy, ileocolostomy, and right salpingo-oophorectomy on , courtesy of dr. . 2. hiv- dx , first cd4 ct < 200 but had begun chemotherapy. on haart. followed by dr. . hiv vl pending from today . 3. she is status post left parotidectomy on , which was diagnosed as a lymphatic sialadenitis with follicular hyperplasia. 4. she also has internal hemorrhoids and has had a sigmoidoscopy for hyperplastic condyloma. 5. she also has hypertension 6. she is status post cytoscopy of the bladder with history of hematuria. onging hematuria during last few cycles of chemo, awaiting repeat workup once cts recover. 7. she is postmenopausal with her last menstrual period being in . 8. hx cmv viremia, cl 1200 copies on one occasion only. treated only briefly until repeat cmv vl returned undetectable. not on tx since that time. most recent cmv vl undetectable on . social history: notable that she lives with her boyfriend. she is not married and she only has one child, who has grown and does not live at home anymore. she lives in . she used to drink three to five drinks a week and used to smoke one pack every three to four days for 35 years. however, as stated above recently quit, 14 days ago. she currently works here at as a nuclear medicine tech. family history: remarkable for a father with emphysema and a mother with diabetes. physical exam: vital signs: reveals a weight of 182.4 pounds, height of 67 inches, blood pressure is 122/82, heart rate 97, respirations are 18, temperature max/current 101.2 , and oxygenation 98% on room air. 24hour i/o general: this is a tired appearing african-american female in no acute distress. heent: reveals a clear oropharynx without mucositis, thrush, or petechiae. jvp at 4cm above clavicle at 45degrees chest: clear to auscultation bilaterally. her hickman catheter is in place without erythema or exudate at right chest wall. cardiovascular: loud s1, normal s2; tachycardic ?soft 2/6 sem at llsb; no rubs abdomen: soft, nontender, and nondistended, without appreciable hepatosplenomegaly. extremities: reveal no cyanosis, clubbing; trace edema. pertinent results: micro: brief hospital course: is a 48-year-old african-american female with hiv and history of stage iv burkitt's lymphoma, s/p 4 cycles codox-m and ivac (last pet negative), admitted with febrile neutropenia gnr bacteremia c/b hypotension transfer to icu. patient was volume resuscitated with normal saline and prbcs and was transiently on neosynephrine. she returned to the regular floor after one night in the icu on neosynephrine. she was emperically started on vancomycin and cefepime. her blood cultures drawn from her hickman catheter returned bottles positive for gnr's identified as pan-sensitive klebsiella. based on this, her hickman catheter was removed by surgery, and all abx. except for cefepime were d/c'd (she was, however, continued on her acyclovir and bactrim ppx. as well as continuing her haart therapy). she defervesced within 24 hours of having the hickman catheter removed. her counts began to rise, and by the time of d/c, she had a wbc of 3200. she was sent home with an empiric course of 10 days of levofloxacin. another (subacute) issue that continued during this admission was hematuria. she has had this in the past, and is followed by dr. of urology, who is aware of the persistence of this condition. she has undergone cystoscopy several years ago, revealing cystitis. dr. plans on repeating cystoscopy once she is stable enough to undergo the procedure, and once her 'counts' have stabilized (which they appear to be doing now). medications on admission: medications: diflucan 200 mg daily, acyclovir 400 mg q. eight hours, bactrim one double strength tablet , wednesday and friday, lamivudine 150 mg b.i.d., stavudine 40 mg p.o. q.12h., nelfinavir 250 mg tablets two tabs twice daily, imodium p.r.n., atenolol 50 mg daily, and neurontin 300 mg p.o. q. eight hours. discharge medications: 1. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*2* 2. acyclovir 200 mg capsule sig: two (2) capsule po q8h (every 8 hours). disp:*180 capsule(s)* refills:*2* 3. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po as directed: one tablet every , wednesday, and friday. disp:*30 tablet(s)* refills:*2* 4. lamivudine 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. stavudine 40 mg capsule sig: one (1) capsule po q12h (every 12 hours). disp:*60 capsule(s)* refills:*2* 6. gabapentin 300 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*2* 7. loperamide hcl 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed. disp:*30 capsule(s)* refills:*0* 8. nelfinavir mesylate 625 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. zolpidem tartrate 5 mg tablet sig: 1-2 tablets po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*0* 10. oxycodone hcl 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*20 tablet(s)* refills:*0* 11. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: septicemia discharge condition: good discharge instructions: take all medications as prescribed. followup instructions: provider: , m.d. where: center phone: date/time: 2:15 provider: , surgical assoc -3a (nhb) where: lm associates phone: date/time: 11:45 procedure: incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: thrombocytopenia, unspecified unspecified essential hypertension severe sepsis human immunodeficiency virus [hiv] disease septic shock other septicemia due to gram-negative organisms infection and inflammatory reaction due to other vascular device, implant, and graft burkitt's tumor or lymphoma, lymph nodes of multiple sites 

Answer: The patient is high likely exposed to