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: nkda pmh: s/p nephrectomy for metastatic renal ca. has received radiation therapy and up until recetnly had been receiving sutent oral chemotherapy. pt has wide spread bone metastis. pt has rods and pins in spine and left arm. cc: pt had noticed increased wob at home and was at heme clinic for a scheduled blood transfusion and his sob was persistent and worsened. pt was found to be hypoxic with o2 sat 80%. he was sent to the ed and on exam was found to have 2+ pitting edema of both lower extremeties. he was placed on 4lnc with o2 sat's inc to 97%. pt's hct 22 which was down from 29.1. lactate was 2.8. pt sent to micu 7 for further treatment. review of systems: neuro: pt alert and oriented x 3. no c/o pain early in the shift. pt very about all tests and procedures. somewhat anxious about their results. able to move all extremeties. med with oxycontin for back pain at 2200. pt also requested a sleeping pill and received ambien 5mg with good results. resp: pt initially with 4lnc with o2 sat's in the mid to high 90's. pt went for ct scan/ultrasound so cannula was replaced with nrb mask at 100% so that pt would tolerate lying flat on ct table. o2 sat's 100% on the mask. lung sounds with crackles throughout and audible wheezes noted during the night when he was sleeping. pt has been coughing intermittently during the night but unable to raise any sputum. pt states that at home he had been raising green sputum. cv: pt in nsr to st with occ pac's and rare pvc. rates have been 80-100's. bp wnl. dipped to the 80's while sound asleep. when awake bp came back up to 120's. pt had head and chest ct done and leni's to determine if he had pe or dvt's. pt received bicarb drip prior to test d/t receiving dye in ct. pt's hct after 1st transfusion of bld was 22, pt then received 2nd unit. stim test done which was normal. pt started on heparin sc. pt is afebrile. gi: pt states that he doesn't have much of an appetite. pt has been taking sips of water and juice. abd soft/distended with pos bowel sounds. no stool overnight. pt on po protonix. gu: pt voids good amt's of clear yellow urine. skin: intact. access: pt has 2 piv's which are working well. id: pt's wbc 2.9. lactate 1.8. pt receiving vanco and ceftazadine social: pt lives with wife. today they spoke with dr. and it is the pt's wishes to be made a dnr/dni. plan today is to get results of ct scan's and leni's and discuss the results with the pt. monitor pulm status/o2 sat's, use nrb as needed. monitor hct check am labs. procedure: non-invasive mechanical ventilation transfusion of packed cells diagnoses: pneumonia, organism unspecified acidosis unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia acute respiratory failure secondary malignant neoplasm of brain and spinal cord long-term (current) use of other medications glucocorticoid deficiency knee joint replacement secondary malignant neoplasm of bone and bone marrow anemia in neoplastic disease arthrodesis status pathologic fracture of other specified site personal history of malignant neoplasm of renal pelvis 

Answer: The patient is high likely exposed to