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, dehydration major surgical or invasive procedure: none history of present illness: 59 yo endstage multiple myeloma s/p auto bmt ('), failed vad chemothx x 4, thalidomide, velcaide (most recently in ), recently hospitalized (d/c ) for pneumonia now presenting with fever and dehydration. past medical history: 1. multiple myeloma. not yet ready for hospice but has preferred supportive management. 2. fracture of spine in , did not receive fixation. 3. s/p knee arthroscopy. 4. skin lesions (ak vs. sq. cell). bx??????d postponed by derm b/c neutropenia social history: lives with wife in . former mechanic for . son is police offier in . no etoh. no ivdu. family history: non contributory physical exam: vs 102.2 118 24-28 94% on nc+partial mask pupils constricted but reactive b/l. no lad. no oral lesions. chest with loud rhonchi and wheezing throughout all lung fields. heart regular with pansystolic murmur radiating to axilla. no peripheral edema. abdomen soft nt nd with splenomegaly. no cva, paraspinal, spinal tenderness. extremities warm and well perfused. pertinent results: ct chest interval development of multiple predominantly upper lobe, poorly defined nodules, some of which demonstrate central lucency, possibly reflecting cavitation or a bronchogram given motion artifact. the differential diagnosis includes invasive aspergillus, nocardia, and septic emboli. striking, diffuse, bilateral dependent areas of ground glass opacity which spare the anterior/nondependent portions of the lungs and are associated with bronchial dilation. the distribution is suggestive of ards, which may complicate infection. diffuse atypical infection and drug toxicity are also in the differential diagnosis. brief hospital course: pt was treated in the icu for difficulty maintaining adequate oxygen saturation. pt's family chose to make patient dnr/dni but to continue antibiotic treatment of pneumonia and blood product support. he was transferred to bmt service where his discomfort with breathing was treated with morphine for comfort, antibiotics were continued and blood product support was continued. patient expired while on bmt service with family by his side. medications on admission: medications continued on discharge from home 1. decadron 40mg biw 2. procrit q thurs 3. zometa q thurs 4. fentanyl patch 75mcg to be changed tonight. 5. nystatin s&s 6. vit b12 x 2 qd 7. tums 1 8. compazine prn nausea 9. tylenol prn fever 10. levofloxacin 500 mg tablet 11. metronidazole 500 mg tablet discharge medications: n/a discharge disposition: home discharge diagnosis: respiratory failure secondary to pneumonia secondary to multiple myeloma discharge condition: n/a procedure: transfusion of packed cells transfusion of platelets diagnoses: pneumonia, organism unspecified acute respiratory failure multiple myeloma, without mention of having achieved remission complications of transplanted bone marrow surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation tachycardia, unspecified other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to