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: right hip pain major surgical or invasive procedure: right total hip arthroplasty history of present illness: the patient is a 51-year-old gentleman with a history significant for cml s/p bone marrow transplant and chronic gvhd was referred for right hip pain. orthopedically, he has severe progressive right hip avascular necrosis related to longstanding prednisone therapy for a matched unrelated donor bone marrow transplant in for chronic myelogenous leukemia. the patient has suffered from chronic graft versus host disease, typically oral and in the eye as well. he has been off and on large doses of prednisone as well as cellcept. he had a contralateral left total hip replacement in at , which was complicated by a flareup of his gvh. he has had a right total knee replacement in and a left total knee replacement in again at medical center. all of these have been related to avascular necrosis secondary to prednisone therapy. at this point, he is interested in a right total hip replacement. he states that the pain is presently in the right hip with activity. he intermittently uses a cane. the pain has markedly worsened in the past 2 months, and he has noted decreased range of motion as well. this all severely limits his ability to remain active and gainfully employed as a commercial real estate salesman in . past medical history: past surgical history: left herniorrhaphy, left total hip, left total knee, and right total knee. current medical problems: chronic graft versus host disease; chronic myelogenous leukemia, chronic low back pain, avascular necrosis of femoral heads and supracondylar femurs. social history: commercial real estate salesman, does not smoke, does not drink, and tries to exercise 10-15 minutes a day as pain allows. family history: non-contributory physical exam: thin white male, 5 feet, 156 pounds. has an antalgic gait favoring the right side. he has a normal knee, foot, and ankle exam. his lower extremities are equal in length. he has markedly-diminished range of motion through the right hip with no remaining internal or external rotation, can only abduct 20 degrees, and flex to about 85 degrees. he has good vascular inflows bilaterally with 5/5 strength. pertinent results: 06:37pm glucose-158* urea n-15 creat-0.7 sodium-138 potassium-4.6 chloride-109* total co2-21* anion gap-13 06:37pm calcium-8.3* phosphate-3.0 06:37pm wbc-8.4 rbc-3.68* hgb-11.7*# hct-33.2* mcv-90 mch-31.7 mchc-35.2* rdw-14.6 06:37pm plt count-152 brief hospital course: 51 year-old patient with pmh chronic gvhd and cml, underwent right total hip arthroplasty on for right hip avn. the patient tolerated the procedure well. his postoperative course was complicated by a gvhd exacerbation and by anemia. neurologic: pain was initially managed with a morphine pca followed by oral percocet respiratory: the patient's oxygen saturations gradually improved and at the time of discharge they were weaned to room air. cardiovascular: the patient had no cardiac issues. he did have some occasional low blood pressures early in his postoperative course but these resolved after several transfusions. hematologic: the patient's hematocrit dropped to a low of 22 from 33, however after a transfusion it stabilized and was stable at 27.7 at discharge. the patient was also started on iron. lovenox was started for dvt prophylaxis on post-operative day number one. infectious disease: the patient was given 48 hours of vancomycin for postoperative surgical prophylaxis. fluids/electrolytes/nutrition: the patient??????s electrolytes were checked on post-operative day number one and were within normal limits. he/she was tolerating a regular diet at discharge. the foley was removed on post-op day number 2. orthopedic: the patient worked with physical therapy and had a achieved good rom and was able to ambulate with minimal assist at discharge, while still being compliant with the strict restriction on 30% wb. the wound appeared clean, dry, and intact, however, there was some increasing serous drainage likely from a liquefying hematoma. medications on admission: 1. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po tid (3 times a day). 2. famciclovir 500 mg tablet sig: one (1) tablet po bid (2 times a day). 3. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po monday/wednesday/friday (). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. multivitamin capsule sig: one (1) cap po daily (daily). 7. calcium carbonate 500 mg tablet, chewable sig: three (3) tablet, chewable po daily (daily). for 3 weeks. 8. tacrolimus 1 mg capsule sig: one (1) capsule po q 24h (every 24 hours). 9. clotrimazole 1 % cream sig: one (1) appl topical (2 times a day). 10. triazolam 0.75 mg qhs 11. prednisone 10 mg po qam 12. prednisone 5 mg po qpm discharge medications: 1. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po tid (3 times a day). 2. famciclovir 500 mg tablet sig: one (1) tablet po bid (2 times a day). 3. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po monday/wednesday/friday (). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. multivitamin capsule sig: one (1) cap po daily (daily). 7. calcium carbonate 500 mg tablet, chewable sig: three (3) tablet, chewable po daily (daily). 8. enoxaparin 40 mg/0.4ml syringe sig: forty (40) subcutaneous daily (daily) for 3 weeks. 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 10. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. tacrolimus 1 mg capsule sig: one (1) capsule po q 24h (every 24 hours). 13. clotrimazole 1 % cream sig: one (1) appl topical (2 times a day). 14. triazolam 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 15. triazolam 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for if patient is still awake at 0200. 16. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 17. prednisone 10 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 18. prednisone 5 mg tablet sig: three (3) tablet po qam (once a day (in the morning)). 19. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for pruririts. discharge disposition: extended care facility: st. discharge diagnosis: right hip avascular necrosis discharge condition: good discharge instructions: 1) please keep wound covered with dry sterile dressing. ok to shower. do not bathe. 2) please continue taking all medications as taken prior to this hospitalization. please also complete full course of lovenox to prevent blood clot, colace to prevent constipation, and percocet for pain. 3) do not drive or operate machinery while taking percocet. 4) please follow-up with dr. as directed. call doctor sooner if you devlop fevers, shaking chills, or increasing wound redness, drainage, or pain not controlled by pain medications. physical therapy: activity: ambulate with assist tid pneumatic boots right lower extremity: partial weight bearing 50% wb right lower extremity x 6 weeks, posterior hip precautions (no adduction/internal rotation), *****partial weight bearing is essential treatments frequency: site: right hip type: surgical dressing: gauze - dry comment: please change daily and cover with dsd (abd with paper tape) followup instructions: provider: , md phone: date/time: 1:30 provider: , phone: date/time: 10:00 procedure: injection or infusion of other therapeutic or prophylactic substance arteriography of other intra-abdominal arteries arthrotomy for removal of prosthesis without replacement, hip transfusion of packed cells transfusion of other serum total hip replacement bone graft, femur transfusion of previously collected autologous blood diagnoses: unspecified essential hypertension long-term (current) use of steroids adrenal cortical steroids causing adverse effects in therapeutic use unspecified acquired hypothyroidism hemorrhage complicating a procedure complications of transplanted bone marrow surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation hypovolemia surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation knee joint replacement aseptic necrosis of head and neck of femur osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh hip joint replacement broken prosthetic joint implant 

Answer: The patient is high likely exposed to