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: augmentin attending: chief complaint: primary care physician: , . chief complaint: choriocarcinoma s/p rp ln biopsy major surgical or invasive procedure: retroperitoneal lymph node dissection and excision of residual post chemotherapy periaortic mass- dr. history of present illness: mr. is a 43 yo m with retroperitoneal germ cell tumor with choriocarcinoma on bleomycin, etoposide, and cisplatin and history of hodgkin's disease s/p radiation therapy in his chest, history of l5-s1 laminectomy, profound short-term memory loss attributed to cocaine-induced status epilepticus and hypoxic brain injury, and gerd with h/o esophageal ulcers who is admitted to the icu s/p retroperitoneal biopsy. past medical history: 1. retroperitoneal metastatic malignant germ cell tumor with choriocarcinoma since on chemotherapy with the first cycle of bep and the last three were ep. a soft tissue mass in the left preaortic region from below the level of the left renal vein to the aortic bifurcation measuring 8 x 3 x 4 cm. his mri of his head was negative as was the testicular ultrasound. the pet/ct scan showed several very small pulmonary nodules of unclear significance. 2. asthma, copd. 3. gerd. 4. barrett's esophagus. 5. cocaine use for many years. 6. major depressive disorder with questionable bipolar disorder. 7. history of seizure disorder in the setting of cocaine use, no seizures since . 8. history of status epilepticus secondary to cocaine use resulting in induced coma. 9. history of hodgkin's disease diagnosed in . received abvd and radiation therapy. 10. lactose intolerance. social history: divorced, lives with roomate. 1 ppd tobacco, + crack. no etoh. family history: father with non- lymphoma mother with leukemia, died at 44 paternal grandmother with breast ca paternal grandfaterh with testicular cancer, ? brain cancer, died at 46 pertinent results: 05:37am blood wbc-13.5* rbc-3.17* hgb-9.3* hct-27.9* mcv-88 mch-29.2 mchc-33.2 rdw-16.6* plt ct-515* 05:35am blood wbc-14.5* rbc-2.64* hgb-7.6* hct-23.5* mcv-89 mch-28.8 mchc-32.3 rdw-15.9* plt ct-491* 05:50am blood wbc-16.3* rbc-2.77* hgb-8.0* hct-24.2* mcv-88 mch-29.1 mchc-33.2 rdw-16.0* plt ct-445* 06:43pm blood neuts-80.7* lymphs-8.8* monos-7.1 eos-2.7 baso-0.7 05:37am blood plt ct-515* 05:37am blood glucose-94 urean-7 creat-2.1* na-141 k-3.2* cl-106 hco3-25 angap-13 05:35am blood glucose-96 urean-8 creat-2.1* na-141 k-3.4 cl-107 hco3-23 angap-14 05:50am blood glucose-116* urean-9 creat-2.2* na-140 k-3.0* cl-105 hco3-24 angap-14 05:37am blood calcium-8.4 phos-3.9 mg-1.8 09:09pm blood alt-6 ast-13 ld(ldh)-221 alkphos-77 totbili-0.6 01:13pm blood vanco-7.2* 05:37am blood vanco-20.3* 06:07am blood vanco-31.7* 06:43pm blood vanco-45.4* brief hospital course: patient is a 43 y.o male with h.o germ cell tumor who was sent to the micu s/p rplnd for initial post surgical management. in the micu pain control was achieved with pca and oral morphine. he was transiently on an beta blockade for control of bp and hr and titrated off by the afternoon of pod1. when stable he was transferred to 12 riesman, on pod5 a decrease in his o2 saturation was noted and a chest radiographs were suggestive of bilateral pneumonia, sputum and blood cultures were collected and found to be negative. he was again transferred to the for management of developing hypoxia and treatment of pneumonia. the etiology of the pneumonia was thought to be from aspiration and for this reason his ng tube was replaced. in the he was started on vancomycin and zosyn, his 02 saturation gradually improved and he was transferred back to 12 . on the floor he continued to recover but on pod9 was noted to have a significant increase in his cr level from 0.6 to 1.6. the cause was most likely multifactorial and includes insensible loss from ng tube, low fluid resusitation rates due to a history of emphysema and bleomycin toxicity and vancomycin toxicity. renal and pulmonary services were consulted, all nephrotoxic medications were stopped or dosed renally, he was hydrated with increase in per hour rate and boluses of ns, a vancomycin trough was checked and found to be elevated. his renal function stabalized after reaching a cr of 2.6 and slowly trended downward. with renal recovery we addressed his slowly declining hematocrit with 2 units of blood, his hct responded appropriately. the vancomycin was not restarted the zocyn was discontinued after 8 days. he was transitioned to oral ciprofloxacin and flagyl both renally dosed in preparation for discharge. he was discharged to home pod15, in stable condition, tolerating a regular diet, ambulating independently, pain controlled with a combination of narcotics and neuropathic medications. he was instructed to follow up with dr. on as scheduled along with his neurologist and oncologist as scheduled. medications on admission: 1. lidocaine 5% patch daily. 2. morphine 15 mg p.o. every six hours. 3. omeprazole 40 mg p.o. b.i.d. 4. carafate 1 gram b.i.d. 5. zonisamide 100 mg p.o. three tablets q.h.s. 6. vitamin d 1,000 units one capsule p.o. daily. 7. multiple vitamin p.o. daily. 8. miralax 17 grams p.o. daily. 9. senna p.o. b.i.d. p.r.n. discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever >100.5. 2. zonisamide 100 mg capsule sig: three (3) capsule po daily (daily). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 6. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: adhesive patch, medicateds topical daily (daily) as needed for pain. disp:*60 adhesive patch, medicated(s)* refills:*0* 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 10. acetylcysteine 20 % (200 mg/ml) solution sig: one (1) miscellaneous q 8h (every 8 hours). 11. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 6 days. disp:*18 tablet(s)* refills:*0* 12. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*12 tablet(s)* refills:*0* 13. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing. 14. senna 8.6 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*60 capsule(s)* refills:*2* 15. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: clinical diagnosis: testicular cancer with left peri aortic mass. discharge condition: stable discharge instructions: -please resume all home meds at previous dose, take newly prescribed meds as dosages indicated these include gabapentin, lidoderm patches, ciprofloxacin and flagyl. gabapentin and lidoderm patches are for pain control. ciprofloxacin and flagyl are antibiotics, be sure to take the antibiotic prescriptions until completion. -do not take any ibuprofen containing products such as advil or aleve. -you have been given a prescription for the same narcotic pain medication you received while in the hosptial, this is for breakthrough pain only that is pain that is not relieved by gabapentin or lidoderm patches. -do not drive while taking narcotic pain medication -colace and senna have been prescribed to avoid post surgical constipation and constipation related to narcotic pain medication, discontinue if loose stool or diarrhea develops -you may shower, but do not immerse incision, no tub baths/swimming -small white steri-strips bandages will fall off in days. --if you note any of the danger signs listed below return to the emergency department. -please follow up with all providers as indicated below followup instructions: provider: . & phone: date/time: 4:30 provider: , md phone: date/time: 12:00 provider: , md phone: date/time: 2:30 procedure: insertion of other (naso-)gastric tube transfusion of packed cells excision or destruction of lesion or tissue of abdominal wall or umbilicus simple excision of other lymphatic structure diagnoses: esophageal reflux tobacco use disorder acute kidney failure, unspecified cocaine abuse, unspecified pneumonitis due to inhalation of food or vomitus anoxic brain damage other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites paralytic ileus personal history of malignant neoplasm of testis chronic obstructive asthma, unspecified bipolar disorder, unspecified other and unspecified coagulation defects precipitous drop in hematocrit abdominal or pelvic swelling, mass, or lump, other specified site 

Answer: The patient is high likely exposed to