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: subdural hematoma major surgical or invasive procedure: none history of present illness: 82f w/ h/o multiple myeloma, peripheral neuropathy recently hospitalized on neuro service for work-up of multiple falls transferred from with dx of right sdh. the patient was found down, awake, in the afternoon by staff at nursing home where she lives. she was admitted at about 2 weeks ago to work up the falls and at that time had negative intracranial imaging (see detailed neurology note from ). the falls were thought to be due to a combination of neuropathy post chemotherapy and mild cervical spondylosis and she was discharged to a nursing home. the current fall was unwitnessed and it is not clear if there was any loc. patient denies any dizziness, lightheadedness, vertigo, nausea/vomiting. she also comes with a new dx of pna, possible aspiration pna and was treated with levaquin at osh prior to arrival. . in the ed, initial vs were: t98.1, hr 80, bp 104/56, rr 14-16, o2 99%ra. patient was alert but somewhat confused. head ct showed no interval change in mid-line shift or size of sdh. neurosurgery recommended 6-pack of plt's, ddavp, vit k (10mg iv) and 2l ns. patient also received ctx for finding of pneumonia on cxr. was admitted to micu for q1h neuro checks and treatment of pneumonia. at time of transfer, vs 97.8, hr 80, bp 96/41, rr 22 o2 97% 3l nc, ra sat of 93-94% past medical history: 1. multiple myeloma s/p chemotherapy, followed by dr. at . seen by oncology for decreased counts on last admit and recommended to receive pulse steroids. 2. htn 3. peripheral neuropathy due to chemotherapy 4. s/p both hips, knees replacement and l ankle surgery 5. oa 6. s/p cholecystectomy 7. s/p hysterectomy 8. frequent falls social history: sh: was living alone until recent falls with subdural requiring rehab - does not drive but pays own bills, takes own meds and etc. used to be a waitress. has 2 grown children. no cigarettes or etoh. family history: fh: nc physical exam: t97.3 hr 84, bp 92/60, o2 sat 97% 3l nc general appearance: no acute distress, thin, very pleasant and comfortable appearing eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic cardiovascular: (s1: normal), (s2: no(t) normal, loud), no(t) s3, no(t) s4, no(t) rub, (murmur: systolic), at erb's point peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: crackles : bilaterally) abdominal: soft, non-tender, bowel sounds present, no(t) distended, no(t) tender: , no(t) obese extremities: right: absent, left: absent skin: not assessed neurologic: attentive, follows simple commands, responds to: verbal stimuli, oriented (to): place, knows why she is in hospital, movement: purposeful, no(t) sedated, no(t) paralyzed, tone: normal, full strength in ue bilaterally, diminished strength 4/5 b/l in le, and nml cranial nerves pertinent results: 09:20pm pt-15.1* ptt-33.5 inr(pt)-1.3* 09:20pm wbc-16.6*# rbc-2.69* hgb-9.2* hct-25.5* mcv-95 mch-34.3* mchc-36.1* rdw-19.7* 09:20pm alt(sgpt)-23 ast(sgot)-41* alk phos-67 tot bili-1.6* 09:39pm lactate-1.2 ct head: impression: acute on chronic right subdural hematoma, unchanged in comparison study from five hours prior. 1-2mm of leftward shift of normally midline structures. ct head: evolution of acute-on-chronic right subdural hematoma with posterior layering of the acute component, now tracking along the tentorium. there is no evidence for new hemorrhage, increased mass effect, or edema. ct head: there has been not significant change in size of an acute on chronic subdural hematoma, but evolution of blood products within the hematoma is seen. there is no shift of minimal mass effect on subjacent right occipital gyri remains seen, and sulci are unchanged in configuration. the sulci are otherwise prominent, compatible with age-related involution. the ventricular configuration is unchanged. again seen is scattered periventricular white matter hypodensities, consistent with chronic microvascular ischemia. surrounding soft tissues and osseous structures are stable in appearance. there is no fracture. imaged paranasal sinuses and mastoid air cells are well aerated. impression: evolution of right subdural hematoma without evidence for new hemorrhage or increased mass effect. no new hemorrhage. ct c-spine: 1. no fracture or prevertebral soft tissue swelling. 2. multilevel degenerative changes, predominantly at c5-6 and c6-7, unchanged in comparison to mri . echo: the left atrium is mildly dilated. the estimated right atrial pressure is 10-15mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is a mild resting left ventricular outflow tract obstruction. right ventricular chamber size and free wall motion are normal. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are mildly thickened. there is no valvular aortic stenosis. the increased transaortic velocity is likely related to high cardiac output. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is no pericardial effusion. impression: preserved biventricular global and regional systolic function. mild resting outflow tract gradient, likely due to vigorous left ventricular function. severe pulmonary hypertension. brief hospital course: # subdural hematoma: patient continued to have decreased level of consciousness throughout the hospital stay. neurosurgery was consulted for acute on chronic sdh. vitamin k given for inr 1.3. ddavp given in ed given h/o aspirin use. neurosurgery was consulted and recommended transfusing plt's with goal of >80, received 1 6-pack in ed. ct head and subsequent mri/mra were significant for stable sdh but chronic embolic events. neurology was consulted and an eeg showed spike and wave patterns consistent with pre-seizure activity. dilantin was given throughout the hospital course with no seizures noted. . # hopsital acquired pneumonia. has known pna on cxr, treated from the start. abx treatment included vanco and cefepime started . did get one dose of ceftriaxone. was started on levo for atypical coverage on which was stopped . flagyl was started . culture data only positive for gpcs in sputum, no speciation done. remained tachypneic but oxygentating well until the date of death. the patient continued to require high o2 supplementation on and over the course of the day, the o2 sat declined, with a sharp decline in hr and bp. the patient became hypoxic and bradycardic, and expired in the afternoon. the family was contact and came to the hospital for viewing. the pcp was notified. . # falls/?syncope: recent admit with extensive work-up attributing le weakness and falls to cervical spondylosis and multilevel degenerative disease with myelopathy and neuropathy. unclear if loc with fall so would pursue syncope w/u, which is likely ue neuropathy, weakness, ? seizure in setting of sdh. mra showed no lesions. . # myeloma: on pulse decadron as per heme-onc for tx of myeloma. . # pancytopenia: to myeloma. stable. . # renal failure: at baseline from last admission. unclear etiology to ckd, but may represent complication from myeloma. . # code: after family meeting, dnr/dni was established. medications on admission: medications: (on discharge from ) 1. aspirin 325 mg tablet 2. omeprazole 20 mg capsule, delayed release(e.c.) 3. pregabalin 25 mg capsule sig: one (1) capsule po bid 4. oxybutynin chloride 5 mg tablet sig: one (1) tablet po bid 5. dexamethasone 4 mg tablet sig: ten (10) tablet po daily (daily) for 4 days. 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 7. nifedipine 30 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po once a day. 8. gabapentin 600 mg tablet sig: one (1) tablet po twice a day: give qam and qpm. 9. gabapentin 300 mg capsule sig: one (1) capsule po once a day: afternoon dose. 10. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever or pain. 11. humalog insulin sliding scale discharge disposition: expired discharge diagnosis: primary diagnosis: acute on chronic subdural hospital acquired pneumonia secondary diagnosis: multiple myeloma thrombocytopenia discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified spinal tap incision of lung enteral infusion of concentrated nutritional substances diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other chronic pulmonary heart diseases other convulsions unspecified fall chronic kidney disease, unspecified hypotension, unspecified pneumonitis due to inhalation of food or vomitus antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use osteoarthrosis, unspecified whether generalized or localized, site unspecified multiple myeloma, without mention of having achieved remission rash and other nonspecific skin eruption diarrhea subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness cerebral embolism with cerebral infarction encephalopathy, unspecified other and unspecified coagulation defects knee joint replacement other alteration of consciousness hip joint replacement cervical spondylosis with myelopathy abdominal pain, right upper quadrant memory loss contusion of multiple sites, not elsewhere classified contusion of orbital tissues polyneuropathy due to drugs 

Answer: The patient is high likely exposed to