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: keflex / cefepime attending: chief complaint: diarrhea, weakness major surgical or invasive procedure: none history of present illness: 85m w/ pmhx of cll c/b aspergillosis, cmv adrenalitis recently discharged after treatment for pna, uti, adrenal insufficiency sent in by pcp for hypokalemia of 2.0 on routine labs. patient reports feeling at baseline since discharge. he has known cognitive impairments and defers most questions to his wife. wife, patient had 8 loose, non-bloody bowel movements yesterday and two again this morning but it has resolved now. pt denies fevers, chills, cp, sob, abdominal pain. patient received 40 meq of pottasium in ed orally and was getting 40 meq iv at the time of transfer to the floor. he had an cxr in ed which worsening l opacity since . ros: 10 point ros negative except as per hopi. past medical history: oncologic history: : diagnosed with cll : 6 cycles of fludarabine : 4 cycles of rituxan/fludarabine : 4 cycles of r-cvp : 4 cycles of r-chop : 1 cycle cytoxan/rituxan : 1 cycle of r-chop : 1st cycle of fcr : 2nd cycle of fcr : enrolled in protocol 08-052 a phase i open label multiple-dose, dose-escalation study of mdx-1342 in patients with cd19 positive refractory/relapsed chronic lymphocytic leukemia. received 4 doses, last dose : fludarabine/cytoxan : fludarabine/cytoxan/ rituxan : cycle 1 bendamustine : cycle 2 bendamustine/rituxan : cycle 3 bendamustine (80 mg/m2 days 1&2) : cycle 4 bendamustine (80 mg/m2 days 1&2) : cycle 5 bendamustine (80 mg/m2 days 1&2) and rituxan. : cycle 6 bendamustine (80 mg/m2 days 1&2) and rituxan to alemtuzumab 30mg 3x/week for 6 weeks. -not receiving any current therapy-on supportive care and focusing on qol . past medical history: - cll (see above) - bladder stones-->cystoscopic removal-->e coli sepsis described in d/c summary from - hypertension - bronchiectasis and asthma, followed for both by dr . - hearing loss - macular degeneration - bph - ascites - le edema - cmv adrenalitis - h/o citrobacter pneumonia - cmv adrenalitis with adrenal insufficiency - aspergillosis pneumonia on chronic voriconazole - admission from from to for kyperkalemia to 7.7, secondary to urinary obstruction requiring foley placement, and anemia secondary to cll which required 2 units of prbcs - pseudomonas aeruginosa uti treated with cipro x10 days social history: he had been living with his wife and dog and continued to work as a patent lawyer until recently. he has been at rehab for the last few weeks. he denies tobacco use, alcohol use, or drug use. he is a founding partner of a large patent law firm, the largest in that deals with biomedical and technological patents. he has two sons. family history: his mother died of colon cancer at years. father died at 62 of a stroke (in context of hypertension). physical exam: vs: tmax 98.8f, bp 138/78, hr 74, rr 16, o2 sat 94% ra, gen: a&o, nad. heent: anicteric sclerae, mmm, oropharynx clear. neck: supple, no jvd, no cervical lad. cv: rrr, no mrg. lungs: diffuse expiratory wheeze. bibasilar crackles. abdomen: soft, nt, nd, no hsm, bowel sounds present. gu: chronic foley. ext: bilateral le edema, no calf tenderness. neuro: weak, but no focal deficits, uses hearing aides. psych: appropriate, calm. pertinent results: 09:20pm glucose-113* urea n-14 creat-1.0 sodium-145 potassium-2.5* chloride-101 total co2-32 anion gap-15 09:20pm magnesium-1.8 09:08pm k+-3.7 09:05pm wbc-12.8*# rbc-3.42* hgb-11.1* hct-31.9* mcv-93 mch-32.6* mchc-34.9 rdw-17.6* 09:05pm neuts-10* bands-0 lymphs-87* monos-3 eos-0 basos-0 atyps-0 metas-0 myelos-0 09:05pm hypochrom-normal anisocyt-normal poikilocy-1+ macrocyt-normal microcyt-normal polychrom-normal ovalocyt-1+ schistocy-occasional 09:05pm plt smr-low plt count-104* 09:45am glucose-122* 09:45am urea n-16 creat-0.8 sodium-147* potassium-2.0* chloride-101 total co2-32 anion gap-16 09:45am estgfr-using this brief hospital course: 85yo man with cll, cmv adrenalitis with adrenal insufficiency, chronic voriconazole treatment for invasive aspergillosis admitted for hypokalemia in the setting of diarrhea. . # infection: there was initially concern for a worsening pneumonia, but infectious disease did not feel this was the case. the patient was diagnosed with a resistant pseudomonal uti, and was treated for this initally with ceftazadime, and then fosfomycin. he will receive fosfomycin chronically, every 10 days, to prevent future utis given that he requires a foley for urinary retention. his 1st post-hospitalization dose of this should be . . # diarrhea with hypokalemia: the patient's diarrhea was significant, and was initially thought to be antibiotic-associated. he required significant iv repletion of his potassium. c. diff testing was negative, and a repeat stool culture (prior from 12d prior to admission was negative) and ova & parasites were no growth to date at the time of discharge. because of persistent diarrhea despite loperamide, gi was consulted. they recommended adding lomotil, which was done, and helped decrease his stool count. on discharge he was having only stools a day, and his hypokalemia had stabilized, and required only oral repletion. he should be re-evaluated for this in a few weeks (see follow-up appointments) and if his diarrhea has slowed (as his bowel recovers from broad spectrum antibiotics), his anti-diarrheals may be able to be tapered or stopped, and his oral potassium may be able to be stopped. . # atrial fibrillation -- continued home aspirin and metoprolol. he has been deemed a poor candidate for anticoagulation given his fluctuating platelet counts with cll and high risk for fall. . # urinary retention: due to bph. urinary retention being managed as an outpatient by dr. chronic foley to be changed q4wks. his foley was changed on . # cll: supportive care only. last treated with alemtuzumab from through , discontinued due to infections. ivig given . continued tmp-smx ppx. . # adrenal insufficiency/cmv adrenalitis: continued home steroid regmien: hydrocortisone and fludrocortisone. also continued valgancyclovir daily for cmv prophylaxis. . # aspergillosis: galactomannan negative, beta glucan indeterminate. voriconazole level therapeutic. . # asthma: well controlled on home regimen. continued same. . # lower extremity edema: etiology unclear. echo showed normal lvef and no evidence of diastolic dysfuntion or r sided failure. likely due to cll adenopathy. continued furosemide 40mg daily and fluid restricted to 2l/d. . # code status: the patient was dnr/dni during this admission. . day of discharge interval hx: the patient felt well, as he had for days. his diarrhea had slowed significantly since the addition of lomotil. his potassium was stable and had only been repleted with oral medications. he understood and agreed with the plan for discharge. i spoke with his wife who understood and agreed. i reminded her of the importance of his appointment and suggested using that as an opportunity to readdress the issue of his anti-diarrheals. . physical exam: vss, alert, cooperative, nad gen: elderly man lying in bed eyes: anicteric ent: mmm, no oral lesions chest: equal chest rise, no wob, no cough, ctab anteriorly apart from rare rhonchi heart: no obvious m/r/g abd: nabs, soft, slightly distended as it is usually, ntnd extr: wwp, 3+ pitting edema as he's had the whole admission skin: extensive ecchymoses (likely related to asa and thrombocytopenia with cll) but no rashes neuro: no obvious focal deficits psych: normal affect . labs: reviewed in omr, k 4.0, other lytes/cr normal wbc 6.3 (9% pmns), hct 25.3, plt 68 pending -- stool ova + parasites, stool culture medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing 2. albuterol inhaler puff ih q4h:prn wheezing 3. aspirin 325 mg po daily start: in am 4. docusate sodium 100 mg po bid 5. fludrocortisone acetate 0.2 mg po daily 6. fluticasone propionate 110mcg 2 puff ih 7. furosemide 40 mg po daily start: in am 8. hydrocortisone 50 mg po qam start: in am 9. hydrocortisone 20 mg po qpm 10. ipratropium bromide neb 1 neb ih q6h wheezing 11. loperamide 2 mg po qid:prn loose stools start: in am 12. metoprolol tartrate 12.5 mg po bid please hold if sbp < 100 or hr < 60 13. vitamin d 400 unit po daily 14. senna 1 tab po bid:prn constipation 15. psyllium wafer 1 waf po daily start: in am 16. ciprofloxacin hcl 500 mg po q12h 17. linezolid 600 mg po q12h 18. sulfameth/trimethoprim ss 1 tab po daily 19. valganciclovir 450 mg po q24h 20. voriconazole 200 mg po q12h discharge medications: 1. albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing 2. albuterol inhaler puff ih q4h:prn wheezing 3. aspirin 325 mg po daily 4. docusate sodium 100 mg po bid 5. fludrocortisone acetate 0.2 mg po daily 6. fluticasone propionate 110mcg 2 puff ih 7. furosemide 40 mg po daily 8. hydrocortisone 50 mg po qam 9. hydrocortisone 20 mg po qpm 10. ipratropium bromide neb 1 neb ih q6h wheezing 11. loperamide 2 mg po qid:prn loose stools 12. metoprolol tartrate 12.5 mg po bid please hold if sbp < 100 or hr < 60 13. sulfameth/trimethoprim ss 1 tab po daily 14. valganciclovir 450 mg po q24h 15. vitamin d 400 unit po daily 16. voriconazole 200 mg po q12h 17. fosfomycin tromethamine 3 g po once duration: 1 doses to be taken on . dissolve in oz (90-120 ml) water and take immediately. 18. fosfomycin tromethamine 3 g po every 10 days take every 10 days, first dose . dissolve in oz (90-120 ml) water and take immediately 19. loperamide 2 mg po qid goal is ~ stools a day. please give prn in addition to this standing order to achieve this goal. not to exceed 16mg of loperamide in a 24 hour period. 20. diphenoxylate-atropine 1 tab po bid 21. potassium chloride 40 meq po daily discharge disposition: extended care facility: newbridge on the - discharge diagnosis: hypokalemia due to severe antibiotic-associated diarrhea complicated (resistant, chronic foley) pseudomonal urinary tract infection chronic lymphocytic leukemia with anemia and thrombocytopenia cmv adrenalitis causing adrenal insufficiency chronic invasive aspergillosis atrial fibrillation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted with low potassium due to diarrhea. your diarrhea was thought to be due to your antibiotics, which were given for pneumonia and urinary tract infection. because your diarrhea and low potassium persisted, gastroenterology evaluated you. they recommended increasing your anti-diarrheal medications, which was done. your diarrhea decreased and with oral medication your potassium stayed within the normal range. followup instructions: department: hematology/bmt when: wednesday at 11:00 am with: , rn building: sc clinical ctr campus: east best parking: garage please ensure your doctor follows up these pending tests: stool ova + parasites, stool culture department: bmt chairs & rooms when: wednesday at 11:00 am department: surgical specialties when: wednesday at 1:50 pm with: , md building: campus: east best parking: garage with dr. of transplant infectious diseases -- to be arranged by infectious disease md procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified hypopotassemia pulmonary collapse hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) disorders of phosphorus metabolism infection with microorganisms without mention of resistance to multiple drugs unspecified hearing loss macular degeneration (senile), unspecified retention of urine, unspecified other ascites diarrhea do not resuscitate status urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure glucocorticoid deficiency enlargement of lymph nodes bronchiectasis without acute exacerbation cytomegaloviral disease personal history of antineoplastic chemotherapy aspergillosis pneumonia in aspergillosis chronic lymphoid leukemia, without mention of having achieved remission pseudomonas infection in conditions classified elsewhere and of unspecified site infection and inflammatory reaction due to indwelling urinary catheter hypogammaglobulinemia, unspecified edema other fluid overload unspecified antibiotic causing adverse effects in therapeutic use other specified disorders of adrenal glands other pancytopenia 

Answer: The patient is high likely exposed to