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: no known allergies / adverse drug reactions attending: chief complaint: chief complaint: fatigue . reason for micu transfer: hypotension major surgical or invasive procedure: mechanical ventilation/intubation history of present illness: 67 year old male with relapsed aml on chemo who presents with fatigue and weakness. he was recently admitted /11 with febrile neutropenia. at that time, he was treated for multifocal pneumonia with a course of vanc/meropenem, and it was ultimately felt that he had aspergillosis and was started on voriconazole. he was also discharged on a 7 day course of cipro. also had a recent admission for strep viridens and e coli bacteremia. he had been feeling well at home until 2 days ago. he was seen in onc clinic at that time and had a low grade fever that self-resolved. then started to feel chills the next day and decided to come in for evaluation. denies cough, sob, nausea, vomiting, abdominal pain, diarrhea, dysuria, and headache in the ed, he triggered for tachycardia with rate 156 on arrival, temp 103.5. he was rigoring and very warm to the touch. denied nuchal rigidity. labs were significant for wbc 1.3 with 88% blasts, platelets 17, and elevated lfts. lactate 2.0. cxr showed irregular density in the superior aspect of the rll, increased compared to prior, concerning for worsening infectious process. he was given vanc, cefepime, levofloxacin, and acetaminophen. ruq ultrasound was normal. bp was in the 80's after 2l ivf and right ij cvl was placed. levophed was then started, and subsequently neosynephrine was added for refractory hypotension. shock ultrasound showed a trace pericardial effusion. cvp was measured to be 12. bp now 93/56 and close to being maxed out on neo. did get stress dose steroids in ed. given 7l iv fluids total in ed. tachypneic in mid 20's to 40's. full code. . on arrival to the micu, he reports feeling very discouraged and fatigued. . review of systems: (+) per hpi (-) denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: aml, dx'ed . treated with 7+3 induction and then reinduction with mec . refractory leukemia , started dacogen. recently completed cycle of dacogen . osteoarthritis s/p l tka - s/p r tha - seasonal allergies - x 30 years hypertension - h/o colonoscopy negative gerd - right septic shoulder - mssa sepsis - svt while in icu - r calf nodule - hyperbilirubinemia - pulmonary nodules - (stable or resolved since thattime aside from 6 mm lll nodule on scan) herniated disks with chronic back pain - social history: patient lives alone. retired firefighter and marine corp member. photographer and car enthusiast. never smoker, no alcohol or other drug use. family history: father was obese and a heavy smoker, unknown cause of death. mother suffered from rheumatoid arthritis and died at age 59. no known family history of pulmonary disease. physical exam: vitals: 96.2 110 98/63 23 100%3l general: alert, oriented, diaphoretic and mildly tachypne heent: sclera anicteric, mm dry, oropharynx clear neck: supple, jvp not elevated, right ij in place, no lad cv: regular rate and rhythm with hyperdynamic heart sounds, normal s1 + s2, no murmurs, rubs, gallops lungs: few crackles at the bases, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: foley in place ext: cool extremities, 1+ pulses, no edema. pertinent results: wbc 1.3 (12l 88blasts 15 nrbcs) hgb 9.2 hct 26.4 plt 17 na 137 k 4.0 cl 102 bicarb 22 bun 25 creat 1.1 gluc 124 alt 48 ast 44 alkp 537 tuberculosis 2.3 ldh 450 lactate 2.0 ua sm blood, <1rbc, <1 epi, otherwise negative 02:47am blood wbc-21.3* rbc-3.29* hgb-9.6* hct-27.5* mcv-84 mch-29.1 mchc-34.8 rdw-16.7* plt ct-11* 10:44pm blood wbc-1.3* rbc-3.27* hgb-9.2* hct-26.4* mcv-81* mch-28.2 mchc-34.9 rdw-15.9* plt ct-17* 02:47am blood neuts-0 bands-0 lymphs-2* monos-0 eos-0 baso-0 atyps-0 metas-0 myelos-0 blasts-98* nrbc-1* 10:44pm blood neuts-0 bands-0 lymphs-12* monos-0 eos-0 baso-0 atyps-0 metas-0 myelos-0 blasts-88* nrbc-15* 02:47am blood plt smr-rare plt ct-11* 02:47am blood glucose-103* urean-38* creat-1.3* na-139 k-3.6 cl-111* hco3-18* angap-14 10:44pm blood glucose-124* urean-25* creat-1.1 na-137 k-4.0 cl-102 hco3-22 angap-17 02:47am blood alt-13 ast-22 ld(ldh)-526* alkphos-144* totbili-8.3* dirbili-6.2* indbili-2.1 10:44pm blood alt-48* ast-44* ld(ldh)-450* alkphos-537* totbili-2.3* 11:02pm blood ck-mb-3 ctropnt-0.02* 02:47am blood calcium-8.1* phos-4.1 mg-1.9 07:54am blood albumin-2.8* calcium-6.9* phos-3.9 mg-1.3* 11:16pm blood tobra-2.1* 03:18am blood type-art temp-36.5 po2-138* pco2-37 ph-7.33* caltco2-20* base xs--5 -assist/con intubat-intubated 03:18am blood lactate-1.3 08:27am blood o2 sat-98 03:18am blood freeca-1.17 06:40pm blood voriconazole-test name 07:54am blood aspergillus galactomannan antigen-test imaging: cxr: increasing conspicuous irregular opacity of right lower lobe, likely represents worsening infectious process though cannot exclude malignancy. strongly advise imaging to resolution. ruq us: normal right upper quadrant ultrasound, except for simple right renal cyst. ct chest/abd/pelvis: 1. progression of pulmonary opacities in bilateral lower lobes of the lungs with non-enhancing wedge like opacity in the right lung, and nodular opacities in the right upper lobe likely inflammatory or infectious in nature. associated likely reactive mediastinal lymphadenopathy. 2. no acute intrabdominal process. 3. mild periportal edema suggesting third spacing. 3. bilateral cortical and parapelvic renal cysts. 4. splenomegaly. 5. lumbar spine and left hip djd. tte: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is low normal (lvef 50-55%). the right ventricular cavity is mildly dilated with borderline normal free wall function. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mass or vegetation is seen on the mitral valve. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is an anterior space which most likely represents a prominent fat pad. hip xray: 1. no evidence of joint effusion. 2. right total hip arthroplasty without hardware complications. 3. left hip degenerative changes. knee xray: left total knee arthroplasty without hardware complications. small suprapatellar effusion. brief hospital course: primary reason for hospitalization: 67 year old male with relapsed aml on chemo who presented with septic shock from multiple organisms and who passed away in the micu. #. septic shock/neutropenic fever: the patient had positive blood cultures with e. coli as well as vre. he also appeared to have a severe pulmonary process which was thought to be a progression of his recent pulmonary aspergillosis. he was treated with broad spectrum antibiotics and antifungals in consulation with the infectious disease team but he continued to decompensate. he required multiple pressors to maintain his blood pressure. he began to have increased respiratory distress and required intubation. as the patient's prognosis began to look worse a family meeting was called with icu and oncology attendings present with the patient's brother (hcp) and his wife. reported that the patient would not want a long drawn out course if his condition was terminal. he reported that the patient would want to be comfortable in his last hours. the patient was made cmo. he was left on mechanical ventilation but measures not supporting comfort were withdrawn. he passed away on at 1420 . #. refractory aml: was receiving palliative dacogen infusions, last dose 8/31 with chronic neutropenia with anc=0 and blast 88% of wbc. on admission he had a wbc count of 1.3 w anc of 0 and 90% blasts, but throughout the course of his stay and progression of his infection his wbc count rose to 20 w 98% blasts. he was followed by heme/onc during his stay, who briefly started him on hydroxyurea, however his prognosis remained dismal. following a goals of care discussion between his family, icu staff, and the heme/onc team, he was made cmo and passed away. . #. respiratory failure: grew increasingly tachypneic during his hospital course due to compensation for significant metabolics acidosis from his sepsis with underlying parenchymal disease/infection. he eventually began to tire and had trouble keeping up an adequate minute , he required intubation on . he was still on the ventillator when he was made cmo, and the decision was made to wait to extubate until he passed from cardiac death. he was extubated following his death. # acute renal insuffiency: creatinine slightly elevated to 1.1 on admission from baseline 0.8-1.0, rose to 1.3 during admission. this was attributed to low flow state due to sepsis as well as effect of some obligate nephrotoxins with antibiotics. this was managed with treatment of his underlying sepsis and care to avoid any other unnecessary nephrotoxins. . #. abnormal lfts: elevated bili to 2.3 with alk phos of 537. has had similar abnormalities on prior admissions for sepsis which typically resolved with hydration. bilirubin continued to rise throughout his hospital stay, but alk phos fell to nearly normal levels. no clear etiology, ruq us was unrevealing. repeat abdominal imaging was considered, however he never was stable enough to leave the floor for the study. medications on admission: cipro xr 500mg po daily x 7 days (last day ) voriconazole 400mg po q12h metoprolol tartrate 25mg po bid omeprazole 20mg po daily acyclovir 400mg po q8h multivitamin 1 tab po daily discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus injection or infusion of oxazolidinone class of antibiotics central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified severe sepsis acute respiratory failure other specified cardiac dysrhythmias septic shock antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use septicemia due to escherichia coli [e. coli] drug induced neutropenia fever presenting with conditions classified elsewhere acute myeloid leukemia, in relapse 

Answer: The patient is high likely exposed to