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: penicillin v potassium attending: chief complaint: cough, fever major surgical or invasive procedure: none history of present illness: mr. is a 55 yo man with a history of cml day +196 status post donor-matched allogeneic sct complicated by ghv of gut and skin, cardiomyopathy (tte with lvef > 55%) who presented with fever to 101, fatigue, and chest congestion. per pt, has experienced dry cough since being discharged on for sinusitis, that he believes has not acutely worsened. over the past 2-3 days, he has also experienced worsening dyspena, chest congestion, and fatigue. he noted a fever to 101f yesterday afternoon and presented to the ed. denies sick contacts, recent travel, sinus tenderness, rhinorrhea, myalgias, arthalgias, new rashes, chest pain. he does note abdominal muscle tenderness cough. no changes in bowel habits. past medical history: # cml: diagnosed , s/p allogeneic transplant (sister as donor)in . # acute gvhd- () maximum grade 1 skin and grade 2 gut. currently he is grade 0 skin and gut. # cardiomyopathy. he is being followed by dr. . # sweet's syndrome associated with cml diagnosed during admission . social history: lives in mass in a single family home with his 32 yo son and 33 daughter and her two children ages 1 and 13. he is divorced x 2. has a new girlfriend who has been together with for 6 months. worked full time for a bus company many years, stopped work when he was first diagnosed, but went back full time for the past 6 months. he has also been a volunteer firefighter x23 yrs. two older sisters, and two younger sisters. also has 3 younger bothers. his younger sister is his donor. his older sister is rn. brothers are not involved. patient has recently quit smoking after 35 years. family history: grandmother had leukemia physical exam: micu admission pe: vitals: tm 102, tc 100.3 bp 100/72 hr 121, rr 25, o2 sat 98% 100% aerosolized o2 mask general: awake, alert, does not appear as tachypneic as noted vitals, mild accessory muscle use, no paradoxical breathing noted. heent: nc/at, perrl, eomi without nystagmus, no scleral icterus noted, slightly dry mm, no lesions noted in op, no sinus tenderness appreciated pulmonary: moving fair amount of air bilaterally, coarse breath sounds in both bases with mild coarse crackles, l>r cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp and pt pulses b/l. right sided hickmann in place without surrounding erythema skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. -cranial nerves: ii-xii intact, except for slightly diminished hearing on right -motor: normal bulk throughout. moving all 4 extremities symmetrically, no abnormal movements noted. -cerebellar: no nystagmus, dysarthria, intention or action tremor pertinent results: admission labs: 08:00pm wbc-10.2 rbc-3.80* hgb-13.5* hct-37.9* mcv-100* mch-35.6* mchc-35.8* rdw-14.8 08:00pm neuts-84.8* lymphs-7.4* monos-6.8 eos-0.6 basos-0.5 08:00pm plt count-275 08:00pm alt(sgpt)-28 ast(sgot)-28 ld(ldh)-210 alk phos-76 tot bili-0.3 08:14pm glucose-73 lactate-1.1 na+-141 k+-3.6 cl--98* tco2-27 08:00pm urea n-14 creat-1.3* 12:00am pt-12.5 ptt-31.8 inr(pt)-1.1 08:00pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 08:00pm urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0 08:00pm urine hyaline-* 08:00pm igg-300* cta impression: 1. evaluation limited for subsegmental branches, however, no evidence of pulmonary embolism within the main lobar or segmental branches. 2. new consolidation in the left lower lobe concerning for pneumonia. additional small foci of opacity within the right upper and left upper lobes are concerning for additional foci of inflammation or infection. 3. unchanged emphysema and chronic airway disease. brief hospital course: mr. is a 55 year old man with a history of cml status post allogeneic sct complicated by gvhd of skin/gut on immunosuppression who was admitted with rsv bronchiolitis that was then complicated by hospital acquired pneumonia. . during this admission the following issues were addressed: # hypoxia: on admission the pt had a positive rsv assay on rapid respiratory viral nasopharyngeal aspirate. the pt did not have evidence of lower lung disease and his chest x-ray on admission did not reveal an infiltrate. the pt also had a cta of the chest that was negative for pe. the pt was treated with bronchodilators and received a single dose synagis (15mg/kg) on with improvement in oxygen saturation. during the admission the pt required multiple transfers to the icu for hypoxia, and was diagnosed with hospital acquired pneumonia and treated with cefepime and vancomycin initially. the pt then developed a diffuse morbilloform eruption that was attributed to cefepime, and the antibiotic regimen for hospital-acquired pneumonia was changed to linezolid, aztreonam, cipro and flagyl per infectious disease recommendations. the pt was treated with a total 14-day course and on discharge he was able to breathe comfortably on room air and did not have any oxygen desaturations on ambulation. # cml: during this admission the pt was continued on his home immunosuppressive regimen of prednisone, cellcept and neoral. the pt was continued on his outpatient prophylaxis regimen of acyclovir and posaconazole. the pt's most recent inhaled pentamidine was on . during the admission the pt also received a dose of intravenous immune globulin. medications on admission: acyclovir 400mg q8h cyclosporine modified 25mg posaconazole 400mg qam and 200mg qpm folic acid 1 mg daily lorazepam 0.5-1mg q4h prn metoprolol succinate 150mg daily mycophenolate mofetil 250mg omeprazole 20mg prednisone 7.5mg daily ursodiol 300 mg capsule artificial tear with lanolin - ointment - 1 ointment(s) r eye daily ascorbic acid 500mg daily caltrate-600 plus vitamin d 600 mg-400 unit 2tab daily magnesium oxide 400 mg tablet multivitamin 1 tab daily tacrolimus elixir 0.5/5ml's 5ml's swish and spit tid dexamethasone 5 ml(s) by mouth swish and spit qid discharge medications: 1. acyclovir 200 mg capsule sig: two (2) capsule po q8h (every 8 hours). 2. cyclosporine modified 25 mg capsule sig: one (1) capsule po q12h (every 12 hours). 3. posaconazole 200 mg/5 ml suspension sig: two (2) po qam (once a day (in the morning)). 4. posaconazole 200 mg/5 ml suspension sig: one (1) po qpm (once a day (in the evening)). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 7. mycophenolate mofetil 250 mg capsule sig: one (1) capsule po bid (2 times a day). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 9. ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). 10. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 11. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po daily (daily). 12. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 13. magnesium oxide 400 mg tablet sig: one (1) tablet po bid (2 times a day). 14. multivitamin tablet sig: one (1) tablet po daily (daily). 15. dexamethasone 0.5 mg/5 ml solution sig: five (5) ml po tid prn: mix with tacrolimus suspension. disp:*600 ml(s)* refills:*2* 16. prednisone 5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 17. prednisone 2.5 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 18. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 19. saliva substitution combo no.2 solution sig: one (1) ml mucous membrane 5x/day (5 times a day). disp:*150 ml(s)* refills:*2* 20. tacrolimus suspension 0.5mg/5cc swish and spit three times daily as needed for mouth pain. mix with dexamethasone suspension. 21. pentamidine 300 mg recon soln sig: one (1) inhalation once a month. discharge disposition: home with service discharge diagnosis: rsv pneumonia bacterial pneumonia discharge condition: stable. discharge instructions: you were admitted with a viral respiratory infection and with a superimposed bacterial pneumonia. you were treated with immunoglobulin therapy directed against the virus and with intravenous immunoglobulin, as well as a 14-day course of antibiotics. please call or return to the emergency department with fevers, chills, cough, shortness of breath, or other concerns. followup instructions: please follow-up with dr. in the hematology clinic next week. please call ( tomorrow morning to confirm the day and time of your appointment. procedure: injection or infusion of immunoglobulin diagnoses: other primary cardiomyopathies long-term (current) use of steroids acute kidney failure, unspecified acute respiratory failure dermatitis due to drugs and medicines taken internally complications of transplanted bone marrow bacterial pneumonia, unspecified unspecified drug or medicinal substance causing adverse effects in therapeutic use pneumonia due to respiratory syncytial virus chronic graft-versus-host disease chronic lymphoid leukemia, in relapse 

Answer: The patient is high likely exposed to