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: sulfa (sulfonamides) attending: chief complaint: invasive thymoma type b1 s/p chemo admitted for radical thymectomy major surgical or invasive procedure: s/p clamshell radical thymectomy , trach/peg() history of present illness: the patient is a 34-year-old female who was recently diagnosed with an invasive thymoma, the biopsy of which showed type b1 according to the who classification. the patient underwent preoperative chemotherapy and a repeat ct scan showed involution in the size of the thymic mass. past medical history: oncologic history (per omr): - admitted to , rx afib/aflutter with metoprolol and warfarin; no cxr performed - developed palpitations , found to have rapid afib; cxr showed large mediastinal mass; subsequent ct showed large anterior mediastinal mass (no clear evidence of pericardial involvement) - mediastinal biopsy performed at , non-diagnostic - dr. performed bronchoscopy and biopsy, revealing lymphocyte- thymoma. - port placed - received neoadjuvant cap (cytoxan/adriamycin/platinum) on (as inpatient; she was hospitalized at that time for afib/rvr - second cycle cap , neulasta - third cycle cap ; admitted with fever and neutropenia (no clear source). digoxin stopped on that admission. - fourth cycle cap ; admitted to osh for hydration, monitoring. . pmh: 1. abnormal lfts: s/p liver biopsy without definitive cause. possibly part of an autoimmune phenomenon associated with thymoma. outpatient liver center follow up appointment was not kept. 2. atrial flutter: likely related to/exacerbated by mediastinal mass. difficult to rate control due to low bp. at the last hospitalization, she would have bp 80s/50s but would be asymptomatic. hr tends to be 100-110s. 3. high grade cervical sil 4. low back pain 5. depression/anxiety social history: previously worked as a case manager for a home care company, out of work since diagnosis. lives with her mother in . history of social alcohol use, none current. no tobacco or illicits. family history: sister has atrial fibrillation and elevated liver enzymes, unknown cause. father - diabetes , htn, hypercholesterolemia. mother - gerd. physical exam: general: frail, thin female, quite and occas withdrawn. heent: alopecia s/p chemo. trach #6 portex. chest: course breath sounds which clear somewhat w/ coughing and sxn'ing. left double port port a cath. clamshell incision well healed. cor: rrr s1, s2 w/ iii/vi sem abd: soft, flat , nt, +bs peg tube site benign extrem: no edema le. right upper extremity: full thickness burn at medial aspect of elbow d/t hot pack. presently 5x4 cm w/ yellow escar. neuro: awake alert, mouths words. tends to become easily anxious and overwhelmed. pertinent results: portable chest at 09:16. comparison study: . clinical information: status post clamshell procedure and radical thymectomy, evaluate for interval changes. findings: tracheostomy is positioned in the midline. sternal wires are present. left subclavian catheter terminates at the cavoatrial junction. there is a small left pleural effusion with left lower lobe atelectasis. the remainder of the lungs are clear. compared to the prior study, left pleural effusion and left lower lobe atelectasis have increased since the prior study. multiple clips are present in the mediastinum. impression: increased left lower lobe atelectasis and small left pleural effusion since the prior study. brief hospital course: pt was admitted and taken to the or for clamshell incision with radical thymectomy, toilette bronchoscopy for excision of invasivethymoma type b1. an epidural was placed for pain control at the time of surgery. 2 bilat chest tubes and 2 drains were also placed for pleural and mediastinal drainage. post operatively, pt remained intubated and was admitted to the surgical icu for ongoing monitoring and ventilator support. initially required pressors and volume resusitation. pod#1 chest tubes wer eplaced to water seal. attempting to wean from vent support but became tacypneic. pod#2 febrile to 101.8; pan cultured. hct 20- transfused 1uprbc for post op anemia. pod#3 bal w/ gnr- empirically started on levaquin then changed to vanco/zosyn. chest tubes d/c'd and blakes remained inplace. tube feeds started via dobhoff. pod#4 diuresis begun. id was consulted-/ ? pna pod#5 failing to wean from vent d/t agitation off propfol. epidural d/c'd d/t persistant fever>101.5 pod#6 pt sustained burn on right medial aspect of upper extremity d/t hot pack. wound care was consulted and recommended plastic surgery consult. pt found to have full thickness burn. xeroform gauze was recommended but he possiblity of surgical debridement might be rquired in the future. pod#7 failure to wean from the vent. taken to the or for trach and peg done. drains d/c'd in the or. pod#8 dobhoff d/c'd and tube feeds initiated via peg. bronch done at bedside for moderate amount of scecretions- bal wasobtained. pod#9 trach collar trials to wean from vent. eval for passey muir valve but unable to . vanco d/c'd and zosyn continued for pna. pod#10 psych was consulted for agitation. recommended zyprexa or haldol for agitation. intermittant rapid afib- treated successfully w/ lopressor. has a history of afib/aflutter. pod#11 transferred from icu to floor. failed swallow study- remains npo on tube feeds. requires q 3-4 hr suctioning. seen by pt and rehab recommended. pod#12 wound care re- consu; for right upper extrem burn- santyl recommended- allegry to sulfa so, no silvadine. tube feeds replete w/ fiber cycled over 14 hrs at 85cc/hr. medications on admission: digoxin 250 mcg, lorazepam 0.5 q6h prn, metoprolol 12.5 mg mirtazipine 15 qhs, zyprexa , ambien, aspirin 325 mg, docusate sodium 100 mg discharge medications: 1. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime): via feeding tube. 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily): via feeding tube or suppository form. 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed: elixir via feeding tube. 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): via feeding tube. 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 7. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed. 8. docusate sodium 50 mg/5 ml liquid sig: ten (10) mls po bid (2 times a day). 9. lorazepam 1 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 11. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 12. oxycodone 5 mg/5 ml solution sig: five (5) mls po q4h (every 4 hours) as needed. 13. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed. 14. collagenase 250 unit/g ointment sig: one (1) appl topical (2 times a day). 15. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 16. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) dose intravenous q8h (every 8 hours) for 3 days. 17. port a cath sodium chloride 0.9% flush 10 ml iv q8h:prn line flush heparin flush (10 units/ml) 5 ml iv prn to port 18. wound care santyl to right elbow burn 19. olanzapine 2.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for severe agitation, anxiety. discharge disposition: extended care facility: - discharge diagnosis: invasive type b1 thymoma s/p cycle 4 of cap (cytoxan, adriamycin, cisplatin) s/p clamshell radical thymectomy failure to wean from vent resulting in trach/peg() discharge condition: deconditioned discharge instructions: trach care per policy currently npo after failed bedside swallow and video swallow - repeat swallow eval to assess readiness for po's. passey muir valve as . burn care to right arm followup instructions: you have a follow up appointment with the plastic surgery office for the burn on your right arm. at 3pm with dr. clinical center . you have follow up appointments on on the clinical center . 2:00 pm dr. , 2:30 pm dr. , 3:00 pm dr. . please arrive at 1:15pm and report to the radiology for a chest xray prior to your appointments. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more fiber-optic bronchoscopy fiber-optic bronchoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus division or crushing of other cranial and peripheral nerves regional lymph node excision other total excision of thymus diagnoses: other iatrogenic hypotension atrial fibrillation atrial flutter other nervous system complications dysthymic disorder iatrogenic pneumothorax other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation ventilator associated pneumonia lumbago mixed acid-base balance disorder malignant neoplasm of thymus injury to other specified nerve(s) blisters, epidermal loss [second degree] of upper limb, unspecified site inappropriate [too hot or too cold] temperature in local application and packing 

Answer: The patient is high likely exposed to