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: cefepime attending: chief complaint: fever major surgical or invasive procedure: none history of present illness: pt's a 53-year-old male patient of dr. is here for evaluation of fever. the patient states fever began two days ago along with a mild dry cough, fever was low-grade at that time. day of admission, pt noticed to be 101.8 has some chills as well. no shortness of breath, no chest pain. denies any headache, ear aches, and some scratchy throat. the patient denied any change in stools, ab pain, urinary sx, has some mild nausea on but thought it more due to fever. no arthralgias or myalgias or rashes. the patient says cough is nonproductive. he did recently have uri symptoms beginning of the month which abated shortely . he then came on the 22nd for routine medical examination and was found to be in pretty good health and stated remains until these last two days. of important note - pts kids had been sick earlier this week (both) - similiar sx - lasting just 3 days. pt reports having the flu shot earlier this week. noted poor po intake past few days. <br> review of systems: <br> constitutional: no weight loss/gain, fatigue, malaise, + fevers, +chills, no rigors, night sweats, or anorexia. heent: no blurry vision, diplopia, loss of vision, photophobia. no dry motuh, oral ulcers, bleeding nose or , tinnitus, sinus pain. cardiac: no chest pain, palpitations, le edema, orthopnea, pnd, doe. respiratory: no sob, pleuritic pain, hemoptysis, does have mild dry-cough as above. gi: + mild nausea but no vomiting, abdominal pain, abdominal swelling, diarrhea, constiatpion, hematemesis, hematochezia, or melena. heme: no bleeding, bruising. lymph: no lymphadenopathy. gu: no incontinence, urinary retention, dysuria, hematuria. skin: no rashes, pruritius. endocrine: no change in skin or hair (has chronic hair loss), no heat or cold intolerance (noted thyroid meds recently adjusted). ms: no myalgias, arthralgias, or back or nec pain. neuro: no numbness, weakness or parasthesias. no dizziness, lightheadedness, vertigo. no confusion or headache. psychiatric: no depression, anxiety. allergy: no seasonal or medication allergies. past medical history: -splenectomy -pericarditis -hodgkin's disease, and bone marrow transplant in , hodgkin's treatment was in social history: no tob, etoh, or drugs. lives with wife and 2 kids, - employment - real estate developer. family history: mother with breast ca/uterine ca physical exam: vitals: 99.5 138/80 95 18 96%ra pain: denies access: rue picc gen: nad, thin man heent: anicteric, mmm cv: rrr, no m resp: ctab, improved l sided crackles, no wheezing abd; soft, nontender, +bs ext; no edema neuro: a&ox3, grossly nonfocal skin: no changes psych: appropriate pertinent results: wbc 20-->15.4-->12.4 (peak 26 ) hgb -->8.8 stable s/p 1u plt 800s inr 1.3 retic 4.7 chem panel unremarkable bun 11/creat 0.9 lfts normalized except alk phos 214, downtrending (peak 385 on , normal prior), albumin 2.8 . . influenza swab +b ag sputum cx mssa x2 blood cx all ntd urine cx ntd stool cx ntd . . imaging/results: cxr : lul consolidation, mod pulm edema, r picc . . ruq us : 1. unchanged appearance of mildly distended gallbladder containing layering sludge, without evidence of acute cholecystitis. 2. no focal liver lesions or biliary ductal dilatation. 3. right pleural effusion. . ct chest: 1. interval decrease in right-sided pleural effusion. left- sided pleural effusion is unchanged. 2. persistent multifocal pneumonia with interval worsening consolidation in the lingula and left upper lobe. 3. nonspecific soft tissue stranding in the left upper quadrant, new from prior study but difficult to assess without oral contrast. consider ct of the abdomen for more complete assessment, if warranted clinically. . . echo: ef 55%, mod pulm htn. cta, no pe . . brief hospital course: 53-year-old male patient with h/o of hodgkins lymphoma in bmt ', h/o splenectomy, h/o pericarditis, hypothyroidism was initially admitted for fever in setting +sick contacts. in er, confirmed influenza b + (rx with tamiflu x7days). pt initially did well first night, but then had rapidly worsened hypoxia am of with ct chest showing new multilobar consolidations. developed septic shock and ards, started broad abx (vanc/cefepime/azithromycin), transfered to micu, was intubated for hypoxemic resp failure . resp cultures grew mssa and abx changed to nafcillin to complete 3week course per id (until via r picc). was finally extubated and transfered to gen med on . on gen med, continued with rapid improvement, weaned off o2. there was some concern initially with persistant leukocytosis in 20s with fevers and imaging with pleural effusions that raised concern for parapneumonic efffuisons or empyema. however, wbc did start to trend down so was deferred. he will have id f/u after abx and needs repeat imaging. still having low grade fevers and imaging with l>r infiltrates but clinically much better. other infectious w/u negative. of note, during hospitalization, pt had some lft elevation with us/ct showing sludge but no evidence of cholecystitis and this was likely acute illness and possible tpn which he recieved for few days (improving by time of discharge). also developed anemia 12-->8 w/o gross evidence of bleeding or hemolysis, s/p 1u prbc with hgb stable 9s thereafter. this can be followed up as outpt. . . see progress note below for details according to each problem: 53 year-old male with a history of hodgkin's s/p bmt in 93, s/p splenectomy, h/o pericarditis, hypothyroidism, anemia, admitted with influenza b (received antiviral treatment in icu) complciated by severe mssa bacterial superinfection-->ards/intubation, extubated , t/f to floor , doing very well, ambulating, tolerating po, plan to d/c home today . . mssa cap, superinfection (influenza b): ards, extubated . doing well, off oxygen. some concern initially with persistant leukocytosis/fevers and ct with persistant l>>r pleural effusions concerning for parapneumonic effusions but white count finally down. pt has been afebrile (low grade temps) - continue nafcillin 2 gm iv q 4hr through for total of 3 weeks per id (confirmed plan) -since downtrending wbc, can hold off on , but needs repeat imaging to ensure resolved effusions, f/u clinic in - continue incentive spirometry - guiafenisin prn, duonebs -note, pt is post splenectomy, asked to confirm pneumovax and meningitis vaccine, but none here while pna . . leukocytosis: as above, 20s for several days, today down to 12, as above, concern for parapneumonic effusions but holding as above with repeat cxr in 1week. currently with low grade temps, no fevers. as for other sources, lij tip not sent, picc site looks good, no urinary complaints, no diarrhea. note, baseline elevated wbc partly due to post-splenectomy. . . anemia and thrombocytosis: baseline hgb 12s, here 9-->7s s/p 1u prbc , now 9s. no obvious bleeding or hemolysis but was acutely ill. -fe studies will be unreliable since got blood t/f, hold supp since fe load with transfusion -will need to be followed as outpt -as for thrombocytosis, likely reactive (anemia, illness) and post-splenectomy . . hodgkins disease s/p bmt', no issues . . hypothyroidism: cont levothyroxine 88mcg . . gerd: protonix 40-->prilosec at home . . dyslipidemia; resume lipitor 10 . . elevated alk phos: ruq with sludge, no dilation, bili normal, no ruq pain -slow trend down, monitor, follow as outpt . medications on admission: atorvastatin - 10 mg tablet - 1 tablet(s) by mouth once a day levofloxacin - 500 mg tablet - 1 tablet(s) by mouth once a day levothyroxine - 88 mcg tablet - 1 tablet(s) by mouth once a day omeprazole - 10 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day discharge medications: 1. picc care per protocol 2. nafcillin 2 gram piggyback sig: two (2) intravenous every four (4) hours for 6 days: total 4g. continue until . disp:*qs doses* refills:*0* 3. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 4. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: mls po q6h (every 6 hours) as needed for cough. 5. prilosec otc 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. lipitor 10 mg tablet sig: one (1) tablet po once a day. 7. ferrous sulfate 325 mg (65 mg iron) capsule, sustained release sig: one (1) capsule, sustained release po once a day. discharge disposition: home with service facility: critical care systems discharge diagnosis: influenza type b severe mssa multilobar pneumonia as superinfection causing ards anemia s/p blood transfusion discharge condition: good discharge instructions: you were admitted with influeza with superimposed severe bilateral pneumonia due to staph. you will need to complete iv antibiotics until . if you have worsening of fevers/cough/shortness of breath, call your doctor or come to er. your picc line will be removed after the antibiotics are complete. please follow up with dr. on as scheduled so that she can make sure you are stable, you will need repeat chest xray as well. confirm with your primary doctor that you are up to date with your vaccination since you have your spleen removed. your medications are otherwise kept the same. you had anemia during this hospitalization likely from your severe illness, please follow this with your doctor to make sure this is getting better. you recieved 1 unit of blood for this. you can take daily fe supplement to help with this. followup instructions: provider: , md phone: date/time: 9:00 provider: , m.d. phone: date/time: 10:45 provider: , m.d. date/time: 10:40 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of oxazolidinone class of antibiotics diagnoses: anemia, unspecified esophageal reflux unspecified septicemia severe sepsis unspecified acquired hypothyroidism bone marrow replaced by transplant other and unspecified hyperlipidemia acute respiratory failure septic shock methicillin susceptible pneumonia due to staphylococcus aureus influenza with pneumonia personal history of hodgkin's disease essential thrombocythemia 

Answer: The patient is high likely exposed to