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: patient recorded as having no known allergies to drugs attending: chief complaint: hypoxemia, hypotension major surgical or invasive procedure: mechanical ventilation history of present illness: ms. is a 55 yo woman with a hodgkin's lymphoma s/p chemotx x2, hypothyroidism and a h/o chemo-induced cardiomyopathy (now resolved) who presents as a transfer from an osh after being found delirious at home. . per the pt's son and daughter, she seemed abnormal on the phone 2 days prior to admission, but was not confused. on the day prior to admission, the family reports that she was quite confused on the phone, not knowing her address. as the family did not know her exact address, they enlisted the help of others to find her. her landlord was eventually reached, and she called ems. . upon ems arrival, the pt was found in her bed as though she had been there for a few days. she had been incontinent of urine and there was a bucket ofvomit. she was a&ox2. she was taken to an osh, where she was intubated for hypoxemic respiratory failure (o2 sat 87% on 15l nc). she was not febrile, but was tachycardic and hypotensive to the 80s systolic. a cxr demonstrated diffuse r-sided infiltrate and lll infiltrate. an initial cbc revealed pancytopenia (wbc 2.9, hct 17, plt 34). she recieved 2 units prbcs, azithromycin, ceftriaxone and methylprednisolone. her blood pressure was maintained with dopamine. she was transferred to the for further management. past medical history: hodkin's lymphoma hypothyroidism h/o chemo-induced cardiomyopathy, resolved social history: lives by herself, recently moved from , former substitute teacher, former smoker (quit 15-25 years ago), no h/o etoh abuse. family history: n/c physical exam: vitals: t: 97.1 bp: 54/31 p: 107 r: 16 sao2: 100%, ventilated general: sedated, intubated, opens eyes to command, does not squeeze hands to command heent: pupils small but reactive 1->0.5, no scleral icterus, mm dry neck: no lad, supple pulmonary: lungs cta anteriorly bilaterally cardiac: tachycardic, nl s1 s2, no murmurs, rubs or gallops appreciated abdomen: soft, nt, nd, normoactive bowel sounds, no masses or organomegaly noted extremities: no edema, 2+ radial, dp pulses b/l lymphatics: no cervical, supraclavicular, axillary or inguinal lymphadenopathy noted skin: no rashes or lesions noted. . pertinent results: from osh: 152 | 113 | 94 / 3.7 | 20 | 1.3\ 236 . 2.9\_5.9 _/ / 17 \34 diff: neuts 96%; lymphs 3%; monos 1%; 0 eos, 0 basos . total protein 6.5, albumin 2.4, globulin 4.1, tbili 1.4, dbili 0.5, ast 37, alt 24, alk phos 113; amylase 70, lipase 37. . ldh 445 ck 54 . selected labs 10:41pm hbsag-negative hbs ab-negative hbc ab-negative hav ab-positive igm hbc-negative igm hav-negative hcv ab-negative 10:41pm fdp-40-80 fibrinogen-1316*# d-dimer-9619* 03:59pm fibrinoge-1138* d-dimer-8857* 09:23pm lactate-2.4* 04:15pm lactate-2.5* 03:59pm haptoglob-552* . 03:59pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-pos barbitrt-neg tricyclic-neg . 03:59pm wbc-1.8* rbc-1.84* hgb-6.4* hct-19.4* mcv-105* mch-34.7* mchc-33.0 rdw-19.4* 03:59pm neuts-60 bands-18* lymphs-14* monos-0 eos-0 basos-0 atyps-0 metas-6* myelos-2* 03:59pm parst smr-negative 03:59pm ret man-.9 . 03:59pm glucose-209* urea n-86* creat-1.7* sodium-155* potassium-3.8 chloride-119* total co2-25 anion gap-15 03:59pm alt(sgpt)-18 ast(sgot)-29 ld(ldh)-330* ck(cpk)-49 alk phos-90 amylase-62 tot bili-1.3 03:59pm calcium-7.4* phosphate-3.2 magnesium-2.6 brief hospital course: 55 yo woman with h/o hodgkin's lymphoma s/p chemo x2 and persistent pancytopenia presents with profound pancytopenia, hypoxemic respiratory failure and sepsis. . ms arrived to the micu brought by helicopter from . she required ventilatory support and pressors, starting with norepinephrine, and using a low tidal-volume ventilatory strategy. blood cultures ultimately revealed strep pneumonia, e. coli, and albicans; she had been broadly treated from the beginning and was ultimately treated with levofloxacin (vancomycin was discontinued once sensitivities on strep came back from mvh showing pan-sensitive organism), cefepime, and caspofungin. . she was mildly responsive at different times in the first days of her stay but was not significantly responsive thereafter. she required increasing levels of ventilatory support, requiring frequent up-titrations of fio2, increased peep, and showing increasingly dire p/f ratios suggesting advancing and refractory ards. though she was started on a single pressor for the last days of her admission she was requiring three. again, doses varied, but in the last two days here she was so exquisitely dependent on pressors that her pressures would drop precipitously even as nurses changed from one bag of a pressor to the next. the primary insult appeared to be a set of large consolidative regions of her lungs, likely secondary to strep pneumonia, and followed by sepsis and ards. incidental note was made of hypodensities on the liver (of unknown etiology), and cysts in the lungs (likely non-pathologic given location of some in healthy-appearing portions of lung). though an abdominal process could have contributed to her septic presentation, further abdominal imaging was not possible because for most of her admission the patient was not stable enough to take to ct scan and ultrasound was minimally helpful given abdominal distension. . in sum, it appears that ms acquired an infection in the setting of pancytopenia and bone marrow fibrosis; was unable to fight that infection (likely strep pneumo was the original culprit); and then began having altered mental status and vomiting, along with superimposed infections. she became septic, and came to us with unrelenting sepsis and ards. . ultimately after 7 days of attempting to improve her health, it was clear that despite occasional gains, overall we were losing ground. her prospects of recovery were extremely slim. the team discussed this with her son and daughter who had been present and involved in her care, and together all agreed on stopping her pressors and pulling back from aggressive interventions, emphasizing comfort instead. it was clearly understood by all that this would mean a hastened time of death compared to pressing on with our prior life-sustaining but not life-saving interventions. she died about an hour-and-a-half after pressors were discontinued, with her children present. she was kept on a ventilator at this time to minimize respiratory discomfort during the last period of her life, with the assessment that removing the ventilator and subjecting the patient to sustained respiratory distress would likely be more difficult for patient and family than maintaining the ventilator while discontinuing the pressors. . the family refused an autopsy. medications on admission: on transfer: dopamine gtt ceftriaxone azithromycin methylprednisolone discharge medications: n/a discharge disposition: expired discharge diagnosis: sepsis/ards discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung enteral infusion of concentrated nutritional substances arterial catheterization injection of antibiotic incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: acidosis thrombocytopenia, unspecified acute kidney failure, unspecified hyposmolality and/or hyponatremia severe sepsis unspecified acquired hypothyroidism personal history of tobacco use acute respiratory failure septic shock other diseases of lung, not elsewhere classified pneumococcal septicemia [streptococcus pneumoniae septicemia] pneumococcal pneumonia [streptococcus pneumoniae pneumonia] hyperosmolality and/or hypernatremia septicemia due to escherichia coli [e. coli] other candidiasis of other specified sites other alteration of consciousness volume depletion, unspecified other abnormal glucose other specified disorders of liver personal history of hodgkin's disease procedure not carried out for other reasons fitting and adjustment of vascular catheter 

Answer: The patient is high likely exposed to