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: hypotension major surgical or invasive procedure: none history of present illness: the pt. is an 81 year-old gentleman with nsclc diagnosed in s/p combination radiation and chemotherapy (with carboplatin and taxol, last dose in mid-) who presented to the ed complaining of severe dyspnea on exertion for the past week pta. the pt. stated that he becomes short of breath when he walks approximately 10 feet which is a change from his baseline. he has also noticed associated weakness, fatigue and decreased oral intake secondary to loss of appetite. he was evaluated by his radiation oncologist who noted that he desaturated to ~90% on room air with any exertion and was advised to report to the ed to rule-out pulomary embolus. on presentation, the pt. denied nausea, vomiting, abdominal pain, chest pain, lightheadedness or dizziness, fever, chills, bpbpr, or any changes in his bowel or bladder habits. he stated that he has been constipated since beginning chemotherapy. in the ed, his vital signs were t: 98.7f, p: 64, r: 24, bp: 84/45, sao2: 100% on 4liters via nasal cannula. he received 5 liters of normal saline with minimal response in his blood pressure. accordingly a micu evaluation was performed and the pt. was judged to be appropriate for micu based on the need for pressors. in the ed, the pt. also received iv levofloxacin, metronidazole, and ceftazadime for pneumonia. past medical history: -non-small cell lung cancer, t4m0n0, diagnosed in and s/p radiation and chemotherapy with taxol and carboplatin, last dose , c/b neutropenia -atrial fibrillation, not on anticoagulation -osteoporosis -osteoarthritis -gastroesophageal reflux disease -s/p prostatectomy for prostate cancer 11 years ago -chronic le edema meds: -toprol xl 50mg po daily -aldactone 25mg po daily -digoxin 0.025mg po daily -nexium 40mg po daily -mvi -colace 100mg po bid -xanax 1mg po q12h prn anxiety social history: he smoked one-half pack per day times 50 years and stopped 15 years ago. he uses alcohol occasionally. he has eight children, two men and six women. he is widowed. he is a former math teacher. family history: notable for a mother who passed away in her 50s of apparent heart complications. father died in his 70s of chf. physical exam: vitals: t: 93.6f p: 66 r: 16 bp: 92/34 sao2: 97% on 2l o2 via nc general: thin and pale gentlemen, alert and in nad heent: perrl, pale conjunctivae, eomi, mmm, no lesions in op neck: supple, no jvd noted, rij in place without erythema or induration pulmonary: decreased breath sounds over r lung field, rales at l base cardiac: irregularly irregular rhythm, nl. s1s2, no m/r/g abdomen: soft, nt, nd, active bowel sounds, surgical scar noted below umbilicus extremities: 2+ ble to knees with chronic venous stasis changes, 2+ dp pulses bilaterally. neurologic: alert and oriented x 3. confused at times and defers to daughter for details of history. normal sensation and strength throughout. eureflexic. skin: radiation burn noted on right upper aspect of back lymphatic: no lymphadenopathy appreciated. pertinent results: cta chest: -no pulmonary embolus. -right hilar mass resulting in partial post obstructive collapse of the anterior segment of the right upper lobe. there are air bronchograms in this region and infection is not excluded. -scattered small opacities in the left lung are nonspecific. -emphysema. -severe kyphosis with compression deformities. cxr chest: -previously noted r hilar opacity decreased in size. lll/lingular opacity/consolidation. echo: 1. the left atrium is moderately dilated. the left atrium is elongated. 2.the right atrium is moderately dilated. 3.left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild global left ventricular hypokinesis. overall left ventricular systolic function is low normal (lvef 50-55%). 4.right ventricular chamber size and free wall motion are normal. 5.the ascending aorta is moderately dilated. the aortic arch is mildly dilated. 6.the aortic valve leaflets (3) are mildly thickened but aortic stenosis or regurgitation is not present. 7.the mitral valve leaflets are moderately thickened. no mitral regurgitation is present. 8.there is moderate pulmonary artery systolic hypertension. 9. there is no pericardial effusion. brief hospital course: 1. pneumonia/sepsis: pt was admitted for post-obstructive pneumonia. pt was initially transferred to the icu for hypotension requiring pressors (levophed) and total of 7 l of ivf. he was started on ceftaz, levofloxacin, and metronidazole, but was later tailored to levo/flagyl. his toprol was held in a setting of hypotension and he was stabilized and was transferred to the floor where his oxygenation improved by hd #5 where he was breathing well on room air. he will be discharged with total of 14 day course of levo/flagyl. 2. dyspnea: pt with no known chf, hx of a-fib. pt noted to have pulmonary edema on cxr and increased ue and le edema after aggressive fluid resusscitation with 7 l of ivf. pt was gently diuresed with lasix, spironolactone. pt became slightly alkalotic from contraction so diamox was given for alkalosis. echo was done which showed with ef 50-55%, mild hypokinesis of lv wall, no mr, no pericardial effusion. pt has a baseline le edema from chronic venous stasis. 3. pancytopenia: secondary to recent chemotherapy. pt got neupogen with the goal of wbc>2.0. wbc peaked at 19.5. wbc count on discharge was 14.3. 4. thrombocytopenia: plt count on admission was 137 and steadily dropped to 51. hit was suspected and heparin was discontinued and hit antibody was sent. the result is pending at the time of discharge. his platelet count stabilized at 54 at the time of discharge. he will have the vna check cbc and have the result faxed to dr. . if the hit antibody comes back positive, pt was instructed to return to for further treatment with meds such as argatroban. 5. atrial fibrillation: pt was continued on digoxin but his home toprol was held due to hypotension. pt was discharged with his regular digoxin and half the dose of toprol he was taking at home. medications on admission: -toprol xl 50mg po daily -aldactone 25mg po daily -digoxin 0.025mg po daily -nexium 40mg po daily -mvi -colace 100mg po bid -xanax 1mg po q12h prn anxiety discharge medications: 1. multivitamin capsule sig: one (1) cap po daily (daily). 2. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. disp:*21 tablet(s)* refills:*0* 3. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 4. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 5. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 6. colace 100 mg capsule sig: one (1) capsule po twice a day. 7. xanax 1 mg tablet sig: one (1) tablet po bid:prn. 8. digoxin 50 mcg capsule sig: 0.5 capsule po once a day. 9. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: home with service facility: vna of capr cod discharge diagnosis: pneumonia discharge condition: hemodynamically stable, breathing comfortably on room air discharge instructions: please take all of your prescribed medications as directed. please call your dr. or dr. if you develop sob, cough, fever, chills, nausea/vomiting, leg pain, bleeding, or any other concerning symptoms. please follow up with dr. /dr. on followup instructions: patient needs to follow up with dr. on tuesday . md procedure: arteriography of pulmonary arteries transfusion of packed cells diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified congestive heart failure, unspecified unspecified septicemia atrial fibrillation personal history of malignant neoplasm of prostate sepsis malignant neoplasm of upper lobe, bronchus or lung alkalosis other general symptoms 

Answer: The patient is high likely exposed to