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: codeine attending: chief complaint: dyspnea, facial swelling major surgical or invasive procedure: pericardiocentesis bone marrow biopsy history of present illness: ms. is a 38 y/o female with a history of depression who presented to on with worsening shortness of breath and recurrent headaches. she notes that she started having symptoms approximately 2 months ago mainly with fatigue and voice hoarseness. she then developed worsening headaches and noted that since she was having some facial swelling and upper extermity swelling. the swelling was most prominent in the morning and would get better as the day went on. she then started having some shortness of breath and difficulty swallowing. she presented to her pcp 3 days prior to her admission who recommended that she return for an ultrasound. her symptoms progressively got worse, especially her shortness of breath and dysphagia and presented to . at she was noted to have extensive adenopathy of the neck and mediastinum as well as a large pericardial effusion and right sided pleural effusion. she was subsequently transferred to . . at she was seen by cardiology, surgery and oncology. echocardiogram was performed and showed a moderately sized effusion with blunted diastolic filling of the right ventricle. there was also slight collapse of the right atrial free wall in late diastole consistent with early tamponade. due to concern of tamponade, she was transferred to for further management. her labs showed an ldh of 586, wbc of 5.1 with 30% eosinophils. . on arrival to the floor, patient was comfortable. she was slightly anxious however denied any pain or discomfort. she had a good understanding of everyone's concern. her blood pressure was noted to be 112/78 with a pulsus of 10. . review of systems + per hpi, some calf cramping and dysphagia on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: depression social history: she is married and has three children. she is a stay at home mom. -tobacco history: denies -etoh: 2 drinks a night -illicit drugs: negative family history: maternal grandmother had lymphoma. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: . vs: t 100.1 bp 104/58 hr 62 rr 18 sao2 93ra gen: groggy but awake and aurosable heent: eomi, sclera anicteric, conjunctivae clear, op moist, 2 5mm lesions on anterior tongue neck: supple cv: reg rate, normal s1, s2. no m/r/g. chest: resp unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, nt, nd, no hsm, bowel sounds present msk: normal muscle tone and bulk ext: no c/c/e, 2+ dp/pt bilaterally skin: no rash, warm skin neuro: oriented x 3, normal attention, no focal deficits, intact sensation to light touch psych: cooperative . pertinent results: amdission: 08:55pm glucose-141* urea n-6 creat-0.8 sodium-142 potassium-3.9 chloride-107 total co2-24 anion gap-15 08:55pm wbc-5.0 rbc-4.22 hgb-12.7 hct-38.2 mcv-91 mch-30.2 mchc-33.3 rdw-12.4 08:55pm neuts-57.8 lymphs-15.7* monos-3.6 eos-21.7* basos-1.1 08:55pm plt count-363 08:55pm pt-11.5 ptt-25.9 inr(pt)-1.1 08:55pm fibrinoge-324 08:55pm hcv ab-negative 08:55pm hiv ab-negative 08:55pm hcg-<5 08:55pm hbs ab-negative hbc ab-negative 08:55pm calcium-8.9 phosphate-2.9 magnesium-1.9 uric acid-3.9 08:55pm alt(sgpt)-15 ast(sgot)-17 ld(ldh)-645* alk phos-69 tot bili-0.4 11:48pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 11:48pm urine color-straw appear-clear sp -1.010 discharge: 00:01 wbc 4.1 hgb11.0* hct32.6* plt 345 89% pmn 05:10 cl 110 bun 9 cr 0.5 na 132* k 3.4 gluc99 hco3 26 00:01 alt 28 ast 17 ldh 369* alk 45 tuberculosis 0.2 ca 8.7 phos 3.9 mag 2.1 ua 2.0* micro: pericardial fluid. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture no growth. anaerobic culture no growth. acid fast smear no acid fast bacilli seen on direct smear. fungal culture (preliminary): no fungus isolated. pericardial fluid. fluid culture in bottles (final ): staphylococcus, coagulase negative. sensitivities performed on request.. aerobic bottle gram stain (final ): gram positive cocci in pairs and clusters. reported to and read back by dr . 245pm. anaerobic bottle gram stain (final ): gram positive cocci in pairs and clusters. 7:30 pm swab abscess (left neck). gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. wound culture (final ): no growth. anaerobic culture (final ): no growth. 3:25 pm blood culture x2 no growth. 3:16 pm stool ova + parasites (final ): no ova and parasites seen. pathology: specimen submitted: immunophenotyping - pb, necrotic neck mass interpretation. non-specific t cell dominant lymphoid profile; diagnostic immunophenotypic features of involvement by leukemia are not seen in specimen. correlation with clinical findings and morphology is recommended. flow cytometry immunophenotyping may not detect all lymphomas as due to topography, sampling or artifacts of sample preparation. specimen submitted: immunophenotyping - pericardial fluid. interpretation:immunophenotypic findings consistent with involvement by a lambda restricted monotypic b cell population. a concurrent cytospin preparation shows numerous large lymphoma cells. taken together these findings are consistent with pericardial involvement by primary mediastinal large b cell lymphoma. specimen: bone marrow aspirate and core biopsy. diagnosis: hyper-cellular bone marrow with maturing trilineage hematopoiesis and no evidence of involvement by large cell lymphoma. specimen submitted: left neck necrotic tissue diagnosis: diffuse large b-cell lymphoma, consistent with primary mediastinal (thymic) lymphoma imaging: cardiovascular echo impression: normal biventricular function. moderate-sized pericardial effusion with findings concerning for early tampoande. cxr there is an extremely large mass in the superior/mid mediastinum with maximal overall width of approximately 11.5 cm. the mass obscures the aortic knob, making it difficult to exclude aortic pathology. there is slight biapical pleural thickening. the cardiac contours are also partially obscured, but heart size is likely at the upper limits of normal. pericardial effusion cannot be excluded. there are small, right-greater-than-left effusions with underlying collapse and/or consolidation. no chf. cxr there is interval increase in right pleural effusion. widened mediastinum approaching 11.5 cm is unchanged since the prior study. there is also no change in small left pleural effusion. the widened mediastinum is partially imaged on ct neck from demonstrating massive conglomerate encasing mediastinal structures and vessels. pericardial effusion is also seen on the prior study, moderate, partially imaged and should be assessed with echocardiography to exclude the possibility of tamponade physiology. echo impression: small pericardial effusion, located mostly over the inferolateral wall and near the right atrium. no echo evidence of tamponade physiology. normal regional and global biventricular function withotu significant valvular abnormality. brief hospital course: assessment and plan: ms. is a 38 y/o female with a history of depression who presented to on with worsening shortness of breath and recurrent headaches found to have a large pericardial effusion with echo findings conerning for tamponade. # primary mediastinal large b cell lymphom: patient presente with anterior mediastinal mass, pleural and pericardial effusion. the percardial fluid, a lymph node and the bone marrow was sampled. the patient was diagnosed with primary mediastinal large b cell lymphoma without involvement of the bone marrow. a pet scan was done which showed extensive bulky fdg-avid lymphadenopathy involving the mediastinum, with additional fdg-avid disease seen in the bilateral lower cervical regions, supraclavicular regions, right axillary, hila, and paraesophageal region. of note, there is a single fdg-avid lymph node along the celiac axis. findings are consistent with known diagnosis of lymphoma, with disease present both above and below the level of the diaphragm. the pet also showed a right and small left non-fdg-avid pleural effusions and3-mm right upper lobe pulmonary nodule versus focus of atelectasis/inflammation, with slightly above baseline fdg avidity. she was treated with da- and received 5 days of treatment prior to discharge. she tolerated this well. she remained afebrile and her wbc count on discharge was 4.1. tumor lysis labs were drawn twice per day, without any evidence of tumor lysis. the patient will continue care with dr. . she will start neupogen two days following discharge. she will also start prophylactic medications including acylovir, ss-bactrim, and fluconazole on discharge. # pericardial effusion: she was noted to have a large pericardial effusion with some evidence of tamponade. she underwent a pericardiocentesis which drained about 450 cc of fluid. the fluid was sent for flow and cytology and chemistry. chemistry revealed and exudative effusion. the cytology was consistent with primary mediastinal large b cell lymphoma. the pericardial effusion was followed with serial echos, pulsus paradoxus checks and telemetry. the patient remained stable and the effusion did not reaccumulate throughout the admission. # depression/anxiety: she denies any depression and is being well managed on current regimen. patient was anxious with the news of malignancy. she was continued on her home dose of sertraline 100mg daily and started on ativan 0.5-2mg q4h as needed. # eosinophilia: the patient was noted to have a significant eosinophilia on admission. infectious disease was consulted and the patient was tested for strongyloides, histoplasma and o+p. she was treated empirically for strongyloides with ivermectin for 5 days and tolerated this well. the eosinophilia resolved with chemotherapy treatment. the strongyloides, histoplasma and o+p were all negative. medications on admission: sertraline 100 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid prn as needed for constipation. :*30 capsule(s)* refills:*0* 2. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 3. lorazepam 1 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for anxiety: prn anxiety or nausea. :*30 tablet(s)* refills:*0* 4. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea/vomiting. :*60 tablet(s)* refills:*0* 5. senna concentrate 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. :*60 tablet(s)* refills:*0* 6. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po daily (daily) as needed for constipation. :*30 ml(s)* refills:*0* 7. neupogen 300 mcg/0.5 ml syringe sig: one (1) injection once a day: start on , continue until instructed to stop by md. :*10 10* refills:*5* 8. acyclovir 400 mg tablet sig: one (1) tablet po every eight (8) hours. :*72 tablet(s)* refills:*2* 9. fluconazole 200 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*2* 10. bactrim 400-80 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary- large b cell lymphoma secondary- pericardial effusion, pleural effusion, eosinophilia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mrs. , it was a pleasure taking care of you at . you came into the hospital because you were having difficulty breathing and chest discomfort. you were diagnosed with a type of cancer called large b cell lymphoma and began treatment with chemotherapy. you were also found to have fluid around your heart, that was drained and followed with echos (pictures of the heart). new medications: for your blood counts, please start neupogen 300 mg daily sc until instructed to stop by doctor please take the following medications for constipation as needed- docusate 100 mg po twice per day as needed senna 1-2 tabs as needed for constipation lactulose 30 ml daily as needed for nausea, please take- prochlorperazine 10 mg every 6 hours as needed lorazepam 1 mg 1-2 tabs as needed for anxiety, please take- lorazepam 1 mg 1-2 tabs as needed continued medications: sertraline 100mg daily followup instructions: department: hematology/oncology when: thursday at 12:30 pm with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/bmt when: thursday at 12:30 pm with: , np building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: thursday at 1:30 pm with: , bsn building: sc clinical ctr campus: east best parking: garage procedure: pericardiocentesis biopsy of bone marrow biopsy of lymphatic structure injection or infusion of cancer chemotherapeutic substance diagnoses: unspecified pleural effusion depressive disorder, not elsewhere classified anxiety state, unspecified staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus other specified diseases of pericardium cardiac tamponade eosinophilia encounter for antineoplastic chemotherapy other malignant lymphomas, intrathoracic lymph nodes 

Answer: The patient is high likely exposed to