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 (sulfonamide antibiotics) attending: chief complaint: fever, fatigue major surgical or invasive procedure: none history of present illness: 58 year-old lifetime nonsmoking female with metastatic lung adenocarcinoma with widespread liver and spine metastases, egfr mutation positive, s/p radiation of t7-s1 finishing , on erlotinib 150 mg daily started , who presented to clinic today with fever, nausea and fatigue x 1 day. . over the past 24 hours she has felt increasingly fatigued. this morning she had nausea and some diaphoresis. she was seen in pain clinic where she was noted to have a temperature of 102 and she was sent to clinic where an emergency chest film shows a probable lll pneumonia despite the absence of cough or other respiratory symptoms. she has no urinary symptoms but is quite bothered by her "clamshell" back brace. past medical history: oncologic history: # metastatic lung cancer: - : experienced laryngitis and 2 episodes of hemoptysis - : diagnosed with right shoulder tendinitis - : had lower back pain, decreased appetite and early satiety. ct at hospital on revealed mass lesion in the posterior inferior left hilum, involving the superior segment of the left lower lobe. multiple bony mets were found in the spine and multiple liver mets noted. liver biopsy on confirmed adenocarcinoma that is ttf+. mri of the brain showed no intracranial mets but a right parietal bony met with soft tissue mass. being followed by dr. at oncology with a plan for chemotherapy. other medical history: ocd osteopenia depression and anxiety social history: social history: never smokes. no alcohol use. works in the food service. married with 2 children. family history: family history: no family history of cancer physical exam: general: no acute distress, pleasant heent: sclera anicteric, mucous membranes moist. oropharynx clear without lesion. heart: regular rhythm and rate without murmur, rub, or gallop lungs: clear to auscultation bilaterally abdomen: soft, nontender, nondistended extremities: warm, well perfused without clubbing, cyanosis, or edema neuro: cranial nerves ii-xii grossly intact. strength 5/5 x4 extremities, sensation intact to light touch x4 extremities pertinent results: 10:39pm urine color-straw appear-clear sp -1.005 10:39pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 06:55pm glucose-134* urea n-9 creat-0.2* sodium-136 potassium-3.5 chloride-102 total co2-27 anion gap-11 06:55pm estgfr-using this 06:55pm alt(sgpt)-55* ast(sgot)-48* alk phos-192* tot bili-0.4 06:55pm ck-mb-2 ctropnt-<0.01 06:55pm calcium-7.9* phosphate-2.4* magnesium-2.0 06:55pm wbc-3.4* rbc-3.19* hgb-9.6* hct-29.0* mcv-91 mch-30.0 mchc-33.1 rdw-20.0* 06:55pm plt count-203 01:39pm wbc-4.7 rbc-3.73* hgb-11.0* hct-34.1* mcv-91 mch-29.5 mchc-32.3 rdw-19.9* 01:39pm neuts-93.7* lymphs-2.8* monos-3.1 eos-0.3 basos-0.1 01:39pm plt count-220 brief hospital course: 58 year-old lifetime nonsmoking female with metastatic lung adenocarcinoma with widespread liver and spine metastases, egfr mutation positive, s/p radiation of t7-s1 finishing , on erlotinib 150 mg daily started , admitted with pneumonia presumed to be pcp s/ stay . . #pna, presumed pcp: with fever/new oxygen requirement with cta negative for pe, negative blood/urine cx, and normal cardiac enzymes/ekg. cxr concerning for pneumonia. bglucan elevated. bronchoscopy deferred. unable to obtain sputum sample despite multiple attempts. developed hypoxic respiratory failure and transferred to . improved on bactrim treatment and transferred back to omed . will continue bactrim ds 2 tabs tid for total 21 days. continue prednisone taper. histo antigen pending upon discharge. primary oncologist notified and will f/u regarding need for pcp . . #diarrhea: developed diarrea with placement of rectal tube, removed . c diff negative x 2. resolved prior to discharge . #back brace: pt complaing of discomfort with brace. re-evaluated by orthopedic spine team who concluded that patient needs to continue to wear the back brace. medications on admission: citalopram - (prescribed by other provider) - 20 mg tablet - 3 tablet(s) by mouth daily (daily) dexamethasone - (prescribed by other provider) - 4 mg tablet - 1 tablet(s) by mouth twice a day for 5 days then begin 4mg daily for 5 days, then 2mg daily for 5 days, then 2 mg every other day until then stop. erlotinib - 150 mg tablet - 1 tablet(s) by mouth once a day gabapentin - 300 mg capsule - 1 capsule(s) by mouth three times a day hydromorphone - 2 mg tablet - 1 tablet(s) by mouth q 3-4 hrs as needed for pain not to exceed 6 per day hydromorphone - 4 mg tablet - tablet(s) by mouth q 3-4 hrs as needed for pain no more than 12 tabs per day lactulose - (prescribed by other provider) - 10 gram/15 ml solution - 30 ml by mouth daily as needed for constipation lidocaine - (prescribed by other provider) - 5 % (700 mg/patch) adhesive patch, medicated - 1 patch to affected area 12 hours daily lorazepam - (prescribed by other provider) - 0.5 mg tablet - 1 tablet(s) by mouth every six (6) hours as needed for anxiety morphine - 100 mg tablet sustained release - 1 tablet(s) by mouth three times a day polyethylene glycol 3350 - (prescribed by other provider) - 17 gram/dose powder - 1 powder(s) by mouth daily (daily) as needed for constipation ranitidine hcl - (prescribed by other provider) - 150 mg tablet - 1 tablet(s) by mouth twice a day medications - otc docusate sodium - (prescribed by other provider) - 100 mg capsule - 1 capsule(s) by mouth twice a day senna - (prescribed by other provider) - 8.6 mg tablet - 2 tablet(s) by mouth twice a day discharge medications: 1. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for pcp 15 days. disp:*84 tablet(s)* refills:*0* 2. prednisone 20 mg tablet sig: as directed below tablets po daily (daily) for 15 days: please take 2 tablets (40 mg) daily until . then take 1 tablet (20 mg) daily until . disp:*20 tablet(s)* refills:*0* 3. citalopram 20 mg tablet sig: three (3) tablet po daily (daily). 4. erlotinib 150 mg tablet sig: one (1) tablet po daily (daily). 5. gabapentin 300 mg capsule sig: one (1) capsule po q8h (every 8 hours). 6. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed for pain: do not combine with alcohol. please do not drive while taking this medication as it may make you sleepy. disp:*30 tablet(s)* refills:*0* 7. lactulose 10 gram/15 ml solution sig: thirty (30) ml po once a day as needed for constipation. 8. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): 1 patch to affected area 12 hours daily . 9. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. 10. polyethylene glycol 3350 17 gram/dose powder sig: one (1) powder po daily (daily) as needed for constipation. 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 12. ondansetron 8 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. disp:*20 tablet, rapid dissolve(s)* refills:*2* 13. ms contin 30 mg tablet sustained release sig: one (1) tablet sustained release po twice a day: this medication may make you sleepy. please do not drive while taking narcotic medications. disp:*60 tablet sustained release(s)* refills:*2* 14. ms contin 15 mg tablet sustained release sig: one (1) tablet sustained release po twice a day: this medication may make you sleepy. please do not drive while taking narcotic medications. disp:*60 tablet sustained release(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: pneumonia, presumed pcp discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to for fever and fatigue. you were found to have pneumonia, likely due to an infection from pneumocystis (pcp). you developed difficulty breathing requiring a stay in the icu from to . your breathing improved as you were treated for pcp with antibiotics and steroids. you should discuss with your oncologist whether or not you should continue with your steroids after you finish the prednisone and if you continue with the prednisone or dexamethasone you should take bactrim prophylaxis for pcp which is usually one tablet three times per week. please make the following changes to your medications: start bactrim ds 2 tabs three times daily for a total of 21 days until start prednisone 40 mg daily until , then 20 mg daily until stop dexamethasone please stop your current pain regimen of morphine and dilaudid. please start the following regimen: ms contin 45 mg twice a day (take one 30 mg tablet and one 15 mg tablet for a total of 45 mg) dilaudid 2 mg every 4-6 hrs as needed for pain. please follow up with your oncologist and in pain clinic. please continue all other home medications followup instructions: the following appointments have been made for you: department: primary care name: dr. mazzoni when: tuesday at 10:10 am location: - address: 2 center dr, , phone: department: hematology/oncology when: thursday at 9:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: thursday at 9:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: pain management center when: monday at 11:00 am with: , np building: one place (, ma) campus: off campus best parking: parking on site procedure: venous catheterization, not elsewhere classified spinal tap incision of lung injection or infusion of cancer chemotherapeutic substance diagnoses: malignant neoplasm of liver, secondary long-term (current) use of steroids hyposmolality and/or hyponatremia other convulsions dysthymic disorder acute respiratory failure pneumocystosis pressure ulcer, other site pressure ulcer, lower back malignant neoplasm of other parts of bronchus or lung diarrhea secondary malignant neoplasm of bone and bone marrow disorder of bone and cartilage, unspecified anemia in neoplastic disease neoplasm related pain (acute) (chronic) obsessive-compulsive disorders pathologic fracture of vertebrae pressure ulcer, stage iii 

Answer: The patient is high likely exposed to