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: history of present illness: this is a 42-year-old male with no significant past medical history who presented after 3 weeks of intermittent fevers, diarrhea, and left lower quadrant abdominal pain. on , the patient began to experience abdominal pain, fever, nausea, vomiting, and diarrhea. the patient went to the ed and was admitted there. at the ed, he had a ct, which showed large lymph nodes in the abdomen. he has also done upper gi series, which was negative and a small bowel follow through, which showed some thickened bowel. the patient was initially started on cipro and then switched to flagyl. the patient states his fevers lasted for 8 days and his diarrhea slowed at about the same time. he continued flagyl at home for another 10 days. he described his diarrhea as loose, green, and extremely foul smelling, no blood or melena, but increased gas. on monday, prior to admission, the patient began to experience fevers again. his temperature broke with tylenol. the patient also noted to have rash at this time. he experienced abdominal pain again in the left lower quadrant. on the 10th, he began to experience increasing chills and fevers and by the 11th, he was experiencing night sweats and making up temperatures. he also admits to some weight loss over the last 3 weeks, approximately 10 pounds. he has had some weakness. the patient has had no history of gerd or history of h. pylori. he has had no dysphagia or early satiety, but decreased appetite. the patient has no history of ivd and no hiv risk factors. past medical history: disc surgery. medications: none. allergies: no known drug allergies. social history: the patient is married, with several children. he works at an office job. he is a nonsmoker, nondrinker, and no history of iv drug use. physical examination: temperature currently was 98.6, t- maximum 102.2, pulse 103, blood pressure 116/74, and respiratory 20. in general, in no acute distress, resting comfortably, and appears anxious. perrl, eomi. mucous membranes dry. neck, no jvd. trachea midline. thorax clear to auscultation bilaterally. no wheezes, crackles, or rales. cardiovascular, tachycardic, no murmurs, rubs, or gallops. abdomen, bowel sounds present, tender to palpation on left lower quadrant. nondistended. no tympany. guaiac negative. extremities, warm and well perfused. no cyanosis, clubbing, or edema. a 2 plus dorsalis pedis and radial pulses bilaterally. neuro, no focal deficits. cranial nerves intact. laboratory data: significant for white count of 9.8, 83 percent neutrophils, 14 percent lymphs, 2 percent monos, hematocrit of 39.9, and platelets of 421. lfts significant for alkaline phosphatase of 397 and total bilirubin of 0.7. ua showed small amounts of blood with moderate bacteria. ct showed mesenteric lymphadenopathy. hospital course: gi was consulted on admission. the patient had multiple tests sent, an ldh was initially sent, which was 396. the patient's lfts were followed. his alkaline phosphatase trended down, and his transaminases were never really elevated. the differential was for malignancy, inflammatory bowel disease, or some kind of infection. the patient was tested for hiv initially. surgery was consulted for lymph node biopsy. on , the patient went for lymph node biopsy. at the time of surgery, the surgeons found in a small bowel multiple perforations and masses adhered to the bowel, and this required four resections. the patient also had an omental biopsy and a lymph node biopsy. the patient was hemodynamically stable during his course in the or and went to the trauma sicu following surgery. the patient was then transferred to the surgery service and followed there, as well as in addition followed by medicine. the pathology eventually returned as a t-cell lymphoma and celiac sprue. at that time, hematology-oncology was consulted. dr. saw the patient and immediately recommended tpn for aggressive nutrition control following the ldh and for chemotherapy. the patient was transferred to the bmt service on approximately . while on the bmt service, the patient continued to be followed by surgery and was also followed by id notes below. the patient was started on chemo on . he was started on chop. he tolerated well without problems, and plans were made for the patient to have further chop in the future. however, the patient's prognosis with this aggressive disease was relatively poor even with aggressive chemotherapy. infectious disease. the patient had fevers prior to admission and then persistently had fevers. in addition, the patient had a wound infection following his laparotomy. the patient continued on the surgery service; when transferred to bmt, an id consult was obtained. the patient had multiple blood cultures, all of which were gram negative in addition to urine cultures and fungal cultures. he had hepatitis serologies sent as well as multiple clostridium difficile and ova and parasites. the patient had received ampicillin, levofloxacin, flagyl following his surgery, and several days after surgery did have one time bandemia. id felt that the patient was not currently infected, however, were concerned about bacterial seeding into the abdomen when his tumor shrinks from chop. therefore, id recommended prophylactic antibiotics with unasyn while starting chemotherapy and as an outpatient to switch to an oral antibiotic. following chop, the patient defervesced significantly, and it was felt that his fevers were consistent with his severe lymphoma. cardiac. the patient was persistently tachycardic during the entire hospital course. he did receive an echo one time, which showed a small pericardial effusion though this was read as possibly an artifact. the patient did have cta during his hospital course, which demonstrated no pulmonary embolism. the tachycardia was cleared to be compensatory to his fever and malignancy, and cardiology consultation did not feel that treatment of this sinus tachycardia was necessary despite having persistent tachycardia to the 150s. again, the patient's heart rate did decrease following chop. nutrition. the patient's albumin was quite low even on admission and on discharge, his albumin was 2.7. he was started on tpn while in-house and then cyclic tpn on discharge and this was to continue at least for the present time. the patient was also educated about a gluten-free diet given his celiac sprue disease. discharge diagnoses: t-cell lymphoma. celiac sprue. small bowel perforation. discharge condition: stable. follow-up: the patient is to follow up with dr. on , r.n. on . discharge medications: 1. allopurinol 100 mg p.o. q.d. 2. dilaudid 2 mg 1 to 2 tablets p.o. q.4-6h. p.r.n. pain. , procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances arterial catheterization excision or destruction of peritoneal tissue transfusion of packed cells small-to-small intestinal anastomosis injection or infusion of cancer chemotherapeutic substance multiple segmental resection of small intestine injection or infusion of biological response modifier [brm] as an antineoplastic agent diagnoses: other postoperative infection perforation of intestine other malignant lymphomas, unspecified site, extranodal and solid organ sites celiac disease other disorders of neurohypophysis disruption of external operation (surgical) wound 

Answer: The patient is high likely exposed to