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: macrodantin / amoxicillin / bactrim / codeine / demerol / cephalosporins attending: chief complaint: fever major surgical or invasive procedure: egd s/p dilation of schatzki's ring bronchoscopy history of present illness: 65 y/o f w/nhl s/p nonmyeloablative allo-bmt , with recurrence currently getting abd radiation (# 15/17), who presented to the ed on c/o fevers. for details of pt's presentation, please see admission note. in brief, the pt was evaluated on for fever and was diagnosed with a cap for which she was tx'd with levaquin with improvement in sxs. several days after stopping the abxs, her fevers recurred and was placed on another 10 day course of levaquin. last saturday, the pt had sudden onset of fevers, chills, and rigors with fever up 103.4. in the ed, she had a t 101.8, was tachycardic, and was sating 96% on 5l nc. a cxr and cta were significant for a multi-focal pna without evidence of pe. . currently, the pt denies fevers, chills, night sweats, cough, shortness of breath. ros is also negative for abd pain, n/v/d, headache, stiff neck. the pt does c/o dysphagia with solids that occurs at least once a week. feels that food "gets stuck" in the middle of her chest. past medical history: # nhl: diagnosed . s/p nonmyeloablative peripheral stem cell transplant in with multiple therapies since that time for recurrent disease. her more recent chemotherapy was with six cycles of oral cepp chemotherapy completed in 10/. her last donor lymphocyte infusion was on . in summer noted increasing uptake in r uterus and adnexal area with vaginal wall mass, biopsy c/w lymphoma. received 2 weeks of rituxan , then underwent radiation to area of uptake completed . f/u pet showed resolution of uterus uptake, but new uptake near inferior ivc so she is s/p 4 weeks rituxan completed . # htn # hyperlipidemia # gerd # osteoporosis # left upper extremity deep vein thrombosis secondary to catheter. # status post bilateral kidney stents. # history of liver graft versus host disease. past hx: # colostomy for obstruction lymphoma, subsequently had colostomy reversed # had sbo with part of small bowel resected, pathology + for lymphoma social history: married, 5 children. retired finance advisor at . smoked briefly in her teens, none since them. no regular etoh use. family history: 2 sisters with lung cancer, 1 with kidney cancer (all 3 were heavy smokers), brother with dm physical exam: t 98.6 bp 114/70 hr 96 rr 20 o2 sat 96% ra wt 166.4 (75.4 kg) gen: pleasant female, nad, speaking in full sentences heent: nc, at, anicteric, clear sclera, clear op, mmm neck: no lad, no jvd, no carotid bruits lungs: coarse crackles over r middle lung field, decresaed breath sounds b/l with crackles at r base, no egophony cv: rrr, nl s1, s2, no m/r/g abd: + bs, snt/nd, no hsm ext: no edema, no cyanosis, l leg marginally chronically more swollen than r. no rashes neuro: full rom of all 4 extremities, cn ii-xii intact, motor strength b/l, nl tone, sensation grossly intact to light touch, gait not tested pertinent results: labs on admission: 09:00pm wbc-4.7# rbc-3.95* hgb-13.2 hct-39.1 mcv-99* mch-33.3* mchc-33.7 rdw-14.9 09:00pm neuts-93.1* bands-0 lymphs-3.8* monos-2.2 eos-0.5 basos-0.3 09:00pm plt smr-normal plt count-163 09:00pm alt(sgpt)-9 ast(sgot)-15 ld(ldh)-123 alk phos-59 tot bili-0.3 09:00pm albumin-3.9 09:00pm glucose-145* urea n-18 creat-0.8 sodium-139 potassium-3.0* chloride-103 total co2-23 anion gap-16 09:21pm lactate-2.9* 10:20pm urine color-yellow appear-clear sp -1.020 10:20pm urine blood-neg nitrite-neg protein-neg glucose-tr ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 10:20pm urine rbc-1 wbc-0 bacteria-none yeast-none epi- 05:39pm igg-102* . imaging: cxr - since the prior study, there has been development of a vague opacity in the right mid lung. the contour of the cardiac and mediastinal structures is unchanged. pulmonary vascularity is within normal limits. there are no pleural effusions. osseous structures again demonstrate mild degenerative changes of the spine. impression: new hazy opacity in the right mid lung is concerning for pneumonia. . cta chest - the right thyroid lobe is largely replaced by multiple nodules, the largest of which measures 18 x 18 mm, unchanged from . there are no filling defects within the pulmonary artery, proximal, or distal branches to suggest the presence of a pulmonary embolism. there is no significant mediastinal, axillary, or hilar lymphadenopathy. a subcarinal lymph node measures 7 mm in short axis. the heart, pericardium, and great vessels are normal in appearance. there is no pericardial effusion. there is a tiny left pleural effusion with left lower lobe compressive atelectasis. scatterd areas of air space consolidation in the posterior right upper lobe, right middle lobe, left lung base and, most prominently, right lower lobe are consistent with multifocal pneumonia. ground glass opacity in the right middle and anterior right upper lobes support an underlying infectious etiology. global bronchial wall thickening is unchanged. the airways are patent to the subsegmental level bilaterally. imaging of the upper abdomen is not sufficient for diagnosis. a small hiatal hernia is again noted. multiple low attenuation lesions within the liver parenchyma are unchanged since and likely represent simple cysts. bone windows: there are no suspicious lytic or sclerotic osseous abnormalities. impression: 1. no evidence of pulmonary embolism. 2. multifocal pneumonia or aspiration. 3. stable right thyroid nodules. 4. liver cysts. 5. small hiatal hernia. . bronchial wash - negative for malignant cells. numerous neutrophils and macrophages. . barium swallow study - 1. small hiatal hernia, unchanged compared to prior study, with narrowing at the level of gastroesophageal junction with holdup of 13-mm barium tablet. endoscopy is recommended for further assessment of the stricture at the ge junction. 2. infiltrate is seen at the left lower lobe. no aspiration was noted at the time of exam. . egd - small hiatal hernia, schatzki's ring (dilation),erythema and granularity in the antrum compatible with chronic gastritis. otherwise normal egd to second part of the duodenum . culture data: cmv vl not detectable legionella ag - neg urine cx - no growth bld cx - ngtd bal - gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram positive cocci. in pairs. 1+ (<1 per 1000x field): gram negative rod(s). respiratory culture (final ): ~8ooo/ml oropharyngeal flora. legionella culture (preliminary): no legionella isolated. immunofluorescent test for pneumocystis carinii (final ): pneumocystis carinii not seen. fungal culture (preliminary): no fungus isolated. acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (pending): viral culture (preliminary): no virus isolated so far. . labs on discharge: 06:55am blood wbc-2.2* rbc-3.34* hgb-11.4* hct-32.5* mcv-97 mch-34.0* mchc-35.0 rdw-14.0 plt ct-182 06:55am blood plt ct-182 06:55am blood glucose-106* urean-7 creat-0.5 na-142 k-4.2 cl-109* hco3-27 angap-10 06:55am blood calcium-8.2* phos-2.7 mg-2.4 brief hospital course: 65 y/o f with nhl currently receiving abd radiation to lymph node, p/w persistent fevers despite 2 courses of levofloxacin and found to have multi-focal pna. . 1) fevers: due to multifocal pna seen on imaging on admission. given her prior failed treatment courses with levaquin, this was concerning for resistant organisms, atypical or fungal organism, or possible recurrent aspiration. furthermore, an ivig level was checked, which was low. thus, the pt may have been unable to effectively clear the pneumonic process. she was admitted to the intially given concern for hypoxia given her 5l nc oxygen requirement was placed on ceftriaxone and azithromycin. the following day, a blanching maculopapular rash was noted over the torso and upper thighs, which was concerning for a drug rash. ceftriaxone was discontinued and meropenem started. sputum cxs were negative for fungus, pcp, afb smear negative. urine legionella negative. the pt underwent a bronch for bal that showed 1+ gpc in pairs, gnrs, no fungus, neg. legionella. there was a question of te fistula on the admission ct scan after further review with the micu attending, but there no evidence of te fistula was seen on bronch. a speech and swallow consult was negative for op aspiration. the pt was weaned off her o2 requirement and transferred to the bmt service for further care. 500 mg/kg of ivig was given. id was consulted who recommended treatment with a 14 day course of ertapenem and azithromycin. she was discharged in good condition and will complete the course of azithromycin at home and will come into the 7 clinic daily to receive an infusion of ertapenem to finish a 14 day course. . 2) lymphoma: with recurrence of disease. was scheduled to undergo 2 more session of radiation with dr. as an outpatient, which the pt completed (cycles 16 and 17 out of 17) as an inpatient. during the hospital course, the pt did not require any blood product transfusions to keep her hct > 25, plts > 10k. she will follow-up with dr. as an outpatient. . 3) dysphagia: the pt reported worsening dysphagia over the past year with solids. had an egd in that showed a widely patent schatzki's ring without other abnormalities. gi was consulted who recommended a barium swallow study which showed distal obstruction at the ge junction. she underwent an egd the following day in which a schatski's ring was dilated. findings in the antrum suggestive of chronic gastritis were also seen. she will follow-up with dr. as an outpatient. . 4) htn: hctz held on admission and was restarted by the time of discharge. . 5) gerd: ppi continued. . full code medications on admission: boniva 150 mg po q month (every 26th) hydrochlorothiazide 12.5 mg daily vitamin b 12 q month (every 24th) prilosec 30 mg qd discharge medications: 1. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. disp:*1 bottle* refills:*0* 2. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for itching. disp:*30 capsule(s)* refills:*0* 3. azithromycin 250 mg capsule sig: one (1) capsule po q24h (every 24 hours) for 9 days. disp:*9 capsule(s)* refills:*0* 4. ertapenem 1 g recon soln sig: one (1) recon soln injection qdaily () for 9 days: you will need to go to the 7feldberg outpatient clinic for this infusion daily for a total of 9 more days. disp:*9 recon soln(s)* refills:*0* 5. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. hydrochlorothiazide 12.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnosis: multi-focal pneumonia dysphagia s/p dilation of schatzski's ring . secondary diagnosis: recurrent nhl htn hyperlipidemia gerd discharge condition: good, ambulating, breathing well on room air, eating well. discharge instructions: you were admitted for treatment of a multi-focal pneumonia and were treated with antibiotics. you will need to continue a 14 day course of antibiotics while you are at home and will come into the 7 outpatient clinic daily to receive an iv antibiotic infusion. you also had an egd to evaluate difficulty swallowing and had a dilation of your lower esophagus, where a stricture was found. please take all medications as prescribed. you will need to take an antibiotic called azithromycin every day and will need to come into clinic daily to receive an iv antibiotic called ertapenem. call your doctor or go to the emergency room if you experience any of the following: fever > 101, chills, night sweats, shortness of breath, increasing cough, chest pain, diarrhea. followup instructions: please follow-up with your primary care doctor within 1 week. please follow-up with dr. in 2 weeks time. call ( to make an appointment. please follow-up with your gastroenterologist, dr. , in 1 month. call (617) ( to make an appointment. procedure: other endoscopy of small intestine fiber-optic bronchoscopy other radiotherapeutic procedure dilation of esophagus diagnoses: pneumonia, organism unspecified esophageal reflux unspecified essential hypertension other and unspecified hyperlipidemia peripheral stem cells replaced by transplant hypotension, unspecified osteoporosis, unspecified rash and other nonspecific skin eruption personal history of venous thrombosis and embolism personal history of urinary calculi stricture and stenosis of esophagus other malignant lymphomas, intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to