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: the patient is a 51-year-old gentleman who was transferred from an outside hospital to intensive care unit with streptococcal pneumonia and bacteremia. the patient was then found to have plasma cell leukemia. the patient initially presented with shortness of breath for three days, malaise, and an upper respiratory tract infection for six weeks. on initial presentation, his temperature was 104 degrees fahrenheit and his heart rate was 130. he had fecal incontinence, bilateral lower lobe infiltrates, and thrombolytic lesions at l3 seen on a computed tomography scan. on admission, the patient was diaphoretic, short of breath, and using accessory muscles to breathe. past medical history: denies. medications on admission: aspirin every other day. allergies: peanuts. social history: the patient is married. physical examination on presentation: physical examination revealed the patient's temperature was 104.2 degrees fahrenheit rectally, his heart rate was 114, and his blood pressure was 103/68, his respiratory rate was 21 to 25, and his oxygen saturation was 96% on 70% face mask. physical examination was significant for diffuse rhonchi and coarse rales bilaterally, tachycardia, protuberant abdomen which was soft without tenderness, and diaphoretic skin. all other systems including head, eyes, ears, nose, and throat examination, pulmonary, cardiovascular, abdominal, extremities, skin, and neurologic examinations were found to be within normal limits. pertinent laboratory values on presentation: the patient's white blood cell count was 3.6, his hematocrit was 26.7, and his platelets were 132. his albumin was 2.4. his inr was 2.6. his lactate was 2.2. his ferritin was 731. his reticulocyte count was 2.9. differential on the white blood cell count revealed 39% atypical, 18% neutrophils, and 24% lymphocytes. urinalysis revealed 10.9. his lactate dehydrogenase was 1066. concise summary of hospital course by issue/system: 1. hypoxia issues: the patient was admitted with hypoxia. he was transferred to the intensive care unit and his oxygenation improved on a nonrebreather. on , the patient was transferred out of the intensive care unit on 4 liters of nasal cannula. over the next few days, his oxygenation improved, and he was saturating greater than 90% on room air. the patient was discharged to home without oxygen. the patient did not need to be intubated during this hospitalization. a repeat chest x-ray revealed interval improvement in infiltrates. 2. plasma cell leukemia issues (immunoglobulin g): the patient presented with hyperviscosity syndrome on admission. the patient had a bone marrow biopsy on which revealed plasma cell leukemia. in the intensive care unit, the patient was treated with decadron for four days, allopurinol, and g-csf. on transfer to the oncology floor, the patient was given pamidronate. a skeletal survey was negative for fractures, except for compression fractures of t12, l1, and l3. the patient was treated with a cvad protocol (cyclophosphamide, vincristine, adriamycin, and decadron). the patient was discharged from the hospital on g-csf. the patient was to follow up with dr. in clinic for further treatment. the patient initially presented with a lactate dehydrogenase above 1000, and prior to discharge this level had trended downward to less than 200. 3. acute renal failure issues: the patient's renal failure resolved prior to transfer from the intensive care unit with intravenous fluids. 4. hyponatremia issues: while on the oncology floor, the patient had hyponatremia with a low of 125 without symptoms. the patient was treated with fluid restriction and lasix. 5. pneumococcal bacteremia issues: the patient was started on ceftriaxone in the intensive care unit on . this was continued through the day of discharge; totalling twelve days of treatment. the patient was also treated with antibiotics for one day at the outside hospital. discharge status: the patient was to be discharged to home with hickman catheter home care. condition at discharge: condition on discharge was stable; tolerating a by mouth diet; with blood cultures no growth to date. discharge diagnoses: 1. streptococcal pneumonia. 2. streptococcal bacteremia. 3. plasma cell leukemia; status post chemotherapy. 4. acute renal failure. 5. hyponatremia. medications on discharge: the patient was discharged on g-csf. discharge instructions/followup: the patient was to follow up with dr. on wednesday, . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified biopsy of bone marrow injection or infusion of cancer chemotherapeutic substance diagnoses: acute kidney failure, unspecified hyposmolality and/or hyponatremia acute respiratory failure pneumococcal pneumonia [streptococcus pneumoniae pneumonia] streptococcal septicemia pathologic fracture of vertebrae plasma cell leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to