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: cytarabine attending: chief complaint: dizziness major surgical or invasive procedure: none history of present illness: 78 yo cantonese speaking male started noticing dizziness about 5 days ago. he felt a room spinning sensation with both standing up and change in head position. he did not have any tinnitus, hearing loss, ear pain or drainage, headache, visual changes, focal neurological changes. he denies fevers, chills, congestion, cough. he took a chinese herbal tea called "small box tea" day before yesterday and then went to see his pcp . his pcp drew some labs and he was found to have neutropenia and anemia and pt was asked to see pcp again today. over the last 2 days, his dizziness had been improving and currently he does not have any dizziness anymore. other than the herbal tea, he denies ingesting any other over the counter or herbal medications. he does not get medications from anyone other that his pcp and has been on the same medications for years other than recent dizziness he has not fallen ill in the last few months, he does not have any sick contacts and has not had any foreign travel. he denies easy bruising or bleeding he denies chest pain, shortness of breath, cough, nausea/vomiting/diarrhea, deneis urinary symptoms ros: -constitutional: wnl weight loss fatigue/malaise fever chills/rigors nightweats anorexia -eyes: wnl blurry vision diplopia loss of vision photophobia -ent: wnl dry mouth oral ulcers bleeding gums/nose tinnitus sinus pain sore throat -cardiac: wnl chest pain palpitations le edema orthopnea/pnd doe -respiratory: wnl sob pleuritic pain hemoptysis cough -gastrointestinal: wnl nausea vomiting abdominal pain abdominal swelling diarrhea constipation hematemesis hematochezia melena -heme/lymph: wnl bleeding bruising lymphadenopathy -gu: wnl incontinence/retention dysuria hematuria discharge menorrhagia -skin: wnl rash pruritus -endocrine: wnl change in skin/hair loss of energy heat/cold intolerance -musculoskeletal: wnl myalgias arthralgias back pain -neurological: wnl numbness of extremities weakness of extremities parasthesias dizziness/lightheaded vertigo confusion headache -psychiatric: wnl depression suicidal ideation -allergy/immunological: wnl seasonal allergies . past medical history: 1. diabetes mellitus social history: lives with wife. married for 30+ years. denies smoking, alcohol or drug use history ever. denies hx of blood transfusion. does not have intercourse with anyone other than wife. family history: no one in family has hx of cancer/blood disorders physical exam: physical exam: appearance: nad vitals: t:98.4 bp:103/64 hr:93 rr: 16 o2:99 % ra eyes: eomi, perrl, conjunctiva clear, anicteric, ent: moist neck: no jvd, no lad cardiovascular: rrr, nl s1/s2, no m/r/g respiratory: cta bilaterally, comfortable, no wheezing, no ronchi, no rales gastrointestinal: soft, non-tender, non-distended, normal bowel sounds musculoskeletal/extremities: no clubbing, no cyanosis, no joint swelling, no edema in the bilateral extremities neurological: alert and oriented x3, fluent speech, no pronator drift, no asterixis, sensation wnl, cnii-xii intact integument: warm, no rash, no ulcer psychiatric: appropriate, pleasant hematological/lymphatic: no cervical, supraclavicular, axillary, or inguinal lymphadenopathy gu: no cvat pertinent results: 10:50am wbc-0.9* rbc-2.78* hgb-9.6* hct-27.1* mcv-97 mch-34.7* mchc-35.6* rdw-15.6* 10:50am neuts-10* bands-0 lymphs-80* monos-10 eos-0 basos-0 atyps-0 metas-0 myelos-0 10:50am urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:33am urea n-16 creat-0.7 sodium-133 potassium-4.3 chloride-97 total co2-27 anion gap-13 09:33am tsh-0.90 brief hospital course: ap: 78 yo chinese male w pmhx of t2dm presents with 4-5 day hx of dizziness which is now resolved and found to have neutropenia and anemia and aml. #. leukemia: patient presented with neutropenia and anemia. found to have aml. started on 7+3. course complicated by stridor and icu stay (see below). patient recovered and continued his chemo course without complication. his counts dropped as expected and he developed severe abdominal pain and fevers (discussed below). eventually his counts recovered and he did well. he was noted to have some atypical cells in his peripheral smear. he never had a day 14 bm biopsy because of his clinical deterioration during that time. he will follow up with dr. and they can discuss future treatments. . #. t2dm: holding outpatient oral regemin and treating with lantus at night and sliding scale. patient had increased inslulin requirements while on steroids. then he had pretty well controlled diabetes until the week prior to discharge when he started having pretty severe hyperglycemia. was consulted and his lantus and sldiding scale were changed. he was not on insulin prior to admission, and so he needed insulin teaching and was hooked into the clinic as an outpatient. he and his wife and children were doing well with insulin teaching. . # febrile neutropenia / fungemia - while patient was having fevers during his nadir, he had a positive blood cutlure growing . id was consulted and the patient had an echo and eye exam, both of which were normal. he was started on micafungin and stopped having fevers. eventually when he had elevated lfts, we switched his micafungin to anidlofungin per id recs. during this time, he was having severe abdominal pain, so with worries for hepatosleno candidemia, we did an mri that did not show any involvement. his abdominal pain improved, but he contined to have elevated lfts despite switching antifungals. he also was hyperglycemic and tachycardic which would lead more to continued infection. we thought he should have an extended course of the anidlofungin and was discharged home on it with id follow up prior to the end of his course. . # elevated lfts - after having fungemia, he had elevated lfts which were thought to likely be due to med effect v. hepatospleno candidemia. his mri was negative, but he continued to have clinical signs of infection (although never spiked another fever once on antifungals). liver was consulted, and his lfts started trending down so it was decided that a biopsy was not needed. by time of discharge, they continued to be trending downward. will follow up as outpatient. . # abdominal pain - while patient was in his nadir of his counts, he developed severe abdominal pain, which caused him to stop eating. he was placed on tpn because of his poor po intake. he had two ct scans that did not show any bowel infection or typhlitis. it did show severe constipation. he was treated for his constipation and his symptoms improved. when his counts recovered, he no longer had abdominal pain and was eating very very well by the time of discharge. . # enterococcus uti: diagnosed from urine culture in the ed and treated with cefepime. patient was spiking fevers after that which were attributed to leukemia but as he was neutropenic he was continued on a course of vancomycin and cefepime for neutropenic fevers until his count recovers. he had second fevers while on vanco/cefepime and found to have fungemia (as discussed above). . # stridor/respiratory distress: the patient was started on chemotherapy on . he was given cytarabine and idarubicin. after his first dose, he developed acute respiratory distress, with tachypnea and audible stridor. he was presumed to have an anaphylactic reaction to his chemotherapy, and was given solumedrol 125mg iv x1, benadryl 25mg iv x1, inhaled racemic epinephrine, and epinephrine .3mg im x1. his respiratory distress did not subside, and he was transferred to the emergently for intubation. anesthesia intubated the patient without complications, and did not observe swollen or edemetous trachea or vocal cords. his vitals at this time were temp 103.0, bp 180/100, hr 160. he was transported to the icu and intubated for airway protection. it could not be determined if he actually had a reaction to the chemo or a transfusion reaction. he was restarted on the chemo while getting iv steroids. he was premedicated for all blood products. his blood was sent for a transfusion reaction but none could be identified. he had no other respiratory symptoms except one day of wheezing which was likely due to fluid overload and disappeared after being diuresed. # gluteal hematoma: patient had a traumatic bone marrow biopsy complicated by a gluteal hematoma. this eventually extended down his thigh and was likely the cause of a hematocrit drop. there was no evidence of compartment syndrome and he was transfused. he improved with supportive care. by time of discharge, the bruising and discoloration was gone and he had no pain. medications on admission: 1. doxazosin 2mg qhs 2. aspirin 325mg qd 3. metformin 1000mg 4. glipizide 10mg 5. lisinopril 10mg qd discharge medications: 1. doxazosin 4 mg tablet sig: 0.5 tablet po hs (at bedtime). disp:*15 tablet(s)* refills:*2* 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed: take for constipation. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. anidulafungin 100 mg recon soln sig: one (1) recon soln intravenous daily () for 11 days. disp:*11 recon soln(s)* refills:*0* 5. saline flush 0.9 % syringe sig: one (1) flush injection twice a day for 30 days. disp:*60 syringes* refills:*0* 6. lamivudine 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lantus 100 unit/ml solution sig: 16 u in am, 30 u in pm units subcutaneous qam and qpm. disp:*10 ml* refills:*2* 8. insulin syringes (disposable) 1 ml syringe sig: one (1) syringe miscellaneous twice a day. disp:*120 syringes* refills:*2* 9. ultra thin lancets misc sig: one (1) lancet miscellaneous four times a day. disp:*120 lancets* refills:*2* 10. blood glucose test strip sig: one (1) strip in four times a day. disp:*120 strips* refills:*2* 11. insulin regular human 100 unit/ml solution sig: as directed by sliding scale unit injection four times a day. disp:*10 ml* refills:*2* discharge disposition: home with service facility: critical care systems discharge diagnosis: final diagnosis: 1. neutropenia/anemia 2. aml 3. diabetes 4. fungemia 5. hepatospleno candidasis discharge condition: stable, walking around with walker, feeling well discharge instructions: you were admited because your primary care doctor found some of your blood levels to be low. you were worked up and found to have leukemia. you started chemotherapy. right when you started you had a bad reaction to either some blood or the chemo. it required you to go to the intensive care unit and be intubated. you were extubated and restarted your chemotherapy without any issues. you were given medications to prevent another reaction with blood. . while your white count was low, you got an infection with (a type of yeast/fungus). you were very sick and had a lot of abdominal pain during this time, too. we treated you with antibiotics. you will need to continue receiving the anti-fungal at home through your picc line, with the help of a home nurse. . we also did several ct and mri scans to look at your abdomen. we think your pain was mostly from constipation. you should continue to make sure you are having bowel movements at home and call or take stool softeners if you have not had one in over 2 days. you also likely had the fungus infection in your liver. we followed your liver function tests in your blood and they have started going towards normal. you will need to continue getting iv antibiotics for the next two weeks. . please return to the hospital for any fevers, chills, redness or pain around your picc line, chest pain, shortness of breath, abdominal pain, worsening diarrhea, constipation or any other concerns. please follow up as listed below. followup instructions: please follow up with dr. on thursday at 11:00 am in 7 to discuss the future aml treatment. please follow up with dr. in infectious disease next tues at 2pm in 7 (where you see dr. to determine whether or not you will need to continue your antibiotics. please follow up at in the asian clinic with on at 1:30 pm. will be contacting you if there is a cancellation for you to see them earlier. please make sure to call your opthamologist and make a follow up appointment at some point in the near future. they will help you set up this appointment when you see the diabetes doctor . please follow up with your primary care doctor dr. at phone number . call to make an appointment for sometime in the next month. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube biopsy of bone marrow injection or infusion of cancer chemotherapeutic substance removal of other device from thorax diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified urinary tract infection, site not specified unspecified essential hypertension hematoma complicating a procedure other b-complex deficiencies constipation, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use other specified disorders of biliary tract diarrhea streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] hypovolemia accidents occurring in residential institution drug induced neutropenia viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy other and unspecified mycoses anemia in neoplastic disease acute myeloid leukemia, without mention of having achieved remission other anaphylactic reaction encounter for antineoplastic chemotherapy 

Answer: The patient is high likely exposed to