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: mr. is a 44-year-old gentlemen who was diagnosed with chromosome positive acute lymphocytic leukemia in and who was admitted on with rsv infection/pneumonia. the patient has been treated by dr. since his diagnosis. initially he was treated with hyper cvad and went into initial remission. the patient was then placed on gleevec from through . however, the patient subsequently relapsed and was put back on a cycle of hyper cvad. in , the patient's counts rose dramatically and he was treated with ifosfamide on vp16 protocol. the patient was scheduled to be admitted for an allogenic bone marrow transplant on , but he developed rsv infection. nasal washing tken at that time were positive for rsv- da. on , the patient received his tetanus, pneumovax and flu shot in the left deltoid in the infectious disease clinic. on , the patient was admitted for a matched unrelated donor allogenic bone marrow transplant. day zero was . the patient's course was complicated by febrile neutropenia with no positive blood cultures and by a rash thought to be gvhd. the patient was therefore started on prednisone at 40 mg po q.d. the patient was discharged from the bone marrow transplant unit on . the patient presented to clinic on with rhinorrhea. nasal aspirates were sent for rsv-da. the patient returned to clinic on for a hematocrit check and at that time was still complaining of rhinorrhea. rsv antigens came back positive and the patient was admitted to the intensive care unit for ribavirin and monoclonal immunoglobulin treatments. prior to his transfer to the intensive care unit, the patient received polyclonal immunoglobulins in the outpatient setting. while in the intensive care unit, the patient received five days of ribavirin 2 grams inhaled three times a day. his last dose was received on . the patient also received monoclonal ivig. chest ct showed no residual pneumonia. his course was complicated by a fever of 101.8 on . the patient was started on cefepime for fever and functional neutropenia. the patient was continued on cyclosporin and prednisone, and was transfused to maintain a hematocrit of 25. the patient continued on total peripheral nutrition and tolerated a diet. the patient was transferred to the bone marrow transplant floor on . past medical history: 1. chromosome positive all. 2. partially occluded deep vein thrombosis in the distal left subclavian vein, diagnosed . allergies: penicillin causes rash and hives. medications on transfer: 1. acyclovir 400 mg po q. 8. 2. fluconazole 200 mg po q.d. 3. ursodiol 300 mg po q.d. 4. prednisone 40 mg po q.d. 5. cefepime 2 grams intravenous q. 8. 6. regular insulin sliding scale. 7. cyclosporin 192 mg intravenous continuous infusion. 8. zofran 4 mg intravenous q. 6. 9. ativan prn. 10. acetaminophen prn. 11. diphenhydramine prn. social history: the patient is married with two children. he lives in , . he is employed in the family construction business. he has no history of tobacco or drug use. the patient was previously a social drinker, but has not had any alcohol since . family history: father died in following a cerebral vascular accident. the patient's mother had a pacemaker placed last year. the patient has six sibling who are not matches. the patient denies any current fever or chills. he has a cough, which is improved, and which is productive of clear sputum. he has continued clear rhinorrhea. he denies any shortness of breath. physical exam on admission: temperature 98.6. heart rate 74-82. blood pressure 132/70. respiratory rate 20. oxygen saturation 94-95% on room air. in general, the patient is an ill-appearing fatigued male in no acute distress, breathing comfortably on room air. head, eyes, ears, nose and throat: there is mucositis, thrush or erythema. there is clear rhinorrhea. lungs: slight crackles at the left base, otherwise, clear to auscultation bilaterally. cardiovascular: regular without murmurs, rubs or gallops. abdomen: soft, nontender and nondistended. extremities: there is no edema present. laboratories: white blood cell count 2.9, hematocrit 26.5, platelet count 34,000. sodium 137, potassium 4.8, chloride 108, bicarbonate 26, bun 31, creatinine 0.7, glucose 209, calcium 8.4, magnesium 2.0, phosphorus 2.5, alt 131, ast 48, alkaline phosphatase 50, total bilirubin 0.9. microbiology blood cultures drawn showed no growth to date. sputum shows no growth to date. hospital course: 1. all: the patient is day plus 40, status post an allogeneic matched unrelated donor bone marrow transplant. he has engrafted well. he is currently on prednisone 40 mg q.d. for graft versus host disease treatment for his grade 1 skin gvh. he is also on cyclosporin continuous infusion for his gvh prophylaxis. during the hospital stay, his cyclosporin levels were titrated. initially they was thought to decrease his prednisone, however, the patient developed diarrhea, though very small volume. there was concern that the diarrhea represented graft versus host disease and the patient was started on enterocort. however, the volumes were extremely small representing about 30-100 cc per day. therefore, it was not thought that this represented graft versus host disease, however, the prednisone was not tapered. 2. rsv: the patient completed five days of ribavirin and ivig. his oxygenation on room air was normal and his breathing was comfortable. repeat ct scan showed no evidence of pneumonia. the patient had been cefepime for neutropenic fever. he received a total of four days of cefepime and it was then discontinued as blood cultures were negative. the patient did not have any recurrent fevers, off of the cefepime. he remained on prophylactic dose acyclovir and fluconazole. 3. elevated lfts: the patient's elevated lfts are thought to be due to liver graft versus host disease. they did continue to improve during his hospital stay. it is possible that the elevation in liver function tests was due to fluconazole, therefore, the patient's dose was decreased to 200 q.d. with improvement in his liver function tests. his total bilirubin on discharge from this hospital was 1.3. 4. nutrition: the patient was unable to tolerate a normal diet. he had only small amounts of oral intake. he was therefore continued on total peripheral nutrition. discharge status: to the bmt apartments with vna. discharge condition: stable. discharge medications: 1. prednisone 40 mg po q.d. 2. acyclovir 400 mg po t.i.d. 3. ursodial 300 mg po q.d. 4. cyclosporin 168 mg continuous infusion q.d. (the patient's dose was decreased due to elevated cyclosporin levels drawn the day of discharge). 5. enterocort 3 mg, 1 po q.d. 6. tpn. 7. protonix 40 mg, 1 po q.d. 8. hickman line care. final diagnoses: 1. acute lymphocytic leukemia after matched unrelated donor allogenic bone marrow transplant. 2. rsv respiratory infection, status post ribavirin, synergist and palivuzinad. follow-up: the patient is to follow-up in the clinic on with and dr. . dr., 12-ahk dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances transfusion of packed cells transfusion of platelets diagnoses: thrombocytopenia, unspecified bone marrow replaced by transplant personal history of venous thrombosis and embolism acute lymphoid leukemia, without mention of having achieved remission respiratory syncytial virus (rsv) other diseases of respiratory system, not elsewhere classified cramp of limb 

Answer: The patient is high likely exposed to