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: no known allergies / adverse drug reactions attending: chief complaint: low platelets major surgical or invasive procedure: none history of present illness: hospitalist admit note (transfer from icu) ms. is a 71 year-old woman with gliobastoma multiforme and hypertension. patient was diagnosed with gliobastoma multiforme on ; she started radiation therapy and temodar on and is to complete therapy on . she was being treated with dexamethasone, which was recently decreased from 6 mg to 4 mg daily. she returned to the brain tumor clinic yesterday for a follow-up visit. she had no complaints during her visit except chronic left sided weakness. blood draw showed platelet count of 7k and wbc of 0.7. she was sent to the ed for transfusion. . in the ed inital vitals were, t:98 p:91 bp:80/55 r:16 o2 sat 96%. her lactate was noted to be 3.4. blood cultures were sent and she was given cefepime, vancomycin and 10mg dexamthasone along with 4 bags of platelets and 1l ns. sbps recovered into the 100's prior to transfer to the icu. . in the icu, she was given additional ivf, and her blood pressure stabilized. she did not require pressors. platelet count increased to the 40s after transfusion. she had no complaints. neuro-oncology was consulted. cefepime was continued, though she was afebrile, without localizing symptoms, and no notable findings on blood cultures, ua/urine culture, or cxr as of yet. neupogen was started. temodar was held. upon transfer to the today, she still has no complaints. she denies recent fevers or chills. no recent shortness of breath, cough, sore throat, or uri symptoms. denies headaches or myalgias. no abdominal pain, nausea, vomiting, or diarrhea. no dysuria. no blood in stool or in urine. does note some mild bleeding of gums with brushing. has had decreased po intake recently to attempt to decrease the amount she urinates due to difficulty getting on bedpan at rehab. . review of systems: (+) per hpi (-) denies fever or chills. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. past medical history: -gbm - progressive left sided weakness - brain ct showed right large heterogeneous nodular mass with peripheral enhancement and central necrosis ct guided brain stereostatic biopsy pathology showed gliobastoma multiforme started radiation therapy (800 cgy of 6000 cgy) and temodar . -hypertension -dyslipidemia -hysterectomy, -tonsillectomy -appendicectomy. social history: has been in she used to live alone and independent with activities of daily living. she is currently in rehab. - tobacco: denies - alcohol: denies - illicits: denies family history: her father had liver cancer, otherwise no history of cancer. physical exam: physical exam: vitals: 98.0 68 118/73 68 16 97% ra general: comfortable, pleasant, pale, appears chronically (but not acutely) ill heent: sclera anicteric, pale conjunctivae, mmm, scattered white macules over buccal mucosa. no ulcers noted. pupils equal. neck: supple, no lad lungs: good air movement, no crackles or wheezes cv: regular rate and rhythm, soft s1/s2, no murmur abdomen: soft, non-tender, non-distended, bowel sounds present ext: warm, 2+ dp pulses, no edema; wearing pneumatic boots neuro: alert, oriented x3 ("", ""). cns intact, except for diminished ability to elevate l shoulder. motor: diminished strength in lue and lle as compared to rue and rle. normal sensation to light touch. normal finger-nose-finger with right arm (unable to do with left arm). pertinent results: admission labs 02:45am blood wbc-0.4*# rbc-3.00*# hgb-9.3*# hct-26.8*# mcv-89 mch-31.1 mchc-34.8 rdw-14.3 plt ct-5*# 02:45am blood neuts-5* bands-0 lymphs-95* monos-0 eos-0 baso-0 atyps-0 metas-0 myelos-0 02:45am blood pt-11.0 ptt-22.3 inr(pt)-0.9 01:29pm blood gran ct-84* 02:45am blood glucose-143* urean-33* creat-0.6 na-139 k-4.4 cl-107 hco3-22 angap-14 04:44am blood alt-24 ast-17 ld(ldh)-173 alkphos-41 totbili-0.6 02:45am blood calcium-8.1* phos-3.2 mg-1.9 micro: urine and blood cultures pending imaging: cxr (): no acute process latest labs 09:00am blood wbc-0.6* rbc-3.25* hgb-9.9* hct-27.7* mcv-85 mch-30.4 mchc-35.8* rdw-14.5 plt ct-30* 09:00am blood neuts-0 bands-0 lymphs-99* monos-1* eos-0 baso-0 atyps-0 metas-0 myelos-0 09:00am blood gran ct-0* 09:00am blood glucose-86 urean-19 creat-0.4 na-135 k-3.5 cl-103 hco3-24 angap-12 brief hospital course: . 71f with glioblastoma multiforme, on temozolomide and xrt, referred from clinic to the ed on because of thrombocytopenia and neutropenia, found to be hypotensive (bp 80s), and sent to icu. bp stabilized in the icu after ivf and transfusions, and she was transferred to the on . she remained asymptomatic throughout this hospitalization. . -glioblastoma multiforme: with lue and lle weakness -hypotension -neutropenia, drug-induced -thrombocytopenia -anemia -oral thrush -h/o hypertension, benign . despite relative hypotension (bp in 80s), she was asymptomatic. her bp improved after ivf and platelet transfusion. she was admitted to the icu, but did not require pressors. she was transferred out of the icu the following day. . possible etiologies of her hypotension included volume depletion, adrenal insufficiency (dose of dexamethasone had recently been decreased from 6 mg to 4 mg daily), and infection/sepsis. . she was seen by neuro-oncology, who felt that the decline in her cell counts was due to temozolomide. . she was treated empirically with iv cefepime. however, she remained afebrile throughout this hospitalization (>48h), cultures were negative, cxr showed no sign of pneumonia, and cefepime was discontinued on . . she is neutropenic (anc 0 at the time of discharge), but afebrile, and without localizing sign of infection. temozolomide was held. filgrastim was started. neuro-oncology recommends continuing filgrastim until her total wbc count is >4000. would continue to monitor cell counts, with goal hct 21 and goal platelet count 10k. . she received a total of 6 units of platelets, and 1 unit prbc. . she initially received 10 mg of dexamethasone upon admission. neuro-oncology recommended decreasing the dose to 8 mg the following day, and then to 6 mg daiy starting . she should continue at a dose of 6 mg daily. prior to this admission, her dose had been decreased from 6 mg to 4 mg. would monitor for signs of adrenal insufficiency. . bactrim (for pcp ) and mvi/vitamin d were started. she is already on ppi. . keppra was continued for seizure prophylaxis. . nifedipine was held given relative hypotension. she had been taking 30 mg daily (extended-release). . she received her last radiation treatment on . . she was treated with oral nystatin for thrush. . her son was updated throughout this admission. medications on admission: dexamethasone - (prescribed by other provider) - 4 mg tablet - 1 (one) tablet(s) by mouth 1 tab am, tab pm start dexamethasone - 0.5 mg tablet - 1 tablet(s) by mouth see instructions take 1 tab daily times 5 days, then 1 tab every other day times 5 days and stop. - no substitution levetiracetam - (prescribed by other provider) - 500 mg tablet - 1 tablet(s) by mouth twice a day nifedipine - (prescribed by other provider) - 30 mg tablet extended rel 24 hr - 1 tablet(s) by mouth once a day omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 (one) capsule(s) by mouth once a day pravastatin - (prescribed by other provider) - 80 mg tablet - 1 tablet(s) by mouth once a day prochlorperazine maleate - 10 mg tablet - 1 tablet(s) by mouth daily x 3 days as needed for then as needed take one hour before chemotherapy temozolomide - 100 mg capsule - 1 capsule(s) by mouth daily x 45 days patient takes total of 110 mg daily x 45 days temozolomide - 5 mg capsule - 2 capsule(s) by mouth daily x 45 days patient takes total of 110 mg daily x 45 days . medications - otc magnesium hydroxide - (prescribed by other provider) - dosage uncertain sennosides - (prescribed by other provider) - 8.6 mg tablet - 2 tablet(s) by mouth at bedtime discharge medications: 1. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 2. pravastatin 20 mg tablet sig: four (4) tablet po daily (daily). 3. filgrastim 300 mcg/ml solution sig: three hundred (300) mcg injection q24h (every 24 hours): until total wbc>4000. disp:*30 doses* refills:*0* 4. nystatin 100,000 unit/ml suspension sig: five (5) ml po tid (3 times a day) for 90 doses. disp:*90 doses* refills:*0* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 8. polyethylene glycol 3350 17 gram/dose powder sig: seventeen (17) grams po daily (daily). 9. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. 10. dexamethasone 6 mg tablet sig: six (6) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po mwf (monday-wednesday-friday). disp:*30 tablet(s)* refills:*0* 12. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 13. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: extended care facility: rehab discharge diagnosis: glioblastoma multiforme neutropenia, drug-induced anemia thrombocytopenia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: ms. , you were admitted because of low platelet count, and low blood pressure. your blood pressure improved with ivf fluids. your platelet count increased after transfusion. you have neutropenia (low white blood cell count), which reduces your body's ability to fight infection. you should continue getting the medicine neupogen (filgrastim), which will help to improve your white blood cell count. signs of infection may include fever, cough, shortness of breath, pain or frequency with urination, diarrhea, or abdominal pain. if you develop fever, chills, cough, shortness of breath, abdominal pain, diarrhea, changes in urination (pain, frequency), bleeding, or any other concerning symptoms, please contact one of your doctors, or consider returning to the emergency department. you have an appointment for a brain mri scan on monday at 9:15am, followed by an appointment with dr. of neuro-oncology the same day at 10:30am. followup instructions: department: radiology when: monday at 9:15 am with: radiology mri building: campus: east best parking: garage department: neurology when: monday at 10:30 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: other radiotherapeutic procedure diagnoses: other convulsions candidiasis of mouth other and unspecified hyperlipidemia hypotension, unspecified antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use drug induced neutropenia benign essential hypertension malignant neoplasm of cerebrum, except lobes and ventricles other pancytopenia 

Answer: The patient is high likely exposed to