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 64-year-old female with a history of non-hodgkin lymphoma (status post autologous bone marrow transplant) who was recently admitted with syncope of unclear etiology who presented with a recurrent syncopal episode. the patient is status post a recent admission on with syncope without a prodrome with a fall and seventh left rib fracture. during that hospitalization, the patient had a 10-beat run of supraventricular tachycardia and bradycardia to the 30s. electrophysiology felt there was no evidence of sinus node dysfunction and recommended atenolol and of hearts monitor. the patient was also started on neurontin for headaches. she has had a recent lumbar puncture and magnetic resonance imaging with no evidence of central nervous system lymphoma. an echocardiogram was unremarkable. the patient was also started on prednisone as an outpatient for questionable temporal arteritis. on the morning of admission, the patient sat up on the edge of her bed and blacked out. she was possibly confused for a few seconds and had bowel incontinence. the patient woke up and went back to bed. thirty minutes later, she stood up and lost consciousness again and found herself on the floor. she again had bowel incontinence. the patient pressed her of hearts monitor button both times. there were no palpitations or shortness of breath, and there were no witnesses to these falls. the patient has had continued headaches for six weeks with a left eye droop, which is now slightly better. the patient denies nausea, vomiting, fevers, chills, constipation, or diarrhea. otherwise, review of systems was negative. past medical history: 1. follicular low-grade lymphoma in secondary to cervical lymphadenopathy. she is status post autologous bone marrow transplant from her brother in . she was initially treated with six cycles of chop with recurrence when diagnosed. the patient then went on to have autologous bone marrow transplant in . the patient was treated with rituximab in for nasopharyngeal recurrence. the patient then went on to have an autologous bone marrow transplant in . the patient had a recent admission to the neurology service in with persistent temporal headaches. her primary oncologist is dr. . 2. hypothyroidism and history of a thyroid nodule. 3. asthma. 4. fibromyalgia. 5. left cataract. 6. chronic headaches. 7. status post cholecystectomy. 8. status post total abdominal hysterectomy with bilateral salpingo-oophorectomy. 9. recent admission in with syncope; ruled out for a myocardial infarction, had a rib fracture, bradycardia, and supraventricular tachycardic episodes with pauses and discharge of of hearts monitor. allergies: aspirin, oxycodone, and codeine (which cause nausea and vomiting). medications on admission: 1. folate 1 mg by mouth once per day. 2. levothyroxine 75 mcg by mouth once per day. 3. gabapentin 300 mg by mouth three times per day. 4. prednisone 10 mg by mouth once per day. 5. atenolol 25 mg by mouth once per day. 6. tylenol no. 3 as needed. social history: the patient is married. she has one son. she lives in with her husband. she is from . negative for alcohol, drug, or tobacco. she does not work. physical examination on presentation: temperature was 99.2 degrees fahrenheit, her pulse was 93, her blood pressure was 136/56, her respiratory rate was 18, and her oxygen saturation was 100% on room air. in general, in no acute distress. alert and oriented times three. the mucous membranes were moist. the patient had left eye ptosis. the neck was supple. there were no carotid bruits. the heart was regular with no murmurs, rubs, or gallops. pulmonary examination revealed the lungs were clear to auscultation. the abdomen was benign. extremities revealed no edema. on neurologic examination, cranial nerves ii through xii were intact. strength was throughout all extremities. reflexes were 2+ throughout. normal finger-to-nose. summary of hospital course by issue/system: 1. syncope issues: upon admission, it was still unclear what was causing the patient's syncope. her syncopal episodes were associated with episodes of bradycardia as well as hypotension. these were without warning and occurred suddenly; most often in the early morning. the patient had two episodes of syncope while resting in bed. these episodes were noted on telemetry. the patient would be bradycardic to the 30s with blood pressures of 60/palpable with spontaneous resumption of her blood pressure to 100/60s without intervention except laying supine. the electrophysiology service saw the patient on admission and performed a tilt table test on . this showed normal sinus node function. no supraventricular tachycardia with a baseline heart rate in the 40s. after 25 minutes on the table at 60 degrees, the patient developed hypotension to the 50s which resolved after returning to the supine position. electrophysiology surmised that the patient's symptoms were likely due to autonomic dysfunction rather than cardiac disease. the patient had a second episode of bradycardia with hypotension on with good mentation. her blood pressure returned to with an intravenous fluid bolus. the patient's atenolol was then discontinued. because the patient had been complaining of persistent left temporal headaches, with worsening over the past days, a magnetic resonance imaging of the neck was obtained which showed a soft tissue mass at the left skull base centered at the jugular foramen. this was thought likely to be a recurrence of the patient's non-hodgkin lymphoma. the left internal carotid artery was anterolaterally displaced on imaging, and it was thought to be causing these syncopal episodes as well as vagal stimulation. on , the patient was transferred to the bone marrow transplant service for further treatment and evaluation of possible lymphoma recurrence. upon arrival to the bone marrow transplant unit, the patient suffered from two to three episodes of hypotension, bradycardia, and near syncope. these episodes were sudden and occurred while the patient laying in bed. the patient had some decreased mentation with difficulty to arouse her. telemetry monitoring showed her heart rate down to the high 20s and low 30s. at this time, the intensive care unit resident was called, and the patient was transferred to the intensive care unit for closer monitoring. it was thought that the mass in the patient's neck had to be biopsied. ear/nose/throat service and neurology service consultations were obtained regarding biopsy. the patient was also seen by radiology/oncology service, as well as neurology service, and neurology/oncology service. the patient was then transferred to the intensive care unit on . 2. soft tissue mass issues: the patient had a biopsy by neurosurgery on on the . after this biopsy, the patient was returned to the intensive care unit for further care. preliminary pathology from the soft tissue mass does show lymphoma; however, it appeared to be different than her previous non-hodgkin lymphoma. it was thought at the time of this dictation that the patient's mass was due to an - virus associated post transplant lymphoproliferative disease. at the time of this dictation, the final pathology was still pending. after one day in the intensive care unit, the patient suffered no more episodes of vagal stimulation and syncope, and she was transferred back to the bone marrow transplant service on for further care. the patient received high-dose decadron while in the intensive care unit with resolution of her headache. this was discontinued upon transfer to the bone marrow transplant service, and she was given a one time dose of rituxan. the patient tolerated this well and was planned for weekly rituxan treatment. however, after two days on the bone marrow transplant service the patient's headache began to worsen again. the patient was restarted on decadron and then switched to prednisone 20 mg by mouth once per day. the patient had some improvement, but she suffered from mild headaches which are relieved with fioricet and morphine sulfate immediate release tablets. due to the persistence of the patient's headaches, the radiology/oncology service was again consulted regarding further treatment of this mass. it was planned to start daily irradiation for one month at the patient's closest radiation facility in . this will start on tuesday, . this has been set up by the radiology/oncology team here at the . the patient will likely continue weekly rituxan while obtaining radiation therapy. all decisions regarding treatment will be made by the patient's primary oncologist (who is dr. ). the patient will continue on decadron 8 mg by mouth twice per day as well upon discharge. we await the final pathology of the mass. 3. vagal episode issues: it was thought that the patient's vagal episodes were due to impingement on the carotid sinus by this mass in the patient's neck. the neurology service suggested starting medications propantheline and midodrine to offset vagal stimulation. these were started with good effect, and the patient was to be discharged on these medications. she was to follow up with dr. in neurology/oncology upon discharge. after episode on , the patient had no further episodes of hypotension or bradycardia. she was kept on telemetry during her hospital stay and maintained heart rates in the 80s and blood pressures at 120s/60s. 4. hypothyroidism issues: the patient was continued on her home dose of levothyroxine. a thyroid-stimulating hormone was checked during this admission and was 2.3; so there were no changes to her medications. 5. pain control issues: the patient's headaches were to be controlled with morphine sulfate immediate release. the patient will not be discharged on fioricet as this was thought to be causing withdrawal headaches. she has adverse reactions to codeine and oxycodone, but she is able to take the morphine. she will also continue on the steroids as explained above. discharge diagnoses: 1. non-hodgkin lymphoma. 2. jugular foramen mass on the left. 3. resolved syncope and bradycardia. 4. hypothyroidism. 5. fibromyalgia. 6. headaches. 7. asthma. medications on discharge: 1. propantheline 15 mg by mouth q.6h. 2. gabapentin 300 mg by mouth three times per day (for headaches). 3. levothyroxine 75 mcg by mouth every day. 4. folate 1 mg by mouth once per day. 5. midodrine 5 mg by mouth three times per day. 6. colace. 7. decadron 8 mg by mouth twice per day. 8. ativan as needed (for nausea). 9. morphine sulfate immediate release 15-mg tablets by mouth q.4-6h. as needed (for headaches). 10. rituxan weekly. 11. milk of magnesia as needed (for constipation). 12. fluconazole 100 mg by mouth once per day (for prophylaxis). discharge instructions/followup: 1. the patient was instructed to follow up with dr. in neurology on . 2. the patient was instructed to follow up with dr. in oncology on . 3. the patient was set to begin radiation in in tuesday, . 4. prior to discharge, a disk was made with the patient's magnetic resonance imaging loaded. the patient was to take this disk out prior to discharge to discharge on four. discharge disposition: the patient was to be discharged to home with her husband with no services requested. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified catheter based invasive electrophysiologic testing systemic arterial pressure monitoring open biopsy of soft tissue other mastoidectomy other nonoperative cardiac and vascular measurements diagnoses: unspecified acquired hypothyroidism asthma, unspecified type, unspecified complications of transplanted bone marrow headache syncope and collapse myalgia and myositis, unspecified other malignant lymphomas, lymph nodes of head, face, and neck 

Answer: The patient is high likely exposed to