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: sulfa (sulfonamides) / ativan / ceftriaxone attending: chief complaint: fever, new-onset rash major surgical or invasive procedure: lumbar puncture history of present illness: 63 yof with history of cad who was admitted to the in for fevers to 103 and new onset rash that was concerning for sweet's syndrome. of note, patient had been hospitalized from for new onset of diplopia, cn 6 palsy, and spastic paraperesis of unknown etiology. an lp had demonstrated few wbcs and the patient was treated with a course of steroids and ceftriaxone for presumptive lyme disease which he completed on . the patient then noticed the development of a papular, mildly pruritic rash one week prior to admission that originally began on his thighs but soon spread to his trunk and upper extremities. he also deceloped fevers to 103 and was taken to as osh on . at the osh he was found to be neutropenic (wbc 3.6, 10%pmns) and he was started on ceftriaxone and acylcovir which was switched to imipenem, acyclovir, and vancomycin and he was transferred to for further management. past medical history: - htn - hypercholesterolemia - cad s/p mi s/p angioplasty, had stents - kidney stones removed social history: lives with wife, retired corrections officer; tob ppd x 25yrs, no etoh, no drugs. has seen chiropractor for back, neck in past, though no hx injuries to either. family history: niece died of lupus, uncle had cancer (unknown type, elderly), father d. brain hemorrhage (elderly). no other strokes, sz, neuro d/o incl ms, mg, no blood/clotting d/o, and no other autoimmune d/o. physical exam: vs: t 99.6 bp 145/72 hr 93 rr 17 o2sat 99%ra general: pleasant, comfortable, in no acute distress heent: anicteric, mmm, op without lesions neck: supple, no jvd heart: rrr, no m/r/g lungs: ctab abdomen: +bs, soft, ntnd, no hsm extremities: no c/c/e skin: multiple 0.5-1 erythematous/violaceous pustular and papular lesions/erosions worst on thighs, also on lower legs, upper extremities, chest and trunk with relative sparing of face and back neurologic: aaox3. cn ii-xii intact. 5/5 strength bue/le. sensation intact throughout. patellar and biceps reflexes. finger-to-nose intact. pertinent results: initial results on admission: 01:33am wbc-3.8*# rbc-3.65* hgb-11.5* hct-32.1* mcv-88 mch-31.6 mchc-35.9* rdw-13.8 01:33am plt count-220 01:33am neuts-10* bands-1 lymphs-48* monos-28* eos-4 basos-0 atyps-4* metas-3* myelos-2* nuc rbcs-2* 01:33am pt-14.7* ptt-28.6 inr(pt)-1.3* 01:33am ret aut-3.5* 01:33am glucose-177* urea n-12 creat-1.1 sodium-137 potassium-3.5 chloride-100 total co2-25 anion gap-16 01:33am albumin-3.7 calcium-8.4 phosphate-2.9 magnesium-1.3* 01:33am vit b12-542 folate-13.0 haptoglob-248* 05:59pm urine color-amber appear-clear sp -1.020 05:59pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-15 bilirubin-sm urobilngn-8* ph-5.0 leuk-sm 05:59pm urine rbc-28* wbc-0 bacteria-few yeast-none epi-<1 05:59pm urine mucous-rare. . biopsy skin, left forearm : . marked papillary dermal edema and dermal eosinophilic infiltrate (see note). note: a neutrophilic infiltrate is not seen, arguing against a diagnosis of sweet's syndrome. the presence of numerous dermal eosinophils raises the possibility of well's syndrome. additional diagnostic considerations include a bullous drug/hypersensitivity reaction or, less likely, an immunobullous disorder such as bullous pemphigoid. dr. notified of diagnosis on . . wound culture : mrsa . biopsy skin, left calf, punch biopsy : . intraepidermal pustules, subepidermal edema, and dermal eosinophilic infiltrate. note: a few clusters of bacteria are seen within the pustule and likely represent surface 'colonization'. the presence of an intraepidermal pustule raises the possibility of sweet's syndrome with eosinophils, a histologic variant that has been noted by some authors in the literature. dr. notified on . . ct abd w&w/o c impression: 1. multiple brightly enhancing but nonpathologic inguinal lymph nodes. no pathologic adenopathy in the abdomen or pelvis. 2. diverticulosis. 3. multiple small hypodense liver lesions, too small to characterize. 4. 5mm nodular opacity left lower lobe, likely atelectasis. if there is high suspicion, a one-year follow-up can be performed to ascertain resolution/stability. . csf total protein, csf 34 mg/dl 15 - 45 performed at west stat lab glucose, csf 89 mg/dl performed at west stat lab gram stain negative cytology sent . chest (pa & lat) impression: pa and lateral chest compared to : lungs are clear. heart is normal size. there is no pleural abnormality or change in hilar or mediastinal contours to suggest progressive adenopathy. lateral view shows moderate degenerative change in the mid and lower thoracic spine. . results on discharge: 06:58am blood wbc-11.6* rbc-3.52* hgb-11.2* hct-31.2* mcv-89 mch-31.8 mchc-35.9* rdw-14.7 plt ct-366 06:58am blood neuts-45* bands-2 lymphs-26 monos-17* eos-5* baso-0 atyps-3* metas-2* myelos-0 06:58am blood hypochr-normal anisocy-2+ poiklo-normal macrocy-occasional microcy-2+ polychr-1+ 06:58am blood plt smr-normal plt ct-366 06:58am blood glucose-112* urean-9 creat-0.9 na-141 k-4.1 cl-104 hco3-28 angap-13 06:58am blood mg-1.8 brief hospital course: a/p: 63yom with history of cad admitted to the for neutropenic fevers 103 and new onset rash. transferred to floor . . 1. rash. described above. the etiology of the rash remains unknown. dermatology, neurology, and infectious disease were consulted during this hospitalization. the patient was treated with vancomycin and acyclovir early in the hospitalization; both medications were discontinued prior to discharge. dermatology felt that while the biopsy and clinial presentation were not pathomneumonic, the case likely represented an atypical eosinophilic presentation of sweet's syndrome. most likely, the presentation was secondary to sweet's syndrome in the setting of previous infection, most likely viral or lyme; lyme titers sent on previous hospitalization were negative and repeat lyme titers were sent on this hospitalization and were pending upon discharge. because of the association between sweet's syndrome and malignancy, a ct abdomen was performed, which was negative as above. csf was sent for cytology, which was pending at the time of discharge. wound culture from the original biopsy was positive for mrsa, and the patient was placed on contact precautions. disseminated herpes zoster was originally in the differential diagnosis, but the direct antigen test for varicella zoster virus was negative. lower on the differential were erlichia and babesiosis, with titers sent and pending upon discharge. the patient will follow-up with neurology regarding the results of his lyme titers and csf studies. dermatology and infectious disease felt follow-up was unnecessary at the time of discharge. . 2. febrile neutropenia. the patient originally presented with fever and neutropenia. the patient was placed on neutropenic precautions and treated with vancomycin and acyclovir while in the intensive care unit. the neutropenia resolved the second day of admission and the patient's neutrophils remained stable throughout hospitalization. the patient's vancomycin and neutropenic precautions were subsequently discontinued. acyclovir was discontinued prior to discharge. the patient's differential showed bandemia early during the hospitalization, which was believed to be consistent with marrow reaction to neutropenia. the etiology of the neutropenia remains unclear, but most likely represents a reaction to ceftriaxone or acute illness. . 3. anemia. the patient had a normocytic anemia. the patient's hematocrit remained in the low 30s throughout this hospitalization from baseline low 40s in . iron studies showed anemia of chronic disease. his anemia showed be followed-up as an outpatient. . 4. cad. the patient remained asymptomatic and had no changes on ekg. his home regimen was continued. . 5. lower extremity spasticity. lumbar puncture was repeated on this admission, with results as above. the csf was sent for lyme titers, which were pending upon discharge. the patient's pre-existing lower extremitiy spasticity remained stable throughout hospitalization. his baclofen and valium were continued. the patient will follow-up with neurology. . 6. hypertension. the patient's outpatient regimen was continued with sbp < 140s throughout hospitalization. . 7. hyperlipidemia. the patient's outpatient regimen was continued. . 8. mrsa. as above, would culture from skin biopsy was positive for mrsa, and the patient was placed on contact precautions. medications on admission: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. atorvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. baclofen 10 mg tablet sig: one (1) tablet po tid (3 times a day). 5. baclofen 10 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). 6. diazepam 5 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for spasticity. discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. atorvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. baclofen 10 mg tablet sig: one (1) tablet po tid (3 times a day). 5. baclofen 10 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). 6. diazepam 5 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for spasticity. 7. mupirocin calcium 2 % cream sig: one (1) appl topical tid (3 times a day). disp:*qs qs* refills:*2* 8. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed. disp:*100 capsule(s)* refills:*3* discharge disposition: home with service facility: vna assoc. of discharge diagnosis: primary: 1. eosinophic variant sweet's syndrome - tentative diagnosis. 2. fever and neutropenia. secondary: 1. right 6th nerve palsy and bilateral lower extremity spasticity nos. 2. mrsa colonization. 3. hypertension. 4. cad s/p mi s/p angioplasty. pci and stents 5. nephrolithiasis. 6. hyperlipidemia. discharge condition: afebrile, vital signs stable. stable white blood cell count and improving rash. discharge instructions: please contact a physician if you experience fevers, increasing weakness, worsening rash, or any other concerning signs or symptoms. . please take your medications as prescribed. . please keep your scheduled follow-up appointments. followup instructions: please see your pcp, . , in clinic on thursday morning, . he has clinic from 9 am-10 am. please call him at confirm that you will be coming. . please follow-up with neurology: drs. /reubens phone: date/time: 4:30 . provider: , md phone: date/time: 2:30 procedure: spinal tap incision of lung closed biopsy of skin and subcutaneous tissue diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status sixth or abducens nerve palsy other and unspecified hyperlipidemia old myocardial infarction other specified erythematous conditions 

Answer: The patient is high likely exposed to