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: amoxicillin / sulfa (sulfonamides) / bactrim / iodine; iodine containing attending: chief complaint: hypotension, abdominal pain transfere from osh major surgical or invasive procedure: midline venous catheter history of present illness: 39 yo woman with h/o aml s/p related allo-psct , chronic gvhd, on prednisone, cellcept, h/o cad s/p mi and stents, h/o r brachiocephalic dvt who was in her usoh until about 1300 today when she developed acute onset of mid abdominal pain after eating a few bites of her meal. she described her abdominal pain as sharp and crampy at the same time, non-radiating. immediately following the onset of abdominal pain, she became diaphoretic, felt weak, and complained of tingling in bilateral lower extremities. she then developed shortness of breath with associated chest pain. her husband her down and called the ambulance which brought her to the hospital. on presentation to the osh vs 97.0; hr 57; bp 60/palp; rr 24; o2 sat 86% on ra (96% on nrb). abg 7.23/46/22. labs notable for lactate of 11. bun 17. creat 0.8. glucose was 558. ag 15. urine ketones and urine gucose negative. right femoral central venous catheter was placed. at the osh, she received ivf, hydrocortisone 100 mg iv once, ertapenem 1 gm iv, had a kub, ct chest and abdomen. she was also started on insulin gtt. bedside echo ef 55%, limited study, but no effusion noted or flow abnormalites detected. ct chest showed pe. surgery was consulted and recommended conservative management with serial exams. the patient was started on heparin gtt with a bolus and transfered to . . upon arrival to ed initial vs hr 87; bp 108/70; o2 sat 99% on 100 % nrb. lactate down to 3.9. k low 2.5. glucose 280. the patient was given morpine 2 gm iv, d51/2 ns c 40 meq kcl. blood cultures were drawn. insulin and heparin gtt were stopped (ptt >150). general surgery was consulted given findings of gb wall thickening on ct from the osh. they did not feel that she had an acute abdomen. . currently, the patient c/o mid abdominal pain about , non-radiating. she denies any chest pain, shortness of breath, dizziness, lightheadedness, diaphoses, nausea or vomiting. she had loose bm today after ct scan contrast at the osh, but otherwise denies diarrhea, melena, or hematochezia. . past medical history: 1. aml: diagnosed s/p allo-hsct in (sister was donor) cytoxan/mtx/tbi 2. cad s/p stemi with 2vd s/p des in lad, poba d1 with bms to mid d1. 3. gvhd: skin, gut (now controlled), mouth,liver- left hand digit amps x4, chronic immune suppression cellcept, entocort, prednisone, rituxan (last ) . chronic left upper extremity brachiocephalic dvt . ankle fracture in left ankle ~2.5 months ago. . asthma . eczema . migraine headaches . history of oral hsv social history: lives with husband and two sons (12yo, 14yo) mother-in-law on . no drink. smoking down to 2-3 cig per day. no illicit family history: no cad, mother died of cancer physical exam: upon presentation to the icu: afebrile, 120 100/60 24 100% on nrb gen: pleasant woman, + cushingoid, lying in bed, nad, breathing comfortably, speaking in full sentences heent: perrl, no scleral icterus, mm dry, no lesions neck: supple, no lad, unable to assess jvd due to body habitus cv: regualar, nl s1s2, no murmur/rub/gallop pulm: cta bilaterally, ? pleural rub rll abd: + bs, soft, diffusely tender to palpation (l >r), nd ext: bilateral 2+ le edema, le's warm, leu with digits amputated. neuro: alert and oriented x3, appropriate, moving all 4 extremities skin: changes c/w gvh, hyperpigmentation of face, thick/tightened arm skin rectal (per surgery note): trace guaiac + pertinent results: 09:00pm urine rbc-* wbc-0-2 bacteria-rare yeast-none epi-0-2 09:00pm urine blood-lg nitrite-neg protein-neg glucose-100 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:00pm urine color-yellow appear-clear sp -1.041* 09:00pm pt-15.8* ptt-150* inr(pt)-1.4* 09:00pm plt count-316 09:00pm hypochrom-normal anisocyt-2+ poikilocy-2+ macrocyt-2+ microcyt-2+ polychrom-1+ spherocyt-1+ schistocy-occasional burr-2+ stippled-2+ teardrop-2+ pappenhei-2+ acanthocy-1+ 09:00pm neuts-85* bands-1 lymphs-4* monos-8 eos-0 basos-0 atyps-1* metas-0 myelos-0 young-1* 09:00pm wbc-11.2* rbc-3.20* hgb-10.8* hct-31.7* mcv-99* mch-33.8* mchc-34.1 rdw-16.8* 09:00pm calcium-7.7* phosphate-3.7 magnesium-2.2 09:00pm ck-mb-4 09:00pm ctropnt-<0.01 09:00pm glucose-280* urea n-19 creat-0.5 sodium-135 potassium-2.5* chloride-94* total co2-27 anion gap-17 09:34pm lactate-3.9* 12:22am pt-14.9* ptt-150* inr(pt)-1.3* 12:23am lactate-2.0 k+-3.5 12:23am comments-green top 04:28am pt-13.6* ptt-53.6* inr(pt)-1.2* 04:28am plt count-303 04:28am wbc-10.6 rbc-2.89* hgb-9.4* hct-28.6* mcv-99* mch-32.6* mchc-32.9 rdw-16.7* 04:28am calcium-7.9* phosphate-3.0 magnesium-2.2 04:28am ck-mb-3 ctropnt-<0.01 probnp-2673* 11:36pm pt-14.2* ptt-150* inr(pt)-1.3* 04:29pm ptt-150.0* 02:23pm ck(cpk)-21* 02:23pm ck-mb-3 ctropnt-<0.01 02:17pm ptt-150* 04:28am glucose-246* urea n-13 creat-0.3* sodium-135 potassium-3.5 chloride-99 total co2-29 anion gap-11 brief hospital course: in brief the patient is a 39 year old woman with aml s/p related allo-psct, chronic gvhd, cad s/p mi, dm who is admitted to icu for close monitoring given bilateral pes and hypotension on presentation. . # pe. the patient with bilateral pes and r common femoral thrombus documented on the osh cta. trop <0.01. currently hd stable. - she was initially put on supplemental oxygen and started on a continuous iv heparin infusion for anticoagulation. per her primary oncologist, her clopidogrel was stopped since she was >11 months out from stenting given the bleeding risk with additional anticoagulation. upon transfer out of the , her heparin was transitioned to enoxaparin 1mg/kg for long-term anticoagulation. her supplemental oxygen was very slowly weaned off. she was seen by physical therapy who initially recommended rehab; the patient adamantly and consistently refused rehab placement. the patient's strength gradually improved to the point where she was cleared by pt for discharge home with continued home pt. upon discharge, she wsa completely off of supplemental oxygen and able to ambulate with a walker. . # hypotension/tachycardia. - her ccb and beta blocker were initially held while in the due to hypotension. upon transfer out, her bp was stable and she was resumed on her home dose of beta blocker for rate control of her chronic sinus tachycardia. she was kept on telemetry on the floor for several days until her sinus tachycardia was adequately controlled. . # cad: hx of stemi s/p pci with stents. ekg with st depressions. - she was continued on her beta blocker as above. she was continued on aspirin and her statin. her clopidogrel was held as above since she was 11 months out from stenting and since her new enoxaparin therapy would be further increasing her risk of bleeding. . # dm2 - her lantus dose was increased to 40u qam (from a home dose of 20u) upon admission to the icu. the was continued while on the floor due to her elevated steroid dose. as her steroids were tapered back to her home dose, her lantus was gradually tapered. she was discharged on 25u qam. . # chronic gvhd. - due to her chronic prednisone therapy, she was put on stress-dose steroids at the outside hospital. this was switched to prednisone upon admission to the floor and gradually tapered back to her home regimen of 5mg daily. she was continued on chronic cellcept and entocort per her home regimen. . # ppx. continued on atovaquone, acyclovir, and fluconazole. . # access. - had a picc placed in the (due to poor peripheral access) which was taken out prior to discharge. - a r femoral line placed at the outside hospital was d/c'ed while in the . # communication: hcp husband . # code: full medications on admission: 1. prednisone 20 mg po qd 2. mycophenolate mofetil 500 mg po qid 3. acyclovir 400 mg po q 8hrs 4. fluconazole 200 mg po bid 5. lipitor 80 mg po qd 6. folic acid 1 mg po qd 7. nexium 40 mg po qd 8. clopidogrel 75 mg po qd 9. aspirin 325 mg po qd 10. atovaquone 750 mg/5 ml po bid 11. lasix 20 mg po bid 12. verapamil 180 mg tablet po bid 13. metoprolol tartrate 100 mg po bid 14. budesonide 3 mg po tid 15. insulin glargine 36 units qam 16. humalog per sliding scale. 17. nexium 40 mg po qd 18. magox 400 mg po bid 19. potassium chloride 20 meq po qd . allergy: amoxicillin, sulfa, bactrim, iodine discharge medications: 1. acyclovir 200 mg capsule sig: two (2) capsule po q8h (every 8 hours). disp:*180 capsule(s)* refills:*2* 2. budesonide 3 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po tid (). disp:*90 capsule, sust. release 24hr(s)* refills:*2* 3. fluconazole 200 mg tablet sig: one (1) tablet po q 12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 4. 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* 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*2* 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 8. atovaquone 750 mg/5 ml suspension sig: five (5) ml po bid (2 times a day). disp:*300 ml* refills:*2* 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 11. enoxaparin 60 mg/0.6 ml syringe sig: one (1) pre-filled syringe subcutaneous q12h (every 12 hours). disp:*60 pre-filled syringe* refills:*2* 12. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 13. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day): do not take if your systolic blood pressure is less than 100, or your heart rate is less than 60 per minute. disp:*120 tablet(s)* refills:*2* 14. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 15. prednisone 5 mg tablet sig: 1-2 tablets po once a day: please take 2 tablets (10mg) per day for the next two days; after that, resume taking 1 tablet per day. disp:*33 tablet(s)* refills:*2* 16. morphine 15 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). disp:*60 tablet sustained release(s)* refills:*2* 17. lantus 100 unit/ml solution sig: twenty five (25) units subcutaneous qam. disp:*qs units* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: primary diagnosis: bilateral pulmonary emboli secondary diagnoses: history of aml status-post bone marrow transplant; chronic cutaneous and gi gvhd; coronary artery disease; type 2 diabetes mellitus discharge condition: stable discharge instructions: you were admitted to the hospital with blood clots in both of your lungs. for this, you were placed on lovenox injections twice daily; you need to continue these for at least 6 months to help prevent new clots. because you were put on lovenox, and because your coronary stent was more than 9 months ago, we have stopped your . while you were sick in the hospital, your prednisone dose was increased; this is being tapered down back to your chronic dose of 5mg daily. please take 10mg for the next two days and then resume taking 5mg daily. your lantus dose was increased while you were in the hospital and has been controlling your blood sugars well. we are discharging you on 25 units every morning. over the past few days, your blood pressure has been normal/borderline low. because of this, you have not received your blood pressure medication (metoprolol) for the past couple of days. please do not take this again until your blood pressure can be checked by one of your outpatient physicians or nurses. if you experience shortness of breath, chest pain, high fevers, or other concerning symptoms, you need to seek medical attention. please take all medications as prescribed and please attend all follow-up appointments. followup instructions: provider: , md phone: date/time: 12:30 provider: , : date/time: 12:30 procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: anemia of other chronic disease diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status other specified cardiac dysrhythmias hypotension, unspecified old myocardial infarction complications of transplanted bone marrow other pulmonary embolism and infarction acute myeloid leukemia, in remission late effect of fracture of lower extremities 

Answer: The patient is high likely exposed to