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: patient recorded as having no known allergies to drugs attending: chief complaint: transfer from for further workup of pancytopenia and respiratory distress major surgical or invasive procedure: intubation history of present illness: 68 yo f with h/o hypertension and dm who presented to ed on with worsing shortness of breath and fevers to 102. she was found to be anemic to 16.7, thrombocytopenic with plt of 2, and borderline leukopenia of 3.5. at the time the etiology was unclear. she had a bone marrow biopsy on with a premil read of all cell lines present, l shift of wbc, increased promyelocytes and megabloblastoid rbcs. she was transfused multiple blood products including 7.5 prbc, 12 units of ffp, 6 packs of platelets with improvement of her counts to hct 28.9, plt 9. she was guaiac positive. on the morning of she became acutely sob, cxr her cxr initially showed, cxr showed patchy bilateral opacities consistent with either chf or trali. a report of a cxr earlier in her admission notes mild interstial edema and a cta on was essentially normal. she had an echo that showed trace mr, normal systolic function, ef >65%. . history per osh notes and per sister revealed that she has had worsening doe for past 3-4 days. she has had some heavy breathing in the past, but is able to exercise at curves 3 times per week. she saw her pcp regarding the sob who ordered a cxr and a stress test. supposedly there was something on the stress test that cause him to order a cta. . on arrival to she was satting in the 70's on bipap and was urgently intubated. she was not breathing in sync with the vent and was having trouble oxygenating. she was started on cisatracurium. she required 100%oxygen. she had melana and some bright red blood in her ett. she was transfused platelets and given lasix 80 mg iv. past medical history: dmii hypertension hypercholesterolemia s/p tonsillectomy s/p tah social history: never married, no children, lives with her sister, former , quit 8 years ago, no etoh family history: father: sinus cancer, mother: colon cancer, . physical exam: 101.1, hr 100-110, bp 200/115-> 111/44, rr 30's on arrival, 20 on vent, 70's on arrival on nrb/bipap, 92% on vent ac 450x28, 100%, peep 8 genl: sedated heent: op with dried blood, no petechiae on palate cv: rrr lungs: occasional crackles, good airmovement abd: soft, nt, nd, no splenomegaly appreciated, +bs ext: no edema, + petechiae in hands bilat, 2+ pedal pulses neuro: prior to sedation - alert, oriented, following commands pertinent results: 05:13pm blood wbc-2.9* rbc-3.52* hgb-11.1* hct-30.6* mcv-87 mch-31.5 mchc-36.3* rdw-14.6 plt ct-15* 03:06am blood wbc-2.7* rbc-2.85* hgb-9.0* hct-25.2* mcv-88 mch-31.6 mchc-35.8* rdw-14.7 plt ct-5* 05:13pm blood neuts-39* bands-9* lymphs-25 monos-17* eos-0 baso-1 atyps-6* metas-1* myelos-2* nrbc-9* 03:06am blood neuts-46* bands-13* lymphs-21 monos-5 eos-1 baso-1 atyps-8* metas-3* myelos-2* nrbc-5* 05:13pm blood pt-16.7* ptt-26.4 inr(pt)-1.5* 03:06am blood pt-17.6* ptt-24.7 inr(pt)-1.6* 05:13pm blood fibrino-206 08:03am blood fibrino-439* d-dimer->* 01:27pm blood fibrino-192 d-dimer->* 01:13pm blood fibrino-119* d-dimer-* 01:13pm blood fdp-80-160* 03:06am blood fibrino-101* 05:25am blood wbc-1.4* lymph-53* abs -742 cd3%-54 abs cd3-400* cd4%-46 abs cd4-341* cd8%-8 abs cd8-58* cd4/cd8-5.8* 05:13pm blood glucose-253* urean-32* creat-0.9 na-143 k-4.0 cl-100 hco3-29 angap-18 03:06am blood glucose-203* urean-149* creat-2.2* na-139 k-4.9 cl-106 hco3-22 angap-16 05:13pm blood alt-18 ast-15 ld(ldh)-490* ck(cpk)-58 alkphos-41 amylase-29 totbili-4.6* 03:06am blood alt-30 ast-19 alkphos-28* totbili-2.1* 10:23pm blood probnp-4252* 07:05pm blood triglyc-178* 10:23pm blood hbsag-negative hbsab-positive hbcab-negative hav ab-positive 03:39pm blood anca-negative b 03:39pm blood -negative 02:30am blood c3-86* 05:42pm blood type-art temp-38.4 rates-15/5 tidal v-650 peep-5 po2-77* pco2-57* ph-7.35 caltco2-33* base xs-3 -assist/con intubat-intubated 09:55am blood type-art temp-38.6 rates-30/3 tidal v-400 peep-24 fio2-60 po2-105 pco2-54* ph-7.23* caltco2-24 base xs--5 -assist/con intubat-intubated 05:42pm blood lactate-3.4* 03:40am blood lactate-2.6* brief hospital course: impression: 68 yo female transferred from an outside hospital with pancytopenia and patchy bilateral infiltrates found to have hemophagocytic lymphohistiocytosis. . hospital course: # pancytopenia: on admission the etiology of the patient's pancytopenia was unlcear. the initial differential diagnosis included myelodysplastic syndrome vs. myelosupression from viral syndrome or toxin vs. hemophagocytic syndrome. microbiology studies including erlichia, ebv, cmv, hcv, parvovirus, and lcm serologies were all unremarkable. the hematology/oncology service was involved early in the patient's care. slides from the bone marrow biopsy performed at the outside hospital were received . the pathology report indicated hypercellular marrow with increased hemophagocytic histiocytes--findings consistent with a diagnosis of hemophagocytic lymphohistiocytosis. hematology offered the option of treatment with etoposide and dexamethasone. however, given the often poor response to this therapy and the patient's severe illness, the prognosis was felt to remain poor. therapeutic options were discussed with the patient's family, including her sister, who is also her health care proxy. the prognosis the family/hcp felt that it would be in the patient's wishes to be made comfort measures only. aggressive therapy, including ventilatory support was removed. all attempts were made to make the patient comfortable. the patient expired and was pronounced dead on at 3:20 pm. . # bilateral infiltrates: the patient was diagnosed as having acute respiratory distress syndrome likely secondary to transfusion related lung injury vs. sepsis. the patient was urgently intubated upon her arrival to the . her ventilatory and oxygenation status was monitored closely and her ventilator was adjusted according to ards protoccol. as above, she was made cmo and was extubated. . # fever: the differential diagnosis for the patient's fever included an infectious process vs fever associated with ards. the infectious possibilities were numerous given the patient's relative immunosuppression. the patient was placed on broad spectrum antibiotics, but continued to spike temperatures throughout the hospitalization. microbiology studies as above were all unremarkable. multiple blood, sputum, and urine cultures were all negative. anti-microbial treatment was removed when the patient's code status changed to cmo. . # renal failure: the patient was felt to likely be prerenal with hypoperfusion in setting of sepsis. urine lytes were consistent with a prerenal picture. the patient was given aggressive fluid resuscitation with a minimal response in her creatinine. her renal function was monitored closely throughout the admission. . # gib: the patient had evidence of guaiac positive stools during her admission. she was continued on a ppi throughout her hospital course. . # dm: the patient was placed on an insulin drip for tight glycemic control. . # fen: the patient was continued on tube feeds throughout her hospitalization with fluid resuscitation as above. . # ppx: heparin was held given her low platelets. pneumoboots were placed. she was placed on a ppi as above. . # code: the patient was full code on admission and was changed to comfort measures only as above. medications on admission: meds at home: diovan asa metformin 1000 mg simvastatin - d/c'd 2 wks ago . meds on tx: lasix 40 iv, 60 iv morphine zosyn vanco calcium gluconate discharge disposition: expired discharge diagnosis: hemophagocytic lymphohistiocytosis acute respiratory distress syndrome acute renal failure discharge condition: the patient is deceased. discharge instructions: the patient is deceased. followup instructions: the patient is deceased. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of coagulation factors infusion of vasopressor agent diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia acute respiratory failure defibrination syndrome blood in stool septic shock chronic ulcer of other specified sites other specified disorders of metabolism 

Answer: The patient is high likely exposed to