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: ugib, acute leukemia major surgical or invasive procedure: leukophareisis cvvh history of present illness: 80 yo m with cutis leukemia presents with ugib. pt had 1 episode of hematemasis and melana on day of presentation. he was c/o feeling more fatigued, unable to do adls due to fatigue, feeling "really sick", "wiped out", feeling very dizzy and light headed. he was having difficulty walking, problems with his balance and gait instability. he denied any fevers/chills but has had sweats. no sick contacts or recent travelling. on morning of admission pt had an acute episode of brown emesis without any nausea. 2 days pta pt noticed black stools, no frank blood in stools or urine and no episodes of hematemesis. his weight has been steady. he denies any back pain, + ha but no visual changes, no floaters or blurry vision. he presented to an osh due to increasing lethargy, fatigue and episode of coffee ground emesis and melena. . osh course: ?. no records sent from ed to . . ed course: initial vs: 97.0 bp 109/65 hr 74 18; ngl grossly positive with ~250cc bright red blood, protonix 40 iv x1, gi aware. heme onc c/s. pt remained hd stable in ed. admitted to icu for further monitoring. past medical history: . pastonchx #mds/myeloproliferative disease - he noticed a lle rash in early . he went to his pcp and had an us which was negative for dvt. he was given a tetanus shot and started on keflex. the rash did not improve. he underwent a skin biopsy on with the final dx of "atypical dermal mononuclear infiltrate with monocytic features - findings c/w leukemia cutis". he was seen by dr. in oncology at cancer center. per report -cbc on -wbc 9800 51n 28bands 18mono. h/h 11.8/35. plt . he had a bone marrow bx on which was notable for markedly hypercellular marrow with orderly maturation, mild dysmegakaryopoiesis and slightly decreased iron stores. no blasts noted. aspirate had <1% ringed sideroblasts. flow - nl study - no increased blasts. no clonal abnormalities. negative jak2 mutation. wbc on was 11. #prostate cancer s/p turp and lupron x 1 yr (last ) . -sarcoid -endocarditis -s/p cabg - 2 vessel/avr -s/p l thr -s/p herniorrhaphy -s/p cataract surgery social history: -he is married and lives with his wife. ii veteran, ?toxin exposure during war, unclear about occupational exposures -he chews cigars/day x60 years, +etoh 4-5oz whiskey per day, however no etoh in few weeks. family history: -no known ca in family, no bleeding d/o physical exam: on admission: vs: 98.9 bp 126/74 hr 70 rr 19 96% 4lnc gen: comfortably lying in bed in nad heent:mmm, op clear-no mucositis, no oral lesions, no cervical lad, r eye w/echymosis over lid-no orbital edema or conjunctival bleed resp: ctabl, no crackles, no wheezing cv: reg nml s1, s2, no m/r/g, sternotomy scar well healed abd: soft nd/nt +bs ext/skin: lle swollen, non-pitting edema, large 3x3cm raised violacious mass on lower lle shin, large raised papules/indurated on posterior knee, thigh and inguinal area on l side, diffuse indurated papules ~.5mm x1cm lesions on chest, abdomen, legs and back neuro: a&o x3, no focal deficits brief hospital course: 1. aml with monocytic differentiation: - heme onc followed patient. patient received leukophoresis, and hydroxyurea with wbc decreasing from 170 initially to 51 thousand. . 2. ugib: gastric ulcer vs. cutis leukemia infiltration, plt wnl although appear to be non functional. serial hct q2-4hr were drawn. gi following was following patient. patient was given protone pump inhibitor. . 3. arf: it remained unclear what patients baseline was, however creatinine worsening 4.2 to 5 probably due to tumor lysis syndrome. renal consult followed patient, and cvvh was initiated to balance electrolyte dearrangement secondary to tumor lysis syndrome. cvvh was discontinued after a discussion with patients wife regarding patients own wishes and thoughts about comfort meassures vs. aggressive managment. ms. clearly stated that comfort has priority and aggressive managment in the setting of poor prognosis would have not been patients wishes. . 4. hematuria: foley catheter was changed urology team, with continues bladder irrigations. patient had signs of urethral obstruction . given multi-organ system dysfunction, severe alteration of patients mental status and progression of dysfunction extensive discussions were conducted wtih patient's wife. she expressed that patient would not want continued aggressive measures in the absence of meaningful chance of return to pre-morbid baseline function. this was shared with the patient's primary oncology team and decision was made to maintain patient comfort as the primary goal of care in the setting of progressive respiratory decline and likely ongoing aspiration in the setting of imparied mental status. patient died in respiratory failure in the morning of medications on admission: -asa 81 mg daily -atenolol 25 mg daily -tricor 145 mg daily -calcium/vitamin d -mvi -omega3 discharge disposition: expired discharge diagnosis: . discharge condition: . discharge instructions: . followup instructions: . procedure: venous catheterization, not elsewhere classified hemodialysis other cystoscopy transfusion of packed cells transfusion of other serum transfusion of platelets therapeutic leukopheresis diagnoses: acute kidney failure, unspecified personal history of malignant neoplasm of prostate aortocoronary bypass status sarcoidosis chronic kidney disease, unspecified defibrination syndrome retention of urine, unspecified hemorrhage of gastrointestinal tract, unspecified hip joint replacement acute myeloid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to