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: this is a 48 year old woman with presumptive diagnosis of crohn's disease presumptively, pud diagnosed in which was refractory to medical management requiring two operations, a vagotomy/antrectomy and billroth obstruction requiring two additional surgeries, a roux-en-y and a revision. despite these aggressive interventions, the patient has been unable to tolerate p.o. feeds without substantial pain. the patient presents with total parenteral nutrition chronically. in , small intestine biopsy found to be consistent stomach area, subsequently the patient was found to be anca negative with gastrointestinal series and computerized axial tomography scan suggestive of crohn's disease. the patient was then started on prednisone 60 mg q.d. the patient was in this state of health until four days prior to admission when she began to develop fevers up to 104?????? with nightsweats and increase in baseline nausea, vomiting and diarrhea. one day prior to admission, the patient developed a dry cough, dependent edema and fatigue. the patient presented to the for further evaluation. past medical history: 1. multiple stomach operations as listed above 2. tonsillectomy 3. appendectomy 4. previous hickman line infection in with staphylococcus aureus treated with six weeks of vancomycin medications: 1. prednisone 40 mg p.o. q.d. 2. compazine 25 mg prn 3. tylenol prn 4. zantac 5. duragesic 75 mcg every 72 hours 6. total parenteral nutrition allergies: sulfa drugs-develops a rash family history: father with ulcer disease, mother with cerebrovascular accident. social history: the patient is a state representative and lives with husband and children, denies tobacco or alcohol use. physical examination: the patient is in general a woman with round moon facies, pleasant in no apparent distress. head, eyes, ears, nose and throat examination, pupils are equal, round, and reactive to light and accommodation, extraocular movements intact, mucous membranes moist. cardiovascular examination: normal s1 and s2, regular rate and rhythm, no murmurs, rubs or gallops appreciated. pulmonary examination, rhonchi diffusely in bilateral lung fields, in some segments late inspiratory crackles are audible. abdominal examination, slightly distended diffusely tender to palpation, positive bowel sounds. well healed midline scar, no rebound tenderness. chest examination, hickman site clean, dry and intact without erythema. extremity examination with 2+ pitting edema up to the knees. neurological examination, cranial nerves ii through xii grossly intact to motor and sensory examination. mental status intact. rectal examination was guaiac positive as per surgery team. laboratory data: white blood cell count 15.7, hematocrit 28.9, white count differential 70% neutrophils, 13% bands, 9% lymphs, 8% monos, platelet count 300, pt 11.8, ptt 30.0, inr 0.9. urinalysis, color yellow, specific gravity 1.034, negative for blood, nitrates, glucose, ketones, bilirubin 30 mg/dl of protein, 0-2 red blood cells, white blood cells, no bacteria or yeast. +/+ mucous noted. glucose 93, sodium 138, potassium 3.4, chloride 99, bicarbonate 22, bun 19, creatinine .2. alt 49, ast 82, alkaline phosphatase 1101, amylase 18, total bilirubin .6, lipase 19, albumin 2.6, calcium 7.3, phosphate 3.4, magnesium 1.8. chest x-ray significant for severe bilateral opacities. hospital course: in the emergency department the patient was afebrile, oxygen saturation of 84% on room air, 92% on 4 liters. examined by the surgery team for abdominal symptoms and was found to have a nonacute abdomen. sputum cultures sent times three for pneumocystis carinii pneumonia as well as blood cultures. the patient was begun on broad coverage to cover pneumocystis carinii pneumonia versus atypical pneumonia. antibiotics included levofloxacin, clindamycin, primaquine. right upper quadrant ultrasound was performed for the high liver function tests showing a large amount of layering sludge in the gallbladder with a normal liver. on , the first of an eventual 4 out of 5 blood cultures returned as positive for yeast. the right subclavian hickman was pulled and tip sent for culture. the patient was started on amphotericin b, pripto, cytomegalovirus, hsv, legionella studies sent as well as stool studies for fecal leukocytes, ova and parasites. on , holosystolic murmur located in the lower left sternal border was noted, i/vi and echocardiogram was performed to evaluate for endocarditis, the results of which were negative. on this day the patient's cough became productive, sputums were sent for multiple studies and arterial blood gases was performed for increasing oxygen requirement. the patient was sating 93 to 100% on 70% face mask. arterial blood gases showed a ph of 7.42, pco2 of 45, po2 of 66, total bicarbonate of 30, base 3. the patient was taken for bronchoscopy and , intubated electively for hypoxia. on bronchoscopic examination no abnormalities were visualized with microcystic and cytocytic studies sent. the patient was extubated the day following the procedure, 97 to 98% on 50% face mask. the patient's pneumocystic carinii pneumonia medications were switched from clindamycin and primaquine to pentamidine by the pulmonary team. on , the patient had a hematocrit of 24.7, received 1 unit of packed red blood cells with a hematocrit revised to only 25.7. the following day she received two more units of packed red blood cells rising appropriately to 30.1. echocardiogram results revealed ejection fraction of greater than 55%, mildly thickened mitral valve leaflet, normal aortic valve leaflet, no evidence of endocarditis. on , the patient's sputum cultures grew out albicans believed to be a contaminate. yeast species for the blood cultures described as parapsilosis. the patient was kept on intravenous amphotericin as parapsilosis can be resistant to fluconazole as suggested by the infectious disease service. on , the patient's respiratory status began to improve with an oxygen saturation of 93% on 2.5 liters. on this date the patient first began to complain of her severe back pain which was treated initially with prn morphine. the patient was treated with dilaudid pca zanaflex with prn morphine discontinued. on , an magnetic resonance imaging scan of the spine was performed for evaluation of the lower back pain. results were negative for stenosis foraminal narrowing, nerve/cord impingement, normal alignment was noted. on , given the negative blood culture results from , the patient had a repeat picc line placement under fluoroscopic guidance. the patient's pulmonary status at this time was much improved. she was sating 94% on 2 liters. the patient was at this point evaluated by physical therapy and felt to be safe to return home with supplemental oxygen. the patient was discharged in fair condition. discharge medications: 1. duragesic patch 100 mcg topically every 3 days 2. levofloxacin 500 mg p.o. q.d. 3. clindamycin 450 mg p.o. q.6 hours 4. primaquin 15 mg p.o. q.d. 5. prednisone 40 mg p.o. q.d. 6. protonix 40 mg p.o. q.d. 7. zanaflex 2 mg p.o. q.h.s. 8. amphotericin 24.5 mg intravenously q.d. 9. dilaudid 6 mg p.o. q.i.d. disposition: discharged to home. discharge diagnosis: 1. candidemia 2. pneumonia versus adult respiratory distress syndrome 3. candidal line sepsis 4. pain control follow up: 1. arranged with primary care physician, . , phone , , north pm, . 2. infectious disease clinic within one week of discharge from hospital, phone . 3. pain clinic . 4. pulmonary office for appointment within two to three weeks following discharge from the hospital, phone . 5. health therapy phone 1-. dr., c. 12-869 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube other bronchoscopy other lavage of bronchus and trachea diagnoses: pneumonia, organism unspecified regional enteritis of unspecified site bacteremia infection and inflammatory reaction due to other vascular device, implant, and graft 

Answer: The patient is high likely exposed to