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: fever, cough, confusion major surgical or invasive procedure: bronchoscopy history of present illness: a 69-year-old gentleman with a history of diffuse large b-cell lymphoma with cns involvement undergoing xrt, pcp (), dvt s/p ivc filter placement, was admitted for hypoxia, shortness of breath, fever, fatigue. his wife called the clinic for concern that the patient has had shortness of breath, new oxygen requirement, fatigue and weakness, and with temperature of 101.6 3 days pta. he has had decreased activity tolerance (before could ambulate with walker) and shortness of breath which required 2l nc at home for comfort when normally he is not on oxygen. in clinic, he was noted for a decreased oxygen saturation to 88-90% on room air which improved to 95% on oxygen at 2-3 liters via np. he was admitted to the bmt service to workup his hypoxia, fever, and fatigue/weakness. he had his dose of inhaled pentamidine on and was previously on atorvaquone for pcp prophylaxis until . . on admission, the patient denies chest pain, palpitations, cough, sputum production, urinary symptoms, uri symptoms, night sweats. he notes decreased po intake, constipation, and decreased le edema after his ivc filter placement. he has noted some bruising on his hands but no other bleeding particularly any blood in his urine or stool, epistaxis or gum bleeding. past medical history: oncologic history: his diagnosis was in when he palpated a lymph node in the right groin area. he underwent biopsy by dr. that showed diffuse large b-cell lymphoma. he then received r-chop for six cycles, which completed as of 06/. he was well until to when he developed right lower extremity weakness. followup pet scan for his r-chop showed no evidence for lymphoma. however, his lower extremity weakness and pain radiating down his right leg increased. he underwent repeated mri scanning with his first on , which showed a partially enhancing lesion within the posterior l4 vertebrae suggestive of an atypical hemangioma. he subsequently was admitted in for workup of his right lower extremity weakness as the concern was for cns involvement or a cord compression. he was evaluated by additional mris and lumbar puncture, which did not show any evidence for malignancy, although noted the same question atypical hemangioma in the lumbar spine area. he was extensively followed by his primary oncologist as well as the neurologic service. on , his csf cytology did show evidence for malignant cells. mri also demonstrated increased uptake in the sacral plexus with evidence of possible right lumbosacral plexopathy. in mid-, he received radiation therapy to the sacrum with improvement in his pain complaint and at that time he also was initiated on decadron. since , he has received intrathecal high-dose methotrexate as well as systemic methotrexate with leucovorin rescue for treatment of his cns disease. at the end of , it was felt that mr. had shown some progression of his systemic disease as his last ct had shown some evidence of bony erosion and he was having some increasing lower extremity weakness. he subsequently began on gemzar and navelbine and received two cycles of treatment with his last treatment on , which was day eight of gemzar, navelbine, and prednisone. he has remained on a low dose of decadron during this time. unfortunately, in , mr. was admitted due to blurry vision that had progressed over the past month. he noted a decreased visual acuity and unfortunately a head mri showed a new 1.5 cm suprasellar mass likely representing progression of his cns disease. he subsequently has initiated whole brain radiation. . 1. non-hodgkin's lymphoma as noted above, complicated by lymphomatous meningitis and a new recent cns lesion. 2. right lower extremity weakness secondary to plexopathy. 3. bilateral upper extremity weakness. 4. right lower extremity dvt. 5. hives intermittently over the last couple of years. 6. raynaud's phenomenon. 7. lul lesion in status post inh times one year. 8. status post appendectomy. social history: pt. is married, retired and worked as a marine engineer for the merchant marines, travelling around the world on ships for 20 years and then working in a land-based office for the last 10 years of his 30 year career in the merchant marines. as a marine engineer he was responsible for working on and repairing ship engines and machinery. now lives in a small town outside of ; grew up in the area. his wife, , is very supportive. . no h/o smoking or recreational drugs. . pt has a chart history of 3 drinks/night etoh, but says that since / of last year he has mostly not been drinking; not drinking at all while in the midst of chemo regimens. family history: mother died at 93 ("old age"). father died at 75 (heart failure). his sister is 65 and has diabetes and hypertension. physical exam: vitals: t 98.6, bp 100/64, hr 116, rr 20, 94% on 3l nc general: pleasant tired-appearing gentleman lying comfortably in bed but with increased dyspnea with movement. heent: perrl with anicteric sclerae. eomi. oropharynx is dry without erythema, lesions, or thrush. neck: supple. lungs: with crackles/rales up to mid right lung, at lower left lung. heart: regular rate and rhythm. abdomen: soft, rounded, and nontender, with hypoactive bowel sounds and without hepatosplenomegaly or other masses appreciated. extremities: 1+ bilateral edema markedly improved from his prior examination. neurologic: mr. is alert and oriented x 3, but he is more somnolent. cn ii-xii intact. he can recall recent evants but his wife reports recent difficulties with memory and carrying out tasks at hand. his conversation is fluent with good comprehension. np examination: his muscle strength is most notable for his left upper extremity with right upper extremity 2-3/5. he can lift his left arm above his head, but not his right. his right leg continues with poor proximal strength. he does have right abduction of his hip. pertinent results: 01:10pm gran ct-2700 01:10pm neuts-78.6* bands-1.9 lymphs-2.9* monos-5.8 eos-0 basos-1.0 atyps-1.9* metas-1.0* myelos-2.9* promyelo-3.9* nuc rbcs-2* 01:10pm wbc-3.2*# rbc-2.95* hgb-9.4* hct-29.9* mcv-102* mch-32.0 mchc-31.5 rdw-18.7* 01:10pm albumin-2.9* calcium-10.4* phosphate-4.3 magnesium-2.2 01:10pm alt(sgpt)-61* ast(sgot)-67* ld(ldh)-1584* alk phos-150* tot bili-0.5 . bronchoalveolar lavage fluid: no pmns, negative for pcp, positive rods c/w oropharyngeal flora . beta-glucan 139, galactomannan negative . pheripheral blood smear with blast forms (flow cytometry pending) . chest ct in the four days since the previous ct chest, there has been collapse/consolidation of the apicoposterior segment of the left upper lobe. the superior segment of the left lower lobe is now opacified, and the remainder of the left lower lobe is also collapsed/consolidated. there is increased left pleural effusion to account for atelectasis and volume loss of the left lung, however there is also likely consolidation concerning for an infectious process in the left lung. the right lung now demonstrates pleural effusion with relaxation atelectasis and volume loss at the lung base. there is also a ground-glass opacity in the right upper lobe that is concerning for an infectious process. extensive mediastinal lymphadenopathy is not significantly changed, the largest node measures 2.7 x 1.6 cm in the prevascular region (3:20), which is not a significant change. no supraclavicular or axillary lymphadenopathy is identified. the heart, pericardium, and great vessels are unremarkable. there has been interval intubation and nasogastric tube placement. ct of abdomen with iv contrast: there has been interval placement of an ivc filter. the liver demonstrates slight increase in size of hypoattenuating lesions in segment vii (2.3 x 2.5 cm, 3:40) and segment viii (1.2 x 1.5 cm, 3:44). a previously identified hypoattenuating lesion in segment is not well visualized in this scan due to a difference in timing of contrast administration. there has been interval atrophy and fatty replacement of the pancreas, with a slight diffuse increase in fatty appearance of the mesentery. there is splenomegaly with the spleen measuring 18.2 cm in the superoinferior dimension on the coronal plane. there is clot in the inferior vena cava inferior to the filter, extending far inferiorly into the iliac veins. there are paraaortic lymph nodes. brief hospital course: a 69-year-old gentleman with a history of diffuse large b-cell lymphoma with cns involvement undergoing xrt, pcp (), dvt s/p ivc filter placement, was admitted for hypoxia, shortness of breath, fever, fatigue found to have pneumonia, leukemic transformation of his lymphoma, and septic shock. . mr. was admitted for with presumptive diagnosis of pneumonia. he was was started on broad spectrum antibiotics (vancomycin, cefipime, and steroids/primaquine/clindamycin for presumed pcp) but clinically worsened. all cultures were negative so id and pulmonary were consulted. a broncho-alveolar lavage was performed and was negative for pcp by dfa and grew only op flora. pcp therapy was withdrawn. the patient continued to decline with increasing oxygen requirement and the morning of he was noted to be tachypneic to 30-40 breaths/min on 100% non-rebreather oxygen. he was transferred to the medical icu where he was emergently intubated when he began to desaturate on 100% oxygen and went into an svt with hr 180. he was started back on empiric pcp therapy given his rising ldh, however mr. continued to decline. he went into septic shock with hypotension refractory to fluid resuscitation and required central venous line placement and vasopressive medications to maintain map>65. discussions were held with the family and the dr. of oncology because the patient was found to have blast forms on his peripheral smear, consistent with leukemic transformation of his lymphoma. due to his overall very poor prognosis the family decided to extubate mr. and change the focus of his care toward comfort measures. he died the next morning. medications on admission: dexamethasone 1mg po daily pentamidine 300 mg ihn last given allopurinol 300mg--one by mouth every day ambien 10 mg--1 tablet(s) by mouth at bedtime ativan 0.5mg--one by mouth three times a day as needed compazine 10mg--one by mouth three times a day as needed coumadin 1 mg--per lab value/ tablet(s) by mouth once a day take dosage as recommended by md coumadin 2.5 mg--1 tablet(s) by mouth once a day diflucan 200 mg--1 tablet(s) by mouth once a day dilaudid 2 mg-- tablet(s) by mouth every 3 to 4 hours as needed as needed for pain lactulose 10 /15 ml--1 once solution(s) by mouth every 4 hours as needed for constipation lasix 20 mg--1 tablet(s) by mouth once a day lidoderm 5 % (700 mg/patch)--1 apply to affected area in the morning remove at bed time lyrica 50 mg--2 capsule(s) by mouth three times a day mepron 750 mg/5 ml--1 suspension(s) by mouth twice a day neupogen 300mcg/0.5--as directed oxycontin 20 mg--2 tablet(s) by mouth once a day percocet 5mg-325mg--1-2 tablets q4-6hours reglan 10 mg--1 tablet(s) by mouth three times a day as needed for nausea zantac 150 mg--1 tablet(s) by mouth twice a day physical therapy --for right lumbosacral plexopathy docusate sodium 100 mg--1 capsule(s) by mouth twice a day levothyroxine 75 mcg--1 tablet(s) by mouth once a day senna 8.6 mg--1 tablet(s) by mouth twice a day discharge disposition: expired discharge diagnosis: lymphoma leukemia pneumonia septic shock discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus infusion of vasopressor agent diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified unspecified septicemia severe sepsis other malignant lymphomas, unspecified site, extranodal and solid organ sites acute respiratory failure septic shock personal history of venous thrombosis and embolism raynaud's syndrome neutropenia, unspecified unspecified leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to