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: the patient is a 61-year-old male with aml, paroxysmal atrial fibrillation, hypertension. he was recently discharged on after a 2-week admission for bacteremia secondary to infected hickman line with coag-negative staph. bronchoscopy on showed a bal negative for pcp, culture, and aspergillus. also during his admission, he had negative histo, negative crypto, and negative cmv. since his discharge, the patient was seen in clinic on and received 2 units of packed red blood cells and 1 platelets. seen again on and reportedly continued to have night sweats and fevers, which was attributed to his underlying cancer. his saturations were 89 percent on room air, and he was given 2 liters of oxygen. the patient presented to the emergency department today for cough, fatigue, shortness of breath x6 days, with chest pain x1 today. while in the ed, he was found to have a chest x- ray consistent with increased bilateral infiltrates and oxygen requirements (92 percent on 10 liters). the patient was given 1 unit of packed red blood cells and decompensated from a respiratory standpoint. he was intubated and sent to the . he was also given cefepime 2 g iv x1, clindamycin, lasix 80 mg prior to transfer. the patient was unable to provide history, and sister reports 6 days of increased shortness of breath, dyspnea on exertion, fatigue, cough with sputum, chronic fevers, emesis x 1 day ago. he was contact by his oncologist at home today, encouraged the patient to go to the emergency department for evaluation of his chest pain. past medical history: mds converted to aml (m6 versus erythroid) in , induction 7 plus 3 in , hidac complicated by neurotoxicity in . paroxysmal atrial fibrillation, not on anticoagulation. obesity. hypertension. history of dvt in the left lower extremity in after a fracture. tte in with ef 60 percent, left atrial and right atrial enlargement, 3 plus mr, 1 plus ar. allergies: no known drug allergies. medications: 1. atenolol 50 mg p.o. q.d. 2. folate 1 mg p.o. q.d. 3. levaquin 500 mg p.o. q.d. indefinitely. 4. voriconazole 200 mg p.o. b.i.d. indefinitely. 5. compazine 10 mg t.i.d. p.r.n. social history: married, retired businessman, smokes 40-pack- year history, quit in , significant alcohol use, no iv drug abuse. he is a latvian immigrant. family history: father who died of colon cancer at age 87, mother with atrial fibrillation, sibling with non-hodgkin lymphoma. physical examination: temperature 104 degrees, blood pressure 101/53, pulse 91, saturations 98 percent on the ventilator settings of ac 750 tidal volume with a respiratory rate of 20, fio2 of 100 percent, peep of 10. in general, the patient was then intubated, breathing comfortably on the ventilator. heent: pupils constricted, anicteric, moist mucous membranes. og tube in place. neck: unable to appreciate jvd. chest: diffuse rales and upper airway sounds bilaterally with occasional expiratory wheeze. cardiovascular: regular rate and rhythm with normal s1 and s2, laterally displaced pmi. abdomen: distended, nontender, with good bowel sounds, enlarged liver 3 cm below the costal margin. extremities: 2 to 3 plus pitting edema bilaterally lower extremities to the knees. neurological: unresponsive, sedated, no spontaneous movements. laboratory data: white blood cell count 2.6 with a differential of 29 percent neutrophils, 13 percent bands, 47 percent lymphocytes, 12 percent monocytes, 5 percent blasts, hematocrit 22.7, platelets 101,000. inr 3. chem-7 was remarkable for a potassium of 5.8, bicarbonate of 17, and a creatinine of 1.4, baseline 1.0. phosphorus of 5.3. anc on was 550. fibrinogen and d-dimer were pending. troponin was less than 0.01 x2. albumin of 3.9, alt 13, ast 33, ldh 757, alkaline phosphatase 67, total bilirubin 1.2, amylase 73. blood cultures pending. blood cultures from showed no growth to date. lactate was 7.5 and then 3.9. abg was 7.38, 33, 84, on 10 liters. chest x-ray at 2 o'clock showed cardiomegaly, interval development of bibasilar and perihilar infiltrates. chest x-ray later on showed diffuse bilateral pulmonary infiltrates consistent with ards, cardiomegaly, ett 3 to 4 cm above the costal margin. ekg showed atrial fibrillation, left axis deviation, wide qrs with no t-, changes. impression: this is a 61-year-old male with acute myelogenous leukemia, paroxysmal atrial fibrillation, and hypertension recently admitted for fever and neutropenia, found to have coagulase-negative staph, bacteremia, and hickman line was pulled. he continued to have temperature spikes without a clear source. he now returns with 6-day increasing shortness of breath, fevers, and chest pain today. his chest x-ray is consistent with acute respiratory distress syndrome, and he is now intubated. hospital course: fevers. the patient had a bilateral diffuse pneumonia in an immunocompromised host. the differential includes cap, atypical pneumonia, cmv, hsv, influenza, parainfluenza, histo, crypto, pcp, aspergillus. his anc is less than 1000. he was covered empirically with vancomycin, flagyl, cefepime, and voriconazole. blood and sputum cultures were checked. the patient had a very high peep requirement throughout his hospitalization, and we were unable to bronchoscope the patient. he continued to have high fevers. respiratory failure. chest x-ray was consistent with appearance of ards with high oxygen requirement on the ventilator. subacute progression of symptoms started on home oxygen 6 days ago. this favors a fungal process. the patient had worsening po2 on the night of admission despite maximum ventilatory support, suggesting worsening ards. peep and total volumes now were limited by plateau pressures in the 40s to 50s. the patient was continued on ards ventilator strategy with low tidal volumes, increased peep. he was given bicarbonate 1 ampule bolus and started on a bicarbonate drip however, this also worsened his pulmonary edema. he was continued on his paralytics. unfortunately, the patient was not able to maintain oxygenation even on maximum ventilatory support. his last gas was 7.25, 46, and 54, and he was continuing to drop. hemodynamically, the patient was unable to maintain his blood pressure. he was started on pressors and was on levophed, niacin, and vasopressin with svp still in the 80s. he was continued to be bolused with 0.5 normal saline with bicarbonate, but his lactate continued to rise and his urine output continued to decrease. eventually, the patient expired on from respiratory failure. the patient also showed signs of coagulopathy with dic and dic with inr of 3.0, platelets decreased to 5000 on admission, hematocrit of 23. also had acute renal failure and a severe metabolic acidosis with lactate continuing to rise. the patient's wife was not available initially on admission, but the next day, his wife and sister were available. his code status initially was changed to cpr not indicated, and he had a very poor prognosis with very little hope for survival, which was communicated to his sister and would be discussed with the wife when she came later in the afternoon. later that afternoon, on at 9:30 p.m., the patient's family, wife, sister, and several other members met with the administrator on the patient's bedside. they changed the patient's code status to comfort measures only and elected to extubate the patient. the patient was given a small bolus of fentanyl for comfort and then extubated to room air. he died within minutes of extubation, pronounced dead at 9:19 p.m. on . pupils were dilated and nonreactive. no audible breath sounds or heart sounds were auscultated. the patient's wife elected to have a postmortem examination performed, and written permission was obtained. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization transfusion of packed cells diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation defibrination syndrome acute myeloid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to