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 an 82 year old man with a history of nonhodgkin's lymphoma and delirium transferred from hospital with febrile neutropenia and worsening dementia. the medical history begins in when the patient was in a car accident. he was in for several days and was determined to only have soft tissue damage. he recovered physically completely, but he showed his first signs of depression and began to experience nightmares. in , the patient experienced substantial vomiting. he was worked up at medical center. a right lung tumor was found on workup and was biopsied. the gastroenterologist at told the patient he had lung cancer. the patient's father had died of lung cancer, so this diagnosis put him into a severe depression. in , the patient experienced syncopal episodes at home, he went to medical center and ended up staying in a hospital 57 days. he was worked up with oncology and was finally diagnosed with nonhodgkin's lymphoma, after an exploratory laparotomy. the patient had his first deep vein thrombosis during that admission in his right leg. he was anticoagulated with heparin and subsequently had a massive gastrointestinal bleed which sent him to the intensive care unit. the patient received 5 units of packed red blood cells while in the intensive care unit. the bleed was not found on colonoscopy, although the procedure ended prematurely when the patient showed electrocardiogram changes. he subsequently ruled out for myocardial infarction. an inferior vena cava filter was placed and the patient was stabilized and transferred to the floor. at this time his nutrition suffered severely due to requirement of npo for many of the days of this hospitalization. a gastrostomy tube was placed and initially did not function. the patient was put on total parenteral nutrition for two weeks at which point his follow up turned around. at this point he experienced a deep vein thrombosis in his left leg which was treated conservatively with ace wraps. when the leg turned purple the team decided to give the patient the smallest amount of lovenox. he did subsequently bleed again. during this hospitalization the patient was treated with haldol and ativan and the patient's daughter describes the patient "" severely sensitively to these medications. in addition, the patient demonstrated parkinsonian symptoms, although he was never formerly diagnosed with parkinsonism. in the patient received one chemotherapy treatment with cytoxan and vincristine. he allegedly received a very small dose. the patient also subsequently received two rituxan treatment. in the patient was transferred to transitional care where he stayed for ten days and was discharged home with . as soon as he got home, the patient was "off the wall and hyperactive" according to the daughter. the patient would not sleep. he was seen by neuropsychiatry who determined the patient was in delirium. the patient was started on trazodone and risperdal which calmed him down. the patient did very well but was persistently depressed. it was at this time that the patient got his second treatment of rituxan as an outpatient. in , the patient was readmitted to medical center for recurrent vomiting. he received a computerized tomography scan which "looked great" according to the patient's doctors and the patient's daughter states, it demonstrated the cancer had diminished. one week later, the patient experienced high fever and was diagnosed with biliary sepsis. he was treated conservatively. he was scheduled for endoscopic retrograde cholangiopancreatography but syncopized the day it was scheduled and never underwent the procedure. he was transferred to and there was found to have a hematocrit of 29 while being severely dehydrated. it was at this time that he first showed evidence of hypercalcemia and change in mental status. he was treated with pamidronate. the patient showed cardiac instability with hypertension and low heartrate. he was stabilized and sent home with . at home he was mentally depressed and has not been back to baseline since this time. he was highly agitated according to the daughter. in , the patient was admitted to the psychiatric inpatient unit at heights because the family could not handle him at home. he had a fall in the psychiatric unit, experienced a frontal laceration and broke his nose. he was transferred to and was diagnosed with atrial fibrillation and a calcium up to 13. there he had the haldol and ativan and again demonstrated a sensitivity to those medications. he also showed signs of parkinsonism with increased rigidity. discontinuing the risperdal resolved these signs. the patient's high calcium was persistent despite pamidronate treatment. he was tried on a decadron treatment by oncology to lower his calcium but this greatly worsened his mental status. in , the patient was transferred to hospital where he was diagnosed with multi-infarct dementia. he was maintained on seroquel and remeron. on the day of admission, the patient was found to have febrile neutropenia as well as hypercalcemia and was transferred to for management. past medical history: 1. multi-infarct dementia; 2. nhl; 3. coronary artery disease, status post myocardial infarction, status post coronary artery bypass graft; 4. hypertension; 5. type 2 diabetes; 6. history of deep vein thrombosis; 7. history of gastrointestinal bleed on anticoagulation; 8. status post inferior vena cava filter; 9. spinal stenosis; 10. gastroesophageal reflux disease; 11. barrett's esophagus; 12. hiatal hernia; 13. major depression disorder with psychotic features; 14. history of biliary sepsis, . allergies: haldol, ativan, ambien, reglan, coumadin and heparin. medications on admission: 1. pericolace 25 cc per gastrostomy tube b.i.d.; 2. iron 325 mg p.o. b.i.d.; 3. protonix 40 mg p.o. q.d.; 4. seroquel 12.5 mg p.o. t.i.d.; 5. nystatin, oral; 6. epogen 30,000 units subcutaneously q. week; 7. norvasc 10 mg p.o. q.d.; 8. glipizide 5 mg p.o. q.d.; 9. flomax 0.4 mg p.o. q.d.; 10. trazodone 25 mg p.o. q.d.; 11. tylenol; 12. multivitamin. physical examination: on admission, temperature 100.9, heartrate 102, blood pressure 146/88, sating 94% on 2 liters. on admission the patient was combative and delirious. he had bibasilar crackles bilaterally. his abdomen was mildly distended and he had foley catheter tube. the patient was disoriented to person, place or time. he had a perm-a-cath. hospital course: 1. neutropenia - on admission the patient's white count was 1.7. the patient had a history three days earlier of white count of 6.7. the patient had 4 neutrophils, 4 bands, 52 lymphocytes and 24 monocytes and 16% myelocytes. the patient was treated with gcsf times three days. his anc was 910 on , 2910 on and 8720 on . the patient's neutropenia quickly recovered and on , stable at 8.0. the patient's neutropenia was felt to be drug-related due to its rapid decline and improvement. a possible cause for this would be the augmentin, the patient had been placed on it prior to the drop. the patient was covered with ceftazidime while he was neutropenic. 2. fever - the patient had a maximum temperature of 100.0. his urine grew out pseudomonas greater than 100,000 colonies as well as enterococcus. therefore, the patient's ceftazidime intravenously was continued for nine days. augmentin was added to cover the enterococcus which was continued for seven days. the patient has been subsequently afebrile. 3. hypercalcemia - the patient has a history of persistent hypercalcemia with mental status changes. the calcium on admission was 13.0 with an albumin of 2.7. the patient was treated with lasix and intravenous fluids, pamidronate and calcitonin. the calcium levels dropped gradually to a low of 9.2 on before they began to rise again. the patient was treated with repeat of pamidronate. he will likely be discharged with standing weekly dose of pamidronate. with the resolution of the hypercalcemia, the patient's mental status did show improvement. 4. gastrointestinal bleed - on , the patient had five episodes of melena and bright red blood per rectum. his hematocrit dropped from 35.9 on admission to 29.5 on . the patient was transferred to the intensive care unit where he received 2 units of packed red blood cells. the gastroenterologist saw the patient and did an upper endoscopy which showed no defects. after discussing the situation with the patient's oncologist, dr. , it was determined that colonoscopy would not be useful, as colonoscopy had been done in a prior episode and no source of bleed was found. the patient's hematocrit bumped appropriately to 36.3. if the patient bleeds again, the team plans a tagged red blood cell scan with ir embolization since the bleed is believed to be in the jejunum. the patient's stool is persistently heme positive. 5. anemia - the patient is slightly anemic which is thought to be multifactorial anemia of chronic disease as well as gastrointestinal bleed. as suspected, the patient received two units of packed red blood cells during his hospitalization. tibc was 177, vitamin b12 1676, folate 15.1, ferritin 766, prf 136. the patient's hematocrit is currently stable. 6. change in mental status - the patient has been treated with remeron, seroquel and trazodone. narcotics and ativan confuse him. magnetic resonance imaging scan was done which was negative and demonstrated only small vessel disease, unchanged from prior studies. the patient's rpr and tsh were within normal limits. with the correction of the hypercalcemia, the patient's mental status improved, although he has been agitated on a daily basis and is often confused, shouting profanities. nevertheless, dr. , the patient's oncologist believes that a lumbar puncture would not be useful considering that there are no new neurological symptoms. 7. deep vein thrombosis - the patient was not prophylaxed for deep vein thrombosis secondary to his history of bleed. he has an inferior vena cava filter. on , the patient developed right leg swelling from his hip down to his toes. the team spoke extensively with the patient's daughter and health care proxy who refused anticoagulation due to the high risk of the patient's gastrointestinal bleeding. the deep vein thrombosis is being treated conservatively and observed. ultrasound to confirm the diagnosis is pending. 8. hypernatremia - on the patient's return to the floor from the intensive care unit he was hypernatremic to 156. he was treated with d5/w 1.8 liters times two and his sodium normalized to a level of 140. 9. gastrojejunostomy tube - when the patient was admitted he had a foley catheter in place of a prior gastrostomy tube. on the third day of admission the patient vomited. kub was negative for obstruction. the tube was replaced by ir but nursing was unable to flush the tube, therefore it was replaced again. at the time of this dictation the patient is tolerating 70 cc/hr of fs ultracal feeds which provide 1.4 liters of free water. the patient is supplemented with free water 150 cc q.i.d. 10. nhl - the patient had a computerized tomography scan prior to this admission which dr. , the patient's oncologist related to us was not concerning for worsening nhl. computerized tomography scan done here demonstrated a large dependent left pleural effusion with associated pathologic atelectasis of the left lower lobe. also interthoracic lymph node enlargement was prominent within the aorticopulmonary window and left hilar region was observed. also involving autonodal station. also observed was an enlarged heterogeneous spleen completely imaged on the study. small pericardial effusion was seen, as well as groundglass opacity and patch consolidation predominantly in the right lower lobe, also involving small pressure in the right middle lobe, mainly due to pulmonary infection. lingular opacity was seen. hematology/oncology consult team saw the patient and discussed with dr. with possibility of this computerized tomography scan looking the same or different from the prior. we were unable to obtain the prior scan, however, dr. the oncologist at and the team all felt that the patient would be best served if he were transferred back to dr. for his care. it is then likely that the patient will be further worked up and followed by dr. on an outpatient basis. the patient's pleural effusion was tapped. cytology is still pending at the time of this dictation. pleural chemistry included total protein 3.3, glucose 195 and ldh 335. ph 7.45. blood uric acid level was 10.2, ldh was 388 on and 810 on . 11. pleural effusion - the patient's pleural effusion was tapped and 1.8 liters were removed. cytology is pending at the time of this dictation. other laboratory results as described above. 12. acute renal insufficiency - the patient's baseline creatinine is 1.8. the creatinine on admission is 2.2, considered likely prerenal secondary to dehydration. the patient's creatinine is back to 1.7 to 1.8 at the time of this dictation. 13. atrial fibrillation - the patient has been diagnosed with intermittent atrial fibrillation since . he is not anticoagulated secondary to his risk of gastrointestinal bleed. the patient did not seem to demonstrate rapid ventricular response, heart rate has been between 70s and low 100s. 14. diabetes mellitus - the patient has been maintained during his hospital stay on q.i.d. fingersticks and covered by regular insulin sliding scale. his blood sugars were particularly high when he was receiving d5/w for his hypernatremia. he was appropriately covered. disposition: the patient's daughter, , pager , home , voice mail is the patient's principal healthcare proxy. the patient's official healthcare proxy document appoints his wife as the primary and daughter as the alternate, however, after extensively speaking with the family and including the other daughters, all agree that is truly the primary healthcare proxy and main point of communication regarding healthcare decision for mr. . the patient's code status is do-not-resuscitate and do-not-intubate. nevertheless, the patient's family would like to pursue full treatment of nhl and any other medical problems up to the point that he would require heroic measures. discharge is planned to hospital, for the longterm the patient would like the patient to return home. discharge diagnosis: 1. febrile neutropenia 2. hypercalcemia 3. gastrointestinal bleed 4. major depressive disorder with psychotic features 5. deep vein thrombosis 6. hypernatremia 7. gastrojejunostomy tube 8. nonhodgkin's lymphoma 9. pleural effusion 10. acute renal failure 11. atrial fibrillation 12. diabetes mellitus 13. multi-infarct dementia 14. hypertension 15. coronary artery disease 16. gastroesophageal reflux disease discharge medications: 1. pamidronate 60 mg intravenously q. week (recheck calcium q. two weeks) 2. riss 3. seroquel 12.5 mg per gastrostomy tube q. am and q. pm 4. seroquel 25 mg per gastrostomy tube q.h.s. 5. lopressor 25 mg per gastrostomy tube b.i.d. 6. levothyroxine 0.025 mcg per gastrostomy tube q.d. 7. prevacid suspension 30 mg per gastrostomy tube q.d. dr., 12-944 dictated by: medquist36 procedure: other endoscopy of small intestine thoracentesis diagnoses: unspecified pleural effusion urinary tract infection, site not specified acute kidney failure, unspecified atrial fibrillation other malignant lymphomas, unspecified site, extranodal and solid organ sites hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to