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: oxycodone attending: chief complaint: fatigue major surgical or invasive procedure: central venous line placement bronchoscopy history of present illness: the patient is a 69 yo f with history of breast cancer and secondary aml s/p induction therapy with 7+3 (multiple complications) and subsequent dacogen therapy with continued peripheral blasts throughout treatment who presents for admission for more aggressive treatment for secondary aml (had been deferred until after her son's wedding, which happened this past weekend). . she was seen in onc clinic on and reported fatigue that began on friday after receiving plts. she reports feelings slightly better on saturday (2 days pta), but again felt fatigued on sunday and developed blisters on her lips and mouth with bleeding. she also endorse very mild sore throat beginning 2 days pta. she denies fevers and chills at home. she further denied any sob (pta), cough, abdominal pain, n/v/diarrhea, dysuria, or rashes. she has had no recent travel, sick contacts, or recent dental procedures. blood cultures were drawn in clinic and she received a bag of platelets prior to direct admission to the floor from clinic for treatment of her aml. . she was febrile on presentation so cefepime was started for neutropenic fever. cxr on admission demonstrated several bilateral lung opacities, mostly in a perihilar distribution and ct chest was recommended. overnight last night, she developed worsening hypoxia requiring 3l nc supplemental o2 (had previously been on ra) and tachypnea although she reports her breathing felt comfortable. ct chest was performed which showed diffuse bilateral ground glass opacities concerning for infection vs. pulmonary edema vs. pulmonary hemorrhage. vancomycin was started in addition to cefepime and id and pulmonary consults were obtained. blood cultures from are growing enterococcus. nasopharyngeal aspirate negative for influenza, parainfluenza, adeno, and rsv. based on the appearance of her chest ct, id and pulm agreed on bronch planned for . id recommended adding azithromycin for possible atypical pulmonary infection as well as treating for pcp given appearance on imaging, neutropenia, and acute elevation of her ldh so she was started on bactrim and prednisone prior to icu transfer. cvl was placed by ir on . . in the evening of her transfer, she became increasingly tachycardic to the 120s (sinus) with rr as high as the 40s with crackles extending up entire bilateral lung fields. abg performed on the floor 7.49/21/62 on 3l nc. she received 20mg iv lasix and atrovent neb. she was on nrb and is now being transferred to the floor for sepsis and worsening respiratory status in the setting of developing multifocal pulmonary infiltrate. . ros: negative for ha, vision changes, fevers, chills, nausea, emesis, hematemesis, abdominal pain, melena, hematochezia, weight changes. positive as above. past medical history: 1. left breast cancer, diagnosed in , s/p lumpectomy, xrt, and chemotherapy (please see below in oncologic history for details) 2. history of polio with leg brace () 3. history of tumor on spine 4. osteoporosis 5. s/p tonsillectomy/adenoidectomy 6. s/p l knee replacement 7. s/p orif of femur and fusion of ankle s/p fracture 8. multiple foot surgeries and an ankle fusion done for post-polio syndrome 9. sinus cyst removed, which was benign oncologic history: -aml dx in , s/p 7+3 induction chemotherapy, complicated by ards requiring intubation and then trach and peg, rf requiring hd until 2 weeks ago, was on biweekly hd, she was hospitalized for a long course and then spent time in rehab. she is still not at the same baseline of activities before this diagnosis. -breast cancer- diagnosed in , with left sided mass on a mammogram on . an ultrasound confirmed that the mass was solid, and an u/s guided biopsy found a 3.7 cm grade 3 infiltrating left ductal cancer with clean lymph nodes, er positive, her-2/neu negative, and negative lvi. she received cytoxan and adriamycin x 4 and was on femara for 4 years. she was switched to tamoxifen in due to bone density thinning. her mammogram in was normal. her last bmd was in with one in pending. . ob/gyn history: g3p2 with first full term pregnancy at age 29. menarche at age 11 with menopause in early 50's. took ocps for approximately 3 years in the past and had been on estrogen for ~ 10 years but has stopped this. . social history: she denies tobacco use and ivdu. she drinks alcohol socially. she has one son who is a patent lawyer in and is engaged and will be married in the fall on . family history: there is no family history of breast, ovarian, or colon cancer. her father died of an mi at 65 yrs. her mother died of "renal disease." physical exam: vs: 98, 147/75, 18, 106, 99% ra heent: anicteric, bucal mucosa with several lesions (right lateral wall, left lateral wall, perimeter of tongue, 2 on bottom lip, tongue coated in old darkened blood making difficult to assess for thrush neck: supple, no lad chest: ctab heart: rrr, nl s1 and s2, no mrgs abdomen: soft, ntnd, no hsm skin: no rash, multiple ecchymosis ext: left ankle larger than right in setting of prior ankle fusion, 2+ dp pulses neuro: a&o x 3, mae pertinent results: admission labs: 01:30pm blood wbc-12.2* rbc-3.09* hgb-9.1* hct-26.5* mcv-86 mch-29.5 mchc-34.5 rdw-15.4 plt ct-6*# 01:30pm blood neuts-0 bands-0 lymphs-31 monos-28* eos-0 baso-0 atyps-0 metas-0 myelos-0 blasts-41* 01:30pm blood hypochr-normal anisocy-normal poiklo-normal macrocy-normal microcy-1+ polychr-normal 01:30pm blood pt-14.6* inr(pt)-1.3* 01:30pm blood gran ct-210* 01:30pm blood urean-44* creat-1.7* na-138 k-3.9 cl-107 hco3-18* angap-17 01:30pm blood alt-25 ast-35 ld(ldh)-790* alkphos-66 totbili-0.5 dirbili-0.2 indbili-0.3 01:30pm blood calcium-9.0 phos-1.7* mg-1.7 uricacd-7.4* 04:15pm blood fibrino-206# d-dimer-7047* 06:15am blood hapto-545* brief hospital course: 69 f w/ secondary aml s/p 7+3 (multiple complications) & dacogen, still w/ peripheral blasts presented with enterococcemia. hospital course complicated by diffuse aveleor hemorrhage, vre bacteremia from tunneled catheter line, c.-diff colitis and supra-ventricular tachycardia. patient started on azacitadine 75mg/m2 for 7 days, and gemtuzumab 3mg/m2 on day 8 for aml therapy (day 1 ). unfortunately, repeat bone marrow showed no response (90% blasts). patient at this time was complaining of increasing dyspnea, demonstrated fluid overload on exam and echo demonstrated a significantly decreased ef 25-30%. patient was suffering from stage 4 chf. patient and family decided not to pursue additional chemotherapy treatments. over the course of the next week patient became unresponsive and was unable to eat or swallow pills. family decided on comfort care measures. social work, chaplain service, and medical staff offered support. patient passed on . medications on admission: allopurinol 100 mg daily famotidine 20 mg qod or as directed dacogen (decitabine, dna methylation inhibitor) - stopped hydroxyurea 1000 mg daily levofloxacin 250 mg qod ativan 0.5-1 mg q4-6 hrs metoprolol 12.5 prochlorperazine prn acyclovir 200 mg po bid acetaminophen prn discharge disposition: expired discharge diagnosis: primary diagnoses: - aml - enterococci bacteremia (vre) - acute chf - diffuse aveleor hemorrhage - supraventricular tachycardia secondary diagnoses: - breast cancer - osteoporosis - polio discharge condition: patient passed procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified closed [endoscopic] biopsy of bronchus incision with removal of foreign body or device from skin and subcutaneous tissue transfusion of packed cells injection or infusion of cancer chemotherapeutic substance transfusion of platelets injection or infusion of oxazolidinone class of antibiotics injection or infusion of biological response modifier [brm] as an antineoplastic agent diagnoses: pneumonia, organism unspecified other primary cardiomyopathies acidosis thrombocytopenia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified severe sepsis personal history of malignant neoplasm of breast candidiasis of mouth chronic kidney disease, stage iii (moderate) other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure osteoporosis, unspecified intestinal infection due to clostridium difficile acute systolic heart failure other and unspecified infection due to central venous catheter streptococcal septicemia knee joint replacement personal history of irradiation, presenting hazards to health neutropenia, unspecified late effects of acute poliomyelitis acute myeloid leukemia, without mention of having achieved remission fever presenting with conditions classified elsewhere stomatitis and mucositis, unspecified 

Answer: The patient is high likely exposed to