A 29 year old patient is seen by a ER physician complaining…

A 29 year old patient is seen by a ER physician complaining of vague flu like symptoms for 2 weeks in duration. The patient has a fever of 100.9 degrees F. The CBC results are as follows: WBC = 56,000/ul RBC = 2,800,000/ul Hemoglobin – 10.1g/dl HCT = 31.1% MCV = 83 fl Platelet = 63,000/ul 85% Blasts, The NSE is negative. Which of the following is most likely responsible for these results?