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: shortness of breath. major surgical or invasive procedure: none. history of present illness: mr. is a 78 year-old male with a history of chf (ef 15%) and atrial fibrillation who presents with a dry cough and shortness of breath. recently admitted () with shortness of breath secondary to heart failure. a repeat echo at that time showed worsened dilated cardiomyopathy (ef of %) with severe tricuspid regurgitation. he was placed on a lasix drip and hctz was added, with good response. at the time of discharge, his regimen included lasix 160mg , hctz 25mg daily, and carvedilol 12.5mg . digoxin was discontinued. his weight at the time of discharge was reportedly 138 pounds. over the last few days, patient reports increasing shortness of breath and cough. has stable 2 pillow orthopnea and pnd (although he gets poor sleep at baseline). denies any dietary indiscretion (reports very low salt intake) or medication non-compliance. no chest pains or discomfort at rest or with exertion. he collects his urine daily and has noted about 1200cc daily, which has not changed. he deniesy any lower extremity edeam. can walk around his home and states that he continues to make his own breakfast. in the ed, t 96.1, bp 70/58, hr 68, rr 20 and 02 sat 94% on 4 liters. his bp fell to 66/40, but he continued to mentate well. 250cc or ivf were given. a rij was placed under sterile conditions. cvp was measured at 20-25. dopamine was started. levaquin/flagyl were given. initially was admitted to the icu. there, a lasix ggt was started with 120cc of urine in one hour. his coumadin was held in the setting of an oozing right ij site. given that his hypotension was felt to be cardiogenic in nature, he was transferred to the ccu for further care. upon arrival to the ccu, the patient continued to feeling mildly short of breath while lying flat. there was no difference with raising the head of the bed. past medical history: past medical history: 1. heart disease: (a) cardiac risk factors: diabetes, hypertension (b) percutaneous coronary intervention (): right dominant system showed widely patent arteries. (c) icd (): defibrillator placement, model 7278, serial # . (d) non-ischemic restrictive cardiomyopathy (diagnosed ) - presumed secondary to amyloid - ef 15% () (e) atrial fibrillation - s/p ablation (f) severe tricuspid regurgitation (g) mild/moderate mitral regurgiation . other past history: 1. chronic kidney disease: baseline scr 2.2-2.3 - secondary to hypertensive nephrosclerosis as well as a component of persistent renal underperfusion from heart failure 2. diabetes mellitus: a1c (): 8.7 3. hypertension 4. mgus --> amyloid: diagnosed in with positive kappa monoclonal spike and presence of bence protein in urine. repeat spep in revealed 9% monoclonal kappa spike and quantitative 1604. - diagnosed with amyloidosis on abdominal fat pad biopsy () 5. pulmonary hypertension 6. anemia: microcytic; previously thought to be secondary to iron deficiency 7. hypothyroidism: not currently on meds 8. depression 9. prostate cancer s/p resection 10. multiple abdominal hernias s/p repair 11. s/p repair bilateral carpal tunnel syndrome 12. s/p bil knee replacement 13. s/p repair rectal prolapse social history: patient currently living at rehab s/p recent hospital admission. previously lived with wife and daughter in . used to be in the navy as a cook. quit smoking >25 yrs ago. quit drinking a few months ago. family history: he was raised with a family but knows some family history. his father died of myocardial infarction; his mother died in her 80s and had a history of myocardial infarction. his identical twin died in battle in . he has a half-sister with history of myocardial infarction at age 50 and systemic lupus erythematosis, a half-brother who died of diabetes at age 30, and a half-brother with history of head trauma and myocardial infarction at approximately age 56. physical exam: vs: t 94.5 bp 86/70 --> 96/50 hr 77 rr 17 gen: elderly male, lying flat in bed in no distress. talking and coughing during interview. oriented to person, "" and "". heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: rij in place with some oozing around dressing. could not assess right veins. left ej was dilated and left ij was ~3cm above the clavicle while flat. cv: irregularly irregular with a normal s1/s2, normal s1, s2. ii/vi systolic murmur was heard at lower sternal borders chest: decreased bs 1/2 up on right; decreased on left; no crackles heard. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: admit labs: wbc-5.0 rbc-4.63 hgb-11.6* hct-36.8* mcv-80* mch-25.1* mchc-31.6 rdw-25.3* plt ct-171 neuts-69.5 lymphs-20.2 monos-6.6 eos-2.4 baso-1.3 hypochr-2+ anisocy-3+ poiklo-1+ microcy-3+ coags: pt-29.2* ptt-43.2* inr(pt)-3.0* chemistries: glucose-107* urean-94* creat-3.2* na-135 k-3.5 cl-96 hco3-29 angap-14 calcium-8.9 phos-4.2 mg-2.9* misc: probnp-* tsh-8.4* free t4-1.6 digoxin-0.3* lactate-2.1* blood gas: type-mix po2-35* pco2-50* ph-7.37 caltco2-30 base xs-1 intubat-not intuba other: albumin-3.1* cxr (): 1. persistent interstitial pattern, raising concern for a chronic interstitial disease especially considering persistence since ct of . this is nonspecific but could potentially be due to amiodarone lung toxicity. further evaluation could be performed with pulmonary function testing and high- resolution ct if warranted clinically. 2. persistent small left and increasing moderate right pleural effusion. apparent elevation of right hemidiaphragm could reflect a more substantial subpulmonic component. brief hospital course: 1. congestive heart failure: known history of severely depressed ef, 15-20%. also with severe tr and mild to moderate mr. recently admitted for chf requiring lasix drip for diuresis 10 days ago and returned with 10# weight gain and increased sob/doe. he was initially admitted to the ccu and placed on a dopamine gtt (6mcg/kg/min) and lasix gtt (10mg/hr) to assist with forward flow and diuresis. this was initially mildly successful at removing 2-3kg of fluid but he could not tolerate the dopamine due to tachycardia exacerbating his atrial fibrillation and this was weaned off. he eventually became resistant to the lasix gtt and this was transitioned to po. when this was not effective, bumetonide was tried (later with hctz) with better effect. given his poor prognosis and his frequent hospitalizations, from hospice care was called to help coordinate his transition to home with hospice given his end stage heart failure. the patient stated that he wished to be at home with family and understood the gravity of his condition as well as his poor prognosis and declined rehab or an inpatient hospice facility. 2. rhythm: history of atrial flutter s/p ablation; now with atrial fibrillation. given his end stage heart failure and his desire to be home with hospice, his icd was disabled on in accordance with his wishes. his inr was elevated during his stay and he was sent home off coumadin. 3. cad: most recent cardiac cath did not show evidence of cad. is on asa, which we was continued. 4. chronic kidney disease: scr above baseline on admission, likely due to renal hypoperfusion. initially scr remained stable, but later in course increased (2.7 --> 3.6), then again trended down towards discharge. given his poor prognosis and in accordance with prior patient's wishes, hd was not offered at this time. 5. uti: wbc with bacteria and leukesterase. treated with cipro 500mg daily x7 days. 6. diabetes mellitus: used a hiss while in house. 7. anemia: aranesp as outpatient. 8. depression: continued prozac. medications on admission: 1. ferrous sulfate 325 qd 2. fluoxetine 10 mg qd 3. aspirin 325 mg qd 4. glipizide 1.25 mg 5. furosemide 160 mg 6. hydrochlorothiazide 25 mg qd 7. carvedilol 12.5 mg 8. warfarin 2 mg po qmowefr 9. warfarin 3 mg po tuthsasun discharge medications: 1. roxanol concentrate 20 mg/ml solution sig: 5-20 mg po q1 hour as needed. disp:*30 ml* refills:*0* 2. syringe syringe sig: one (1) cc miscellaneous q1hour: to be used with roxanol sublingual. disp:*50 * refills:*2* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*2* 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*30 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: capsules po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 9. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). disp:*15 15* refills:*2* 11. codeine-guaifenesin 10-100 mg/5 ml syrup sig: five (5) ml po q6h (every 6 hours) as needed for cough. disp:*5 5* refills:*2* 12. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*30 capsule(s)* refills:*2* 13. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. home oxygen patient will need 4l/min continuous home oxygen therapy for room air saturations of 83%. 15. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily): give 30 prior to lasix or bumex. disp:*30 tablet(s)* refills:*2* 16. bumetanide 2 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: primary: 1. congestive heart failure. secondary diagnoses: 1. chronic kidney disease: 2. diabetes mellitus 3. hypertension 4. amyloid 5. pulmonary hypertension 6. anemia 7. hypothyroidism 8. depression 9. prostate cancer s/p resection 10. multiple abdominal hernias s/p repair 11. s/p repair bilateral carpal tunnel syndrome 12. s/p bil knee replacement 13. s/p repair rectal prolapse discharge condition: afebrile, vital signs stable, tolerating pos, ambulating with assistance. discharge instructions: you were admitted with heart failure and need aggressive diuretic treatment for resolution of your symptoms. 1. please take all medication as prescribed. 2. please attempt to make all medical appointments. 3. please return to the emergency room if you have any concerning symptoms. weigh yourself every morning and call dr. if your weight increases by > 3 lbs. you should continue to adhere to 2 gram/day sodium diet. followup instructions: you have the following appointments scheduled: dr. phone: date/time: 2:30 procedure: venous catheterization, not elsewhere classified infusion of vasopressor agent diagnoses: other primary cardiomyopathies anemia in chronic kidney disease mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate other chronic pulmonary heart diseases chronic kidney disease, unspecified diseases of tricuspid valve other amyloidosis nutritional and metabolic cardiomyopathy 

Answer: The patient is high likely exposed to