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 63 year old male with type 1 diabetes mellitus times 36 years, coronary artery disease, status post coronary artery bypass graft in , who presented to the emergency department with a two day history of nausea, vomiting and fingerstick glucose of greater than 500 by home monitor. two days prior to admission, the patient was seen in pain clinic for worsening of chronic low back pain and was given a prescription for percocet. since that time, the patient experienced nausea and vomiting with six to seven episodes of nonbloody, nonbilious vomiting associated with mild shortness of breath and mild diffuse abdominal pain. the patient denied chest pain or diaphoresis (of note, the patient has never had chest pain). the patient noted at this time fingerstick glucose of greater than 500 by home monitor with associated polyuria, on review of systems, the patient denied any fever, chills, headaches, cough, diarrhea, bright red blood per rectum, melena, changes in medications other than starting percocet, recent illness or sick contact. the patient called his primary care physician about his elevated fingerstick and was told to go to the emergency department. in the emergency department, the patient had temperature of 95.2, pulse 79, blood pressure 111/42, oxygen saturation 97% in room air, negative orthostatics. initial laboratories were notable for a ph of 7.2, bicarbonate 11, anion gap of 31, and white blood cell count of 20.4. the patient was given two liters of normal saline and started on an insulin drip. initial cardiac enzymes showed a cpk of 224 with troponin of 1.9, cycle #2 showed cpk 302 with troponin of 3.4. electrocardiogram showed normal sinus rhythm with old q waves in avf, ii and iii with new 1. depression in v4 through v6. the patient was given aspirin, lopressor 5 mg intravenously and started on continuous infusion of aggrestat and heparin. past medical history: 1. type 1 insulin dependent diabetes mellitus for 36 years with insulin pump began in . diabetes mellitus complicated by neuropathy and retinopathy. 2. coronary artery disease, status post silent myocardial infarction, and status post coronary artery bypass graft times four in . persantine sestamibi in , showed an ejection fraction of 55%. old inferior myocardial infarction and mild fixed inferior wall perfusion defect and mild inferior wall hypokinesis. 3. status post abdominal aortic aneurysm repair in . 4. status post aortopopliteal bypass in . 5. hypertension. 6. hypercholesterolemia. 7. history of gastrointestinal bleed in . 8. chronic gastritis/colitis. 9. chronic low back pain with l5 to s1 disc space narrowing. 10. status post left eye cataract surgery in . medications on admission: 1. lopressor 25 mg p.o. b.i.d. 2. insulin pump. 3. lipitor 10 mg p.o. q.d. 4. zestril 20 mg p.o. q.d. 5. aspirin 81 mg p.o. q.d. 6. neurontin 300 mg p.o. q.d. 7. vioxx. allergies: no known drug allergies. social history: the patient lives at home with his wife, worked for the , now retired. ninety pack year history of tobacco, quit 30 years ago. no alcohol. laboratory data: on admission. white blood cell count 20.4, hematocrit 32.9, platelets 206,000. urinalysis greater than 1000 glucose, no white blood cells. sodium 125, potassium 6.1, anion gap 33, creatinine 2.0, blood urea nitrogen 65, glucose 925. alt 108, ast 102, amylase 33, total bilirubin 0.5, cpk #1 224, cpk #2 302, cpk #3 1557. anemia workup - iron 22, tibc 200, ferritin 383, transferrin 154, reticulocyte count 0.9, vitamin b12 1735, folate 8.5. microbiology - urine culture and blood cultures from admission showed no growth. chest x-ray - no acute cardiopulmonary process. hospital course: 1. endocrine - the patient was admitted with diabetic ketoacidosis with peak anion gap of 37 and initial blood gas showing ph of 7.2 and bicarbonate of 14. the patient was given two liters normal saline in the emergency department and started on an insulin drip. electrolytes were repleted as necessary. on hospital day two, the patient's anion gap decreased to 5.0 and the patient was restarted on his insulin pump. the patient's anion gap subsequently rose to 14 with blood glucose of 583 and the patient was restarted on an insulin drip. on testing of the insulin pump, it was noted that the battery pump had died. the battery was replaced and the day prior to discharge the insulin pump was restarted with good control of blood sugar. 2. cardiovascular - the patient ruled out in non q wave myocardial infarction with peak cpk of 2189 and electrocardiogram showing 1. depressions in v4 through v6. in the emergency department, the patient was given aspirin and started on continuous infusion of aggrestat and heparin. the patient subsequently went for cardiac catheterization which found occlusion of saphenous vein graft to posterior descending artery with widely patent saphenous vein graft to diagonal and om. the patient underwent percutaneous transluminal coronary angioplasty with stent placement of saphenous vein graft to posterior descending artery anastomotic site with no residual stenosis. after the procedure, the patient remained hemodynamically stable and without chest pain. 3. hematology - on admission, the patient had a hematocrit of 32.0 which decreased to 28.0 with hydration. the patient was transfused one unit of packed red blood cells with increased hematocrit to 32.0. anemia laboratories were sent which showed a low iron, low tibc and high ferritin consistent with anemia of chronic disease. vitamin b12 and folate levels were both within normal limits. the patient's hematocrit remained stable at 32.9 at the time of discharge. 4. gastrointestinal - on admission, the patient had a transaminitis of unclear etiology. the patient's lipitor was discontinued with resolution of transaminitis at the time of discharge with an ast of 34 and alt of 60. condition on discharge: stable. discharge status: the patient is discharged to home with follow-up with primary care physician in one week. discharge diagnoses: 1. diabetic ketoacidosis. 2. myocardial infarction, status post percutaneous transluminal coronary angioplasty with stent. 3. anemia. medications on discharge: 1. aspirin 81 mg p.o. q.d. 2. vitamin e 400 international units p.o. q.d. 3. neurontin 300 mg p.o. q.h.s. 4. atenolol 50 mg p.o. q.d. 5. zestril 30 mg p.o. q.d. 6. plavix 75 mg p.o. times 25 days. 7. eye drops. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: subendocardial infarction, initial episode of care anemia, unspecified congestive heart failure, unspecified coronary atherosclerosis of autologous vein bypass graft polyneuropathy in diabetes diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to