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: insulin pork purified / insulin beef / erythromycin base / codeine / aspirin / compazine / peanut / reglan / phenergan attending: chief complaint: hyperglycemia questionable seizure major surgical or invasive procedure: none history of present illness: 35 yo f w/ complicated dmi (multiple admissions for dka, last admit micu with similar presentation, left ama), htn, esrd on capd x5/day p/w glucose 740s in context of non-corrected gap 29. pt w/ history of med non-compliance. on leaving ama , had l sc line, ag 19 w/ nl bicarb (cri), k 6.3, fsbg 400s, stable vs, asymptomatic. was seen in clinic, ekg w/ peaked ts and k 6.7 off central line, fsbg 100s. was advised to go to ed for mgmt of k, initially refusing admission for treatment, but wanted scripts for lancets for insulin (). missed neurology appt for eval of seizure dz, next in . has been taking insulin, reports taking 35 units glargine in hs prior to admission and humalog 18 units this am. last dialysis capd yesterday pm, fluid dwelling for > 12 hrs now (not removed), usually 3 hrs in. experienced lightheadedness, subjective feeling of tension this am ?similar to past seizures (described as starting tremors in r hand, marching up r ue, with ?loc, confusion, tongue biting; has had them several times since ). has had difficulty with obtaining keppra pre-approval for drugs from pharmacy. no ha, fevers, chills, vomiting, diarrhea, abdominal pain, dysuria, hematuria, cough, difficulty or pain elsewhere. did not have loc today or hit head. lives w/ daughter and , who called ems and was brought to . in ed was given ivf (ns) x 1 l, vanc/levo/flagyl, 10 u reg insulin iv to 7 u/hr drip. abg in ed 7.24/42/142, bs=746, ag=22. past medical history: 1. diabetes mellitus type 1, diagnosed at age 7. the patient has had multiple episodes of diabetic ketoacidosis in the past. her dm is complicated by neuropathy, nephropathy and retinopathy. 2. chronic failure with creatinine around 7, on peritoneal dialysis (5x/wk) 3. history of gastroparesis 4. atypical chest pain. 5. hypertension. 6. asthma. 7. chronic right foot ulcer 8. chronic diarrhea- incontinent of stool since abcess removed (). 9. recurrent pyelonephritis. 10. : ef 75%. no wma/valvular abnormalities. 11. esophagitis and gastritis; history of hematemesis and egd on revealed grade iv esophagitis with contact bleeding was seen in the distal esophagus, erythema in the stomach body and fundus compatible with gastritis. 12.h/o subdural hematoma 13. seizure disorder social history: the patient lives . her pcp is . per his omr note, her children have recently been taken by dss. she has a long history of medical noncompliance. she previously noted that she smokes 2 packs of cigarettes every 5 days but says that she is smoking less now (approximately 4 pk yr history). she denies use of alcohol or illicit drugs. had been in abusive home relationship but denies current abuse. family history: father with type 2 dm, chf, cva physical exam: vs: t96.6 p67 bp 160/60 rr15 sat100-3l gen: ill-appearing, drowsy f, distended abdomen, multiple excoriated ulcers across body. heent: mm dry. no lad. jvp not well visualized. lungs: crackles r > l, esp at r base. cor: s1, s2. no s3 or s4 or rub. iii/vi sem at rusb to clavicles. abd: bs+. distended + fluid wave. non tender, no peritoneal signs. dialysis cath site: c/d/i, no ooze. extr/derm: multiple excoriated lesions across bilateral le, chest, face. foul-smelling. irregular base with necrotic center, dark borders. have been present x > 1 year. + pedal pulses, moderate + edema up to mid calf. neuro: cn ii - xii intact. no pronator drift or asterixis. aaox3 but somnolent. pertinent results: 12:50 pm na 127 => corrected 139 k 5.5 cl 91 bicarb 13 (baseline 24, w/cri) bun 82 cre 11.2 (baseline 7.0 per notes) glu 746 ag 25 (corrected 31) abg 7.24/42/143/19 (on l o2) 6:30pm chem: 134. 5. 99. 18. 78. 10.9, 189, ag 22 ca 7.2 mg 2.4 p 10.5 peritoneal fluid: wbc 50, rbc 8, diff pending u/a hazy, wbc, +blood, +glu and ketone, +epi pt 14.2, ptt 26.5, inr 1.3 wbc 11.2/28.2/553 (all values have been elevated since last admit) p76 l18 m2.9 e2.7 b0.5 acetest + ca 7.3 (alb 2.7) mg 2.6 p 11.1 brief hospital course: 35 yo f non-compliant s/p recent ama d/c from micu w/ central line in place p/w with questionable seizure and dka. pt is leaving ama, and she understands that her anion gap metabolic acidosis and elevated k pose serious medical risks to her life. 1. dka: pt was admitted to the micu on for dka, lethargy, lightheadedness, and sense that she is going to have a seizure. possible precipitant(s) of dka include non-compliance with insulin regimen vs. infection sz -> aspiration pneumonia (rml opacity on cxr, poor dentition) vs. line bacteremia (pt w/ central line in place when left ama on previous admission) vs. ischemia vs. other infection (peritoneal fluid from pd, urine) (pregnancy r/o w/ negative b-hcg on presentation). . pt was treated with dka protocol, levo/flagyl for possible aspiration pneumonia. successfully decreased bs, closure of ag to baseline (15), and improved mentation and po intake on insulin gtt and was changed to sub-cutaneous insulin regimen (lantus 30units qd and humolog iss) with diabetes consult pending. levo/flagyl was discontinued on hd #2 due to pt's lack of wbc, afebrile, and rpt cxr showing no infiltrate. upon leaving icu, blood cxs ngtd, troponin elevated @ 0.37, but decreased from previous level of 0.46 () - therefore likely trending downward slowly esrd and no evidence of active ischemia, pd fluid w/out signs of infection, urine cx skin flora only. increased am humalog to 12 u standing, with modified humalog ss; lantus was kept at 35 u qhs, as her am fsbs were 100-150s. . 2. seizure: poorly defined seizure dz, thought to be primary vs secondary to hypoglycemia. never seen by neuro svc, and missed last appt with next appt set for . head ct on last admission negative. last neuro note suggests ?metabolic-toxic cause (uremia/metabolic derangements). h/o subdural (? seizure). unclear how long she has been on aeds. pt was without sz activity in hospital icu stay, and was maintained on keppra, neurontin. pre-approval forms had previously been filed by dr. ( pcp). patient's pharmacy was to fill keppra and neurontin. patient was also advised not to drive, given seizure disorder. . 3. : patient on capd 5x/day 2l x 3 hrs dwelling with d2.5 w/ca-acetate solution. details of peritoneal dialysis reviewed with service, who felt that 4x/day would be adequate dialysis, but did not object to her current regimen. patient has requested transition to ccpd at pm, and service requested 24 hr collection for cre and urea before consideration of transitioning patient to ccpd. . 4. cv: last w/ef 75%, no wma, moderate as (1.6 cm2) w/evidence of diastolic dysfunction. peaking t in v3 on presentation to clinic prior to hospitalization, pseudonormalization in v1, otherwise no new changes. on admission, with normalization of potassium, pt no longer with peaked t. trop elevated on admission to 0.37, but trending w/ previous values shows downward trend w/ peak at 0.46 on (slow clearance due to poor clearance). pt maintained on statin and bb (no asa allergy of vomiting and gi upset). zestril held pt's recent elevated potassium. added back procardia per outpatient medications, with good effect. still needs titration of bb or adding back ace on floor. . 5. anemia: stable at hct 26-30. likely chronic insufficiency. fe and ferritin low on . given epogen 4000 u/tiweek. . 6. gi/nutrition: history of gastroparesis, never had nuclear study. history of chronic "diarrhea" / fecal incontinence since rectal abscess i/d'ed . on dialysis diet with electrolyte restriction, aspiration precautions, and reglan/protonix for motility and ppx. medications on admission: 1. insulin sc (per insulin flowsheet) sliding scale & fixed dose 2. acetaminophen 325-650 mg po q4-6h:prn 3. levetiracetam 500 mg po bid 4. albuterol puff ih q6h:prn 5. metoprolol 12.5 mg po bid 6. albuterol 0.083% neb soln 1 neb ih q6h:prn 7. nephrocaps 1 cap po daily 8. atorvastatin 20 mg po daily 9. nitroglycerin sl 0.3 mg sl prn 10. calcium acetate 1334 mg po tid w/meals 11. pantoprazole 40 mg po q24h 12. epoetin alfa 4000 unit sc qmowefr 13. fexofenadine 60 mg po bid 14. gabapentin 300 mg po daily medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 2. calcium acetate 667 mg tablet sig: two (2) tablet po tid w/meals (3 times a day with meals). 3. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 4. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 5. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 6. epoetin alfa 4,000 unit/ml solution sig: 4000 (4000) units injection qmowefr (monday -wednesday-friday). 7. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 8. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). disposition: home with service facility: vna diagnosis: primary diagnosis: diabetic ketoacidosis secondary diagnosis: type 1 diabetes mellitus hyperkalemia condition: pt chose to leave the hospital against medical advice. her blood sugars still remained significantly elevated and she had an anion gap of 19. the pt understood that she could become very ill, have repeat episodes of dka, or even die. however, despite these risks, she chose to leave. instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet 1. please take all your medications as prescribed. 2. please keep all follow up appointments. 3. seek medical attention for fevers, chills, chest pain, shortness of breath, or any other concerning sympoms. followup instructions: 1. provider: , md where: phone: date/time: 2:30 2. provider: , md where: phone: date/time: 1:30 3. provider: , md where: neurology phone: date/time: 2:30 4. provider: . at the center for at 4 p.m. please call if you need to cancel or reschedule. 5. please follow up at with dr. nurse practitioner at 8:00 am. procedure: peritoneal dialysis diagnoses: hyperpotassemia anemia in chronic kidney disease asthma, unspecified type, unspecified other convulsions polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled background diabetic retinopathy gastroparesis 

Answer: The patient is high likely exposed to