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: weakness / confusion major surgical or invasive procedure: placement of a svc tunnelled hemodialysis catheter placement of a subclavian central line placement of a percutaneous cholecystostomy intubation placement of a femoral central line history of present illness: this 75 year old man with a past medical history significant for cva, atrial fibrillation, and chronic renal insufficiency presented with worsening confusion & agitation x 1 day. he also had headache, nausea, unsteady gait, dyspnea on exertion, and dizziness. his wife called the patient's primary care doctor who referred them to the emergency department. according to the patient's wife these symptoms had been getting progressively worse over the past 3 weeks. the patient denied pruritis, chest pain, shortness of breath, or abdominal pain. . the patient was seen by his pcp (3 days prior to admission), and at that time had malise, fatigue, poor appetite, difficulty walking, and nausea. he had an unchanged mri of his head at that time, and his bun/cr were elevated but close to his baseline 78 & 5.7 respectively). during that office visit he denied shortness of breath, chest pain, abdominal pain, nausea, or diarrhea. he did mention that he had started taking amitriptyline one week prior. past medical history: - cerebrovascular accident with residual aphasia - atrial fibrillation - hypertension - chronic renal insufficiency (creat baseline 5.0-5.3) - anemia - gout social history: lives with wife, lives on with elevator family history: non-contributory physical exam: vs: afebrile, vital signs stable heent: ncat, perrl, anicteric, eomi, mmm neck: supple, no lad, no jvd, no carotid bruits resp: bibasilar crackles cards: rrr nl s1 s2, no m/g/r abd: nl bs, soft nt, nd, no hsm ext: no edema, +2dp/pt neuro: a&ox3 but at times confused about history, cn ii-xii intact, 5/5 strength throughout, nl sensation. pertinent results: admission labs: cbc: wbc 7.3, hgb 9.9, hct 31.1, plt 142 n:78.1 l:13.7 m:4.5 e:3.1 bas:0.7 chem7: na 138, k 4.6, cl 98, hco3 25, bun 84, cr 6.6, glc 136, ag 20 base line bun (), cr () ca: 11.8 mg: 2.3 p: 4.9 pt: 19.7 ptt: 35.4 inr: 2.5 ua: sg 1.013, tr blood, prot 100 ck: 30 trop-*t*: 0.03 . radiology: ct head: no intracranial bleed renal u/s: no hydronephrosis. evidence of bilateral chronic renal parenchymal disease cxr: right ij line. cardiomegaly. cxr: new patchy right infrahilar opacity. ruq u/s: distended gallbladder, pericholecystic fluid. hida: c/w cholecystitis cxr: new lll atelectasis & ? patchy consolidation. ct head: limited, no definite evidence of acute intracranial hemorrhage or mass effect. cxr: improved lll opacity. new moderate-sized layering right pleural effusion. cta: no pulmonary embolism. bibasilar consolidations, left greater than right. bilateral pleural effusions. cardiomegaly. le u/s: no evidence of deep venous thrombosis. microbiology: sputum - s aureus and rare yeast blood culture inpatient pending blood culture inpatient pending sputum - s aureus ( gent, tetra, vanco) ucx neg blood culture inpatient pending blood culture ( myco/f lytic bottle) inpatient pending blood culture inpatient pending blood culture ( myco/f lytic bottle) inpatient pending blood culture inpatient pending bcx - enterococcus faecium ( vanco) bile cx neg bcx neg x 2 bcx neg x 1 bile cx neg bcx neg x 2 bcx neg x 2 brief hospital course: 75 yo m with pmh of cva, afib, cri p/w confusion/agitation, nausea, weakness, and acute on chronic renal failure. admitted for acute dialysis and work up of confusion. hospital course complicated by two episodes of aspiration pneumonia necessitating icu admission and a left frontal-parietal stroke resulting in right hemiparesis and persitant delerium. he was noted to be hypercalcemic with elevated 1,25-vit d levels and associated with a new renal mass and enlarged spleen. this was felt to be related to a paraneoplastic syndrome likely from a lymphoma with renal and splenic involvement. on his second icu transfer the patient remained pressor dependent despite treatment with antibiotics and stress dose steroids. given his overall poor prognosis for meaningful recovery, his family decided to withdrawl care. the patient was maintained on minimal sedation while pressors were stopped and he was extubated. he passed away within minutes of stopping his vasopressors. medications on admission: mvi stool softener iron 65mg po q day diovan 160mg diltiazem 180mg allopurinol 100mg furosimide 40mg prevacid 30mg coumadin 3mg 5 times per week epogen q week discharge medications: none discharge disposition: home discharge diagnosis: primary: end stage renal failure from htn cva atrial fib aspiration pneumonia sepsis hypercalcemia of malignancy (?lymphoma) discharge condition: deceased discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis transfusion of packed cells transfusion of other serum percutaneous aspiration of gallbladder diagnoses: acute kidney failure with lesion of tubular necrosis unspecified septicemia severe sepsis gout, unspecified atrial fibrillation intracerebral hemorrhage hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute and chronic respiratory failure pneumonitis due to inhalation of food or vomitus septic shock pressure ulcer, lower back acute cholecystitis delirium due to conditions classified elsewhere late effects of cerebrovascular disease, aphasia hypercalcemia vascular dementia, uncomplicated cerebral atherosclerosis 

Answer: The patient is high likely exposed to