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: lactose attending: chief complaint: dyspnea, acute anuric renal failure major surgical or invasive procedure: central line placement history of present illness: this 74 year old gentleman with a history of type ii diabetes, hypothyroidism, and hyperlipidemia presents to the ed on 5 days after a penile implant with dyspnea. in the ed patient was found to be hypotensive and in profound renal failure with creatinine 10 and k of 6.1 and hyperkalemia, no ekg changes seen. was fluid resuscitated and briefly required pressors. recieved broad spectrum abx (vanc/zosyn/ceftriaxone) in ed. foley was placed with over 1l output initially then became anuric. patient was admitted to the surgical icu. central line was placed to measure cvp. fluid resuscitation was initiated. hyperkalemia was treated with both kaexylate as well as bicarbonate and calcium. antibiotics changed to ciprofloxacin. laboratories also notable for elevated ck peak in 900s and fena of 140. nephrology consulted--at this point post-obstructive nephropathy, myoglobinemia (possibly secondary to succinylcholine-related myolysis), atn from low blood flow. they decided not to dialyse. urology also consulted--did not believe implant was infected. renal u/s revealed hydronephrosis. on hd2, echocardiography revealed hyperdynamic ef and ivf inititated. urine output remained poor. on hd4 1/4 bottles of blood cultures revealed --late speciated as c. glabralta, was started at that time on caspofungin with consultation from id team was consulted. ciprofloxacin discontinued. at this time he was also started on lasix gtt per renal team for about 24 hours - urine picked up to 200-400cc/hr. lasix was dc'd and the patient continued to making urine on his own. ngt dc'd late hd4. started on clears hd5 and adat hd6. creatinine started to decline on hd6 and at this point was transferred to the medical service for further care of all his medical issues. the patient currently believes he feels better. he continues to deny genital pain. the dyspnea he had on presentation is resolved. his appetite still is not normal. he had a nl bowel movement earlier. he denies fever, chest pain, easy bruising or swelling in legs and ankles. past medical history: 1) diabetes type ii 2) hyperlipidemia 3) htn 4) hypothyroid, on replacement 5) bph 6) elevated amylase, unclear etiology 7) question coronary artery disease, has mild inferior wall reversible defect seen on p-mibi social history: no alcohol or tobacco use. married, retired public school administrator. family history: father with heart disease, mother with breast cancer physical exam: t 98.0, p 66, bp 138/64, rr 24, o2 96 on ra gen: african american gentleman in nad, pleasant. eyes: mild exophthalmos. cor: rr, 3/6 sem, no gallop, no rub chest: lungs cta b/l abd: obese, non-tender, tympanic, no peritoneal signs genital: foley in place, yellow clear urine, penile edema. ext: no edema, nl distal pulses pertinent results: discharge labs (most current): 06:35am blood wbc-6.5 rbc-3.32* hgb-10.7* hct-32.7* mcv-98 mch-32.2* mchc-32.7 rdw-13.9 plt ct-316 06:35am blood plt ct-316 01:18pm blood glucose-214* urean-15 creat-1.5* na-142 k-4.2 cl-106 hco3-26 angap-14 07:00am blood ck(cpk)-395* 06:35am blood calcium-7.4* phos-2.6* mg-1.5* 04:44am blood tsh-8.0* 04:44am blood free t4-1.1 cardiology report echo study date of interpretation: findings: left atrium: normal la size. right atrium/interatrial septum: normal ra size. normal ivc diameter (1.5-2.5cm) with >50% decrease during respiration (estimated rap 5-10 mmhg). left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). transmitral doppler and tvi c/w normal lv diastolic function. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. no masses or vegetations on aortic valve. no as. trace ar. mitral valve: normal mitral valve leaflets. no mvp. no mass or vegetation on mitral valve. mild mitral annular calcification. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. no mass or vegetation on tricuspid valve. moderate pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. cardiology report ecg study date of 7:19:54 pm sinus tachycardia. otherwise, normal tracing. compared to tracing of sinus tachycardia has replaced sinus bradycardia. read by: , i. intervals axes rate pr qrs qt/qtc p qrs t 114 144 80 300/394 55 45 31 radiology report renal u.s. study date of 11:09 am impression: 1. redemonstration of a simple-appearing, large right renal cortical cyst. 2. no evidence of hydronephrosis or renal calculi. radiology report chest port. line placem study date of 4:58 pm impression: ap chest compared to and 13: lung volumes have improved, right pleural effusion and basal atelectasis nearly resolved. lungs grossly clear. heart size normal. tip of the right pic catheter projects over the mid svc. dr. discussed with the pic position with the iv nurse at 7:15 p.m. on . brief hospital course: ed/micu course: in the ed patient was somewhat hypotensive - recieved fluid and pressors for a few hours only. recieved broad spectrum abx (vanc/zosyn/ceftriaxone) in ed. foley was placed with over 1l output initially then was anuric. patient was admitted to the icu under the care of the surgical team with input from urology and then from nephrology. was made npo, ngt to suction, foley, and ivf. central line was placed to measure cvp. fluid resusitation was initiated. hyperkalemia was treated with both kaexylate as well as bicarb/ca. hypoglycemia was initially treated with dextrose boluses and then with d10 gtt until it resolved. highest ck was in 900s and fena was 140. ddx post-obstructive nephropathy, myoglobinemia, atn from low blood flow. on hd2 cardiac echo was performed which hyperdynamic left ventricle and underflowed heart, so ivf were resumed in first bolus form and then at a continuous rate. antibiotics were switched to cipro (renally dosed). renal u/s was performed which did not show much hydronephrosis. esmolol gtt was started to control tachycardia in the setting of recent stress test showing a reversible defect. on hd4 was started on caspofungin for yest in bottles of clood cultures - later grew out c. glabralta - id team was consulted. was also started on lasix gtt per renal team for about 24hours - urine picked up to 200-400cc/hr. later dc'd and was making urine on his own. ngt dc'd late hd4. started on clears hd5 and adat hd6. creatinine started to decline on hd6 and at this point was transferred to the medical service for further care of all his medical issues. internal medicine transfer course: briefly, this was a 74 year old diabetic gentleman admitted in renal failure s/p penile implant. etiology was most likely multi-factorial, including candidal infection, post-obstructive nephropathy, and medication induced renal failure. his creatinine trending down every day, and he never required dialysis. the following treatments were rendered after the patient was transfered to the (floor) internal medicine service. . problem list . #) renal failure, multifactorial: the patient was treated with maintaining roughly equal is and os. the patient self-diuresed. his elanapril was stopped while he was hospitalized and upon discharge. his pcr trending down daily. renal originally was consulted, but had signed off by the time he hit the floor. urology saw the patient and recommended 2 trial voids. he failed both, he was started on flomax and was dishcharged with his foley. a trial void was to be done with urology as an outpatient. . #) candidemia: the patient was treated with 50mg iv caspofungin. a picc line was placed and the patient was discharged with a 7 day course of caspofungin. he remained afebrile throughout his stay. . #) elevated ck: this was a laboratory finding. the patient's lipitor was stopped during admission and discharge. the patient was told to talk to pcp about restarting. . #) thyroid disease: the patient was found to have tsh of 8, but free t4 wnl. the patient discharged with a change of 100mcg from 75mcg. he was told to follow-up with pcp about rechecking tsh levels in 4 weeks. . #) distended abdomen: patient has mildly distended abdomen. patient reports no nausea or vomiting. it improved every day since patient hit the floor. the patient was treated with aggressive bowel regimen. medications on admission: home medications: aspirin 325 mg--po daily chlorpromazine 25 mg--1 tablet(s) by mouth tid prn hiccups enalapril 20 mg po daily folic acid 2 mg once a day glucophage 1000 mg, twice a day glucotrol 10 mg lipitor 10 mg po daily synthroid 75 mcg po daily testosterone injections. triamcinolone 0.1 %--apply as directed flomax 0.4 mg daily . medications on transfer: 1) caspofungin 50 mg iv daily, day 1= 2) metoprolol 25 mg po bid 3) regular insulin sliding scale 4) albuterol/atrovent nebulizers q6 hours prn 5) famotidine 20 daily 6) levothyroxine 75 mcg daily 7) bisacodyl prn 8) heparin sc discharge medications: 1. outpatient lab work please check lfts and cbc on and and send the results to dr. . 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). tablet(s) 3. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily) as needed. disp:*1000 ml(s)* refills:*2* 4. flomax 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po once a day. 5. synthroid 100 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 7. glucotrol 10 mg tablet sig: one (1) tablet po twice a day. 8. folic acid 1 mg tablet sig: one (1) tablet po once a day. 9. aspirin 325 mg tablet sig: one (1) tablet po once a day. 10. vit balanced b-100 tablet sig: one (1) tablet po once a day. 11. vitamin c 500 mg tablet sig: one (1) tablet po once a day. 12. picc line picc line care per protocol 13. caspofungin 50 mg recon soln sig: one (1) intravenous once a day for 7 days. disp:*7 * refills:*0* discharge disposition: home with service facility: home therapies discharge diagnosis: primary: acute renal failure, hyperkalemia, candedemia secondary: type ii diabetes, hypothyroidism, hypertension discharge condition: the patient was discharged afebrile, hemodynamically stable, and with appropriate follow-up. discharge instructions: you were admitted for acute renal failure. you were also found to have high potassium, low urine output, and bacteremia. your acute renal failure was probably secondary to post-operative obstruction from your penile implant and complications from the antibiotic treatment for your bacteremia. you will be follwed by urology once you are discharged. you have a scheduled appointment with them listed below. you will also be receiving home nursing services. you will discharged with the following new medications: caspofungin. because fungus was found in your blood, you will need to take the caspofungin for 7 more days as an outpatient. vna services will assist you with this. your thyroid medication was increased on discharge. please follow-up with your pcp weeks regarding this change. you will be sent home with a foley catheter. please follow-up with urology regarding your next trial void. your elanapril (ace inhibitor) and lipitor (statin) were stopped while you were hospitalized. they will also be stopped at time of discharge. please follow-up with you pcp regarding restarting these drugs. your aspirin will be restarted when discahrged. if you are still having abdominal distention once discharged, please increase the fiber in your diet, as well as, keep using laxatives such as senna or colace. if you notice any substernal chest pain, extreme shortness of breath, mental status changes, headache, dizziness, acute scrotal/penile swelling, fever, chills, sweats, or abdominal pain please return to the nearest emergency room. followup instructions: you should follow-up with your pcp, . in weeks. her office will be calling you at home to schedule an appointment. if you do not hear from them, then you may reach call for an appointment at . you have a required, scheduled appointment with urology (dr. on thursday, @ 10:00am. they will retry a voiding trial then. if you cannot make this appointment, you must call their office immediately to reschedule. you also have the following appointments scheduled for you: provider: , endoscopy suites date/time: 9:00 provider: suite gi rooms date/time: 9:00 provider: , m.d. phone: date/time: 10:00 procedure: venous catheterization, not elsewhere classified diagnoses: hyperpotassemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism other and unspecified hyperlipidemia hypotension, unspecified disseminated candidiasis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation hydronephrosis other mechanical complication of genitourinary device, implant, and graft 

Answer: The patient is high likely exposed to