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: nausea/vomiting, hypertension major surgical or invasive procedure: none history of present illness: the patient is a 38 year with dm1 with complications of esrd on hd, gastroparesis, cad s/p mi, sys chf, recent gpc bacteremia presenting with nausea/vomiting, and usual abdominal pain found to be markedly hypertensive on arrival to the ed. of note he was just discharge on after presenting with similar symptoms. this morning he developed his usual abd pain, nausea and vomiting. he presented to the ed. his initial vital signs were 96.9 100 209/141 94%ra. he received ativan and dilaudid (2mg/2mg iv of each). he received labetalol 2.5 mg iv x2 then his home dose of clonidine. he eventually was started on a nitroglycern drip. he received regular insulin 4 units x1. the patient states the symptoms are the same as all the priors without any changes. . ros: no headache. no chest pain. breathing is normal. no dysuria past medical history: dmi complicated by gastroparesis cad s/p stemi on in setting of cocaine use with bare metal stent placement to the lad esrd on hd since line sepsis, coag negative staph most recently , prior klebsiella/enterobacteremia autonomic dysfunction wtih hypertensive emergency and orthostatic hypotension history of substance abuse (cocaine and marijuana) history of esophageal erosion, - tear history of av fistula clot cva? social history: denies etoh, tobacco or marijuana use. although with positive tox screens. lives with mother of his child family history: father deceased of esrd and dm. mother aged 50's with hypertension. 2 sisters, one with diabetes. 6 brother, one with diabetes physical exam: upon arrival to the micu: vitals: 97f 94 187/127 28 100%3l gen: ill appearing. sleepy but arousable. writhing abd muscles heent: mmm. bilat small pupils 2->1mm neck: supple chest: clear anteriorly. soft bibasilar crackles. hd cath in right chest cv: regular tachy. s1/s2 no m/r/g abd: flat, soft, mild diffuse tenderness. active bowel sounds ext: old fistulas bilat upper arms. no leg edema neuro: -ms: sleepy but arousable to voice. coherent response to interview -cn: ii-xii grossly intact -motor: moving all 4 ext pertinent results: 08:30am glucose-217* urea n-62* creat-10.5* sodium-137 potassium-5.6* chloride-97 total co2-25 anion gap-21* 08:30am calcium-10.7* phosphate-5.4*# magnesium-2.3 08:30am wbc-11.0 rbc-4.11* hgb-10.7* hct-34.9* mcv-85 mch-26.0* mchc-30.7* rdw-18.5* 08:30am plt count-331 ekg: sinus @96. normal axis. normal intervals. q (v1-4). persistant st elevations v1-5. no significant change from studies: : cxr - diffuse interstitial more than alveolar edema, likely related to the given history; overall, the lungs are significantly better aerated than on the studies, and there is no pleural effusion brief hospital course: in brief, the patient is a 38 year old man with dm1 complicated by autonomic instability, gastroparesis, esrd on hd, cad s/p mi, and multiple line infections pw/ recurrent n/v abd pain and hypertensive urgency. # nausea/vomiting - related to known gastroparesis. resolved with ativan/reglan/compazine/dilaudid. # hypertension - likely combination of autonomic instability in setting of needing dialysis and poor medication tolerance secondary to nausea. he had no evidence of acute end-organ damage. he was started on a nitro gtt that was weaned off within 24 hours. his home clonidine patch, po clonidine, and lisinopril were restarted. his labetolol was held at the time of discharge because his blood pressures were well controlled. # esrd - has access via hd line. at the time of admission he had mild pulm edema with hypoxia. he had hd x 2 during this admission. # cad s/p mi - no acute changes on ekg and no clear chest pain. he was continued on aspirin/statin/ # diabetes mellitus type 1 - he was continued on his home dose insulin. medications on admission: lantus 12 units daily. aspirin 325 mg tablet daily clopidogrel 75 mg daily atorvastatin 80 mg daily lanthanum 500 mg tid w/meals pantoprazole 40 mg po q24h labetalol 500 mg tablet po bid lidocaine patch qd clonidine 0.2 mg/24 hr patch weekly metoclopramide 10 mg tid:prn lisinopril 40 mg po daily lorazepam 2 mg po q6h clonidine 0.1 mg po bid prochlorperazine 10 mg po q6h:prn discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. reglan 10 mg tablet sig: one (1) tablet po three times a day. 4. compazine 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 5. lanthanum 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 6. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qtues (every tuesday). 7. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 8. insulin glargine 100 unit/ml solution sig: twelve (12) units subcutaneous once a day. 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) patch topical once a day. 11. atorvastatin 80 mg tablet sig: one (1) tablet po once a day. 12. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 13. ativan 2 mg tablet sig: one (1) tablet po three times a day as needed for pain. discharge disposition: home discharge diagnosis: hypertensive urgency diabetes mellitus type i cad discharge condition: stable; bp well controlled on oral medications. tolerating po diet. discharge instructions: you were admitted to the hospital with hypertension, nausea, and vomiting. you were treated with iv medications and your symptoms improved. you were dialyzed on the day of discharge. please continue your home medications as you were prior to this hospitalization. please hold your labetolol until you see dr. as your blood pressures have been low. please return to the hospital for any chest pain, shortness of breath, abdominal pain, fevers, or chills. followup instructions: provider: , md phone: date/time: 3:20 provider: , md phone: date/time: 3:30 provider: , md phone: date/time: 10:00 md procedure: hemodialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease hyperpotassemia end stage renal disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified percutaneous transluminal coronary angioplasty status chronic systolic heart failure diabetes with neurological manifestations, type i [juvenile type], uncontrolled gastroparesis acute myocardial infarction of unspecified site, subsequent episode of care peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to