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: hyperkalemia major surgical or invasive procedure: none history of present illness: the pt is a 49 yo spanish speaking only male with h/o cad s/p cabg, dm, esrd secondary to dm on hd (mwf), htn, hl, cardiomyopathy ef 25% from chagas, and h/o pancreatitis who presented to hd today with hypotension and bradycardia. per the patient and wife he was in his normal state of health until today at hd. he did report 3 episodes of liquid diarrhea today after lunch. he was reportly hypotensive to the sbp 65/13 and hr in the 50's. he was brought to the ed. . in the ed 95.7 65/13 55 16 99%ra. he then became bradycardic to the 20's with ecg showing idioventricular rhythm. he was given atropine 0.5mg. his labs showed a potassium of 8.6. he was given calcium gluconate 2 amps, 10u insulin, 1 amp of bicarb and was started on peripheral dopamine. a right femoral line was placed. his heart rate improved to the 50's and he was weaned off the dopamine gtt. he was given vancomycin/zosyn and bcx were sent. he was evaluated by renal and was transferred to the micu for emergent hd. . the patient and wife report that he was doing well. he denied any fevers, chills, cp or sob. he states that he has missed some doses of his medications, unclear which ones. he also reported some neck weakness, but no rigidity, stiffness, photophobia or headache. past medical history: -esrd on hemodialysis, on transplant list, s/p l brachiocephalic av fistula, left brachiocephalic av fistula , s/p angioplasty in , s/p thrombectomy in , left upper extremity graft placed -cabg x4 : left internal mammary artery grafted to the left anterior descending, reverse saphenous vein graft to the diagonal branch, third marginal branch, and acute marginal branch. -diabetes c/b neuropathy -dyslipidemia -hypertension -cardiomyopathy secondary to chagas -gastritis, gerd -history of pancreatitis -obstructive sleep apnea -depression -hyperuricemia social history: patient is married with five children. patient with disability due to poor vision from diabetic retinopathy. wife works at . denies tobacco, no etoh use and no h/o abuse, no illicits. family history: mother and father with diabetes. denies family history of cad. physical exam: gen: well-appearing, well-nourished, no acute distress heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm, op clear neck: no jvd, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline, neck stiffness, nuchal rigidity cor: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: lungs ctab, no w/r/r abd: soft, nt, nd, +bs, no hsm, no masses ext: no c/c/e. lue av graft with + thrill neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. pertinent results: 06:15am blood wbc-4.3 rbc-3.21* hgb-10.2* hct-31.1* mcv-97 mch-31.9 mchc-32.8 rdw-13.8 plt ct-151 02:08am blood wbc-3.9* rbc-3.10* hgb-10.1* hct-30.3* mcv-98 mch-32.6* mchc-33.4 rdw-13.9 plt ct-147* 04:30pm blood wbc-5.3 rbc-3.78*# hgb-12.4*# hct-37.9*# mcv-100* mch-32.9* mchc-32.8 rdw-13.8 plt ct-162 02:08am blood neuts-63.8 lymphs-30.4 monos-4.2 eos-1.2 baso-0.4 04:30pm blood neuts-61.0 lymphs-33.5 monos-3.6 eos-1.1 baso-0.8 06:15am blood plt ct-151 06:15am blood pt-14.5* ptt-30.3 inr(pt)-1.3* 02:08am blood plt ct-147* 02:08am blood pt-14.4* ptt-29.0 inr(pt)-1.2* 04:30pm blood plt ct-162 04:30pm blood pt-14.7* ptt-29.0 inr(pt)-1.3* 06:15am blood glucose-135* urean-25* creat-5.1* na-138 k-4.0 cl-97 hco3-33* angap-12 02:08am blood glucose-280* urean-22* creat-4.6*# na-137 k-3.8 cl-97 hco3-32 angap-12 04:30pm blood glucose-305* urean-65* creat-9.5*# na-132* k-9.0* cl-97 hco3-24 angap-20 06:15am blood ck(cpk)-28* 02:08am blood ck(cpk)-29* 04:30pm blood ck(cpk)-71 06:15am blood ck-mb-2 ctropnt-0.12* 02:08am blood ck-mb-2 ctropnt-0.10* 04:30pm blood ck-mb-3 ctropnt-0.10* 06:15am blood calcium-8.5 phos-3.5 mg-2.2 02:08am blood calcium-8.2* phos-3.2# mg-2.1 04:30pm blood calcium-8.9 phos-4.9* mg-2.9* 06:04pm blood lactate-1.1 k-7.5* 04:35pm blood glucose-277* lactate-2.7* na-140 k-8.6* cl-98* calhco3-25 blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient brief hospital course: 49 yo male with esrd on hd (mwf), cad s/p cabg, chf last ef 30% secondary to chagas, who presents with bradycardia and hypotension found to have significant hyperkalemia. # hyperkalemia: pt presented with potassium of 8.6 from his hd session. unclear etiology of the hyperkalemia though one possibility was he left his hd session prior to completion. he reports being compliant with his diet with out any deviation. he has been on lisinopril, although he has been on it since . potassium returned to level after dialysis. his cardiac meds were restarted but his lisinopril was reduced to 40mg daily. # bradycardia/hypotension: unclear etiology and improved after treatment for hyperkalemia in the ed with calcium. he did require atropine and dopamine gtt in the ed. ecg showed idioventricular rhythm with slow response. possible etiologies include electrolyte abnormalities. no evidence of infection on cxr and no fever or leukocytosis and therefore unlikely sepsis. he did report some mild diarrhea. the patient has mildly elevated trop in the setting of renal failure. no chest pain. continued on aspirin. home blood pressure meds initially held and then restarted once blood pressures stabilized. blood cultures drawn and were pending at the time of discharge. # esrd: on m/w/f hd. last dialysis was on friday. see above for hyperkalemia. renal consulted. continued on calcium acetate and cinacalcet as well as nephrocaps. discharged with plans for hd on day after discharge. # dm: briefly hypoglycemic after 10u insulin in the ed but normalized after 1 amp of d50. continued on q6h fs and an insulin sliding scale. his lantus was held at first and then restarted prior to discharge. medications on admission: sensipar 30mg daily fenofibrate 160mg daily carvedilol 25mg lisinopril 40mg daily omeprazole 20mg daily pravastatin 20mg daily calcium acetate 1334 w/ meals nephrocaps daily doxazosin 4mg super complex b daily lantus 13u daily asa 81mg daily discharge medications: 1. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 2. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 3. torsemide 20 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). 6. insulin lispro 100 unit/ml solution sig: asdir subcutaneous asdir (as directed). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. cinacalcet 30 mg tablet sig: one (1) tablet po daily (daily). 10. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 11. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 12. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 13. insulin glargine 100 unit/ml cartridge sig: asdir subcutaneous asdir: use as previously directed. 14. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary hyperkalemia esrd chf discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for high potassium. we dialyzed you and your potassium came down. it is important for you to go to your entire dialysis sessions regularly. please weigh yourself every morning and call your physician if your weight goes up more than 3 lbs. we have reduced your lisinopril dose to 40mg daily. we have not made any other changes to your medications. you are scheduled for dialysis tomorrow. followup instructions: hemodialysis session tomorrow provider: phone: date/time: 2:00 provider: , : date/time: 3:00 provider: , md phone: date/time: 9:40 procedure: central venous catheter placement with guidance diagnoses: hyperpotassemia end stage renal disease obstructive sleep apnea (adult)(pediatric) renal dialysis status esophageal reflux congestive heart failure, unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia other specified cardiac dysrhythmias hypotension, unspecified diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of insulin insulins and antidiabetic agents causing adverse effects in therapeutic use diarrhea awaiting organ transplant status other abnormal blood chemistry unspecified gastritis and gastroduodenitis, without mention of hemorrhage diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy secondary cardiomyopathy, unspecified chagas' disease with heart involvement 

Answer: The patient is high likely exposed to