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: betadine / iodine; iodine containing / compazine / heparin agents attending: chief complaint: witnessed seizure major surgical or invasive procedure: intubation for mri history of present illness: this is a 40 year-old male who is well known to with history of c6 quadraplegia, autonomic dysreflexia, renal transplant, multiple sacral decubitus ulcers, anemia, chronic pain, and recurrent uti with indwelling suprapubic catheter sent in to ed from . . he was recently admitted for uti for much of and was found unresponsive in bed the morning of admission with associated hypertension. he was given narcan with some response. he then had generalized tonic stiffening and rhythmic movements of the extremeties. his eye were described as rolled back in the head and twitching. the event self-resolved after about 2 minutes. he became somewhat responsive but was still hypertensive to greater than 200 as is usual with his autonomic crisis. he received nitropaste with resolution of his unresponsiveness. his suprapubic catheter had been draining well, urine output had dropped that morning. he was brought to for further evaluation. . in the ed, neurology was consulted for the question of seizure. they recommended a sleep-deprived eeg and to increase lamotrigine dose. his blood pressure stabilized and his urine output picked up. past medical history: 1. status post motor vehicle accident resulting in c6 quadraplegia and autonomic dysreflexia. his course is also complicated by sacral decubiti. 2. status post renal transplant 3. obesity (260lbs) 4. depression 5. anemia 6. chronic pain 7. recurrent uti with indwelling suprapubic catheter 8. history of hit thrombosing port-a-cath 9. history of anyphylaxis with iodine refractory to pretreatment with steroids 10. history of cocaine-induced mi ' 11. chronic osteomyelitis 12. status post right bka 13. status post diverting colostomy 14. history of adrenal insufficiency 15. status post splenectomy 16. asthma social history: he lives at rehab, he is a former smoker and denies alcohol or illicits since cocaine in '. family history: non-contributory physical exam: vs: tm 101.4 tc 101.4 hr 102 bp 176/44 rr 18 99% nrb gen: obese, chronically ill-appearing man, with hob up, towel on face, heent: sclerae anicteric, dry mm. neck: supple no jvp elevation cv: tachycardic, nl s1/s2, port-a-cath in plce resp: good air movement, clear anteriorly. abd: protruberant, distended, no fluid wave appreciated, nontender, suprapubic catheter in place, ostomy with green-brown stool extrem: right knee ulceration without erythema or induration, faint radial pulses palpable pertinent results: chemistries: glucose-82 urea n-30 creat-1.0 sodium-143 potassium-4.3 chloride-109 total co2-24 calcium-8.2 phosphate-2.8 magnesium-1.2 lactate:1.1 . hematology: wbc-8.6 hgb-8.0 hct-25.9 plt count-145 neuts-78.4 bands-0 lymphs-15.5 monos-3.5 eos-2.4 basos-0.1 . coagulation: pt-13.4 ptt-26.8 inr(pt)-1.2 . urinalysis: large nitrate, moderate leukocyte esterase urine culture (): pan-sensitive proteus. . serum toxicology: negative . imaging: chest x-ray (): persistent cardiomegaly and small left pleural effusion. stable left lower lobe atelectasis/pneumonia. . ct head (): suggestion of hypodensity in the left frontal and temporal lobes. in the setting of seizure, an mr could be helpful for evaluation and to ascertain whether this appearance is artifactual related to motion or reflects the presence of an underlying mass, without mass effect. . ecg (): sinus rhythm. normal ecg. compared to the previous tracing of no diagnostic interim change. . renal ultrasound (): normal arterial and venous doppler waveforms in a transplant kidney with no perinephric fluid collection. minimal pelviectasis is present without hydronephrosis. . mri head (): no mass or signal abnormality to reflect fluid densities seen on ct that were likely artifactual. . eeg (): no evidence of epileptiform changes brief hospital course: this is a 40 year-old male found unresponsive followed shortly by apparent convulsive episode and was found to have urinary tract infection . 1. seizure: the etiology of his seizure is unclear and was thought it could be secondary to hypertensive encephalopathy, drug induced/withdrawl, and perhaps underlying infectious process. moreover, some hypomagnesemia noted on admission. per neurology, underlying seizure disorder is also an option, although a toxic metabolic cause appeared more likley. an eeg on was negative for any epileptiform changes. a head ct on revealed hypodensity in the left frontal and temporal lobes. an mri of the head showed no mass or signal abnormalities. his thorazide was stopped as that can lower his seizure threshold. he remained seizure-free for the duration of this admission. . 2. id: pt has suprapubic catheter which was likely source of infection at prior admission. he was continued on tobramycin until . fevers on this admission were concerning for infections. blood cultures were negative throughout admission. urine cultures grew proteus from . initially, he was on tobramycin since prior cultures were sensitive only to this . per id, the decision was made to discontinue this . on , urine culture again grew proteus again and id recommended treating with ceftriaxone after sensitivities were confirmed. his urine cleared the day after initializing treatment. in addition, his suprapubic tube was changed by urology and the patient continued to make good urine through the day of discharge. he completed a 10 day total course of iv ceftriaxone. . 3. right lower molar pain: mr. complained of lower right molar pain on . intially, he was to follow-up as an outpatient. however, his pain worsened. oral surgery came and removed a loose fragment of molar #30. his pain resolved. . 4. labile blood pressure: autonomic dysreflexia: mr. has periodic bouts of elevated blood pressure which, in the past, have resulted in hospital admissions. in general, antihypertensives and supportive care usually led to decreased blood pressure. for example, when he had elevated blood pressure and bladder pain, his suprapubic catheter was readjusted and he urinated 700cc and felt immediate relief with a decrease in blood pressure. while the etiology of his elevated blood pressure in this case wasn't necessarily his underlying autonomic dysreflexia, any elevation in blood pressure can trigger similar responses in mr. including pain, transient ms changes, shaking, discomfort. prior to subsequent admissions for elevated blood pressure, measures should be taken to control his pain such as giving him an extra dose of pain medication. on the day of discharge the patient's bp was stable. . 5. anemia: iron deficiency documented; continued iron supplementation, his hematocrit remained stable throughout this admission. . 6. sacral decubiti/chronic osteomyelitis: previously followed by dr. from orthopedics. we continued zinc, multivitamin, and wound care throughout admission. . 7. status post renal transplant: continued immunosuppressive medications (azathioprine and prednisone at 10mg). renal function normal despite renotoxic meds. . 8. chronic pain: he was continued on methadone and dilaudid as needed throughout admission. . 9. spasticity: he was continued on baclofen. . 10. depression: he was continued on celexa. . 11. fen: regular diet. . 12. access: port-a-cath . 13. code: full . 14. dispo: he was discharged back to . medications on admission: prednisone 10mg daily (until ) atrovent paxil 10mg qd dulcolax 10mg zinc 220mg qd senekot phenergan 12.5mg q6:prn protonix 40mg qd nicorette mvi methadone 5mg tid lamictal 25mg qd humalog sliding scale dilaudid 3mg q4h:prn fa 1mg qd feosol 325mg vit d 400u qd colace 200mg benadryl 25mg q6:prn tums 2500mg tid lioresal 20mg tid imuran 75mg qd tylenol ns 1l until discharge medications: 1. paroxetine hcl 10 mg tablet sig: one (1) tablet po daily (daily). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day). 3. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. nicotine 2 mg gum sig: one (1) gum buccal q1h (every hour) as needed. 7. multivitamin capsule sig: one (1) cap po daily (daily). 8. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. 9. lamotrigine 25 mg tablet sig: one (1) tablet po daily (daily). 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 11. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po bid (2 times a day). 12. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 13. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 14. azathioprine 50 mg tablet sig: 1.5 tablets po daily (daily). 15. baclofen 10 mg tablet sig: two (2) tablet po tid (3 times a day). 16. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 17. hydrocortisone 2.5 % cream sig: one (1) appl rectal (2 times a day) as needed for seborrheic dermatitis. 18. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day) as needed. 19. magnesium oxide 400 mg tablet sig: two (2) tablet po bid (2 times a day). 20. diphenhydramine hcl 50 mg iv q6h:prn 21. promethazine hcl 25 mg iv q6h:prn 22. vitamin d 400 unit capsule sig: one (1) capsule po once a day. 23. atrovent 18 mcg/actuation aerosol sig: one (1) inhalation every 4-6 hours as needed for allergy symptoms. 24. phenergan 12.5 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 25. humalog 100 unit/ml solution sig: one (1) subcutaneous four times a day as needed for hyperglycemia: sliding scale. 26. lidocaine viscous 2 % solution sig: 1-2 mls mucous membrane tid (3 times a day) as needed: to tooth as needed. 27. hydromorphone 1 mg/ml solution sig: 2-4 mg injection q3-4h (every 3 to 4 hours) as needed. 28. methadone 10 mg tablet sig: one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: hospital discharge diagnosis: seizure autonomic dysreflexia status post renal transplant chronic pain urinary tract infection right lower molar pain discharge condition: stable discharge instructions: please seek medical attention immediately should you experience new symptoms including weakness, fainting, seizures, shortness of breath, shaking, etc. take all medications as prescribed. follow up as outlined below. followup instructions: with outpatient doctor at rehab as needed in autonomic clinic. procedure: insertion of endotracheal tube extraction of other tooth replacement of cystostomy tube diagnoses: long-term (current) use of steroids other convulsions pressure ulcer, buttock pressure ulcer, lower back malignant essential hypertension disorders of magnesium metabolism below knee amputation status quadriplegia, unspecified kidney replaced by transplant infection and inflammatory reaction due to other genitourinary device, implant, and graft chronic ulcer of other specified sites late effect of spinal cord injury late effects of motor vehicle accident attention to colostomy autonomic dysreflexia neurogenic bladder nos attention to cystostomy unspecified disorder of the teeth and supporting structures seborrheic dermatitis, unspecified 

Answer: The patient is high likely exposed to