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: past medical history: 1. bladder cancer status post xrt and chemotherapy, anaplastic locally advanced. 2. status post recent cystoscopy on , which revealed response to chemotherapy, but bimanual examination under anesthesia confirmed a left immobile pelvic mass suggesting extravesicle invasive disease. the patient was currently undergoing palliative chemotherapy with gemcitabine. 3. hypertension. 4. left lower extremity dvt diagnosed three months ago status post ivc filter placement. coumadin recently discontinued for hematuria secondary to the patient's bladder carcinoma. 5. status post cholecystectomy. 6. status post right hip fracture in . allergies: the patient has no known drug allergies. medications on admission: 1. hydralazine. 2. labetalol. 3. terazosin. 4. zestril. 5. senna. 6. coumadin. 7. melatonin. 8. pyridium. 9. iron sulfate. 10. cystospaz. 11. dulcolax. physical examination: examination revealed the following: vital signs: temperature 96.5, blood pressure 110/60, rate 90 in normal sinus rhythm and respiratory rate 16. ventilator settings were imv 10/700, 80% fio2 with peep of 5, first abg 7.28/43/336. general: the patient was intubated and sedated. heent: pupils equal, round, and reactive to light. extraocular movements cannot be tested. trachea midline. jvp at 12 cm. cardiovascular: normal s1 and s2, no s3 present. pulmonary: examination revealed that the patient is clear to auscultation bilaterally on anterior examination. abdomen: benign, no hepatosplenomegaly noted. extremities: warm. the left lower extremity has 2+ edema and there are 2+ pulses on both side. the right groin site dressing appears clean, dry, and intact with the sheath in. hospital course: the patient was admitted to the coronary care unit for management of respiratory failure, recent heart block and recent cardiogenic shock. the patient was quickly extubated within the first twenty-four hours of his admission. the patient's cks appeared to peak at 1000. the patient remained chest pain free throughout the rest of his admission. telemetry remained unremarkable also. he was started on aspirin, plavix, and beta blocker, ace inhibitor and statin for his ischemic disease. he did experience some hematuria in the immediate post procedure time thought secondary to the bladder cancer and use of aggrastat. on , the patient reported positional dizziness with turning of the head to the left that was new in onset. he also reported diplopia, which he said was old, but which his wife said was new. moreover, it was noted that the patient's speech was slightly slurred, although appropriate. given the fact that the patient has a known cancer and had received lytics at an outside hospital and also had focal neurological complaints with examination notable for left-sided dysmetria, head ct was obtained, which revealed left cerebellar infarction with increased pressure in the posterior fossa. neurology and neurosurgical consultation was obtained. the patient was monitored closely with frequent neurological checks and appeared to be clinically stable. repeat head ct twenty-four hours after the initial revealed no change in the findings. the patient was never given mannitol or any other therapeutic modalities to reduce the intracranial pressure. on , the patient was transferred to the floor for further neurological monitoring and optimization of his cardiac regimen. echocardiogram was also obtained on , which revealed the following: ef 25% to 30%; e to a ratio of 0.57 with estimated pa systolic pressure of 33; moderate -atrial dilatation noted as was moderate rv and lv dilation; mild mr noted; mild aortic root dilatation was also noted. there were multiple areas of apical and posterior akinesis. given the patient suppressed ef and mild clinical heart failure necessitating nasal cannula oxygen, the patient was aggressively diuresed and appeared to tolerate this well. on the patient was felt to be stable for discharge to a rehabilitation. of note: urinalysis was sent of his chronic indwelling foley, which was notable for large blood, greater than 10 white blood cell per high power field and nitrite positivity. he was started on a course of cipro for this. discharge diagnosis: 1. status post inferior mi complicated by complete heart block and transient cardiogenic shock. 2. left cerebellar infarction of subacute duration with radiographic evidence of increased posterior fossa intracranial pressure. 3. depressed ef with multiple wall motion abnormalities. 4. locally advanced anaplastic bladder carcinoma. 5. left lower extremity dvt. discharge medications: 1. aspirin 325 mg p.o.q.d. 2. plavix 75 mg p.o.q.d. 3. lopressor 37.5 mg p.o.b.i.d. 4. captopril 37.5 mg p.o.t.i.d. 5. protonix 40 mg p.o.q.d. 6. iron sulfate 325 mg p.o.t.i.d. 7. colace 100 mg p.o.b.i.d. 8. pyridium 200 mg p.o.t.i.d. 9. m.v.i. one tablet p.o.q.d. 10. folate 1 mg p.o.q.d. 11. senna one tablet p.o.q.d. 12. lipitor 10 mg p.o.q.d. 13. ciprofloxacin 500 mg p.o.b.i.d. times 7 days started on . 14. lasix 40 mg p.o.q.d. 15. terazosin 1 mg p.o.q.d. condition on discharge: the patient is discharged to rehabilitation. discharge status: stable. follow-up care: the patient will followup with his primary care physician, . and the urologist, dr. rathore at . the family has been made aware of the patient's overall grave prognosis. the patient remained full code at the time of discharge. dr., 12-463 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: congestive heart failure, unspecified unspecified essential hypertension other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure cardiogenic shock acute myocardial infarction of other inferior wall, initial episode of care iatrogenic cerebrovascular infarction or hemorrhage malignant neoplasm of other specified sites of bladder 

Answer: The patient is high likely exposed to