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: angiotensin receptor antagonist / ace inhibitors attending: chief complaint: dyspnea, ivig-mediated atn major surgical or invasive procedure: none history of present illness: pt is a 77 year-old r handed male with pmhx significant for cad s/p mi x3 w/ stent, htn, afib admitted for ivig therapy related to recently diagnosed motor neuropathy. . - following history adapted from neuromuscular fellow note of - . pt states that for a couple of years, he has had some difficulty reaching things on high shelves. he began to have to use both his hands to lift anything as heavy as a plate from a high shelf. he did not notice any other problems at that time. in , he was diagnosed with atrial fibrillation. in of this year, he began to notice some dyspnea on exertion while lifting his paraplegic wife. at the end of he noticed he could no longer breathe while lying flat. he went to in and shortly afterward developed severe shortness of breath and lower extremity edema. he was hospitalized in and given a diagnosis of a left lower lobe infiltrate and started on diuretics and antibiotics. . after discharge his symptoms did not improve. he returned to and was admitted to with worsening orthopnea, pitting edema and shortness of breath. he was given a diagnosis of diastolic heart failure with an elevated bnp. there was no evidence of mi. he was cardioverted during admission and aggressively diuresed in the ccu. amiodarone was added. he continued to be hypoxic and require supplemental oxygen. tte showed ef 50%. . he was discharged to rehabilitation. since then, he has continued to need supplemental oxygen. he has continued orthopnea and dyspnea on exertion and always sleeps in a chair. he walks with a walker now to carry his oxygen tank and provide a chair if he needs to rest. he can walk around his house without the walker, and admits he often dosen't use the nasal cannula at home. he has been unable to get a chest ct due to the inability to lay flat. . in addition to the breathing problems, a couple of months ago he also developed paresthesias and numbness in the fourth and fifth digits of his left hand. this included the palm and the dorsal surface of the fourth and fifth digits. he also notes weakness of the left hand, particulary his grip. his fourth and fifth fingers "feel big," and when touched feel as though something is between his fingers and the stimulus. he denies neck, wrist and elbow pain. . he denies weakness in the lower extremities. he also denies numbness and paresthesias in the lower extremities. he has not noticed any rippling muscles or twitching. he has had chronic lower extremity cramps at night for years, but this is unchanged. he denies trouble speaking or swallowing, and denies double vision or increased weakness at the end of the day. . a few weeks ago, he had pfts, which showed an fvc 29% predicted, fev1 32% predicted. the fev1/fvc ratio was 111% predicted, which is elevated. the test was consistent with a restrictive lung process. he also had a moderately reduced dlco. . there is no history of fevers, chills, chest pain, rashes abdominal pain, nausea, vomiting, incoordination, change in vision, change in speech and swallowing. past medical history: cad, s/p stenting of rca in tte at osh: ef=60% as above atrial fibrillation, diagnosed s/p cardioversion, on coumadin htn hypercholesterolemia gout s/p spinal fusion benign tumor of left breatst 6 yrs ago left knee replacement benign tumor of spine appendectomy osa carpal tunnel release bilaterally, rib removal for ? thoracic outlet syndrome bilaterally car accident with head trauma social history: he has a ninth grade education. he was in the military, then he worked in a machine shop. in the shop, he says the air was constantly thick with smoke from the materials they were using. he lives with his wife. she was paralyzed from the waist down by a spinal cord infacrtion about 15 years ago. he is her primary caretaker. family history: his father died at age 72 from heart disease. his mother died at age from heart disease. he has a living brother and a living sister. his other sister died from breast cancer at age 45. there is no history of neurological problems in the family. physical exam: gen: sitting in chair, nad heent: nc/at, mmm, o/p clear, neck supple, no carotid bruits, cv:rrr s1/s2 no m/r/g resp:cta b/l abd: soft nt nd + bs ext: no c/c/e . neuro exam: oriented to person, place and time, patient repeating intact, naming intact, language fluent with normal comprehension. able to spell world backwards. inact. registration. recall after 3 minutes, with prompting. . cn: perrl, eomi, face symmetric, normal sensation, no hearing on left ear, sternocleidomastoid intact, palate symmetric, tongue midline. . motor: he has full strength of neck flexion and extension. there is no pronator drift. tone is normal. right deltoid , left deltoid 4+/5. right biceps strength is ; left biceps strength is 4+/5. right triceps , left triceps 4+/5. wrist extension strength is 4+/5 bilaterally. wrist flexion is full strength bilaterally. right finger flexion . left 1st, 2nd, and rd digit finger flexion . left 4th and 5th digit flexion 4-/5. there is mild 4+/5 weakness of the iliopsoas muscles bilaterally. dorsiflexion and plantar flexion are also full strength bilaterally. there was mild weakness of toe extension bilaterally. . sensation: decreased sensation to cold temperature from hands to elbows bilaterally. decreased vibration on toes bilaterally. . dtr: absent throughout. toes dowgoing bilaterally. . coordination: finger nose finger without dysmetria, normal . gait: normal stride and arm swing pertinent results: - electrophysiologic findigs most c/w multifocal motor neuropathy w/ conduction block, affecting bilateral median nerves and ulnar nerve. brief hospital course: this is a 77 yo man with multifocal motor neuropathy, cad, htn, osa, s/p pci, hyperlipidemia, restrictive lung disease (diagnosed with fvc of 34% predicted)who initially presented with slowly progressive dyspnea and orthopnea over six months. the patient also reported weakness of his left hand over the last year. on exam the patient was found to have proximal muscle weakness in his upper and lower extremities. he was also noted to have a numbness from his elbows to his finger tips bilaterally with weakness of his left 4th and 5th digits. he also had largely absent reflexes. the patient's study from suggested his defecits are from a multifocal motor neuropathy with conduction block. he also seems to have an ulnar neuropathy. the pt was admitted for an elective 5 day course of ivig for this motor neuropathy. after administration of the ivig, the pts creatinine increased from 0.9 on to 1.4 on , to 5.4 on , and to a peak of 7.4 on . the pt was transferred to the micu on for this worsening renal function thought to be secondary to ivig-mediated atn, oliguria, and increasing sob with a mild increase in o2 requirement. in the micu, the pt was followed by renal. his bumex was d/c'd, aspirin and indomethecin were also d/c'd. renal us and cxr were obtained. renal us showed no obstruction. cxr show no pulmonary congestion. prior to transfer to the floor, the pt was given lasix 120 mg iv x1 and chlorothiazide 500 mg iv x1. the pt diuresed 2l in response to these doses, and then he further autodiuresed 3-4 l each day subsequently. it was felt the pt had entered into the diuresis phase of atn prior to discharge. the pt frequently required potassium repletion (k often 3.1-3.4) likely secondary to tubulopathy and inability for k reabsorption during the recovery phase of atn. indomethacin was held as was his allopurinol, but prior to discharge his allopurinol was restarted at a lower dose of 100 mg qod. the pts coumadin for his paf was initially held given the possible need for hemodialysis, but this was restarted at 2.5 mg qhs and titrated up to 5 mg qhs with an inr prior to discharge of 1.6. the pt developed a hyponatremia of 128 on which improved to 137 prior to discharge after he had been placed on fluid restriction and diuresed. prior to and after discharge, po intake was encouraged as the pt was in the regeneration phase of his tubules and at risk of dehydration secondary to loss of tubular concentrating capacity. . the pts shortness of breath improved over his stay. the etiology was likely multifactorial including arf in the setting of diastolic dysfunction and baseline chf as well as restrictive lung disease. the pt continued on his home bipap machine at night. as the pt is on amiodarone ipf is also possible, but the pt is unable to lie flat for a ct. . prior to discharge the pt began to c/o intense l hand swelling, throbbing, and numbnbess. this was more than at his usual ulnar neuropathy baseline. venous us on ruled out venous thrombus. the pt was started on a 6 day outpatient prednisone taper as he has a history of gout and his recent arf/diuresis was a likely trigger (and his allopurinol had initially been held). medications on admission: lopressor 12.5 mg bumex 2 mg aspirin 81 mg daily kcl 10 meq daily indomethacin 50 mg allopurinol 300 mg daily warfarin 2.5 mg daily amiodarone 200 mg daily mevacor 40 mg qhs butalbital prn stool softener combivent bipap at night supplemental oxygen discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 2. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 3. sevelamer 800 mg tablet sig: one (1) tablet po tid (3 times a day). :*90 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). :*30 tablet(s)* refills:*2* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). :*30 tablet, chewable(s)* refills:*2* 6. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). :*30 tablet(s)* refills:*2* 7. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). :*15 tablet(s)* refills:*2* 8. potassium chloride 20 meq packet sig: two (2) packets po once a day for 5 days: take till potassium checked clinic on -then take more potassium if indicated by your primary care physician. :*10 packets* refills:*0* 9. prednisone 20 mg tablet sig: three (3) tablet po once a day for 2 days: start with this dose. :*6 tablet(s)* refills:*0* 10. prednisone 20 mg tablet sig: two (2) tablet po once a day for 2 days: take after done with 60mg dose . :*4 tablet(s)* refills:*0* 11. prednisone 20 mg tablet sig: one (1) tablet po once a day for 2 days: start after done with 40mg dose. :*2 tablet(s)* refills:*0* 12. prednisone 20 mg tablet sig: one (1) tablet po use as directed for 6 days: take 3 tablets for 2 days, take 2 tablets for 2 days, and take 1 tablet for 2 days. :*12 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: ulnar neuropathy multifocal motor neuropathy w/ conduction block acute renal failure obstructive sleep apnea atrial fibrillation discharge condition: stable discharge instructions: please call your neurologist or return to the ed if you experience increased shortness of breath, weakness, numbness, decreased urine output. please do not take cholchicine till further notice. please continue to maintain adequate fluid intake. please keep all follow up appointments. followup instructions: provider: /, md where: neurology phone: date/time: 11:00 . provider: cc2 pulmonary lab-cc2 where: pulmonary function lab phone: date/time: 8:30 . provider: laboratory where: clinical ctr--neurology dept date/time: 10:00 dr. / -pcp-- at 1:20pm-please have your k, cr and chem panel checked. your cr. at time of discharge had decreased from 7.4 to 3.2 clinic- clinic will call you by with a follow up appointment. if you do not hear from the clinic by -please call them immeditaly to schedule a follow up appointment. md, procedure: injection or infusion of immunoglobulin diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia gout, unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure old myocardial infarction long-term (current) use of anticoagulants chronic diastolic heart failure lesion of ulnar nerve 

Answer: The patient is high likely exposed to